Paediatric dental care during and post-COVID-19 era: Changes and challenges ahead.
Paediatric dental care during and post-COVID-19 era: Changes and challenges ahead.
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DOI：
10.1016/j.pdj.2021.01.003
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发表时间：
2021-04
期刊：
影响因子：
--
通讯作者：
Kumar H
中科院分区：
文献类型：
--
作者：
Luo W;Lee GHM;Nalabothu P;Kumar H
COVID-19是一种由严重急性呼吸综合征冠状病毒2 （SARS-CoV-2）引起的传染病。该病毒通过呼吸道飞沫传播，并通过从污染表面到粘膜的物理接触传播。其传播途径对医疗和牙科保健造成了重大挑战。本文旨在回顾大流行期间和大流行后提供儿科牙科治疗的文献和信息，并就安全提供儿科牙科治疗提供具体建议。感染SARS-CoV-2的儿童没有或较轻的COVID-19症状，是传播疾病的潜在媒介。由于牙科治疗中交叉感染的风险增加，许多国家暂停了常规牙科治疗。只有在紧急情况下才提供紧急牙科护理。儿童病人有必要逐步恢复定期的牙科护理，保持良好的口腔健康。为了控制疾病的传播和维护市民的口腔健康，我们必须采取最低限度的干预技术，尽量减少或消除气溶胶的产生，并采取全面的口腔健康预防措施，以确保在这个前所未有的时代，牙科诊所的安全。应在牙科诊所实施强有力的感染控制指南，以尽量减少感染风险，并确保患者和工作人员在大流行期间的安全。在新冠肺炎时代，要做好三个层次的预防保健工作，预防口腔疾病，改善儿童口腔健康。应优先治疗有紧急需要的患者，并尽量减少产生气溶胶的程序。
COVID-19 is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The virus is transmitted through respiratory droplets and by physical contact from contaminated surfaces to the mucosa. Its route of transmission has caused a significant challenge in medical and dental healthcare. This article aims to review the literature and information available on the provision of paediatric dental treatment during and post-pandemic and to provide specific recommendations on the safe provision of paediatric dental care. Children infected by SARS-CoV-2 have no or milder COVID-19 symptoms and are potential vectors in spreading the disease. Routine dental treatment is suspended in many countries because of the increased risk of cross-infection in dental practices. Only emergency dental care is provided for urgent conditions. It is necessary to gradually reinstate regular dental care to paediatric patients and maintain their good oral health. To control the disease transmission and maintain the oral health of the population, minimally intervention techniques that minimise or eliminate aerosol generation, plus comprehensive oral health preventive measures should be practised to safeguard safety at dental practices in this unprecedented time. Robust infection control guidelines should be implemented in dental clinics to minimise the risk of infection and to ensure the safety of patients and staff during the pandemic. Three levels of preventive care should be practised to prevent oral diseases and improve children's oral health in this COVID-19 era. Treatment should be prioritized to patients in urgent needs and aerosol-generating procedures should be minimized.
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