scholarly journals COVID-19 Transmission in Dental Practice: Brief Review of Preventive Measures in Italy

2020 ◽  
Vol 99 (9) ◽  
pp. 1030-1038 ◽  
Author(s):  
R. Izzetti ◽  
M. Nisi ◽  
M. Gabriele ◽  
F. Graziani

The outbreak and diffusion of SARS-CoV-2, responsible for the coronavirus disease (COVID-19), has caused an emergency in the health system worldwide. After a first development in Wuhan, China, the virus spread in other countries, with Italy registering the second highest number of cases in Europe on the 7th of April 2020 (135,586 in total). The World Health Organization declared the pandemic diffusion of COVID-19, and restrictive measures to limit contagion have been taken in several countries. The virus has a predominantly respiratory transmission through aerosol and droplets. The importance of infection control is therefore crucial in limiting the effects of virus diffusion. We aim to discuss the risks related to dental practice and current recommendations for dental practitioners. A literature search was performed to retrieve articles on the management of COVID-19 diffusion in dental practice. The documented clinical experience, the measures of professional prevention, and the actual Italian situation were reported and described. Four articles were retrieved from the literature search. Among the eligible articles, 3 reported measures to contrast COVID-19 diffusion. The infection management protocols suggested were reviewed. Finally, recommendations based on the Italian experience in terms of patient triage, patients’ entrance into the practice, dental treatment, and after-treatment management are reported and discussed. COVID-19 is a major emergency worldwide, which should not be underestimated. Due to the rapidly evolving situation, further assessment of the implications of COVID-19 outbreak in dental practice is needed.

2020 ◽  
Vol 11 (5) ◽  
pp. 98-102
Author(s):  
Amit Tirth ◽  
Md Nazamuddin Tafadar ◽  
Ravishankar Lingesha Telgi ◽  
Monika Dr

The outbreak of SARS-COV2 responsible COVID-19 disease created a worldwide health emergency. After its first case was accounted for in 2019, 31st December by World Health Organization in Wuhan city of china, and afterward spreading in different nations, with India surpassing cases even the inception nation as on twentieth of May 2020. The WHO declared the disease as pandemic way back and countries over the world adoptinglockdown and contact tracing to limit the contagion. The virus transmits person-to-person predominantlythrough respiratory routes through direct contact, droplets and possibly aerosols. Because of the unique nature of practice in dentistry, most procedure generate significant amount of aerosols and droplets, posing a possible risk of infection transmission. Understanding the concern of risk of transmission in dental practice, this literature is aimed to discuss the possible risk associated with practice and aim to raise awareness of the same with preventive measures especially after the lockdown end in day to day practice.


Author(s):  
Najla Dar Odeh ◽  
Hamzah Babkair ◽  
Shaden Abu-Hammad ◽  
Sary Borzangy ◽  
Abdalla Abu-Hammad ◽  
...  

COVID-19 was declared a pandemic by the World Health Organization, with a high fatality rate that may reach 8%. The disease is caused by SARS-CoV-2 which is one of the coronaviruses. Realizing the severity of outcomes associated with this disease and its high rate of transmission, dentists were instructed by regulatory authorities, such as the American Dental Association, to stop providing treatment to dental patients except those who have emergency complaints. This was mainly for protection of dental healthcare personnel, their families, contacts, and their patients from the transmission of virus, and also to preserve the much-needed supplies of personal protective equipment (PPE). Dentists at all times should competently follow cross-infection control protocols, but particularly during this critical time, they should do their best to decide on the emergency cases that are indicated for dental treatment. Dentists should also be updated on how this pandemic is related to their profession in order to be well oriented and prepared. This overview will address several issues concerned with the COVID-19 pandemic that directly relate to dental practice in terms of prevention, treatment, and orofacial clinical manifestations.


Author(s):  
Naseer Ahmed

Background: December 2019, marked the beginning of novel Coronavirus (COVID-19) from China (Wuhan), which hit the general population and healthcare systems, worldwide, as a pandemic. Karachi reported the first case of COVID-19 on February 26 2020 in a student returning from Iran. Currently, World Health Organization has put forward specific guidelines for dental practitioners. The primary objective of the study was to determine the practices of dental practitioners in Karachi in following the standard guidelines set by the World Health Organization. Methods: In this, cross sectional questionnaire-based study, we have collected data from 111 dental practices through random sampling for analysis across Karachi, Pakistan. Structured questionnaire was designed comprising questions regarding knowledge, equipment, financial burden and procedures performed. Using SPSS version 25, descriptive analysis was executed on these variables. A multiple regression test was used to detect any relationship between them. Results: Majority (55.3%) of the dentists were found aware of the standard guidelines regarding dental practices and treatment of patients during COVID-19 outbreak but implementation in practice has been a major dilemma. Shortage of equipments as well as financial crisis was the main causative factors. Non-emergency procedures (5%) are being performed as well as inadequate protective measures are being adapted. Conclusion: According to the world standards, dental practices in Karachi should follow the standard guidelines put forward by world-renowned health organizations. Majority (p=0.44) of the dentists are aware of the standard guidelines, but lack of resources and financial instability are the primary factors affecting their dental practice.


Author(s):  
May Mansour Alotaibi, Maha Mansour Alotaibi, Asma Saleh AlRa May Mansour Alotaibi, Maha Mansour Alotaibi, Asma Saleh AlRa

The study aimed to identify the investigation of the situation on the preventive measures that Saudi dental practitioners followed during the Coronavirus (Covid-19) pandemic in four major cities in Saudi Arabia, which are the capital, Riyadh, Jeddah, Makkah and Madinah, and the study was limited to current dental practitioners who provide medical care In hospitals and dental clinics, and the study sample did not include university professors or dental students, and through this study we sought to know the preventive measures that dental practitioners followed by following the recommendations and guidelines of the World Health Organization regarding preventive measures for dental professionals to prevent Coronavirus (Covid-19). While the questionnaire was designed using the G-Forms application, and the questionnaire was sent to remote dental practitioners via the Internet through applications and social networking sites, total of study sample (525), 235males and 290 females The results of the study showed that Saudi dentists followed the guidelines and recommendations of the World Health Organization to confront the Coronavirus (Covid-19), as Saudi dentists showed a high commitment to wearing mask, wearing gloves, sterilizing all medical devices before and after providing patient care, Directing all persons attending the clinic to wear masks, asked all patients upon attending if they have a symptoms consistent with COVID-19, Handwashing with soap and water or alcohol-based hand sanitizer for everyone, checking the patient's temperature by digital thermometer, and  screening patients by virtual/remote technology or telephone. While the results showed a decline in some preventive measures followed by Saudi dentists such as: wearing protective outerwear, using rubber dams, use a mouthwash that contains chlorhexidine, and wearing shoe covers.  Based on the results of the study, the percentage of self-evaluation of preventive measures followed by dental practitioners ranged from 70-80%


2021 ◽  
Vol 4 (1) ◽  
pp. 52
Author(s):  
Agung Sosiawan ◽  
Dian Agustin Wahjuningrum ◽  
Anuj Bhardwaj ◽  
Kratika Mishra ◽  
Sheetal Khandelwal ◽  
...  

In December 2019, an outbreak in the city of Wuhan, Hubei China occurred and was named COVID- 19 by the World Health Organization and declared as a pandemic on January 30, 2020. The etiologic agent of acute respiratory disease is the novel corona virus 2019 (2019-nCoV) or the extreme acute respiratory syndrome corona virus 2 (SARS-CoV-2). During many dental operations, aerosols are produced and these aerosol methods, which are major problems for dentists, have become the main area of concern in dentistry. Dentists are at greatest risk since they are located close to the oropharynx. This study summarizes the effect of coronavirus disease 2019 (COVID-19) on dental care, administration, and emergency dental treatment service. It also identifies COVID-19 and explains about six commandments for dental practitioners during the treatment process to be practiced during the pandemic.


2020 ◽  
Vol 0 ◽  
pp. 1-7
Author(s):  
Safaa Shihabi ◽  
Salma Al Nesser ◽  
Omar Hamadah

Objectives: A novel coronavirus was first proclaimed in Hubei province, China, 213 countries worldwide also became an epicenter of the virus until June 17, 2020. The dental team has a high risk of infection as a result of the specificity of their procedures. The aim of this questionnaire was to estimate the preventive measures and the awareness methods that may be adopted by the dentists to prevent or reduce the transmission of COIVD-19. Material and Methods: The questionnaire was an electronic survey contained 23 questions, which were designed based on the instruction given for dental setting by CDC during COVID-19 pandemic; the respondents in this study were dental practitioners in Syria. Results: A total of 1013 dentists have responded to this survey 61% of the participants treated only the emergent treatment, 84% of them wear facial masks, while the prevalence for other protective equipment was low. The majority of the participants schedule the appointments as there is only one patient in the waiting room. More than half of the dentists sterilize the patients’ hands before and after the dental treatment, and 59% of them choose 70% ethyl alcohol as a disinfectant. Most of the respondents use dental mouthwashes before the initiation of the treatment. Almost three-quarters of the dentists use high vacuum. Only 15% of dentists sterilize the dental handpieces in the autoclaves after each patient. Most of dentists educate their patients about preventive methods. Conclusion: Based on these results, the Syrian dentists should take more strict measures during dental practice.


Author(s):  
M Negucioiu ◽  
A Bucur ◽  
O Lucaciu ◽  
A Soanca ◽  
A Roman

Abstract The coronavirus disease (COVID-19) has seen a violent and fast spread worldwide. The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has a predominantly respiratory transmission through droplets and aerosol with serious implications for dental settings. This article is based on recent research, guidelines issued by relevant authorities, as well as on the authors’ experience acquired through their involvement in setting up an emergency dental care hub in Cluj-Napoca, Romania during the COVID-19 lockdown. The present article aims to provide a brief description of COVID-19 implications in dental office and to recommend preventive protocols for dental practitioners to ensure a safe and healthful workplace. The recommendations for infection control presented in this article address the specific risks of exposure to SARS-CoV-2. The article provides a special customized guideline covering patient triage and entrance into the dental practice, personnel protection, dental treatment and after-treatment management. The implementation of strict preventive measures has been found to be efficient in the prevention of SARS-CoV-2 contamination since no infections have been reported among our staff or patients. COVID-19 is a major emergency worldwide marked by a rapid evolution, and warranting a need for further assessment of the implications of COVID-19 outbreak in dental practice.


2020 ◽  
Vol 99 (5) ◽  
pp. 481-487 ◽  
Author(s):  
L. Meng ◽  
F. Hua ◽  
Z. Bian

The epidemic of coronavirus disease 2019 (COVID-19), originating in Wuhan, China, has become a major public health challenge for not only China but also countries around the world. The World Health Organization announced that the outbreaks of the novel coronavirus have constituted a public health emergency of international concern. As of February 26, 2020, COVID-19 has been recognized in 34 countries, with a total of 80,239 laboratory-confirmed cases and 2,700 deaths. Infection control measures are necessary to prevent the virus from further spreading and to help control the epidemic situation. Due to the characteristics of dental settings, the risk of cross infection can be high between patients and dental practitioners. For dental practices and hospitals in areas that are (potentially) affected with COVID-19, strict and effective infection control protocols are urgently needed. This article, based on our experience and relevant guidelines and research, introduces essential knowledge about COVID-19 and nosocomial infection in dental settings and provides recommended management protocols for dental practitioners and students in (potentially) affected areas.


2020 ◽  
Vol 49 (3) ◽  
pp. 259-264 ◽  
Author(s):  
Bjorn Meijers ◽  
Piergiorgio Messa ◽  
Claudio Ronco

The World Health Organization has recognized the pandemic nature of the coronavirus disease 19 (COVID-19) outbreak. A large proportion of positive patients require hospitalization, while 5–6% of them may need more aggressive therapies in intensive care. Most governments have recommended social separation and severe measures of prevention of further spreading of the epidemic. Because hemodialysis (HD) patients need to access hospital and dialysis center facilities 3 times a week, this category of patients requires special attention. In this editorial, we tried to summarize the experience of our centers that hopefully may contribute to help other centers and colleagues that are facing the coming wave of the epidemic. Special algorithms for COVID-19 spreading in the dialysis population, recommendations for isolation and preventive measures in positive HD patients, and finally directions to manage logistics and personnel are reported. These recommendations should be considered neither universal nor absolute. Instead, they require local adjustments based on geographic location, cultural and social environments, and level of available resources.


2019 ◽  
Vol 27 (5) ◽  
pp. 312-319
Author(s):  
Elizabeth Shortis

Background The World Health Organization recommends exclusive breastfeeding for the first 6 months of life; however, UK breastfeeding rates are some of the lowest worldwide. As such, various interventions have been trialled, aiming to increase breastfeeding rates. Aims To evaluate the effectiveness of interventions to increase breastfeeding rates in the UK and determine the features of successful interventions. Methods A literature search was performed, using four databases. The results were refined by applying inclusion and exclusion criteria. Two additional articles were recognised by scanning the references sections of identified studies, resulting in 12 articles for review. Findings Support-based interventions had predominantly insignificant effects upon breastfeeding rates. Incentives were associated with increases in rates, while combined interventions had mixed success. The interventions were well received by mothers and clinicians and may help to normalise breastfeeding. Conclusions Future interventions should provide targeted, personalised support to overcome breastfeeding difficulties, and reward mothers for their efforts.


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