scholarly journals Oral surgery in and after the COVID-19 period from the consultation to the operating room

2021 ◽  
Vol 8 ◽  
Author(s):  
Asma Azzouzi ◽  
Saliha Chbicheb

Severe acute respiratory syndrome (SARS) caused by the SARS-CoV-2 virus was first reported in Wuhan, China, in December 2019 has rapidly spread worldwide at an unprecedented rate and has profound health and socioeconomic effects directly affecting all fields. From the onset of the pandemic, the authors realized the impending impact on the dental field. Dental professionals are uniquely exposed to environments with high levels of infection risk from aerosols and oral fluids. Dental treatment has become a challenge during the epidemic. However, the light of optimism has faded with the onset of vaccination. The purpose of this article is to provide guidance to dental surgeons on how to adapt their current practice during and after the COVID-19 pandemic with respect to consultation activity, surgical activity, and drug prescribing in oral surgery. Thus, an electronic search was performed from PubMed (MEDLINE), Scopus, Cochrane, Google Scholar and Sciencedirect databases. 35 articles were identified of which 24 were selected to compose this article. Within the limitations of this literature review, the presence of the virus is inevitable in oral surgery practice. Dentists must continue to provide care to their patients while monitoring the evolution of Covid-19.

2021 ◽  
Vol 9 (7) ◽  
pp. 80
Author(s):  
Hidenobu Senpuku ◽  
Masahiko Fukumoto ◽  
Toshikazu Uchiyama ◽  
Chieko Taguchi ◽  
Itaru Suzuki ◽  
...  

Dental professionals are at increased risk of being infected with airborne pathogens such as SARS-CoV-2 because they are often exposed to droplets/aerosols production during dental treatment. To scientifically clear the effects of extraoral and oral suctions on the droplets and aerosols produced by dental treatments using an ultrasonic scaler was analyzed. The adenosine triphosphate and bacteria in droplets and aerosols produced during simulated scaling were quantitatively observed by reactions with luciferin/luciferase and incubation in culture plates to grow bacteria, respectively. The protection against spreading droplets and aerosols by oral and extraoral suctions was recognized, and the areas were limited to the left and posterior sides of the dental chair head when a right-handed dentist and dental hygienist performed scaling. Extraoral suction is a very useful tool for reducing the infection risk of COVID-19 in dental care, but the effective area is limited depending on physical characteristics of dentist and dental hygienist.


Author(s):  
Rodrigo Resende

RESUMOO uso de soluções anestésicas é realizada quase que diariamente pelos profissionais de odontologia. Entretanto, os anestésicos locais disponíveis no mercado apresentam-se sob a forma de soluções com composições e concentrações variadas, tanto com relação ao sal anestésico, vasoconstritor e seu preservativo. Talvez, pela grande variedade de associações, possa surgir diversas dúvidas quanto à melhor escolha durante a prática clínica diária, principalmente quando o mesmo apresenta algum tipo de doença sistêmica. Com isso, o objetivo desse trabalho é realizar uma revisão de literatura das melhores indicações e possíveis contraindicações de soluções  anestésicas locais disponíveis no mercado nacional, relacionando com doenças sistêmicas que comumente são atendidas na clínica odontológica.Palavras – Chave: Odontologia; Anestésico local; Cirurgia oral. ABSTRACT The use of anesthetic solutions is performed almost daily by dental professionals. However, the local anesthetics available on the market come in the form of solutions with varying compositions and concentrations, both with respect to the anesthetic salt, vasoconstrictor and its preservative. Perhaps, due to the wide variety of associations, several doubts may arise regarding the best choice during daily clinical practice, especially when it presents some type of systemic disease. Thus, the objective of this work is to carry out a literature review of the best indications and possible contraindications for local anesthetic solutions available in the national market, relating to systemic diseases that are commonly seen in the dental clinic. Key words: Dentistry; Local anesthetic; Oral surgery.


Author(s):  
Rodrigo Resende

RESUMOO uso de soluções anestésicas é realizada quase que diariamente pelos profissionais de odontologia. Entretanto, os anestésicos locais disponíveis no mercado apresentam-se sob a forma de soluções com composições e concentrações variadas, tanto com relação ao sal anestésico, vasoconstritor e seu preservativo. Talvez, pela grande variedade de associações, possa surgir diversas dúvidas quanto à melhor escolha durante a prática clínica diária, principalmente quando o mesmo apresenta algum tipo de doença sistêmica. Com isso, o objetivo desse trabalho é realizar uma revisão de literatura das melhores indicações e possíveis contraindicações de soluções  anestésicas locais disponíveis no mercado nacional, relacionando com doenças sistêmicas que comumente são atendidas na clínica odontológica.Palavras – Chave: Odontologia; Anestésico local; Cirurgia oral. ABSTRACT The use of anesthetic solutions is performed almost daily by dental professionals. However, the local anesthetics available on the market come in the form of solutions with varying compositions and concentrations, both with respect to the anesthetic salt, vasoconstrictor and its preservative. Perhaps, due to the wide variety of associations, several doubts may arise regarding the best choice during daily clinical practice, especially when it presents some type of systemic disease. Thus, the objective of this work is to carry out a literature review of the best indications and possible contraindications for local anesthetic solutions available in the national market, relating to systemic diseases that are commonly seen in the dental clinic. Key words: Dentistry; Local anesthetic; Oral surgery


Author(s):  
Robson de Lima GOMES ◽  
Marlus da Silva PEDROSA ◽  
Claudio Heliomar Vicente da SILVA

ABSTRACT Since the outbreak of the Coronavirus Disease 2019 (COVID-19), caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), numerous restrictive measures have been adopted by governments of different countries. The return to elective dental care in Brazil is a reality even during the COVID-19 pandemic. During restorative dental procedures, the dental professional requires close contact with the patient, being exposed to contaminated saliva and fluids. In addition, transmission of COVID-19 by the generation of aerosol produced by dental handipieces may be possible. Thus, the dental staff must know how to act during restorative dental procedures, putting into practice the correct clinical protocols to avoid cross-contamination and COVID-19 spread. The purpose of this article is to review the literature on the biosafety practices especially in the context of restorative dental procedures in times of COVID-19.


2020 ◽  
Vol 18 (1) ◽  
pp. 50
Author(s):  
Lilik Hidayanti ◽  
M.Zen Rahfiludin

Ibu hamil yang menderita anemia defisiensi besi dapat memberikan dampak negative pada kesehatan ibu maupun bayi yang dilahirkan sehingga dapat meningkatkan angka kematian ibu (AKI) dan angka kematian anak (AKB). Literature review ini bertujuan untuk melakukan telaah terhadap artikel-artikel hasil penelitian eksplanatori dan eksperimental yang dipublikasikan 10 tahun yang lalu atau mulai dari tahun 2008 terkait dengan dampak anemia defisiensi besi pada ibu saat hamil dengan outcome kehamilannya seperti prematuritas, BBLR, kejadian preeklamsi, perkembangan kognitif anak dan kematian bayi. Hasil penelusuran melalui 4 electronic search engine yaitu Proquest, CINAHL Medline, dan Scopus menemukan 220 artikel. Setelah dilakukan proses skrining berdasarkan kriteria inklusi yang ditetapkan, maka diperoleh 50 artikel yang akan ditelaah. Hasil telaah artikel yang telah kami lakukan menemukan bahwa paling banyak (21) artikel membahas mengenai dampak anemia defisiensi besi pada ibu hamil dengan kejadian BBLR, 18 artikel dengan kejadian prematuritas, 6 artikel dengan perkembangan mental anak, dan sisanya (5) artikel dengan kadar zat besi dalam tubuh bayi baru lahir dan ourcome kehamilan yang lainnya. Hasil penelitian di berbagai Negara baik Negara berkembang maupun Negara maju menunjukan bahwa anemia yang terjadi pada masa kehamilan dapat memberikan dampak kelahiran dengan BBLR, prematuritas, kematian neonatus, anemia neonatus, kelahiran denga  metode sectio, hambatan perkembangan mental, dan rendahnya skor APGAR.


Author(s):  
Jingjing Wang ◽  
Xueying Wu ◽  
Ruoyu Wang ◽  
Dongsheng He ◽  
Dongying Li ◽  
...  

The coronavirus disease 2019 pandemic has stimulated intensive research interest in its transmission pathways and infection factors, e.g., socioeconomic and demographic characteristics, climatology, baseline health conditions or pre-existing diseases, and government policies. Meanwhile, some empirical studies suggested that built environment attributes may be associated with the transmission mechanism and infection risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, no review has been conducted to explore the effect of built environment characteristics on the infection risk. This research gap prevents government officials and urban planners from creating effective urban design guidelines to contain SARS-CoV-2 infections and face future pandemic challenges. This review summarizes evidence from 25 empirical studies and provides an overview of the effect of built environment on SARS-CoV-2 infection risk. Virus infection risk was positively associated with the density of commercial facilities, roads, and schools and with public transit accessibility, whereas it was negatively associated with the availability of green spaces. This review recommends several directions for future studies, namely using longitudinal research design and individual-level data, considering multilevel factors and extending to diversified geographic areas.


Author(s):  
Bassel Tarakji ◽  
Mohammad Zakaria Nassani ◽  
Faisal Mehsen Alali ◽  
Anas B. Alsalhani ◽  
Nasser Raqe Alqhtani ◽  
...  

Dental professionals have a major role in the fight against the spread and transmission of COVID-19. This study aimed to evaluate awareness and practice of dentists in Saudi Arabia regarding COVID-19 and the utilization of infection control methods. A 24-item questionnaire was developed and distributed through social media to 627 dentists working in Saudi Arabia. 177 questionnaires were completed (28.2% response rate). Most dentists were aware about the transmission, incubation time and main clinical symptoms of COVID-19. Almost 83% of the respondents appreciate the risk of droplets, aerosols and airborne particles in transmission of COVID-19 in the dental clinic. Among the common practices of participants are measuring patient’s body temperature before undertaking a dental treatment (88.7%), cleaning the environmental surfaces at the dental clinic after each patient (91.5%) and restriction of dental treatment to emergency cases (82.5%). It seems that practicing dentists in Saudi Arabia are fairly aware about COVID-19. The practices of the surveyed dentists appear to be mostly consistent with the current guidelines and recommendations for infection control of COVID-19 in the dental clinic. Some drawbacks in knowledge and a number of inappropriate practices can be identified and require the attention of health authorities.


Diagnosis ◽  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Giuseppe Lippi ◽  
Camilla Mattiuzzi ◽  
Brandon M. Henry

Abstract Objectives Despite inter-individual variations in their diagnostic efficiency, dogs have been trained to investigate many human pathologies, especially cancer, diabetes, migraine, seizures and even infectious diseases. To this end, we performed a critical review and pooled analysis of current scientific literature on the performance of dogs trained for identifying severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-positive human specimens. Methods We carried out an electronic search in PubMed, Scopus and Web of Science with the keywords “dog(s)” AND “sniffer” OR “scent” OR “smell” AND “SARS-CoV-2” OR “severe acute respiratory syndrome coronavirus 2” OR “coronavirus disease 2019” OR “COVID-19” within all fields, without date or language restrictions, to identify studies describing dogs’ performance for identifying SARS-CoV-2 infected material. Results Three studies could be finally included in pooled analysis, totaling 17 dogs (47% females), aged between 0.5 and 12 years. The pooled diagnostic sensitivity was 0.88 (95% CI, 0.84–0.91; I 2, 85.3%), the diagnostic specificity 0.99 (95% CI, 0.99–0.99; I 2, 97.4%), whilst the area under the summary receiver operating characteristic curve (SROC) was 0.979 (standard error, 0.003). Conclusions The notable performance observed in this pooled analysis would persuade us to suggest that adequately trained dogs could represent an intriguing and sustainable resource for purposes of rapid SARS-CoV-2 mass screening.


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