scholarly journals Teledentistry: Limitation and Challenges

2021 ◽  
Vol 11 (2) ◽  
pp. 1-3
Author(s):  
Nadia Sultana Shuborna ◽  
Sultana Sadia Islam ◽  
Shah Saif Jahan ◽  
Ehsanul Hoque Apu ◽  
Osama Bin Noor ◽  
...  
Keyword(s):  
Information Technology ◽  
Direct Contact ◽  
Dental Treatment ◽  
Technical Note ◽  
Legal Issues ◽  
Dental Practice ◽  
Compensation Strategy ◽  
Face To Face ◽  
Technical Base ◽  
Dental Professionals

Dentistry is the top listed most risky jobs in this pandemic Covid 19 situation, as dentist contain close face-to-face contact with the patients which increase the potential transmission of the (SARS)-CoV-2 virus from human to human through direct contact via oro-pharyngeal droplets and indirect contacts with fomites where dental professionals are highly vulnerable to get infected from the coronavirus. Thus, dental practice has mostly been suspended during this period. Teledentistry introduces a novel solution to resume dental practice by providing dental treatment, guidance, and education through teleconsultation, telediagnosis and telemonitoring through Information Technology (IT) instead of direct contact with patients. But there are some major challenges like lack of government initiatives, compensation strategy, legal issues, technical base, co-ordination among doctors, along with patients’ co-operation and limitations in telediagnosis. This technical note highlighted these limitations and challenges to make a concern to the dentist as at least teledentistry can accompaniment the existing threaten dental system during this living pandemic. Update Dent. Coll. j: 2021; 11(2): 1-3

scholarly journals Recommendations based on International Guidelines for Safe Dental Practice During Covid-19

2020 ◽  
Vol 4 (1) ◽  
pp. 22-30
Author(s):  
Ashutosh Kumar Singh ◽  
Manoj Humagain ◽  
Nikita Khanal
Keyword(s):  
International Organizations ◽  
Disease Transmission ◽  
Dental Practice ◽  
International Guidelines ◽  
Face To Face ◽  
Treatment Providers ◽  
Dental Practices ◽  
Risk Of Disease ◽  
Dental Conditions ◽  
Dental Professionals

The shutdown of dental practices after the announcement of COVID-19 has been implemented worldwide. Aerosol generating procedures and face to face contact with the patients put dental professionals at highest risk of disease transmission. There is a looming risk of increasing severity of dental conditions and burden on treatment providers if required dental treatments are kept on hold for an indefinite time. There is a need for definite guidelines to safely resume dental practice in Nepal, based on international experiences during COVID-19 pandemic and international dental societies recommendations. We have compiled multiple recommendations and guidelines from reputed international organizations and collected evidence from dental professional’s work from China and Italy during COVID-19 crisis and attempted to put forward some recommendations and guidelines that can be followed for a safe dental practice in Nepal.

Hereditary Blood Coagulation Disorders: Management and Dental Treatment

2005 ◽  
Vol 84 (11) ◽  
pp. 978-985 ◽  
Author(s):  
G. Gómez-Moreno ◽  
A. Cutando-Soriano ◽  
C. Arana ◽  
C. Scully
Keyword(s):  
Blood Coagulation ◽  
Medical Diagnosis ◽  
Dental Treatment ◽  
Coagulation Factors ◽  
Blood Coagulation Disorders ◽  
Dental Practice ◽  
Blood Coagulation Factors ◽  
Hereditary Disorders ◽  
Hemostatic Disorders ◽  
Dental Professionals

Patients with hereditary hemostatic disorders, characterized by a tendency to bleeding or thrombosis, constitute a serious challenge in the dental practice. Advances in the medical diagnosis of hemostatic disorders have exposed dental professionals to new patients not amenable to the application of the management protocols associated with other, more well-known, disorders. It is the aim of this paper to review the evidence, to highlight the areas of major concern, and to suggest management regimens for patients with hereditary hemostatic disorders. An extensive review has been made (PubMed, Science Direct, Web of Knowledge, etc.) of literature pertaining to hereditary disorders affecting blood coagulation factors and how they affect the practice of dentistry. Several aspects relating to the care of such patients must be recognized and taken into consideration when dental treatment is planned. Replacement of deficient coagulation factors ensures that safe dental treatment will be carried out. However, the half-life of such coagulation factors requires that dental treatment be specifically planned and adapted to the type of pathology involved.

scholarly journals Coronavirus disease 2019 safety strategies to be included during dental practice

2020 ◽  
Vol 6 ◽  
pp. 27-34
Author(s):  
Annu Mariya Varghese ◽  
S. Krishna ◽  
Maya Ramesh
Keyword(s):  
Dental Treatment ◽  
Virus Transmission ◽  
Dental Practice ◽  
Risk Of Infection ◽  
Acute Respiratory Disease ◽  
Wuhan City ◽  
The World ◽  
Safety Strategies ◽  
Dental Setting ◽  
Dental Professionals

Coronavirus disease 2019 is caused by SARS-CoV-2 that leads to severe acute respiratory disease. It was first identified in Wuhan City, China, in December 2019 and has resulted in an ongoing pandemic. As of September 15, 2020, more than 26.5 million cases have been reported across the world, with more than 873,000 deaths. As SARS-CoV-2 is highly infective through air-borne contamination, the risk of infection in the dental setting is a serious problem for dental professionals as well as patients. The article provides information on this virus transmission and emphasizes the safety protocols to be followed before, during and after dental treatment.

scholarly journals TELEDENTISTRY DURING COVID 19

2021 ◽  
Vol 9 (03) ◽  
pp. 395-400
Author(s):  
Palak Srivastava ◽  
Pranjan Mitra
Keyword(s):  
Health Care ◽  
Dental Care ◽  
Health Care Professionals ◽  
Dental Treatment ◽  
Care Delivery ◽  
Dental Health ◽  
Health Care Delivery System ◽  
Face To Face ◽  
Dental Health Care ◽  
Dental Professionals

The ongoing COVID19 pandemic has been a jarring blow to dental professionals as dental treatment requires close face-to-face encounters. To sustain the dental practice, Teledentistry is a cogent solution to continue providing dental care without adding to the risk of cross-infection via information technology. It is a necessary tool to obtain a balance between the safety of health care professionals still providing dental care to patients needing immediate intervention. The future of teledentistry is not limited to the pandemic its improvident to restrict the use of teledentistry when it has the potential to enhance the present dental health care delivery system.

scholarly journals Dental Practice during COVID-19 Pandemic: An Observational Study

2021 ◽  
Author(s):  
Aalap Sureshkumar Prajapati
Keyword(s):  
Observational Study ◽  
Health Care Professionals ◽  
Dental Treatment ◽  
Tertiary Care ◽  
Dental Practice ◽  
Health Administration ◽  
Record System ◽  
Environment Management ◽  
Dental Procedures ◽  
Dental Professionals

Introduction: Occupational Safety and Health Administration (OSHA) classified health care professionals and exposure risk to Coronavirus, identifying Dental Professionals in very high risk group due to specificity of dental procedures and instrumentations used. As per guidelines from relevant bodies to provide only emergency and urgent dental treatment has led majority of dental practice to stop, instilling apprehension in profession and fear in public. Aim: To narrate the experience from Department of Dentistry, on how to safely and effectively practice dentistry that would provide guidance to practicing dental professionals without major environment alteration and capital items requirement. Materials and Methods: This was an observational study from Department of Dentistry from May to August 2020, attached to a rural tertiary care medical teaching institute, following customised protocol after reviewing available guidelines in relation to Coronavirus Disease-2019 (COVID-19) and dentistry. Data collection was done from Institutional Electronic Medical Record System for patients receiving dental treatment during the study period. It used descriptive narrative analysis to provide chronology of experiences for practicing dentistry as per various unlock phases declared by Government of India. Results: The Department of Dentistry was able to manage four Non-Aerosol Generating Procedures (Non-AGP), three Aerosol Generating Procedures (AGP) and eighteen Outdoor Patient Department (OPD) consultations on an average for a working day, from May to August 2020. During the tenure while providing dental care, none of the member of dental team was detected COVID positive. The result was achieved by simple alteration done by patient, man-power, practice and environment management. Conclusion: A simple alteration in practice and practice area ensuring safety of all members of dental team was made by department. It included the effective use of Personal Protective Equipment (PPE) during all dental procedures including oral examination. Special emphasis on history of patients, facility and environment management along with regular training for hand hygiene, donning-doffing, aerosol appointment and practice was given. An attempt to provide prophylactic and elective dental need of patients were done and department was successfully able to treat seven patients per day on an average during May to August, 2020.

scholarly journals Effects of Extraoral Suction on Droplets and Aerosols for Infection Control Practices

2021 ◽  
Vol 9 (7) ◽  
pp. 80
Author(s):  
Hidenobu Senpuku ◽  
Masahiko Fukumoto ◽  
Toshikazu Uchiyama ◽  
Chieko Taguchi ◽  
Itaru Suzuki ◽  
...  
Keyword(s):  
Infection Control ◽  
Adenosine Triphosphate ◽  
Dental Care ◽  
Dental Treatment ◽  
Effective Area ◽  
Infection Risk ◽  
Physical Characteristics ◽  
Dental Hygienist ◽  
Increased Risk ◽  
Dental Professionals

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.

scholarly journals COVID-19—Awareness and Practice of Dentists in Saudi Arabia

2021 ◽  
Vol 18 (1) ◽  
pp. 330
Author(s):  
Bassel Tarakji ◽  
Mohammad Zakaria Nassani ◽  
Faisal Mehsen Alali ◽  
Anas B. Alsalhani ◽  
Nasser Raqe Alqhtani ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Infection Control ◽  
Dental Treatment ◽  
Clinical Symptoms ◽  
Dental Clinic ◽  
Health Authorities ◽  
Environmental Surfaces ◽  
Guidelines And Recommendations ◽  
Current Guidelines ◽  
Dental Professionals

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.

Development of a Questionnaire to Measure Concern for Dental Appearance

2001 ◽  
Vol 89 (2) ◽  
pp. 425-430 ◽  
Author(s):  
Michael Frazer ◽  
Stan Lindsay
Keyword(s):  
Internal Consistency ◽  
Dental Treatment ◽  
Dental Practice ◽  
Statistical Regression ◽  
Varimax Rotation ◽  
Reliable Measure ◽  
Item Questionnaire ◽  
Dental Appearance ◽  
High Internal Consistency ◽  
Larger Sample

100 adults, selected for cosmetic dental treatment in a general dental practice, completed a 42-item questionnaire designed, on the basis of previous research and the author's clinical experience, to measure concern for dental appearance. This had high internal consistency and was reduced to a questionnaire of 23 items with internal consistency shown by a standardised Cronbach alpha of .84. An exploratory factor analysis with varimax rotation identified six factors, the main one appearing to be a measure of concern for dental appearance. The high internal consistency suggests that the total score for the revised questionnaire is a measure of a construct, concern for dental appearance. Although the simplest measure of that may be contained in the items for the first factor, a much larger sample would be necessary to confirm the complex factor structure and so the questionnaire's total score is probably the more reliable measure at present. A study is summarised showing that the total score provides a measure that, in statistical regression analysis, may predict the intentions of adults to take care of the appearance of their teeth.

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