Rahul Morankar, Tewari Nitesh, Mathur Vijay, Goel Shubhi, Jain Gunjar
Division of Pedodontics and Preventive Dentistry, Centre for Dental Education and Research, AIIMS, New Delhi, India.
Department of Orthopaedics, AIIMS, New Delhi, India.
Natl J Maxillofac Surg. 2021 May-Aug;12(2):139-161. doi: 10.4103/njms.NJMS_237_20. Epub 2021 Jul 15.
A large number of scientific articles have been published regarding impact of COVID-19 infection on dental practice, dental professionals, and the mode of spread of infection via dental procedures. The present systematic review was planned with an aim of evidence mapping and quality analysis of published research on the dental aspects of COVID-19 infection. The protocol was registered at https://share.osf.io/registration/46221-C87-BA8. The search was performed in Scopus, PubMed, Cochrane, and Embase databases till 15th July 2020. There was no restriction of year of publication and language. All types of published articles related to Dentistry, Dentist, Dental practice, and Oral health education on COVID-19 were included. The Joanna Briggs Institute's (JBI) Critical Appraisal Tools were used for the risk of bias analysis of included studies. A total of 393 articles were short-listed and were checked for eligibility and finally, 380 articles were included. Among the 380 research articles published (till July 15, 2020), the majority of the included articles belonged to the lowermost strata of the evidence pyramid. There were 54 original research articles with no randomized clinical trial, systematic review or, meta-analysis pertaining to the dental perspective of COVID-19 infection. The level of available evidence about dentistry and COVID-19 infection is very low with a lack of researches of highest quality. The guidelines/recommendations for dental professionals, proposed by the different scientific organizations/societies regarding COVID-19 infection are only consensus-based necessitating the need to formulate evidence-based guidelines. There is a need to identify essential research questions and strengthen the study designs in most of the aspects related to the dentistry and COVID-19 pandemic.
关于新型冠状病毒肺炎（COVID-19）感染对牙科实践、牙科专业人员以及通过牙科诊疗程序传播感染方式的影响，已经发表了大量科学文章。本系统评价旨在对已发表的关于COVID-19感染牙科方面的研究进行证据图谱绘制和质量分析。该方案已在https://share.osf.io/registration/46221-C87-BA8上注册。检索在Scopus、PubMed、Cochrane和Embase数据库中进行，截至2020年7月15日。对发表年份和语言没有限制。纳入了所有与COVID-19相关的牙科、牙医、牙科实践和口腔健康教育的已发表文章类型。采用乔安娜·布里格斯研究所（JBI）的批判性评价工具对纳入研究进行偏倚风险分析。共筛选出393篇文章并检查其 eligibility，最终纳入380篇文章。在已发表的380篇研究文章中（截至2020年7月15日），大多数纳入文章属于证据金字塔的最底层。有54篇原创研究文章，没有关于COVID-19感染牙科视角的随机临床试验、系统评价或荟萃分析。关于牙科和COVID-19感染的现有证据水平非常低，缺乏高质量的研究。不同科学组织/学会针对COVID-19感染为牙科专业人员提出的指南/建议仅基于共识，因此需要制定基于证据的指南。有必要确定重要的研究问题，并在与牙科和COVID-19大流行相关的大多数方面加强研究设计。
