Department of Experimental Medicine and Surgery, University of Rome "Tor Vergata", Rome, Italy.
Eur Rev Med Pharmacol Sci. 2022 May;26(9):3386-3398. doi: 10.26355/eurrev_202205_28760.
OBJECTIVE: SARS-CoV-2 is a new Coronavirus identified as the cause of Coronavirus disease in 2019 (COVID-19). The epidemic spread in China and beyond its borders, involving 114 countries with more than 5 million dead. On March 11, the WHO declared the spread of SARS-CoV-2 to be a pandemic and encouraged nations to adopt harsh restrictive measures. Therefore, patients more and more often turn to dental offices only for emergencies. Healthcare professionals, including dentists, are at high infectious risk. In fact, the closeness to the oral cavity and nasopharynx and the use of drills or ultrasonic devices that cause aerosol release, make dental professions at high risk of bacterial and viral infections. The way patients are treated has changed. In fact, it should be mandatory to carry out a pre-treatment telephone triage and the use of mouthwashes to reduce bacterial load. In the current pandemic, it is necessary to adopt specific safety protocols that can protect dental operators as well as limit the spread of the virus. The purpose of this review is to present an overview on ways to reduce the risk of SARS-CoV-2 contagion in dentistry by focusing on the immediate situation as well as by looking towards the future. MATERIALS AND METHODS: To reach the review purpose, we selected a series of studies using keywords "COVID-19" OR "SARS-CoV-2" in association with "dentistry" AND "safety protocols" AND "healthcare procedures" AND "individual protection dispositive" AND "air transmission" AND "droplet". We selected papers exclusively in English language, up to 1st January 2022. RESULTS: During future phases of the pandemic, everywhere in the World, it is necessary to impose all dentistry team both a serological screening and the vaccination, as already established for all health staff in Italy. CONCLUSIONS: For own safety, it is an important for the whole dentistry category constantly update the devices and the protocols adopted, as well as monitoring the real infectious threats, which may occur.
目的:SARS-CoV-2 是一种新的冠状病毒,被确定为 2019 年冠状病毒病(COVID-19)的病因。该病毒在中国及境外传播,涉及 114 个国家,死亡人数超过 500 万。2020 年 3 月 11 日,世界卫生组织宣布 SARS-CoV-2 的传播为大流行,并鼓励各国采取严厉的限制措施。因此,患者越来越多地仅因急诊而前往牙科诊所。包括牙医在内的医疗保健专业人员面临着高感染风险。事实上,由于与口腔和鼻咽部的接近以及使用会引起气溶胶释放的钻头或超声设备,牙科专业人员面临着细菌和病毒感染的高风险。治疗患者的方式发生了变化。事实上,应该强制进行治疗前电话分诊,并使用漱口水来降低细菌负荷。在当前的大流行中,有必要采取特定的安全措施来保护牙科操作人员并限制病毒的传播。本综述的目的是通过关注当前情况和展望未来,介绍通过降低牙科中 SARS-CoV-2 感染风险的方法。
材料和方法:为了达到综述的目的,我们使用了“COVID-19”或“SARS-CoV-2”与“牙科”和“安全协议”和“医疗程序”和“个人防护设备”和“空气传播”和“飞沫”等关键词选择了一系列研究。我们仅选择了英语语言的论文,截至 2022 年 1 月 1 日。
结果:在大流行的未来阶段,世界各地都需要对所有牙科团队进行血清学筛查和疫苗接种,就像意大利已经对所有卫生人员所做的那样。
结论:为了自身安全,整个牙科类别不断更新所采用的设备和协议非常重要,同时还要监测可能发生的实际感染威胁。
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