scholarly journals COVID-19: Prosthodontic Challenges and Opportunities in Dental Practice

2020 ◽  
Vol 11 (2) ◽  
pp. 113-116
Author(s):  
Dinesh Rokaya

The coronavirus disease (COVID-19) has spread globally. Dentists, dental specialists, dental assistants, dental staff, and patients are potentially at higher risk of COVID-19 infection during dental treatments. The prosthodontic dental treatment procedures may range from low to very high risk of COVID-19. This article presents necessary recommendations regarding the prosthodontic dental treatment procedures with standards of care and infection control.

1997 ◽  
Vol 3 (2) ◽  
pp. 263-273
Author(s):  
Adel A. Mousa ◽  
Nadia M. Mahmoud ◽  
Azza M. Tag El Din

The knowledge and attitudes of 460 dental patients attending outpatient dental clinics in Alexandria, Tanta, and El-Mansoura universities were studied. Every patient was interviewed individually using a questionnaire concerning the routine use of protective gloves, masks and spectacles. The results revealed that 90% of the patients expected dentists to wear gloves, 73% expected them to wear face masks and 37% to wear spectacles. Most patients believed that gloves were for the patient’s protection while face masks and spectacles were for the dentist’s protection. About 50% of patients believed that they could contract infectious diseases during dental treatment;the more educated, the greater the concern of infection. Tanta patients were more concerned about cross infection than other patients


2013 ◽  
Vol 3 (2) ◽  
pp. 82-86
Author(s):  
Ashwin Muralidhar Jawdekar

ABSTRACT Having a policy on infection control based on current evidence and guidelines is essential for all dental practices. The evidence shows that all the members of the dental team may not possess adequate knowledge of all relevant aspects related to infection control, such as the transmission of infectious diseases, current regulations, etc. Moreover, there exists evidence to support the value of education and certified training the dental professionals in improving their understanding of infection control policies and procedures. The training must be provided by an expert team comprising of an academician with suitable clinical experience and demonstrable expertize in dentistry, and a microbiologist who understands the needs of dental settings. Evidence suggests that a training over 10 hours is associated with maximal benefits; and the CDC and BDA guidelines recommend training to all dental staff (clinical as well as nonclinical) for optimal benefits. Successful implementation of the infection control policies depends on the adequate provision of time and facilities for the same. How to cite this article Jawdekar AM. Infection Control Policy for Dental Practice: An Evidence-based Approach. J Contemp Dent 2013;3(2):82-86.


2011 ◽  
Vol 10 (1) ◽  
pp. 47
Author(s):  
Evy Eida Vitria

As a dentist, before doing dental procedure, especially regarding surgical intervention, It is necessary to ascertainthe general health of the patient whether the condition is safe enough to do dental procedure. This requires anappropriate and accurate evaluation in determining the systemic condition of medically compromised patients,which focus on pathophysiology of the disease, signs and symptoms, laboratory findings, currently accepted medicaltherapies, as well as recommendations for specific dental treatment. So, the best possible treatment procedures canbe provided and complications can be avoided.


Author(s):  
Rinki Susan George ◽  
N. P. Muralidharan ◽  
Anitha Roy

This review aims to develop a systematic approach for the selection of suitable and safer dental materials available in the market thereby giving an insight to predict their risk of inducing allergic reactions. The review was conducted by referring to various relevant articles and retrospective studies. It was noted that the most common allergic reactions in dental staff are allergies to latex, acrylates and formaldehyde. The other dental materials that caused irritation included impression materials, metals, resins, rubber products, amalgam restorations. The study comprehended that dental personnel have high risk of allergy from latex gloves, bio aerosols inhaled during the dental practice, contact dermatitis and from the usage of various other potentially harmful dental materials. On the other hand, the patients have high risk of irritation from commonly used dental materials like metals (gold, mercury, chromium, palladium etc), root canal sealants, obturation materials, formaldehyde, amalgam restorations, resin, acrylates, impression materials, latex and local anesthesia. Patients begin to develop symptoms of stomatitis, burning, tingling, cheilitis, oral lichenoid lesions, lip and facial swelling. The oral cavity is exposed to various sensitizing substances that cause allergic reactions. Hence it is necessary to provide comprehensive dental treatment without compromising the health of the patient.


Author(s):  
Madline Gund ◽  
Jonas Isack ◽  
Matthias Hannig ◽  
Sigrid Thieme-Ruffing ◽  
Barbara Gärtner ◽  
...  

Abstract Objectives Surgical masks are usually contaminated during dental treatment. So far it has not been investigated whether a surgical mask itself can be a source of microbial transmission. The aim of this study was therefore to investigate the microbiological contamination of surgical masks during dental treatment and the transfer of microorganisms from the mask to the hands. Materials and methods Five dental treatment modalities were studied: carious cavity preparation (P-caries, n = 10), tooth substance preparation (P-tooth, n = 10), trepanation and root canal treatment (P-endo, n = 10), supragingival ultrasonic application (US-supra, n = 10), and subgingival periodontal ultrasonic instrumentation (US-sub, n = 10). Bacterial contamination of mask and gloves worn during treatment was tested by imprinting on agar plates. Additionally, before masks were tested, their outer surface was touched with a new sterile glove. This glove was also imprinted on agar. Bacteria were identified by MALDI TOF mass spectrometry. Colony-forming units (CFU) were scored: score 0: 0 CFU, score 1: < 102 CFU, score 2: > 102 CFU, score 3: dense microbial growth. Results All masks and all gloves used during treatment displayed bacterial contamination (sample scores 0/1/2/3: masks 0/46/3/1 and gloves 0/31/10/9). After touching the masks with new sterile gloves, microorganisms were recovered with the following contamination scores: P-caries: 4/6/0/0, P-tooth: 2/8/0/0: P-endo: 7/3/0/0, US-supra: 0/9/1/0, US-sub: 2/8/0/0. No statistically significant differences were detected between the treatment modalities. Streptococci spp. and Staphylococci spp. representing the oral and cutaneous flora dominated. Conclusions Surgical masks are contaminated after aerosol-producing dental treatment procedures. Used masks have a potential to be a source of bacterial contamination of the hands. Clinical relevance Dental staff should avoid touching the outer surface of masks with their hands to prevent transmission of pathogens. It is recommendable to change the mask after each treated patient followed by hand disinfection.


2019 ◽  
Vol 26 (08) ◽  
pp. 1354-1358
Author(s):  
Gotam Das ◽  
Imran Samejo ◽  
Shabir Ahmed ◽  
Bushra Jabeen ◽  
Muhammad Ilyas Shaikh ◽  
...  

The Aim of this study was to assess that what measures were taken routinely by private dental practitioners regarding cross infection control. Study Design: Cross sectional study. Setting: Private dental practitioners in Karachi. Period: 01-04-2018 to 30-09-2018. Materials and Methods: A questionnaire comprised of 10 questions was prepared regarding measures taken for infection control in private dental practice. The questionnaire was distributed randomly among 130 private dental practitioners by hand to carry out a cross sectional study on cross Infection control among the private dental practitioners in Karachi. The each question had two options (YES OR NO), and the respondents had to select one of the two. Results: The questionnaire was sent to 130 private dental practitioners, out of which 111 dentists responded and returned the questionnaire. The response rate was 85%. Following are the results obtained. 85% of participants asked detailed medical history. Majority of dentists (78%) were immunized against hepatitis B. 95 % of the participants stated that they wore gloves during dental treatment and change on each patient. Mask was worn and changed on each patient by 67% of dentists during treatment. Protective eyeglasses and protective face shield were worn by 20% and 2 % of respondents respectively during dental treatment. Majority of dentists (84%) used autoclave to sterilize the hand piece and 16% dentists used sterilized hand piece on each patient. 100% participants changed instruments such as extraction instruments, saliva ejector, hand piece, impression trays on each patient. Only 3% of participant disinfected the impression before sending to laboratory. Only 17 % participants used special container to disposal off sharp objects. Conclusion: Cross infection control measures need to be improved in private dental practice.


2021 ◽  
Vol 8 (2) ◽  
pp. 32
Author(s):  
Nur Khamilatusy Sholekhah ◽  
Chriswardani Suryawati ◽  
Henry Setyawan ◽  
M. Zen Rahfiludin

2019 ◽  
Vol 10 (4) ◽  
pp. 324-329 ◽  
Author(s):  
Alexander Maninagat Luke ◽  
Simy Mathew ◽  
Maram Majed Altawash ◽  
Bayan Mohammed Madan

Lasers in dentistry began to gain popularity in the 1990s. Lasers in dentistry are used as a treatment tool or as an adjunct tool. By using the laser in the field of dentistry, the main goal is to overcome the disadvantages, which are currently being experienced in conventional dental treatment procedures. Many specialties in dentistry including oral surgery, implants, oral medicine, periodontics, pediatrics, and operative use the current new laser technology. The ability of lasers to provide minimally invasive procedures with less discomfort to the patient has been useful in the patient delivery system in dental practice. This article describes in brief on the uses of lasers in oral mucosal lesions.


1993 ◽  
Vol 76 (3) ◽  
pp. 298-300 ◽  
Author(s):  
M. Findler ◽  
D. Galili ◽  
Z. Meidan ◽  
V. Yakirevitch ◽  
A.A. Garfunkel

2021 ◽  
Vol 64 (7) ◽  
pp. 491-498
Author(s):  
Seong Su Lee ◽  
Su Jin Kim ◽  
Jong Eun Jung ◽  
Gunn Hee Kim ◽  
Mi Young Kwon ◽  
...  

Background: Surgeries performed for patients with coronavirus disease 2019 (COVID-19) place the medical staff at very high risk of infection. We suggest recommendations for appropriate operation preparation, anesthetic management, and infection control for COVID-19 patients in operating rooms.Current Concepts: Surgeries must be performed in an airborne infection isolation room, such as a negative-pressure operating room. It is recommended that scheduled surgeries for COVID-19 patients be postponed to an acceptable extent, with the exception of emergency cases. Moreover, the number of medical staff participating in the surgery should be minimized. Medical staffs should practice proper hand hygiene and wear an appropriate level of personal protective equipment depending on the infection risk. While performing surgery and inducing anesthesia in COVID-19 patients, endotracheal intubation should be performed by trained anesthesiologists with a video laryngoscope, preferably using high-efficiency viral filters, which can prevent contamination in the anesthesia machine. Use of disposable equipment or COVID-19 patient-specific devices is recommended to prevent the spread of infection, but instruments that require sharing among multiple patients must be thoroughly cleaned and disinfected before their use for the next patient.Discussion and Conclusion: Medical staff performing surgeries for COVID-19 patients are at very high risk of infection. Therefore, the use of appropriate personal protective equipment, high-efficiency viral filters in breathing circuits during anesthesia, and disinfection of contaminated equipment after the operation are mandatory.


Sign in / Sign up

Export Citation Format

Share Document