Department of Public Health Dentistry, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada; Clinics, Institute for Reconstructive Sciences in Medicine, Edmonton, Alberta, Canada.
J Contemp Dent Pract. 2020 Aug 1;21(8):935-941.
The aim of this review is to discuss the implications of COVID-19 on various aspects of dental care.
The COVID-19 pandemic had suspended dental practice globally for over 3 months. While dental practice is being resumed cautiously, standard infection control protocols that were traditionally overlooked are now being strictly implemented. Post-COVID-19, dental care is expected to see a drastic change in the way it is practiced.
With a view on the natural history and disease dynamics of COVID-19, this review reports various aspects of dental care, viz., patient triaging, engineering and work practice controls, and administrative, financial, and ethical aspects of dental care during and after COVID-19 pandemic. Current evidence-based recommendations with regard to infection-control practices are discussed. A call for universal oral health care with suggestions regarding integration of medical and health care is also proposed.
COVID-19 is expected to be a watershed moment in the field of dentistry. While we expect to see positive changes in safe delivery of dental care, an increase in cost of availing care is imminent.
The practice of dentistry and dental infection control has undergone dimensional changes due to bloodborne infectious diseases such as hepatitis B virus infections and human immunodeficiency virus epidemic. Due to these pandemics, many regulatory organizations have provided safety recommendations and guidelines that impact the dental practice. Currently, we are faced with a highly infective disease with a high mortality rate among people with comorbidities and of predominantly droplet transmission and no concrete safety recommendations and guidelines. This manuscript addresses multiple issues, gaps, and pragmatic solutions in controlling transmission of SARS-CoV-2 in dental settings, during and after the pandemic.
本文旨在讨论 COVID-19 对牙科护理各个方面的影响。
COVID-19 大流行使全球牙科实践暂停了 3 个多月。虽然牙科实践正在谨慎恢复，但传统上被忽视的标准感染控制方案现在正在严格执行。在 COVID-19 之后，牙科护理的实践方式预计将发生巨大变化。
鉴于 COVID-19 的自然史和疾病动态，本综述报告了牙科护理的各个方面，例如患者分诊、工程和工作实践控制，以及 COVID-19 大流行期间和之后牙科护理的行政、财务和伦理方面。讨论了当前基于证据的感染控制实践建议。还呼吁普及口腔保健，并就医疗保健整合提出建议。
COVID-19 预计将成为牙科领域的一个分水岭。虽然我们预计在安全提供牙科护理方面会看到积极的变化，但获得护理的成本增加是不可避免的。
由于乙型肝炎病毒感染和人类免疫缺陷病毒流行等血源性传染病，牙科实践和牙科感染控制已经发生了变化。由于这些大流行，许多监管组织提供了影响牙科实践的安全建议和指南。目前，我们面临着一种具有高死亡率的高度传染性疾病，主要通过飞沫传播，并且没有具体的安全建议和指南。本文解决了在大流行期间和之后在牙科环境中控制 SARS-CoV-2 传播的多个问题、差距和实用解决方案。
