Dental care during the coronavirus disease 2019 (COVID-19 ) outbreak: operatory considerations and clinical aspects
Dental care during the coronavirus disease 2019 (COVID-19 ) outbreak: operatory considerations and clinical aspects
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DOI：
10.3290/j.qi.a44392
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发表时间：
2020-05-01
影响因子：
1.9
通讯作者：
Almoznino, Galit
中科院分区：
文献类型：
--
作者：
Abramovitz, Itzhak;Palmon, Aaron;Almoznino, Galit
目的：本文旨在解决在2019年冠状病毒病(新冠肺炎)暴发期间制定一项解决牙科护理操作和临床方面问题的迫切需要。资料来源：介绍新冠肺炎的流行病学、临床症状和传播方式。该方案由三所牙科大学建立：以色列哈大沙牙科医学院、美国罗切斯特大学医学中心和美国宾夕法尼亚大学。该方案基于对现有英文文献的详细回顾，以及每个机构的物流和临床经验以及作者的意见。该方案是为医院环境设计的，包括与健康受试者和疑似或诊断为新冠肺炎患者的牙科治疗相关的考虑因素。这篇综述的第一部分讨论了手术方面的考虑；第二部分讨论了一般牙科临床方面的问题；第三部分讨论了牙髓方面的考虑；第四部分讨论了外科方面的问题。结论：在新冠肺炎暴发期间提供牙科护理需要后勤和临床步骤，同时在提供护理期间防止交叉污染和保护牙科团队。
Objectives: This paper is aimed at addressing the urgent need to develop a protocol that will address the operatory and clinical aspects of dental care during the Coronavirus disease 2019 (COVID-19) outbreak. Data sources:The epidemiology, clinical signs and symptoms, and modes of transmission of COVID-19 are presented.This protocol was established as an international collaboration of three dental universities: Hadassah School of Dental Medicine, Israel; University of Rochester Medical Center, USA; and the University of Pennsylvania, USA. This protocol is based on a detailed review of the existing English language literature as well on the logistic and clinical experience of each facility and the opinion of the authors.The protocol is designed for a hospital setting and includes considerations related to dental treatment in both healthy subjects and those suspected or diagnosed with COVID-19. The first part of this review discusses operatory considerations; the second part discusses general dental clinical aspects; the third part discusses endodontic considerations; and the fourth part discusses surgical aspects.This protocol may be applicable to other future similar pandemics. Conclusion: Logistic and clinical steps are required to provide dental care during the COVID-19 outbreak while preventing cross-contamination and protecting the dental team during the provision of care.