Department of Oral & Maxillofacial Pathology & Oral Microbiology, Subharti Dental College and Hospital, Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India.
Department of Oral Medicine & Radiology, Subharti Dental College and Hospital, Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India.
Rev Med Virol. 2022 Nov;32(6):e2345. doi: 10.1002/rmv.2345. Epub 2022 Mar 10.
Coronavirus disease 2019 (COVID-19) is a novel disease caused by a newly identified virus Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) causing diverse systemic manifestations. The oral cavity too is not spared and the symptoms appear either independently, concurrently, or sequentially. In view of the rising documented cases of oral lesions of COVID-19, this systematic review aims to assess the prevalence of oral manifestations in COVID-19 confirmed individuals. An extensive literature search was conducted in databases like Scopus, Pubmed/Medline, Livivo, Lilacs and Google Scholar and varied oral signs and symptoms were reported as per the PRISMA guidelines. Studies published in English language literature only were included and were subjected to the risk of bias using the Joana Briggs Institute Appraisal tools for prevalence studies, case series and case reports. In a two-phase selection, 34 studies were included: 21 observational, 3 case-series and 10 case reports. These observational studies included approximately 14,003 patients from 10 countries. In this review, we explored the most commonly encountered oral and dental manifestations in COVID-19 and identified that loss of taste acuity, xerostomia and anosmia were frequently reported. Elevated incidence of opportunistic infections like mucormycosis and aspergillosis were reported during the treatment due to prolonged intake of steroids. Immunosuppression and poor oral hygiene led to secondary manifestations like enanthematous lesions. However, it is not clear that oral signs and symptoms are due to COVID-19 infection itself or are the result of extensive treatment regimen followed [PROSPERO CRD42021258264].
新型冠状病毒病(COVID-19)是由一种新发现的病毒——严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起的新型疾病,可引起多种全身表现。口腔也未能幸免,症状要么独立出现,要么同时出现,要么先后出现。鉴于 COVID-19 口腔病变的病例不断增加,本系统综述旨在评估 COVID-19 确诊个体口腔表现的患病率。我们在 Scopus、PubMed/Medline、Livivo、Lilacs 和 Google Scholar 等数据库中进行了广泛的文献检索,并根据 PRISMA 指南报告了各种口腔体征和症状。仅纳入发表在英文文献中的研究,并使用 Joana Briggs 研究所评估工具对患病率研究、病例系列研究和病例报告进行偏倚风险评估。在两阶段选择中,共纳入 34 项研究:21 项观察性研究、3 项病例系列研究和 10 项病例报告。这些观察性研究共纳入了来自 10 个国家的约 14003 名患者。在本综述中,我们探讨了 COVID-19 中最常见的口腔和牙科表现,发现味觉丧失、口干和嗅觉丧失经常被报道。由于长期使用类固醇,报道了机会性感染(如毛霉菌病和曲霉菌病)的发生率升高。免疫抑制和口腔卫生不良导致二次表现,如发疹性病变。然而,目前尚不清楚口腔症状是否是由 COVID-19 感染本身引起的,还是由于广泛的治疗方案引起的[PROSPERO CRD42021258264]。
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