Sakai Hironori, Kondo Eiji, Tanaka Hirokazu, Shibata Akinobu, Nakatani Shizuka, Kurita Hiroshi
Department of Dentistry and Oral Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Acta Odontol Scand. 2025 May 13;84:212-217. doi: 10.2340/aos.v84.43420.
A previous questionnaire survey on infection control measures and infection status among practicing dentists during the 1st-5th surge of coronavirus disease 2019 (COVID-19) cases in Japan indicated a low risk of COVID-19 infection spreading through dental care. However, the low number of infected patients during the survey period may have been a contributing factor, and a sharp increase in the number of infected patients was subsequently observed. We re-examined the spread of infections in dental care settings and compared the results with those of previous reports.
An online questionnaire-based survey was administered in March 2023 to examine the situation from February 2022 to March 2023, when the 6th-8th surge of COVID-19 infection was observed in Japan. The survey was conducted via an online platform (Google Forms; San Mateo, California, USA). The call for participation was publicized to members of the Nagano Dental Association. The survey consisted of questions on clinical activities, infection control measures, and confirmed or probable COVID-19 cases among patients and clinical staff.
The number of COVID-19-positive patients increased approximately 50-fold between the study periods. There was a 3.5-fold increase in the rate of dental treatment for infected patients.
Even with the increased likelihood of contact with COVID-19 patients, no cases of infection during dental treatment were observed. The results of this study indicate that even with the possibility of contact with COVID-19 during dental treatment, the likelihood of COVID-19 clusters occurring in dental practices is low if appropriate infection prevention measures are in place.
先前一项针对日本2019冠状病毒病(COVID-19)疫情第1至第5波期间执业牙医的感染控制措施和感染状况的问卷调查表明,COVID-19感染通过牙科护理传播的风险较低。然而,调查期间感染患者数量较少可能是一个促成因素,随后观察到感染患者数量急剧增加。我们重新审视了牙科护理环境中的感染传播情况,并将结果与先前的报告进行了比较。
2023年3月进行了一项基于在线问卷的调查,以考察2022年2月至2023年3月的情况,这段时间日本观察到COVID-19感染的第6至第8波。该调查通过在线平台(谷歌表单;美国加利福尼亚州圣马特奥)进行。参与邀请向长野牙科协会成员公布。该调查包括关于临床活动、感染控制措施以及患者和临床工作人员中确诊或疑似COVID-19病例的问题。
在研究期间,COVID-19阳性患者数量增加了约50倍。感染患者的牙科治疗率提高了3.5倍。
即使与COVID-19患者接触的可能性增加,但在牙科治疗期间未观察到感染病例。本研究结果表明,即使在牙科治疗期间有可能接触COVID-19,但如果采取适当的感染预防措施,牙科诊所发生COVID-19聚集性感染的可能性较低。