RESUMEN
BACKGROUND: Given the imperative for dental practitioners to be familiar with the existing ethical principles and laws governing their practice, this study aimed to evaluate awareness and practice of the dentists (code of ethics) regulations 2014 and consumer protection act 2019 among dental practitioners in Andhra Pradesh state, India. METHODS: A cross sectional study was conducted among 384 dental practitioners in Andhra Pradesh state, India. A questionnaire consisting of 25 items was used to assess awareness and practice of the dentists (code of ethics) regulations and consumer protection act. The data collected were analysed using IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp. RESULTS: Only 53(13.8%) dental practitioners in the study were aware that the dentists (code of ethics) regulations had been revised in 2014. About 190 (49.5%) practitioners were aware of the precise period for mandatory preservation of patient records. Most dental practitioners (278, 72.4%) accepted commissions in the form of gifts or cash from laboratories, radiologists, or pharmacists and 306 (79.7%) dental practitioners used unregistered dental lab technicians as employees in their practice. Furthermore, 297 (77.3%) practitioners were found to provide or sell drugs to patients in their clinic/office. The new regulations under consumer protection act 2019 were unknown to 194 (50.5%) dental practitioners. CONCLUSIONS: The present study indicates that the awareness of dental practitioners towards the dentists (code of ethics) regulations 2014 and consumer protection act 2019 is inadequate. It highlights the need for training programmes and curriculum changes with a focus on ethical and legal issues in clinical dental practice.
Asunto(s)
Códigos de Ética , Odontólogos , Ética Odontológica , Humanos , India , Estudios Transversales , Odontólogos/ética , Odontólogos/legislación & jurisprudencia , Encuestas y Cuestionarios , Masculino , Femenino , Adulto , Pautas de la Práctica en Odontología/ética , Pautas de la Práctica en Odontología/estadística & datos numéricos , Pautas de la Práctica en Odontología/normas , Pautas de la Práctica en Odontología/legislación & jurisprudencia , ConcienciaciónRESUMEN
Appropriate antibiotic prescription contributes to reducing bacterial resistance; therefore, it is critical to provide training regarding this challenge. The objective of this study was to develop a virtual learning environment for antibiotic prescription and to determine its impact on dentists' awareness, attitudes, and intention to practice. First, the learning content on multimedia resources was developed and distributed into three challenges that participants had to overcome. Then, a quasi-experimental study was performed in which the virtual learning environment was implemented on dentists from seven Colombian cities. The median of correct answers and the levels of awareness, attitudes, and intention to practice were compared before, immediately after, and 6-months post-intervention. Wilcoxon signed-rank and McNemar's tests were used to determine the differences. A total of 206 participants who finished the virtual learning environment activities exhibited a favorable and statistically significant impact on the median of correct answers of awareness (p < 0.001), attitudes (p < 0.001), and intention to practice (p = 0.042). A significant increase occurred in the number of participants with a high level of awareness (p < 0.001) and a non-significant increase in participants with high levels of attitudes (p = 0.230) and intention to practice (p = 0.286). At 6 months, the positive effect on the median of correct answers on awareness and intention to practice persisted (p < 0.001); however, this was not evident for attitudes (p = 0.105). Moreover, there was a significant decrease in the number of participants who showed low levels of awareness (p = 0.019) and a slight increase in those with high levels of the same component (p = 0.161). The use of a virtual learning environment designed for dentists contributed to a rapid improvement in awareness and intention to practice antibiotic prescription; however, their attitudes and information retention need reinforcement.
Asunto(s)
Antibacterianos/uso terapéutico , Odontólogos/psicología , Educación a Distancia/métodos , Conocimientos, Actitudes y Práctica en Salud , Pautas de la Práctica en Odontología/normas , Prescripciones/normas , Colombia , Odontólogos/normas , Femenino , Humanos , Intención , Masculino , Ensayos Clínicos Controlados no Aleatorios como Asunto , Encuestas y CuestionariosRESUMEN
Dentists prescribe several types of drugs such as anti-inflammatory medicines in their practice in order to manage pain. An adequate knowledge of anti-inflammatory drugs' characteristics is mandatory for a reasonable prescription to ensure patients safety. The study aimed to describe dentists' anti-inflammatory drugs prescription in dental practice. Materials and Methods. This study was conducted on independent practice dentists working in the region of Tunis. A questionnaire was made on "Google forms" and sent to all of them via personal emails. The questionnaire included demographic data and 13 questions about anti-inflammatory medicines: indications and contraindications, the side effects, and their prescription in dental practice. Data analysis was performed on SPSS software version 20.0 (trial version), using the χ2 test for statistical analysis. Results. Two hundred dentists participated to the survey. The female gender was predominant (70%). More than half of the responders were recently graduated and working in their own dental offices. The present study showed that 60% of dentists rarely prescribe anti-inflammatory drugs. Ibuprofen was prescribed by 82% of the dentists. Next came dexamethasone acetate (68.2%). The most frequent indication was postoperative pain (65%). Gastric problem was found to be the most mentioned adverse effect (69%). Thus, 72% of the dentists prescribed proton pump inhibitors with AI. Conclusion. According to this study, dentists have a lack of knowledge and awareness about some contraindications, side effects, and drugs interactions. Thus, knowledge updating, practices assessment, and continuous education are always required to avoid drug iatrogenesis.
Asunto(s)
Antiinflamatorios , Odontólogos , Prescripciones de Medicamentos/estadística & datos numéricos , Pautas de la Práctica en Odontología/estadística & datos numéricos , Adulto , Antiinflamatorios/uso terapéutico , Estudios Transversales , Prescripciones de Medicamentos/normas , Femenino , Encuestas de Atención de la Salud , Humanos , Masculino , Persona de Mediana Edad , Pautas de la Práctica en Odontología/normas , Túnez/epidemiologíaRESUMEN
ABSTRACT: We present an integrative review of the literature conducted to find and analyse specific measures for disinfection and/or sterilization of intraoral complex instruments, applicable to intraoral scanners. We performed a two-stage search in the PubMed/MEDLINE, SciELO, REDALYCS, and LILACS databases, and the Google Scholar website, which included full articles in Spanish, Portuguese, and English. The strategy associated the terms 'disinfection', 'biosecurity', 'decontamination', and (a) 'intraoral scanners', and (b) other 'semi-critical' intraoral complex instruments, according to the American Dental Association definition (e.g., 'turbine', etc). Strategy (a) produced just one outcome, whereas (b) produced nine articles, which only suggested low-level disinfectants.The lack of empirically based protocols that allow effective microbiological control makes it necessary to create a new categorization for these instruments when trying to comply with American Dental Association recommendations for dental practice.
RESUMEN: Presentamos una revisión integradora de la literatura realizada para encontrar y analizar medidas específicas de desinfección y / o esterilización de instrumentos complejos intraorales, aplicables a los escáneres intraorales. Realizamos una búsqueda en dos etapas en las bases de datos PubMed / MEDLINE, SciELO, REDALYCS y LILACS, y en el sitio web Google Scholar, que incluía artículos completos en español, portugués e inglés. La estrategia asoció los términos 'desinfección', 'bioseguridad', 'descontaminación' y (a) 'escáneres intraorales', y (b) otros instrumentos complejos intraorales 'semicríticos', según la definición de la Asociación Dental Ameri- cana (p. Ej., 'turbina', etc.). La estrategia (a) produjo un solo resultado, mientras que (b) produjo nueve artículos, que solo sugirieron desinfectantes de bajo nivel. La falta de protocolos de base empírica que permitan un control microbiológico efectivo hace necesario crear una nueva categorización para estos instrumentos, cuando se trata de cumplir con las recomendaciones de la Asociación Dental Americana para la práctica dental.
Asunto(s)
Humanos , Esterilización/métodos , Técnica de Impresión Dental/instrumentación , Control de Infecciones/métodos , Pautas de la Práctica en Odontología/normas , Sociedades Odontológicas , Esterilización/normas , Desinfección/métodos , Centers for Disease Control and Prevention, U.S. , Equipo DentalRESUMEN
Objective: The aim of this survey was to examine the practice/use of Irrigant Activation Techniques (IAT) among Endodontists and post-graduate dental students in India. Methods: An invitation to participate in this survey was sent by electronic mail to 902 members of Indian Endodontic society. A total of 32 questions were finalized for the survey after validation by five endodontic experts. Survey contained 2 demographic questions, 7 knowledge based questions, 11 questions on attitude and 12 questions on practice of IAT. The reliability was checked by randomly asking 10 participants to fill the survey forms again after 15 days. The data was analyzed using chi-square test (P<0.05). Results: The overall response rate for the survey was 30.5%. The content validity ratio for the questionnaire was 0.972 & the reliability calculated using Kappa scores was 0.978. Most of the respondents (87.3%) use IAT, while 4.7% do not use IAT. Most commonly used IAT was Manual dynamic agitation (MDA) used by 28.7%, followed by Ultrasonics in 17.2%. Sonic & negative pressure (EndoVac) was used by less than 10% of respondents. Combination of IAT was used by 39%. In 23 (5 on knowledge, 9 on attitude & 9 on practice) out of the 32 questions in this survey, there was a statistically significant difference (P<0.05) in the answers between the groups, with post-graduate dental students opting the correct choices. Sodium hypochlorite (NaOCl) is the preferred choice of irrigant for IAT according to 48.6%, Chlorhexidine (CHX) is used by 4.2% & Ethylene diamine tetra acetic acid (EDTA) by 2.4%. Combination of two irrigants is used by 28.7% and 6% use all the three irrigants. Conclusion: Vast majority of the Endodontist in India use some form of IAT to improve the efficacy of irrigation. MDA is the most commonly used IAT.
Asunto(s)
Educación de Posgrado en Odontología/métodos , Endodoncistas/educación , Pautas de la Práctica en Odontología/normas , Irrigantes del Conducto Radicular/administración & dosificación , Preparación del Conducto Radicular/normas , Estudiantes de Odontología , Irrigación Terapéutica/métodos , Humanos , India , Reproducibilidad de los Resultados , Encuestas y CuestionariosRESUMEN
Objective: This study aimed at exploring the usage of radiographic image-enhancement tools in Saudi dental practice when interpreting radiographs taken for root-canal-treatments' (RCTs) procedures and the influencing factors. Methods: An online survey including questions related mainly to the usage of images enhancement tools and the reasons for no or low frequently usage was constructed. The survey was sent to 550 general dentists (GDs), randomly selected from the Saudi Dental Register, and all endodontists (185) in Saudi Arabia using the Google-Drive tool. A reminder email was sent two months later to encourage none-respondents to complete the survey. Data were analyzed using the Chi-square and Linear-by-Linear Association tests at p=0.05. Results: While the highest percentage of GDs (48.3%) never used the colour-coded tool, the highest percentage of endodontists (46.1%) used it sometimes (P<0.001). The majority (84.2%) used the contrast tool either generally (67.8%) or sometimes (16.4%) (P<0.001); with more endodontists (77.55%) than GDs (63.1%) (P=0.011). As participants experience decreased and the weekly performed cases increased, the trend of using this tool increased (P<0.05). While most GDs (67.6%) either never (46%) or few-times (21.6%) used the highlight tool, most endodontists (56.9%) either used it generally (34.4%) or sometimes (22.5%) (P<0.001). The majority (82.3%) were using the magnification tool either generally (55.1%) or sometimes (27.2%). The highest percentage (36.1%) was generally using the negative-view tool (P=0.045); with more endodontists (63.7%) than GDs (20.8%) (P<0.001). While "I don't know how to use it" was the dominant reason reported by GDs for not using most of the tools, lack of time was the dominant reason reported by endodontists (P≤0.001). Conclusion: The contrast and magnification were the most common used image-enhancement tools in Saudi dental practice. Endodontists reported greater preferences on using all images-enhancement tools than GDs. Unawareness and lack of time were the dominant reasons for not using the tools reported by GDs and endodontists, respectively. Further studies are required to determine the exact application for each tool and to investigate the impact of all image-enhancement tools on their diagnostic accuracy.
Asunto(s)
Endodoncistas/estadística & datos numéricos , Odontología General , Pautas de la Práctica en Odontología/normas , Intensificación de Imagen Radiográfica/métodos , Radiografía Dental Digital/métodos , Tratamiento del Conducto Radicular/métodos , Femenino , Humanos , MasculinoRESUMEN
O mundo está diante da pandemia pela Covid-19, novo coronavírus conhecido como causa da Síndrome Respiratória Aguda Grave 2 (SARS-CoV-2) e a Odontologia pode ser considerada uma das áreas com maior risco de contaminação. Objetivo: revisar a literatura existente sobre as manifestações da Covid-19 relacionadas com a atuação odontológica e apresentar orientações aos profissionais de saúde bucal no manejo de pacientes com necessidades especiais. Métodos: foi realizada uma pesquisa bibliográfica nas bases de dados PubMed, SciELO, Wiley Online Library, Portal de Periódicos Capes e Google Acadêmico, além de orientações (protocolos) por órgãos oficiais de saúde nacionais e internacionais. Resultados: durante o atendimento odontológico, ocorre uma proximidade face a face entre dentistas e pacientes, além de exposição a saliva, sangue e instrumentos manuais que podem estar contaminados. A atenção aos pacientes com comprometimento sistêmico requer uma anamnese minuciosa, avaliando a necessidade ou não de interconsulta médica. Enquanto os pacientes de difícil manejo precisarão de técnicas lúdicas para reduzir as barreiras que dificultam o atendimento odontológico. Conclusão: pessoas com deficiência e com outras necessidades em saúde usualmente já tinham maior dificuldade para receber atendimento odontológico. Com a Covid-19, isso se agravou, visto que o atendimento eletivo é contraindicado neste grupo. No entanto, o conhecimento que a comunidade científica está produzindo não servirá apenas para esta pandemia. A melhora na biossegurança e a valorização dos profissionais de saúde devem ser mantidas mesmo quando o surto passar.(AU)
The world is facing the pandemic by Covid-19, a new coronavirus known as the cause of Severe Acute Respiratory Syndrome 2 (SARS-CoV-2) and Dentistry can be considered one of the areas with the highest risk of contamination. The objective of this work was to review the existing literature on the manifestations of Covid-19 related to dental practice and to present guidelines that assist oral health professionals in the management of patients with special needs. Methods: a bibliographic search was performed in the databases PubMed, SciELO, Wiley Online Library, Portal of Journals Capes and Google Scholar, in addition to guidance by official national and international health agencies. Results: during dental care, there is a face- -to-face proximity between dentists and patients, in addition to exposure to saliva, blood and hand instruments that may be contaminated. Attention to patients with systemic impairment requires a thorough anamnesis, assessing the need or not for medical consultation. While difficult-to-manage patients will need playful techniques to reduce barriers that hinder dental care. Conclusion: people with disabilities and other health needs usually already had greater difficulty in receiving dental care. With Covid-19, this worsened, since elective care is contraindicated in this group. However, the TRAD that the scientific community is producing will not only serve for this pandemic. The improvement in biosafety and the valorization of health professionals must be maintained even when the outbreak passes.(AU)
Asunto(s)
Humanos , Atención Dental para la Persona con Discapacidad/normas , Pautas de la Práctica en Odontología/normas , COVID-19/prevención & control , Salud Bucal , Factores de Riesgo , PandemiasRESUMEN
COVID-19 is the disease supported by SARS-CoV-2 infection, which causes a severe form of pneumonia. Due to the pathophysiological characteristics of the COVID-19 syndrome, the particular transmissibility of SARS-CoV-2, and the high globalization of our era, the epidemic emergency from China has spread rapidly all over the world. Human-to-human transmission seems to occur mainly through close contact with symptomatic people affected by COVID-19, and the main way of contagion is via the inhalation of respiratory droplets, for example when patients talk, sneeze or cough. The ability of the virus to survive outside living organisms, in aerosol or on fomites has also been recognized. The dental practitioners are particularly exposed to a high risk of SARS-CoV-2 infection because they cannot always respect the interpersonal distance of more than a meter and are exposed to saliva, blood, and other body fluids during surgical procedures. Moreover, many dental surgeries can generate aerosol, and the risk of airborne infection is to be considered higher. The aim of this paper is to provide practical advice for dentists based on the recent literature, which may be useful in reducing the risk of spreading COVID-19 during clinical practice.
Asunto(s)
Infecciones por Coronavirus/prevención & control , Atención Odontológica/métodos , Control de Infecciones/métodos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Pautas de la Práctica en Odontología/normas , Betacoronavirus , COVID-19 , Atención Odontológica/normas , Odontólogos , Humanos , Control de Infecciones/normas , Tamizaje Masivo , Equipo de Protección Personal , Rol Profesional , SARS-CoV-2RESUMEN
Currently, the whole world is under the threat of the COVID-19 pandemic, and dentists are at high risk. The aim of this study was to investigate what kind of precautions Turkish dentists take in dental clinics during the COVID-19 pandemic. The study population consisted of dentists in Turkey. An online questionnaire (23 questions-57 items) was sent to a sample of Turkish dentists from March 16 to March 20, 2020. The questionnaire comprised a series of questions about dentists' demographic characteristics, their concerns, and the measures taken in dental clinics against COVID-19. This study included a total of 1,958 Turkish dentists. A total of 1,274 (65.1%) were general dentists, and 684 (34.9%) were specialists. Five hundred twenty-two (26.7%) dentists attended an informational meeting on COVID-19. Of these dentists, 69.8% were aware of COVID-19 according to their self-assessed knowledge scores. More than 90% of the dentists were concerned about themselves and their families. Only 12% of the dentists wore an N95 mask. Although Turkish dentists took some precautionary measures, they did not take enough precautions to protect themselves, the dental staff, and other patients from COVID-19. As the number of COVID-19 cases increased, the measures taken slightly increased in dental clinics as well. Dentists are strongly recommended to take maximum precautions in the clinical setting. The guidelines about the COVID-19 pandemic should be sent to all dentists by the regional and national dental associations.
Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/prevención & control , Odontólogos/normas , Pandemias/prevención & control , Neumonía Viral/prevención & control , Pautas de la Práctica en Odontología/normas , Adulto , Anciano , COVID-19 , Infecciones por Coronavirus/epidemiología , Clínicas Odontológicas , Odontólogos/estadística & datos numéricos , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Persona de Mediana Edad , Neumonía Viral/epidemiología , Pautas de la Práctica en Odontología/estadística & datos numéricos , Factores de Riesgo , SARS-CoV-2 , Distribución por Sexo , Especialidades Odontológicas/normas , Especialidades Odontológicas/estadística & datos numéricos , Encuestas y Cuestionarios , Turquía/epidemiologíaRESUMEN
The expansion of coronavirus disease 2019 (COVID-19) throughout the world has alarmed all health professionals. Especially in dentistry, there is a growing concern due to it's high virulence and routes of transmission through saliva aerosols. The virus keeps viable on air for at least 3 hours and on plastic and stainless-steel surfaces up to 72 hours. In this sense, dental offices, both in the public and private sectors, are high-risk settings of cross infection among patients, dentists and health professionals in the clinical environment (including hospital's intensive dental care facilities). This manuscript aims to compile current available evidence on prevention strategies for dental professionals. Besides, we briefly describe promising treatment strategies recognized until this moment. The purpose is to clarify dental practitioners about the virus history and microbiology, besides guiding on how to proceed during emergency consultations based on international documents. Dentists should consider that a substantial number of individuals (including children) who do not show any signs and symptoms of COVID-19 may be infected and can disseminate the virus. Currently, there is no effective treatment and fast diagnosis is still a challenge. All elective dental treatments and non-essential procedures should be postponed, keeping only urgent and emergency visits to the dental office. The use of teledentistry (phone calls, text messages) is a very promising tool to keep contact with the patient without being at risk of infection.
Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/prevención & control , Atención Odontológica/normas , Salud Bucal/normas , Pandemias/prevención & control , Neumonía Viral/prevención & control , Pautas de la Práctica en Odontología/normas , Betacoronavirus/patogenicidad , COVID-19 , Infecciones por Coronavirus/transmisión , Odontólogos/normas , Humanos , Neumonía Viral/transmisión , Guías de Práctica Clínica como Asunto , Factores de Riesgo , SARS-CoV-2RESUMEN
BACKGROUND: Each year, more than 200 international dental graduates start U.S. specialty trainings to become specialists. It is unknown if their life satisfaction is associated with any dental career-related factor before residencies (e.g. dental school class rank, research experience, or private practice experience) and after residencies (e.g. staying in the U.S., teaching status, workplace, or board certification). This cross-sectional study aimed to identify these potential factors by surveying Taiwanese dental graduates who pursued U.S. residencies. METHODS: Life satisfaction was measured with a structured questionnaire, Satisfaction With Life Scale (SWLS), which includes five statements on a 5-point Likert scale. Online surveys were sent out to 290 Taiwanese dental graduates who were known to pursue U.S. residencies. T-test, one way analysis of variance, and multivariable adjusted generalized linear model (GLM) were used to assess the differences of mean SWLS scores from different variables. RESULTS: Surveys were completed by 158 dentists. Mean SWLS score of 125 specialists was higher (p = 0.0007) than the score of 33 residents. For the 125 specialists, multivariable adjusted GLM demonstrated better life satisfaction was positively associated with multiple independent factors, such as having research experience, being ranked in the top 26 ~ 50% of the class in dental school, starting U.S. residency within 4 years after dental school, starting residency before year 1996, and specializing in endodontics (vs. periodontics). Life satisfaction was not associated with any factors after residency (e.g. staying in the U.S. afterwards, teaching status, or workplace), but better mean life satisfaction score was significantly associated with being American specialty board certified (p < 0.001) for the specialists in the 26 ~ 75% of their class in dental school. For the 33 residents, better mean life satisfaction score was associated with better dental school class rank in both bivariate (p = 0.020) and multivariable adjusted GLM (p = 0.004) analyses. CONCLUSIONS: The life satisfaction of Taiwanese dental graduates pursuing U.S. residencies might be associated with some professional factors, such as research experience, dental school class rank, residency timing, specialty type, and specialty board certification. We hope our results may provide some objective information on making career decisions for international dental graduates/students who are preparing for U.S. residency.
Asunto(s)
Certificación/estadística & datos numéricos , Educación de Posgrado en Odontología/normas , Odontología General/educación , Internado y Residencia/normas , Satisfacción Personal , Pautas de la Práctica en Odontología/normas , Adulto , Selección de Profesión , Estudios Transversales , Femenino , Odontología General/normas , Humanos , Masculino , Facultades de Odontología/organización & administración , Especialidades Odontológicas/educación , Taiwán , Estados UnidosRESUMEN
OBJECTIVE: To investigate current odontological care routines for patients treated for head and neck cancers in the county councils/regions (C/Rs) of Sweden. METHODS: An invitation to fill in a web-based questionnaire was sent to dentists/dental hygienists working in dental clinics in the 12 C/Rs, treating and responsible for the odontological care of patients undergoing treatment for cancer of the head and neck. The questionnaire started with two mandatory and one non-mandatory questions, followed by questions regarding routines before (n = 28), during (n = 23), and after (n = 9) treatment, plus two additional questions, totalling 65 questions. RESULTS: Four dental hygienists and six dentists in 10 of the 12 C/Rs answered the questionnaire. Three C/Rs stated that they measure both the unstimulated and stimulated salivary secretion rate, and another C/R stated that they measure the stimulated secretion rate only. Similar recommendations were given regarding oral hygiene, salivary stimulants and substitutes, and extra fluoride. However, great variations were seen regarding recommendations for preventing and relieving oral mucositis. There were also discrepancies regarding information about the importance of avoiding smoking and alcohol. In seven C/Rs, patients visited the dental hygienist once a week during cancer treatment. CONCLUSION: The results suggests that there are great variations in odontological care given to patients undergoing treatment for cancer of the head and neck region in different county councils/regions in Sweden. There is a need to develop and implement evidence-based guidelines to decrease the risk of oral complications and increase both the quality of life and the quality of care.
Asunto(s)
Atención Odontológica/estadística & datos numéricos , Neoplasias de Cabeza y Cuello/terapia , Enfermedades de la Boca/diagnóstico , Antineoplásicos/efectos adversos , Atención Odontológica/normas , Higienistas Dentales/estadística & datos numéricos , Odontólogos/estadística & datos numéricos , Odontología Basada en la Evidencia/normas , Femenino , Neoplasias de Cabeza y Cuello/complicaciones , Humanos , Masculino , Persona de Mediana Edad , Enfermedades de la Boca/epidemiología , Enfermedades de la Boca/etiología , Enfermedades de la Boca/terapia , Higiene Bucal/educación , Educación del Paciente como Asunto/normas , Educación del Paciente como Asunto/estadística & datos numéricos , Guías de Práctica Clínica como Asunto , Pautas de la Práctica en Odontología/normas , Calidad de Vida , Radioterapia/efectos adversos , Factores de Riesgo , Factores Sexuales , Encuestas y Cuestionarios/estadística & datos numéricos , Suecia/epidemiologíaRESUMEN
Abstract The expansion of coronavirus disease 2019 (COVID-19) throughout the world has alarmed all health professionals. Especially in dentistry, there is a growing concern due to it's high virulence and routes of transmission through saliva aerosols. The virus keeps viable on air for at least 3 hours and on plastic and stainless-steel surfaces up to 72 hours. In this sense, dental offices, both in the public and private sectors, are high-risk settings of cross infection among patients, dentists and health professionals in the clinical environment (including hospital's intensive dental care facilities). This manuscript aims to compile current available evidence on prevention strategies for dental professionals. Besides, we briefly describe promising treatment strategies recognized until this moment. The purpose is to clarify dental practitioners about the virus history and microbiology, besides guiding on how to proceed during emergency consultations based on international documents. Dentists should consider that a substantial number of individuals (including children) who do not show any signs and symptoms of COVID-19 may be infected and can disseminate the virus. Currently, there is no effective treatment and fast diagnosis is still a challenge. All elective dental treatments and non-essential procedures should be postponed, keeping only urgent and emergency visits to the dental office. The use of teledentistry (phone calls, text messages) is a very promising tool to keep contact with the patient without being at risk of infection.
Asunto(s)
Humanos , Neumonía Viral/prevención & control , Salud Bucal/normas , Atención Odontológica/normas , Infecciones por Coronavirus/prevención & control , Pautas de la Práctica en Odontología/normas , Pandemias/prevención & control , Betacoronavirus/patogenicidad , Neumonía Viral/transmisión , Factores de Riesgo , Guías de Práctica Clínica como Asunto , Infecciones por Coronavirus/transmisión , Odontólogos/normas , SARS-CoV-2 , COVID-19RESUMEN
Abstract Currently, the whole world is under the threat of the COVID-19 pandemic, and dentists are at high risk. The aim of this study was to investigate what kind of precautions Turkish dentists take in dental clinics during the COVID-19 pandemic. The study population consisted of dentists in Turkey. An online questionnaire (23 questions-57 items) was sent to a sample of Turkish dentists from March 16 to March 20, 2020. The questionnaire comprised a series of questions about dentists' demographic characteristics, their concerns, and the measures taken in dental clinics against COVID-19. This study included a total of 1,958 Turkish dentists. A total of 1,274 (65.1%) were general dentists, and 684 (34.9%) were specialists. Five hundred twenty-two (26.7%) dentists attended an informational meeting on COVID-19. Of these dentists, 69.8% were aware of COVID-19 according to their self-assessed knowledge scores. More than 90% of the dentists were concerned about themselves and their families. Only 12% of the dentists wore an N95 mask. Although Turkish dentists took some precautionary measures, they did not take enough precautions to protect themselves, the dental staff, and other patients from COVID-19. As the number of COVID-19 cases increased, the measures taken slightly increased in dental clinics as well. Dentists are strongly recommended to take maximum precautions in the clinical setting. The guidelines about the COVID-19 pandemic should be sent to all dentists by the regional and national dental associations.
Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto , Neumonía Viral/prevención & control , Infecciones por Coronavirus/prevención & control , Pautas de la Práctica en Odontología/normas , Odontólogos/normas , Pandemias/prevención & control , Betacoronavirus , Neumonía Viral/epidemiología , Especialidades Odontológicas/normas , Especialidades Odontológicas/estadística & datos numéricos , Turquía/epidemiología , Conocimientos, Actitudes y Práctica en Salud , Encuestas y Cuestionarios , Factores de Riesgo , Distribución por Sexo , Infecciones por Coronavirus/epidemiología , Pautas de la Práctica en Odontología/estadística & datos numéricos , Clínicas Odontológicas , Odontólogos/estadística & datos numéricos , SARS-CoV-2 , COVID-19 , Persona de Mediana EdadRESUMEN
As the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is transmitted mainly through droplets, sneezes and aerosols, there is a high risk of transmission during dental procedures. This report describes measures that can be adopted by oral healthcare personnel to minimize the risk of cross-contamination in clinical practice during the current SARS-CoV-2 pandemic. (AU)
Dado que el SARS-CoV-2, causante de síndrome respiratorio agudo severo, se transmite principalmente por medio de gotitas, estornudos y aerosoles, existe un alto riesgo de transmisión durante los procedimientos dentales. En este informe se describen las medidas que puede adoptar el personal de salud bucodental para reducir al mínimo el riesgo de contaminación cruzada en la práctica clínica durante la actual pandemia por SARS-CoV-2.(AU)
Como o SARS-CoV-2, que causa síndrome respiratória aguda grave, é transmitido principalmente por gotícu-las, espirros e aerossóis, há um alto risco de transmissão durante os procedimentos odontológicos. Este relatório descreve os passos que podem ser tomados pelo pessoal de saúde oral para minimizar o risco de contaminação cruzada na prática clínica durante a actual pandemia do SARS-CoV-2.(AU)
Asunto(s)
Humanos , Neumonía Viral/prevención & control , Atención Odontológica/normas , Infecciones por Coronavirus/prevención & control , Pautas de la Práctica en Odontología/normas , PandemiasRESUMEN
The purpose of this study was to assess the knowledge, practice, confidence, and perceived barriers to oral cancer screening among teaching faculty in Japan. Results were compared by specialist as well as years of clinical experience. A 25-question survey was used to assess the oral cancer screening practices of faculty dentists at Iwate Medical University, School of Dental Medicine, the only dental school located in the northeast (Tohoku) region of Japan. The study was approved by the Institutional Review Board of Iwate Medical University. The response rate was 83% (n = 110, 71.8% were male). This survey revealed that only 43.6% of the dentists performed oral cancer screening frequently (always or usually) at the initial appointment, and there was no significant differences between specialists and clinical experience. Visual inspection of the oral cavity was the primary screening method, but the frequency and content of the examination (TMJ and tonsil) was significantly different between specialties. A history of cancer and tobacco use motivated providers to perform an examination and was significantly different between various specialists and clinically experienced providers. In contrast, HPV and alcohol consumption were a weak motivator. The confidence level of providers on their examination knowledge/skills was poor, especially among junior faculty. More than 80% of junior faculty indicated a lack of knowledge/skills as a major barrier.