Environmental Disinfection of a Dental Clinic during the Covid-19 Pandemic: A Narrative Insight.

BACKGROUND: The control of biological hazard risk in health care and dental clinic environments represents a critical point in relation to the Covid-19 infection outbreak and international public health emergency. The purpose of the present review was to evaluate the scientific literature on the no-touch disinfection procedures in dental clinics aiming to limit transmission via airborne particles or fomites using no-touch procedures for environmental decontamination of dental clinics. METHODS: An electronic database literature search was performed to retrieve research papers about Covid-19 and no-touch disinfection topics including full-length articles, editorials, commentaries, and outbreak studies. A total of 86 papers were retrieved by the electronic research. RESULTS: No clinical article about the decontamination of a dental clinic during the Covid-19 pandemic was detected. About the topic of hospital decontamination, we found different no-touch disinfection procedures used in hospital against highly resistant organisms, but no data were found in the search for such procedures with respect to SARS-CoV-2: (1) aerosolized hydrogen peroxide, (2) H2O2 vapor, (3) ultraviolet C light, (4) pulsed xenon, and (5) gaseous ozone. One paper was retrieved concerning SARS-CoV-2; 32 documents focused on SARS and MERS. The cleaning and disinfection protocol of health care and dental clinic environment surfaces are essential elements of infection prevention programs, especially during the SARS-CoV-2 pandemic. CONCLUSION: The decontamination technique that best suits the needs of the dental clinic is peroxide and hypochlorous which can be sprayed via a device at high turbine speed with the ability of producing small aerosol particles, recommendable also for their low cost.

Impact of COVID-19 pandemic on otolaryngology, ophthalmology and dental clinical activity and future perspectives.

OBJECTIVE: Since the COVID-19 outbreak, otolaryngologists, ophthalmologists and dentists have been severely affected, both for the transmission routes and for the diagnostical and therapeutic procedures typical of these disciplines. MATERIALS AND METHODS: In this article, we discuss the transmission routes, the potential risk of contagion for patients and healthcare providers during procedures, and comment on the changes that will affect head and neck clinical practice in the future of outpatient and surgical activities. RESULTS: Otolaryngologists, ophthalmologists and dentists are at high risk for infection contagion and spread because they perform diagnostic and therapeutic procedures that generate aerosol and droplets thus facilitating virus transmission. Furthermore, examination involves close doctor-patient contact and otolaryngologists and dentists have to remove patient's protective devices during the visit. CONCLUSIONS: Special attention to prevention protocols for diagnostic and therapeutic procedures and the use of protective equipment is of utmost importance to limit contagion and prevent a new virus spread in the near future.

The development of a primary dental care outreach course.

The aim of this work was to develop the first north-east based primary dental care outreach (PDCO) course for clinical dental undergraduate students at Newcastle University. The process of course design will be described and involved review of the existing Bachelor of Dental Surgery (BDS) degree course in relation to previously published learning outcomes. Areas were identified where the existing BDS course did not meet fully these outcomes. This was followed by setting the PDCO course aims and objectives, intended learning outcomes, curriculum and structure. The educational strategy and methods of teaching and learning were subsequently developed together with a strategy for overall quality control of the teaching and learning experience. The newly developed curriculum was aligned with appropriate student assessment methods, including summative, formative and ipsative elements.

Clínica para bebés: Facultad de Odontología de la Universidad Federal do Rio Grande do Sul, Brasil / Clinic for babies: School of Dentistry, Federal University of Rio Grande do Sul, Brazil

La atención odontológica al niño debe iniciarse en los primeros 6 meses de vida, conociendo el déficit en la capacidad de los odontólogos para atender este grupo de edad y con base en los patrones de la clínica de bebé de Londrina - UEL (Estado de Paraná, Brasil), se organizó a partir de 1990 una clínica para la atención de bebés en la Facultad de Odontología de la UFRGS. En la actualidad se encuentra funcionanado y prestando servicios de capacitación para odontólogos a través de un curso de extensión universitaria y con carga horaria total de 336 horas. El objetivo de este curso es ofrecer un conocimiento básico en odontopediatría con énfasis en la primera infancia, permitiendo la atención integral del pequeño paciente. De esta forma, el alumno estará capacitado para promover la salud bucal en la primera infancia por medio de la prevención, procedimientos quirúrgico-restauradores y principalmente la educación continua a los padres y/o responsables del niño. Nuestra prioridad es la atención de niños de 0-1 años de edad, sin tener en cuenta el aspecto físico, psicológico o neurológico. Al final de cada curso, se hace una evaluación del tratamiento ofrecido por la clínica, relacionando la distribución de los niños por grupo de edad, motivo de la consulta, evaluación inicial y final de la actividad cariosa y la relación entre la edad y el motivo de la consulta. Los datos del año 1999, donde fueron registrados 366 bebés, evidencian que el grupo más atendido fue el de 0-1 año de edad (43,17 por ciento), siendo la prevención el motivo principal de la primera consulta (94.32 por ciento). Se logró invertir el cuadro de actividad de la enfermedad de 50 por ciento de los niños en la edad más susceptible (2-3 años). Podemos afirmar que la atención odontológica para niños de tierna edad es oportuna y que si los profesionales fueran capacitados para realizar este tipo de tratamiento, lograríamos invertir la alta prevalencia de caries dental, tan importante en los niños del Brasil

Microscópio odontológico para o clínico geral: a qualidade total chega aos consultórios odontológicos / The operating microscope for the general clinician: the excellence era arrives to the dental office

Desde o princípio do século, tanto a medicina como a odontologia, tem se beneficiado enormemente do uso da magnificaçäo, tendo consequentemente seus horizontes ampliados. A melhora da acuidade visual dos profissionais, conseguida principalmente através do uso intenso de magnificaçäo óptica, tem tornado parte integral dos consultórios odontológicos modernos. Através da grande tendência mundial da Micro-Odontologia, os autores usaram princípios de microcirurgia para melhorar a acuidade visual, bem como a precisäo das técnicas operatórias já existentes, para modificar e ampliar definitivamente o espectro da açäo da Odontologia moderna. Este artigo tem por objetivo fornecer um breve histórico da utilizaçäo da magnificaçäo (Microscópio Odontológico) na odontologia, uma suscinta descriçäo do Microscópio Odontológico, bem como o quanto os Cirurgiöes Dentistas podem se beneficiar desta nova tecnologia. Certamente estamos diante de uma nova era na Odontologia: a era da excelência clínica

Ansiedade e dor em odontologia: enfoque psicofisiopatológico / Anxiety and pain in dental practice: psychophisiological approach

Os autores analisam alguns aspectos da ansiedade e da percepçäo da dor em pacientes odontológicos comentando quais seriam os procedimentos na identificaçäo e no controle da ansiedade. Comentam-se, também, aspectos éticos e legais da prescriçäo de benzodiazepínicos

Odontologia versus criança maltratada / Odontology versus abused children

Este estudo investigou qual a atitude que os dentistas prefeririam tomar diante de uma criança maltratada nessa condiçäo em uma consulta. Os resultados mostraram que a classe odontológica e os acadêmicos näo têm um modo padräo de agir, embora a maioria (55 por cento) considere o diálogo com os pais ou responsáveis como a melhor forma de resoluçäo para esse problema social

Conduta clínica de cirurgiöes-dentistas frente ao cardiopata / Clinical behavior of dentists towards the cardiac patient

O trabalho tem por objetivo investigar e descrever a conduta clínica de cirurgiöes-dentistas frente ao cardiopata. Utiliza como instrumento de pesquisa um questionário que se aplica a 319 profissionais freqüentadores de cursos da EAP / APCD e SOSP, em junho de 1993. De 234 cirurgiöes-dentistas (73,35 por cento) que afirmam atender cardiopatas, 123 (52,56 por cento) generalizam as cardiopatias; de 162 (69,23 por cento) que respondem conhecer profilaxia antibiótica, apenas 11 medicamentos, os citam corretamente e reconhecem sua influência para a prática odontológica. Destaca-se a importância dos resultados para uma populaçäo em que as doenças do aparelho circulatório constituem a principal causa de óbitos