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1.
Artigo em Inglês | MEDLINE | ID: mdl-33151191

RESUMO

The World Health Organization (WHO) declared COVID-19 a pandemic on March 11, 2020. SARS CoV-2, the virus that causes COVID-19, has shown the ability to become aerosolized with a potential airborne route of transmission. Dentists and dental hygienists are listed as two of the occupations in a nonhospital setting with the greatest risk of contracting the SARS-CoV-2 virus, as routine dental procedures involve aerosol generation. In a statement on interim guidance, WHO recommended that all routine dental procedures be delayed until COVID-19 transmission rates decrease from community transmission to cluster cases and until the risk of transmission in a dental office can be studied and evaluated. This prospective study involves 2,810 patients treated over a 6-month period (March 15 to September 15, 2020) in three different dental offices by two dentists and three hygienists during and shortly after the height of the pandemic in New York. By utilizing screening questionnaires, performing enhanced infection control, and having appropriate personal protective equipment, these dental offices were able to record no transmission of COVID-19 to the dental healthcare workers or patients during the study. In addition, 69% of the patients treated in these dental offices were recorded as having one or more high-risk comorbidities related to COVID-19 severity.


Assuntos
Infecções por Coronavirus , Consultórios Odontológicos , Pandemias , Pneumonia Viral , Betacoronavirus , Humanos , Incidência , Estudos Prospectivos , Estudos Retrospectivos
2.
Rev. cuba. estomatol ; 57(3): e2891, jul.-set. 2020. tab, graf
Artigo em Português | LILACS, CUMED | ID: biblio-1126518

RESUMO

RESUMO Introdução: Diversas situações no consultório odontológico podem gerar quadros de emergência. A administração de anestésicos locais, o atendimento odontológico aos pacientes com comprometimento sistêmico, ansiedade e medo são muitas vezes as causas mais comuns. Objetivo: O objetivo deste estudo foi avaliar o nível de percepção dos alunos de Odontologia frente às principais emergências odontológicas. Métodos: Tratou-se de um estudo transversal e descritivo com abordagem quantitativa dos dados por meio dos questionários. Foram entrevistados 138 alunos cursando do 5º ao 10º período de odontologia da Universidade Federal de Campina Grande, na cidade de Patos, Paraíba. Resultados: Foi observado que 86,2 porcento do total de entrevistados responderam saber a diferença entre urgência e emergência; 52,2 porcento dos alunos confirmaram receber ou terem recebido instruções extracurriculares sobre o assunto; 59,4 porcento responderam que o aprendizado fornecido na graduação sobre este tema não está sendo suficiente. Cerca de 17,4 porcento destes alunos responderam saber realizar as manobras de Reanimação Cardiopulmonar, 11,6 porcento dos entrevistados relataram que se sentiam preparados para lidar com uma situação de emergência e 81,9 porcento dos alunos pretendem buscar uma formação complementar durante ou após a graduação. Conclusão: Verificou-se que os alunos de graduação em odontologia apresentaram um baixo nível de percepção sobre as emergências médicas no consultório odontológico(AU)


RESUMEN Introducción: Varias situaciones en el consultorio dental pueden generar casos de emergencia. La administración de anestésicos locales, el cuidado dental a pacientes con deterioro sistémico, ansiedad y miedo, son a menudo las causas más comunes. Objetivo: Evaluar el nivel de percepción de los alumnos de odontología frente a las principales emergencias odontológicas. Métodos: Se trató de un estudio transversal y descriptivo de los datos por medio de los cuestionarios. Se entrevistaron 138 alumnos del 5.º al 10.º periodo de odontología de la Universidade Federal de Campina Grande, en la ciudad de Patos, Paraíba. Resultados: Se observó que el 86,2 por ciento del total de alumnos entrevistados sabían la diferencia entre urgencia y emergencia; 52,2 por ciento de los alumnos confirmaron recibir o haber recibido instrucciones extracurriculares sobre el asunto. El 59,4 por ciento respondió que el aprendizaje proporcionado en la graduación sobre este tema no está siendo suficiente. Alrededor del 17,4 por ciento de estos alumnos respondieron a saber realizar las maniobras de resucitación cardiopulmonar, 11,6 por ciento de los entrevistados se sentían preparados para lidiar con una situación de emergencia y el 81,9 por ciento de los alumnos entrevistados pretenden buscar una formación complementaria durante o después de la graduación. Conclusión: Se descubrió que los estudiantes de odontología tenían un bajo nivel de percepción sobre emergencias médicas en el consultorio odontológico(AU)


ABSTRACT Introduction: Several situations in the dental office may cause emergency cases. Administration of local anesthetics, dental care to patients with systemic deterioration, anxiety and fear are often the most common causes. Objective: To evaluate the dental level of perception of dental students facing the main dental emergencies. Methods: This was a cross-sectional and descriptive study of the data through questionnaires. We interviewed 138 students from the 5th to the 10th period of Dental Medicine at the Federal University of Campina Grande, in the city of Patos, Paraíba. Results: We observed that 86.2 percent of the interviewed students knew the difference between urgency and emergency; 52.2 percent of the students confirmed receiving or having received extracurricular instructions about the topic; 59.4 percent answered that the learning provided about this topic after graduation is not being sufficient. About 17.4 percent of these students responded positively to knowing how to perform cardiopulmonary resuscitation maneuvers; 11.6 percent of those interviewed felt themselves prepared to deal with an emergency situation, while 81.9 percent of the students interviewed intended to seek complementary training during or after graduation. Conclusion: Dental students were found to have a low level of perception about medical emergencies in the dental office(AU)


Assuntos
Humanos , Percepção , Estudantes de Odontologia , Identificação da Emergência , Emergências/epidemiologia , Epidemiologia Descritiva , Estudos Transversais , Assistência Odontológica/métodos , Consultórios Odontológicos
3.
J Prosthodont ; 29(9): 739-745, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32935425

RESUMO

The COVID-19 epidemic has become a major public health challenge around the world. According to the World Health Organization (WHO), as of August 2020 there are more than 833,556 dead and over 24,587,513 people infected around the world. This pandemic has adversely affected many professions around the globe, including dentistry. COVID-19, caused by the Corona virus family, is transmitted mainly by direct contact with an infected person or through the spread of aerosol and droplets. Dentistry by nature is considered to be one of the most vulnerable professions with regards to the high risk of transmission between the dentist, dental team, and patients; therefore, a protocol for infection control and the prevention and spreading of the COVID-19 virus in dental settings is urgently needed. This article reviews essential knowledge about this virus and its transmission and recommends preventive methods based on existing scientific research and recommendations to prevent the spread of this virus in dental offices and clinics.


Assuntos
Betacoronavirus , Pneumonia Viral , Consultórios Odontológicos , Humanos , Pandemias , Pneumonia Viral/epidemiologia
4.
Rev. Asoc. Odontol. Argent ; 108(2): 88-94, mayo-ago. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1121648

RESUMO

La pandemia de enfermedad por coronavirus de 2019 (Covid-19) se ha convertido en un importante desafío de salud pública para todos los países. Las medidas de control de infecciones son necesarias para disminuir la circulación del virus y evitar que se siga propagando mundialmente. Debido a las características de los entornos odontológicos, el riesgo de infección cruzada entre los pacientes y los odontólogos es alto. Es por esto que se requieren protocolos de control de infecciones estrictos y efectivos. Elaborar estrategias de gestión del riesgo en salud en odontología permitirá brindar un entorno de seguridad para el paciente, el profesional y su equipo (AU)


The Covid-19 pandemic has become a major public health challenge all over the world. Infection control measures are necessary to prevent the virus from spreading further and to help to control the situation worldwide. Due to the characteristics of the dental environment, the risk of cross infection is high between patients and dentists. It is important to develop strict infection control protocols to provide a safety environment for the patient and the dental staff (AU)


Assuntos
Humanos , Infecções por Coronavirus/prevenção & controle , Controle de Infecções Dentárias/métodos , Recursos Humanos em Odontologia , Pandemias , Segurança do Paciente , Gestão de Riscos , Controle de Doenças Transmissíveis/métodos , Protocolos Clínicos , Consultórios Odontológicos/normas
5.
Artigo em Inglês | MEDLINE | ID: mdl-32784414

RESUMO

SARS-CoV-2, and several other microorganisms, may be present in nasopharyngeal and salivary secretions in patients treated in dental practices, so an appropriate clinical behavior is required in order to avoid the dangerous spread of infections. COVID-19 could also be spread when patients touches a contaminated surface with infected droplets and then touch their nose, mouth, or eyes. It is time to consider a dental practice quite similar to a hospital surgery room, where particular attention should be addressed to problems related to the spreading of infections due to air and surface contamination. The effectiveness of conventional cleaning and disinfection procedures may be limited by several factors; first of all, human operator dependence seems to be the weak aspect of all procedures. The improvement of these conventional methods requires the modification of human behavior, which is difficult to achieve and sustain. As alternative sterilization methods, there are some that do not depend on the operator, because they are based on devices that perform the entire procedure on their own, with minimal human intervention. In conclusion, continued efforts to improve the traditional manual disinfection of surfaces are needed, so dentists should consider combining the use of proper disinfectants and no-touch decontamination technologies to improve sterilization procedures.


Assuntos
Infecções por Coronavirus/epidemiologia , Consultórios Odontológicos/métodos , Pneumonia Viral/epidemiologia , Esterilização/métodos , Betacoronavirus , Consultórios Odontológicos/normas , Desinfecção/métodos , Desinfecção/normas , Fidelidade a Diretrizes , Humanos , Pandemias , Guias de Prática Clínica como Assunto , Esterilização/normas
6.
Artigo em Inglês | MEDLINE | ID: mdl-32785056

RESUMO

The COVID-19 pandemic has affected lives and professions worldwide. We aimed to determine the behavior of dentists during the lockdown in Central Italy through an online survey. We demonstrated that the most frequent of urgencies, not otherwise manageable through telemedicine, was dental pulp inflammation. Although a statistically significant increase in the use of some of the personal protective equipment (PPE) from pre to during lockdown was shown, dentists were afraid of being infected during the dental procedures. Moreover, we showed that digital dentistry, telemedicine, use of the rubber dam, distancing of the appointments and further structural changes at the dental office are necessary to reduce the contagion among dentists and patients. No significant differences were shown between gender.


Assuntos
Infecções por Coronavirus/epidemiologia , Consultórios Odontológicos/organização & administração , Consultórios Odontológicos/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Betacoronavirus , Controle de Doenças Transmissíveis/organização & administração , Doenças da Polpa Dentária/epidemiologia , Medo , Humanos , Itália/epidemiologia , Pandemias , Equipamento de Proteção Individual/provisão & distribução , Inquéritos e Questionários , Telemedicina/organização & administração
7.
J Oral Maxillofac Surg ; 78(9): 1461-1466, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32653307

RESUMO

The surgeon needs to have an inexpensive, available, nontoxic, and practical disinfectant that is effective in sanitizing against the COVID-19 (Coronavirus Disease 2019) virus. The purpose of this article was to review the evidence for using hypochlorous acid in the office setting on a daily basis. The method used to assemble recommendations was a review of the literature including evidence for this solution when used in different locations and industries other than the oral-maxillofacial clinic facility. The results indicate that this material can be used with a high predictability for disinfecting against the COVID-19 (Coronavirus Disease 2019) virus.


Assuntos
Infecções por Coronavirus/prevenção & controle , Desinfetantes/química , Ácido Hipocloroso/química , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Betacoronavirus , Consultórios Odontológicos , Humanos , Cirurgia Bucal
8.
Rev. ADM ; 77(3): 129-136, mayo-jun. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1128060

RESUMO

Introducción: La pandemia a la que nos enfrentamos globalmente ha impactado de manera importante a la práctica odontológica, ya que, debido al uso de aerosoles, es una profesión de alto riesgo de transmisión de COVID-19. Objetivos: Describir los conocimientos generales sobre el SARS-CoV-2, recomendaciones y medidas de protección en una muestra de odontólogos mexicanos. Material y métodos: Se realizó un estudio descriptivo, transversal utilizando un instrumento de evaluación que se distribuyó en línea a instituciones públicas, privadas y asociaciones dentales mexicanas. Los resultados fueron analizados por medio de estadística descriptiva. Resultados: La encuesta fue respondida por 1,286 odontólogos, el 73.1% reportó haberse capacitado recientemente acerca del SARS-CoV-2. En su mayoría conocen sobre grupos de riesgo, transmisión, características clínicas, y recomendaciones generales. La mayoría se encuentran atendiendo exclusivamente urgencias y demuestran conocimiento acerca de los equipos de protección personal y del protocolo de atención durante la pandemia. Conclusiones: Los odontólogos mexicanos cuentan con los conocimientos sobre las generalidades del SARS-CoV-2, así como sobre los protocolos de atención y equipos de protección personal para la atención de pacientes durante la pandemia por COVID-19 (AU)


Introduction: The current pandemic that we are facing globally has had a significant impact on dental practice, due to the use of aerosols it is a profession with high risk of CoViD 19 transmission. Objective: To describe the general knowledge about SARS-CoV-2, as well as on the recommendations and personal protective equipment in a sample of Mexican dentists. Material and methods: A descriptive, transversal study was carried out through an evaluation instrument distributed on-line during 20 consecutive days to several dental professionals of private and public institutions and Mexican dental associations. Results were analyzed using descriptive statistics. Results: 1,286 Mexican dental professionals completed the survey, 73.1% indicated having received training about SARS-CoV-2 and they mostly know about the individuals at higher risk, transmission, clinical features and general recommendations. Most of the dentists are exclusively attending urgencies as pulpal pain, abscess and dental traumatisms. Knowledge regarding the use of personal protective equipment was demonstrated, as well as the protocol of care during the pandemic. Conclusions: Mexican dentists have the knowledge on the generalities of SARS-CoV-2, on care protocols and protective measures for patient care during the CoViD-19 pandemic (AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Infecções por Coronavirus , Odontólogos , Pandemias , Betacoronavirus , Faculdades de Odontologia , Conhecimentos, Atitudes e Prática em Saúde , Epidemiologia Descritiva , Estudos Transversais , Análise Estatística , Inquéritos e Questionários , Transmissão de Doença Infecciosa , Controle de Infecções Dentárias , Consultórios Odontológicos , Equipamento de Proteção Individual , México
9.
Rev. ADM ; 77(3): 137-145, mayo-jun. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1128241

RESUMO

Catalogada su labor como Servicios de Salud Indispensables, el profesional de la odontología se ha mantenido al pendiente de sus pacientes durante la pandemia de COVID-19, brindando atención de urgencia a quien lo solicita. A su regreso a la práctica típica, el odontólogo encontrará un entorno distinto o NUEVA NORMALIDAD, viéndose obligado a hacer modificaciones clínicas pertinentes y preparar a su equipo de trabajo para continuar brindando atención de calidad con un margen de seguridad amplificado, que de igual manera proteja a pacientes y al equipo de trabajo. Ante la falta de una vacuna que brinde protección y de tratamiento específico contra el SARS-CoV-2 (COVID-19), elevar el nivel de control de infecciones en el consultorio se vuelve ineludible y posiblemente irreversible en el quehacer odontológico cotidiano. En este artículo se propone un Protocolo de Control de Infecciones en la consulta odontológica que permita brindar seguridad en la atención bucal, considerando COVID-19, útil también para control infeccioso de otros patógenos virales o bacterianos (AU)


Considered dentistry as an Indispensable Health Services, during the COVID-19 pandemic the dental professional has been providing mostly emergency care. Upon return to typical dental practice, the dentist will find a different environment or NEW NORMALLY, being forced to make relevant clinical modifications and prepare his team to continue providing quality care with an amplified safety margin, which equally protects patients and dental team. In the absence of an available vaccine that provides protection or a specific treatment against SARSCoV- 2 (COVID-19), raising the level of infection control at the dental office will become unavoidable and possibly irreversible in the future quotidian dental work. This article proposes an Infection Control Protocol for the dental consultation that allows provide safety oral care, considering COVID-19, also useful for other viral or bacterial pathogens control (AU)


Assuntos
Humanos , Assistência Odontológica/normas , Infecções por Coronavirus/prevenção & controle , Controle de Infecções Dentárias/métodos , Pandemias , Medidas de Segurança , Controle de Doenças Transmissíveis/métodos , Equipamentos Odontológicos/normas , Consultórios Odontológicos/normas , Relações Dentista-Paciente
10.
Niger J Clin Pract ; 23(6): 848-856, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32525122

RESUMO

Objectives: To assess the knowledge and practices of blood pressure measurement (BPM) among final year students, house officers, and resident dental surgeons. Materials and Methods: A cross-sectional study consisting of a convenience sample of all final year students, house officers, and resident dental surgeons in a dental hospital in South West Nigeria was conducted. All participants were requested to complete a 16-item questionnaire about their knowledge of accurate BPM. After completing the questionnaire, the participants were observed by a single research associate as they measured the blood pressure (BP) of patients using a checklist prepared according to the World Health Organization and the American Heart Association (AHA) guidelines for measuring BP. The performance score was based on a 25-element skillset on BP measurement. Data were entered into Statistical Package for the Social Sciences (SPSS) Version 22. Frequencies and means were generated and independent Student's t-tests and Pearson's Chi-square tests were used to test the association between continuous and categorical variables, respectively at P value < 0.05. Results: In total, 139 questionnaires were returned by 59 final year dental nursing students, 29 final year dental students, 14 house officers, 18 registrars, and 19 senior registrars. Overall, 46.0% of the participants had poor knowledge of accurate BPM. The mean [standard deviation (SD)] BPM knowledge score was 5.8 (2.0), dental nursing students had the least 4.8 (1.5) score, and dental students had the highest 6.9 (2.0) score (P < 0.0001). Overall, the mean (SD) BPM knowledge scores for students and dentists were 5.5 (1.9) and 6.4 (1.9), respectively (P = 0.01). One-hundred and thirty-seven (98.6%) participants performed BPM inaccurately. There was a weak positive non-statistically significant correlation between knowledge and performance scores (r = 0.03; P = 0.75). Conclusions: Overall, 46.0% of participants had poor knowledge of accurate BPM while 98.6% performed BPM inadequately. These findings suggest the need for curriculum review on accurate BPM.


Assuntos
Determinação da Pressão Arterial/métodos , Pressão Sanguínea/fisiologia , Odontólogos , Conhecimentos, Atitudes e Prática em Saúde , Internato e Residência , Estudantes de Odontologia , Adulto , Estudos Transversais , Consultórios Odontológicos , Feminino , Humanos , Masculino , Nigéria , Inquéritos e Questionários
11.
J Contemp Dent Pract ; 21(4): 421-425, 2020 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-32584280

RESUMO

AIM: Periodontal disease is associated with gingival bleeding. Thus, the present study was aimed towards evaluating, whether the blood oozing during routine periodontal examination can be used for evaluating blood glucose levels. MATERIALS AND METHODS: A total of 100 patients reporting to Department of Oral Medicine and Radiology, within the age group of 25-55 years were enrolled. In fasting condition, gingival crevicular blood (GCB), finger-stick blood (FSB) was measured using a glucometer and venous blood (VB) glucose values were measured in the laboratory with glucose oxidase method. All the parameters thus recorded were then subjected to statistical analysis. RESULTS: When compared, the GCB glucose values, VB glucose values and the FSB glucose values measured with glucometer in the diabetic and nondiabetic group were found to be highly statistically significant (p = 0.000). CONCLUSION: Gingival crevicular blood collected during diagnostic periodontal examination can provide a valid and acceptable source for measuring blood glucose levels using a glucometer. In addition, the technique described is quick, safe, easy to perform and more acceptable to the patients. CLINICAL SIGNIFICANCE: Dental surgeon can play an active role in screening of patients for glucose levels during routine periodontal examination and help to increase the frequency of diabetes screening in dental offices especially in undiagnosed diabetic cases which can be referred to the physician for appropriate management of the condition.


Assuntos
Glicemia , Diabetes Mellitus , Adulto , Consultórios Odontológicos , Gengiva , Líquido do Sulco Gengival , Humanos , Pessoa de Meia-Idade
12.
Braz Oral Res ; 34: e048, 2020.
Artigo em Inglês | MEDLINE | ID: covidwho-341787

RESUMO

In less than four months, an unprecedented pandemic changed the world scenario, closing institutions and commerce, paralyzing sports championships, blocking frontiers, and putting almost all populations in a house quarantine regimen. Immunocompromised patients are within the high-risk group to severe outcomes from COVID-19. However, there is no clear evidence of the association between impaired immune host status and complications from SARS-CoV-2 infection so far. The virus is transmitted by inhalation or direct contact with infected secretions, and therefore the dental office is a highly susceptible environment for such transmission. Here, we review the literature and discuss immunological COVID-19 related issues. We also make suggestions for immunocompromised patients' support in this new emerging context of clinical dental practice. Until comprehensive findings are published, individuals with impaired immunity should be considered as high-risk. Cross infection control procedures for the clinical care of immunocompromised patients should follow the same guidelines that are being proposed for immunocompetent ones. However, during the active outbreak, people under immunosuppressive conditions should not receive elective procedures, even if they do not have symptoms or exposure history to COVID-19, and in case of emergence, care must be done in a separate airborne room. In the pos-pandemic phase, the dental care general recommendations should be the same for all subjects. Changes in the current guidelines have been proposed to SARS-CoV-2 infection control in order to provide the best and safe dental practice. However, they still need to be validated by future studies.


Assuntos
Betacoronavirus , Infecções por Coronavirus/imunologia , Assistência Odontológica/normas , Hospedeiro Imunocomprometido/imunologia , Pneumonia Viral/imunologia , Microbiologia do Ar/normas , Infecções por Coronavirus/transmissão , Infecções por Coronavirus/virologia , Consultórios Odontológicos , Humanos , Pandemias , Pneumonia Viral/transmissão , Pneumonia Viral/virologia
13.
Artigo em Inglês | MEDLINE | ID: covidwho-143844

RESUMO

Recently, due to the coronavirus pandemic, many guidelines and anti-contagion strategies continue to report unclear information about the persistence of coronavirus disease 2019 (COVID-19) in the environment. This certainly generates insecurity and fear in people, with an important psychological component that is not to be underestimated at this stage of the pandemic. The purpose of this article is to highlight all the sources currently present in the literature concerning the persistence of the different coronaviruses in the environment as well as in medical and dental settings. As this was a current study, there are still not many sources in the literature, and scientific strategies are moving towards therapy and diagnosis, rather than knowing the characteristics of the virus. Such an article could be an aid to summarize virus features and formulate new guidelines and anti-spread strategies.


Assuntos
Betacoronavirus/fisiologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Microbiologia Ambiental , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Infecções por Coronavirus/transmissão , Consultórios Odontológicos , Humanos , Edifícios de Consultórios Médicos , Pneumonia Viral/transmissão , Risco
14.
J Dent ; 99: 103387, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32473182

RESUMO

OBJECTIVES: To combat SARS-CoV2 (Covid-19), policy makers worldwide have adopted different policy alternatives, often including mitigation/suppression policies. We assessed the economic impact of such policies on dental practices in Germany using a modelling approach. METHODS: A providers' perspective within German healthcare was taken, with two provider scenarios (low/high volume practice, low/high proportion of non-statutory insurance revenue, low/high staff pool and costs; S1 and S2 scenarios) being modelled. Providers' costs were estimated in different blocks (staff, material, laboratory, others). A telephone-based survey was conducted on 24th March to 2nd April 2020 on a random sample of 300 German dentists (response: n = 146) to determine the experienced dental services utilization changes in these service blocks. A Markov model was constructed, following 100 practices in each scenario for a total of 365 days. Different Covid-19 mitigation/suppression periods (90 days: base-case, 45, 135 days: sensitivity analyses) were modelled. Monte-Carlo micro-simulation was performed and uncertainty introduced via probabilistic and univariate sensitivity analyses. RESULTS: Mitigation/suppression reduced utilization of all services, the most severe for prevention (-80 % in mean), periodontics (-76 %) and prosthetics (-70 %). Within the base-case, mean revenue reductions were 18.7 %/15.7 % from the public insurance, 18.7/18.6 % from private insurers and 19 %/19 % for out-of-pocket expenses in S1/S2, respectively. If the mitigation/suppression was upheld for 135 days, overall revenue decreased by 31 %/30 % in S1/S2, respectively. In this case, 29 %/12 % S1/S2 would have a negative net profit over the course of one year. CONCLUSIONS: Covid-19 and associated policies have profound economic effect on dental practices. CLINICAL SIGNIFIANCE: Policy makers will want to consider our findings when designing governmental subsidy and safety nets with immediate and midterm economic relieve effects. Dentists may consider practice re-organization to reduce costs and maintain minimum profitability.


Assuntos
Betacoronavirus , Infecções por Coronavirus/economia , Assistência Odontológica/economia , Consultórios Odontológicos/economia , Consultórios Odontológicos/estatística & dados numéricos , Odontólogos , Pandemias , Pneumonia Viral/economia , Infecções por Coronavirus/epidemiologia , Análise Custo-Benefício , Alemanha , Humanos , Cadeias de Markov , Pneumonia Viral/epidemiologia , Salários e Benefícios , Síndrome Respiratória Aguda Grave
15.
Braz Oral Res ; 34: e048, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32428085

RESUMO

In less than four months, an unprecedented pandemic changed the world scenario, closing institutions and commerce, paralyzing sports championships, blocking frontiers, and putting almost all populations in a house quarantine regimen. Immunocompromised patients are within the high-risk group to severe outcomes from COVID-19. However, there is no clear evidence of the association between impaired immune host status and complications from SARS-CoV-2 infection so far. The virus is transmitted by inhalation or direct contact with infected secretions, and therefore the dental office is a highly susceptible environment for such transmission. Here, we review the literature and discuss immunological COVID-19 related issues. We also make suggestions for immunocompromised patients' support in this new emerging context of clinical dental practice. Until comprehensive findings are published, individuals with impaired immunity should be considered as high-risk. Cross infection control procedures for the clinical care of immunocompromised patients should follow the same guidelines that are being proposed for immunocompetent ones. However, during the active outbreak, people under immunosuppressive conditions should not receive elective procedures, even if they do not have symptoms or exposure history to COVID-19, and in case of emergence, care must be done in a separate airborne room. In the pos-pandemic phase, the dental care general recommendations should be the same for all subjects. Changes in the current guidelines have been proposed to SARS-CoV-2 infection control in order to provide the best and safe dental practice. However, they still need to be validated by future studies.


Assuntos
Betacoronavirus , Infecções por Coronavirus/imunologia , Assistência Odontológica/normas , Hospedeiro Imunocomprometido/imunologia , Pneumonia Viral/imunologia , Microbiologia do Ar/normas , Infecções por Coronavirus/transmissão , Infecções por Coronavirus/virologia , Consultórios Odontológicos , Humanos , Pandemias , Pneumonia Viral/transmissão , Pneumonia Viral/virologia
16.
Artigo em Inglês | MEDLINE | ID: mdl-32365891

RESUMO

Recently, due to the coronavirus pandemic, many guidelines and anti-contagion strategies continue to report unclear information about the persistence of coronavirus disease 2019 (COVID-19) in the environment. This certainly generates insecurity and fear in people, with an important psychological component that is not to be underestimated at this stage of the pandemic. The purpose of this article is to highlight all the sources currently present in the literature concerning the persistence of the different coronaviruses in the environment as well as in medical and dental settings. As this was a current study, there are still not many sources in the literature, and scientific strategies are moving towards therapy and diagnosis, rather than knowing the characteristics of the virus. Such an article could be an aid to summarize virus features and formulate new guidelines and anti-spread strategies.


Assuntos
Betacoronavirus/fisiologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Microbiologia Ambiental , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Infecções por Coronavirus/transmissão , Consultórios Odontológicos , Humanos , Edifícios de Consultórios Médicos , Pneumonia Viral/transmissão , Risco
17.
Salvador; s.n; 14 abr. 2020. 5 p. (Nota Técnica COE Saúde, 44).
Monografia em Português | Coleciona SUS, CONASS, SES-BA | ID: biblio-1119612

RESUMO

A nota trata sobre a suspensão dos atendimentos odontológicos eletivos nos serviços da Atenção Primária à Saúde, Centros de Especialidades Odontológicas (CEOs), Laboratórios Regionais de Próteses Dentárias (LRPDs municipais e do Plano de Expansão do Estado), Policlínicas, Centros de Referência, e demais serviços públicos e privados, mantendo-se exclusivamente os atendimentos de urgência, que deverão ser executados seguindo rigorosos protocolos de biossegurança, revisados e atualizados com frequência pelas autoridades sanitárias, devido à pandemia do COVID-19 (Vide a Nota Técnica nº 04 ­ GVIMS/GGTES/ANVISA)


Assuntos
Humanos , Criança , Adolescente , Pneumonia Viral/prevenção & controle , Assistência Odontológica/normas , Infecções por Coronavirus/prevenção & controle , Consultórios Odontológicos/normas , Pandemias
18.
Dent Clin North Am ; 64(2): 325-339, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32111272

RESUMO

For the general dentist, the use of BTA and dermal fillers confers the ability to exert control over the soft tissues surrounding the mouth to better create a harmonious smile. The injection of BTA and fillers into the facial musculature and dermis requires a level of finesse to achieve the desired outcomes. A sound understanding of the mechanisms of action and the ability to manage potential complications are also necessary, because the dentist administering BTA and dermal fillers must be competent to the same level as other providers who have traditionally been the gatekeepers of such agents.


Assuntos
Toxinas Botulínicas Tipo A , Técnicas Cosméticas , Preenchedores Dérmicos , Consultórios Odontológicos , Face , Humanos , Ácido Hialurônico
19.
Dent Clin North Am ; 64(2): 365-378, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32111275

RESUMO

The use of 3-dimensional (3D) cone-beam computed tomography (CBCT) imaging in the dental office has become a common imaging modality. The authors present an overview of multiple treatments that would benefit from the use of this technology. From preoperative, intraoperative, to postoperative patient management, 3D technology plays a vital role in the dental practice. With the incorporation of 3D CBCT, intraoral scanners, and 3D printing, a dental provider can accurately plan and execute the treatment with greater confidence. The contemporary dentist, however, has many options for incorporating the digital workflow based on the specific practice needs.


Assuntos
Consultórios Odontológicos , Imageamento Tridimensional , Tomografia Computadorizada de Feixe Cônico , Humanos , Impressão Tridimensional
20.
Ann Afr Med ; 19(1): 40-46, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32174614

RESUMO

Background: The prevalence of hypertension and diabetes is increasing in Ghana and sub-Saharan Africa. Screening is a useful tool in improving the early detection of both diseases to reduce the mortality and morbidity associated with the conditions. This study set out to determine the prevalence of patients with hypertension and hyperglycemia attending a dental clinic in Accra. Methods: A cross-sectional study, modeling a screening exercise, was conducted in a major dental clinic in Accra. Hypertension and diabetes were screened for with serial blood pressure checks at rest and random blood glucose measurements, respectively. Other variables were the pulse rate, the respiratory rate, and the background characteristics of respondents. Data were analyzed with Stata Version 14, and descriptive statistics were generated and reported. Results: There were a total of 175 participants in the study, comprising 76 males (43.4%) and 99 females (56.6%). This represented a male-to-female ratio of 0.8:1. The ages ranged from 18 to 86 years, with the median and mean ages of 40 years and 43.1 years (±16.9), respectively. This study found the prevalence of hypertension and hyperglycemia i the dental clinic to be 31.4% and 24.6%, respectively. Conclusion: The results of this study demonstrate the importance of the dental clinic in detecting both undiagnosed hypertension and diabetes, as well as those who have previously been diagnosed, but do not have their blood pressure and blood sugar under adequate control. With efficient referrals and follow-up systems in place at dental offices, they could be harnessed as a fertile place for hypertension and diabetes screening.


Assuntos
Pressão Sanguínea/fisiologia , Consultórios Odontológicos/estatística & dados numéricos , Diabetes Mellitus/epidemiologia , Diagnóstico Precoce , Hipertensão/epidemiologia , Programas de Rastreamento/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Glicemia , Determinação da Pressão Arterial , Estudos Transversais , Diabetes Mellitus/diagnóstico , Feminino , Gana/epidemiologia , Humanos , Hipertensão/diagnóstico , Masculino , Pessoa de Meia-Idade , Visita a Consultório Médico , Adulto Jovem
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