Singh Harpreet, Sachdeva Shabina, Srivastava Dhirendra, Kapoor Pranav, Sharma Poonam, Kumar Maurya Raj, Roy Pinaki
Department of Orthodontics and Dentofacial Orthopedics ESIC Dental College and Hospital, Sector 15, Rohini, Delhi, India.
Department of Prosthodontics, Faculty of Dentistry, Jamia Milia Islamia, Delhi, India.
Front Dent. 2022 Mar 7;19:14. doi: 10.18502/fid.v19i14.9217. eCollection 2022.
This integrative review aims to provide a consolidated evidence-based appraisal of the most up-to-date guidelines and recommendations of international public and professional health regulatory bodies in relation to preparedness framework for restructuring safe delivery of dental services amid and beyond the coronavirus disease-2019 (COVID-19) pandemic. Most recent updated guidelines for dental professionals from major international health regulatory bodies were reviewed. PubMed, Google Scholar, Cochrane Central Register of Controlled Trials, WHO COVID-19 and LILACS databases, along with relevant preprints were searched, and citations were checked up to January 23, 2021. The search was performed by one author. Shortlisted articles were read and brought to consensus to be included in the study by at least two co-authors. In case of any disagreement between the judgements, an independent co-author's decision was taken as final. Of 849 records searched, 61 articles were included in the study. Following content analysis of the global guidelines and the collected prevailing evidence, the common themes and recommendations of different guidance documents were collated and summarized into seven domains. Most guidelines have a consensus regarding implementation of rigorous administrative, engineering and environmental infection control strategies. However, variations do exist with regard to the use of respirators in non-aerosol-generating procedure (non-AGP) settings, employment of airborne precautions during non-AGPs, use of supplemental air-handling systems, and preoperative use of mouthwashes. This evidence-based analysis can serve as a useful reopening resource tool and facilitate effective restructuring for delivery of optimal, equitable and safe dental practices globally, during and while emerging from the pandemic.
本整合性综述旨在对国际公共卫生和专业卫生监管机构关于在2019年冠状病毒病（COVID-19）大流行期间及之后重组安全牙科服务提供的准备框架的最新指南和建议进行基于证据的综合评估。对主要国际卫生监管机构为牙科专业人员制定的最新指南进行了审查。检索了PubMed、谷歌学术、Cochrane对照试验中央注册库、世界卫生组织COVID-19数据库和拉丁美洲及加勒比卫生科学数据库（LILACS），以及相关的预印本，并检查了截至2021年1月23日的参考文献。检索工作由一位作者完成。入围的文章由至少两位共同作者阅读并达成共识后纳入研究。如果判断之间存在任何分歧，则以独立共同作者的决定为准。在检索的849条记录中，有61篇文章被纳入研究。在对全球指南和收集到的现有证据进行内容分析后，将不同指导文件的共同主题和建议进行整理并归纳为七个领域。大多数指南在实施严格的行政、工程和环境感染控制策略方面达成了共识。然而，在非气溶胶生成程序（non-AGP）环境中使用呼吸器、在非AGP期间采取空气传播预防措施、使用补充空气处理系统以及术前使用漱口水方面确实存在差异。这种基于证据的分析可以作为一个有用的重新开放资源工具，并有助于在大流行期间及从大流行中恢复期间，在全球范围内有效地重组以提供最佳、公平和安全的牙科服务。
