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1.
J World Fed Orthod ; 9(3): 123-128, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32768366

RESUMO

BACKGROUND: The Coronavirus Disease 2019 (COVID-19) pandemic has had far-reaching effects on orthodontic care delivery worldwide. This study aimed to assess the impacts of the pandemic on orthodontists and orthodontic residents in Nigeria. METHODS: This cross-sectional study was conducted among consenting orthodontists and orthodontic residents. The respondents were contacted through the WhatsApp group of the Nigerian Association of Orthodontists to fill the self-administered online questionnaires (Google forms). The questionnaire had two sections: A, Sociodemographics; B, Perceived impact of the COVID-19 pandemic. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 20. Descriptive statistics were used to compute mean and standard deviation and chi-square for association. Level of significance was set at P < 0.05. RESULTS: This study population comprised 98 people; however, only 73 participants responded, which represented a response rate of 74.5%. Approximately 60% (44) of the respondents thought that the COVID-19 pandemic would lead to a reduction in the number of orthodontic patients in the future, whereas almost all the respondents reported that it would affect their future practice of orthodontics. Most of the respondents (63.0%) reported that the pandemic had recorded a moderate to severe negative economic impact on them. Significant gender differences were recorded, in the social life of respondents, in addition to economic and psychosocial effects. CONCLUSIONS: Almost all respondents reported that they would change their future practice of orthodontics, particularly with respect to placing a greater emphasis on infection control. Most of the respondents reported perceived economic, psychosocial, and social impacts due to the pandemic.


Assuntos
Infecções por Coronavirus/epidemiologia , Ortodontistas , Pneumonia Viral/epidemiologia , Padrões de Prática Odontológica/estatística & dados numéricos , Adulto , Betacoronavirus , Estudos Transversais , Feminino , Humanos , Masculino , Nigéria/epidemiologia , Pandemias , Inquéritos e Questionários
2.
PLoS One ; 15(8): e0237630, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32813692

RESUMO

BACKGROUND: Dental offices are among the highest risk for transmission of the COVID-19, having the potential to transmit the virus via routine dental procedures. This cross-sectional study assessed the preparedness and perception of infection control measures against the COVID-19 pandemic by dentists in Saudi Arabia. MATERIALS AND METHODS: This online survey addressed the impact and perception of the COVID-19 pandemic on dental practice in Saudi Arabia. The questionnaire comprised 26 closed-ended questions. Descriptive statistics included frequency distributions with percentages. In addition, the significance between the different demographic variables and questions about dentists' perception of the COVID-19 pandemic was tested using the Chi-square test. RESULTS: COVID-19 management in dental clinics varied in terms of adherence to the Ministry of Health (MOH) guidelines. Dental clinics' screening questionnaire for patients showed good adherence (67%), while the lowest agreement was detected with the question on the existence of an airborne infection in the isolation room (15%). Almost two-thirds of the respondents agreed that the dental reception area adopted the proper COVID-19 preventive measures. Greatest accord was observed in their answers on questions about dentists' perception of the COVID-19 pandemic, ranging from 64%-89%. In addition, there were statistically significant differences in questions about the perception of dentists towards the COVID-19 pandemic by different demographic variables such as age and years of work experience (p < 0.05). CONCLUSION: The response of most dentists regarding the preparedness and perception of infection control measures against the COVID-19 pandemic was positive. Dental clinics need to adhere more to the MOH recommendations in preparedness of their facilities or by educating their dentists and staff.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Assistência Odontológica/organização & administração , Odontólogos/psicologia , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Padrões de Prática Odontológica/organização & administração , Adulto , Atitude do Pessoal de Saúde , Infecções por Coronavirus/transmissão , Infecções por Coronavirus/virologia , Estudos Transversais , Clínicas Odontológicas , Feminino , Fidelidade a Diretrizes , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Controle de Infecções , Masculino , Pessoa de Meia-Idade , Pneumonia Viral/transmissão , Pneumonia Viral/virologia , Arábia Saudita/epidemiologia , Inquéritos e Questionários , Adulto Jovem
4.
Swiss Dent J ; (7-8): 584-591, 2020 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-32674530

RESUMO

Endodontic teaching follows common concepts in the four Swiss dental schools. The aim of this survey was to ask former Swiss dental students how they adopted these endodontic concepts in clinical practice. All the graduates of the years 2012 and 2013 (n = 196) were targeted in 2018 using an internet-based anonymous questionnaire, which was based on five initial questions. One hundred forty-one individuals (participants) filled in these questions on their work situation and referral concepts (72% response rate). Those 111 participants who performed root canal treatments themselves were the focus group. They answered an additional 11 questions. Their affinity towards performing endodontic treatments was investigated. The use of rubber dam isolation served as a surrogate to see if biological principles were respected. Furthermore, it was asked which instrumentation systems they used in daily practice, and how they perceived the impact of their superior/employer on these choices. Of the 141 survey participants 55 were men and 86 women. Thirty-eight of these (27%) reported to refer difficult endodontic cases. Individuals in the focus group had an overall positive attitude towards endodontics. There was very little variance in the responses between the four Swiss dental schools. The vast majority (86.5%) reported to use rubber dam routinely. More than half in the focus group used reciprocating systems, and only a few (22.5%) would still use the rotary system they were taught at university. There was a significantly (p < 0.05) higher perceived impact of the employer on choice of instrumenting system versus the use of rubber dam.


Assuntos
Endodontia , Padrões de Prática Odontológica , Feminino , Humanos , Masculino , Tratamento do Canal Radicular , Diques de Borracha , Estudantes , Inquéritos e Questionários
5.
Artigo em Inglês | MEDLINE | ID: mdl-32604906

RESUMO

SARS-CoV-2 is a member of the family of coronaviruses. The first cases were recorded in Wuhan, China, between December 2019 and January 2020. Italy is one of the most affected countries in Europe. COVID-19 is a new challenge in modern dentistry. New guidelines are required in dental clinics to avoid contagion caused by cross-infections. A narrative review was performed using both primary sources, such as scientific articles and secondary ones, such as bibliographic indexes, web pages, and databases. The main search engines were PubMed, SciELO, and Google Scholar. Twelve articles were selected to develop the bibliographic review by applying pre-established inclusion and exclusion criteria. Precautionary measures should be applied to control COVID-19 in clinical practice. Several authors have highlighted the importance of telephone triage and/or clinic questionnaires, body temperature measurement, usage of personal protective equipment, surface disinfection with ethanol between 62% and 71%, high-speed instruments equipped with an anti-retraction system, four-handed work, and large-volume cannulas for aspiration. Clinically, the use of a rubber dam is essential. FFP2 (or N95) and FFP3 respirators, if compared to surgical masks, provide greater protection for health workers against viral respiratory infections. Further accurate studies are needed to confirm this.


Assuntos
Betacoronavirus/patogenicidade , Infecções por Coronavirus/transmissão , Infecção Hospitalar/prevenção & controle , Odontologia , Controle de Infecções/normas , Saúde do Trabalhador , Pneumonia Viral/transmissão , Infecções por Coronavirus/prevenção & controle , Pessoal de Saúde , Humanos , Pandemias/prevenção & controle , Equipamento de Proteção Individual/normas , Pneumonia Viral/prevenção & controle , Padrões de Prática Odontológica/estatística & dados numéricos
6.
Artigo em Inglês | MEDLINE | ID: mdl-32630735

RESUMO

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.


Assuntos
Infecções por Coronavirus/prevenção & controle , Assistência Odontológica/métodos , Controle de Infecções/métodos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Padrões de Prática Odontológica/normas , Betacoronavirus , Assistência Odontológica/normas , Odontólogos , Humanos , Controle de Infecções/normas , Programas de Rastreamento , Equipamento de Proteção Individual , Papel Profissional
7.
Braz Oral Res ; 34: e062, 2020 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-32609231

RESUMO

The aim of this study was to evaluate whether dentists and dental undergraduate students know the terminology of the International Caries Consensus Collaboration (ICCC), and make their restorative treatment decisions regarding carious tissue removal accordingly. Data collection was performed using an electronic questionnaire, considering: a) profile of the respondent; b) analysis of four clinical cases with respect to possible management strategies; and c) questions on cariology field terminology. Sample size consisted of 175 dentists and 66 last semester dental students. Statistical analyses were performed comparing profile, type of institution and dental specialty of the participants. Results showed students were less conservative and agreed less with the ICCC than dentists, and private schools, less than public institutions. Private institutions were 12% (95%CI = 0.833-0.949; p = 0.000) more likely to be less updated with the ICCC recommendations than public institutions, and dentists were 20% more likely to agree with them than students (95%CI = 1.118-1.302; p = 0.000). Dentists were 66% more likely to be conservative than students (95%CI = 0.203-0.554; p = 0.000); dentists and students who graduated or were graduating from public universities were twice as likely to be conservative as those from private universities (95%CI = 1.336-3.333; p = 0.001). In conclusion, students in the last semester are less conservative than dentists, and respondents who graduated or were graduating from public dental schools were more aligned with the current concepts of the ICCC. Several answers were not aligned with ICCC directives, thus showing that management of deep carious lesions still causes restorative therapeutic insecurity.


Assuntos
Cárie Dentária , Estudantes de Odontologia , Brasil , Consenso , Odontólogos , Humanos , Padrões de Prática Odontológica , Inquéritos e Questionários
8.
PLoS One ; 15(7): e0235671, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32649689

RESUMO

BACKGROUND: Antibiotics are regularly prescribed by dental professionals in their practice, for the purpose of dental treatment as well as for the prevention of infection. The inappropriate use of antibiotics is a significant factor in the rise of antibiotic resistance. There is an immediate need for the advancement of prescribing guidelines and instructive polices to encourage the rational and appropriate utilization of medications especially antibiotics in dentistry. OBJECTIVE: The aim of this study was to identify the frequency of antibiotic prescription for treating dental infections in children among dentists in teaching institutions of Karachi, Pakistan and whether they are adhering to the prescribed international guidelines. METHODS: A cross-sectional study was conducted in three private and two public colleges of Karachi. After taking written informed consent and checking the inclusion criteria, a total of 380 participants were interviewed using a pre-designed validated questionnaire which included demographic profile and clinical case scenarios. Data were entered and analyzed on SPSS version 20. Inferential analysis was performed using chi-square test. The significance level was set at 0.05. RESULTS: Of the 380 subjects, a majority (71.3%) treated 15 or less children per month (n = 271) while 28.7% of dentists (n = 109) treated more than 15 children per month. Overall adherence to American Academy of Pediatric Dentistry guidelines was low from 26.1% to 44.2%. The difference between adherence of dentists with low and high volume of pediatric patients was significantly different for case scenarios 1, 3, 4 and 5 (p<0.001 for all) where dentists who treated 15 or less children per month were more likely to be adherent to standard antibiotic prescription guidelines than those who treated more than 15 children per month. CONCLUSIONS: This study shows that majority of dentists, particularly dentists with high volume of pediatric patients lacked adherence to professional guidelines for prescribing antibiotics for treating dental infection in children. There seem to be a lack of harmony between the recommended professional guidelines and the antibiotic prescribing pattern of dentists. Regular updates and continuing medical education for the health professionals regarding comprehensible and specific professional guidelines may lead to improved adherence of antibiotics prescription amongst dentists.


Assuntos
Antibacterianos/uso terapêutico , Odontólogos/psicologia , Prescrições de Medicamentos/estatística & dados numéricos , Padrões de Prática Odontológica/estatística & dados numéricos , Doenças Dentárias/tratamento farmacológico , Adulto , Criança , Pré-Escolar , Estudos Transversais , Feminino , Fidelidade a Diretrizes , Humanos , Lactente , Entrevistas como Assunto , Masculino , Paquistão , Odontopediatria , Inquéritos e Questionários , Doenças Dentárias/microbiologia , Adulto Jovem
9.
J Contemp Dent Pract ; 21(5): 568-574, 2020 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-32690842

RESUMO

AIM: To investigate and evaluate current knowledge and habits in prescribing preoperative antibiotic, and toward specific practice situations, in a subset of dental practitioners performing routine dental implant surgery in Saudi Arabia. MATERIALS AND METHODS: A cross-sectional questionnaire-based study was developed, and relevant information was gathered through a web-based survey from a dentist who performed surgical implant placement. Participant demographics, clinical experience, and educational background were obtained. Factors related to knowledge and practice of preoperative antibiotics prescription and relevant information were collected. Descriptive statistics (frequencies and percentages) were used to describe the categorical variables. Pearson's Chi-square test was used to compare the distribution of the categorical responses across specific survey variables. A p value of ≤ 0.05 was used to report the statistical significance of the responses relative to prescription habits. RESULTS: A total of 156 dentists participated in this study. Majority of the study sample was periodontists (70.5%, n = 110). About 63.5% of the study subjects do not prescribe prophylactic antibiotics. Private practitioners prescribed more antibiotics preoperatively (p = 0.019), while public and academic practitioners were in favor of developing guidelines toward antibiotics prescriptions (p = 0.009). Furthermore, a statistically significant difference was found between private and no private practitioners toward possible adverse complications when prescribing multidose antibiotics (p = 0.014). CONCLUSION: Various factors influence the knowledge and prescription habits toward prophylactic antibiotics among dental practitioners in routine dental implant procedures. The variability and conflicting practices require the attention of healthcare legislations and stakeholders, locally and globally, to improve antibiotics prescription habits. Furthermore, large-scale interventions, prescription stewardship programs, and collaborative work between professional and scientific organizations may be beneficial to address areas of concern. CLINICAL SIGNIFICANCE: Strategic policies and stewardship programs toward antibiotic prescription among dental practitioners may benefit in reducing the unjustified or misuse of these medications. Subsequently, this could minimize the potential development of bacterial resistance and unwanted events that might complicate the management of straightforward dental implant cases.


Assuntos
Antibacterianos/uso terapêutico , Odontólogos , Estudos Transversais , Hábitos , Humanos , Padrões de Prática Odontológica , Papel Profissional , Arábia Saudita , Inquéritos e Questionários
10.
Artigo em Inglês | MEDLINE | ID: mdl-32629915

RESUMO

The coronavirus infectious disease 2019 (COVID-19) pandemic has put enormous pressure on health care systems around the world. Dentistry has had to adjust to the new epidemic situation to not only bring relief to suffering patients but also to avoid becoming a source of SARS-CoV-2 transmission. METHODS: A comprehensive, cross-sectional survey was conducted between April 6 and 16, 2020 among 875 Polish dental practitioners. The aim of the research was to assess dentists' attitudes and professional approaches resulting from the COVID-19 pandemic. RESULTS: 71.2% of dentists who responded to the questionnaire decided to suspend their clinical practice during that particular time. The main factors for this fact were the shortage of personal protective equipment (PPE), the respondents' subjective perceptions of the risk of COVID-19 contraction and a general feeling of anxiety and uncertainty regarding the COVID-19 situation. The authors observed a significant decrease in the number of patients admitted weekly in April 2020 (12.06; SD, 11.55) in comparison to that in the time before the state of pandemic was declared on March 11, 2020 (49.21; SD, 24.97). CONCLUSIONS: Due to the unpreparedness of the dental sector, both in national health and private settings, most of the Polish dentists decided to voluntarily suspend their clinical practice in order to mitigate the spread of the disease. The COVID-19 outbreak has revealed numerous shortcomings in the dental care system, especially regarding the insufficient coordination of health services related to the pandemic and lack of advanced PPE. This has led to an overwhelming feeling of fear, confusion and anxiety among dental professionals in Poland and a sudden decrease in the number of performed dental procedures. Hopefully enriched with the recent experience and due to the implementation of proper strategic and long-term measures, dental practitioners will be better prepared and adapted to global health care disruptions in the future.


Assuntos
Atitude do Pessoal de Saúde , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Odontólogos/psicologia , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Betacoronavirus , Infecções por Coronavirus/transmissão , Estudos Transversais , Odontólogos/estatística & dados numéricos , Humanos , Equipamento de Proteção Individual/provisão & distribução , Pneumonia Viral/transmissão , Polônia/epidemiologia , Padrões de Prática Odontológica
11.
Braz Oral Res ; 34: e054, 2020.
Artigo em Inglês | MEDLINE | ID: covidwho-529034

RESUMO

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.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Odontólogos/normas , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Padrões de Prática Odontológica/normas , Adulto , Idoso , Infecções por Coronavirus/epidemiologia , Clínicas Odontológicas , Odontólogos/estatística & dados numéricos , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Pneumonia Viral/epidemiologia , Padrões de Prática Odontológica/estatística & dados numéricos , Fatores de Risco , Distribuição por Sexo , Especialidades Odontológicas/normas , Especialidades Odontológicas/estatística & dados numéricos , Inquéritos e Questionários , Turquia/epidemiologia
12.
Artigo em Inglês | MEDLINE | ID: mdl-32570842

RESUMO

COVID-19 has severely impacted dentists, who are at a great risk of infection. This study aimed to investigate if dentists are anxious about returning to their daily activities, and what the perception of the risk is for dentists and orthodontists regarding orthodontic procedures. An online questionnaire, including the Patient Health Questionnaire-4 (PHQ-4), was sent to Italian dentists during the final days of the lockdown with items about anxiety, fear, distress, perceived risk for operators, and concerns about orthodontic patients caused by working during the COVID-19 outbreak. Data were analyzed with a chi-square test and logistic regression analysis. The level of significance was set as p < 0.05. A total of 349 dentists completed the survey, including 183 orthodontists. Returning to their daily work activity was a source of anxiety for 192 participants and this was associated with the level of distress (odds ratio (OR) = 3.7; p < 0.001). Most of the orthodontists (67.6%) thought that they would increase the number of working hours during the week (OR = 1.8; p = 0.007). Italian dentists were mostly scared to return to their daily activities because they considered their jobs a high risk to them and their families. Dentists with an exclusive/prevailing orthodontic activity were forced to increase their working day during the week.


Assuntos
Infecções por Coronavirus/transmissão , Odontólogos/psicologia , Exposição Ocupacional/prevenção & controle , Saúde do Trabalhador , Pneumonia Viral/transmissão , Padrões de Prática Odontológica/estatística & dados numéricos , Ansiedade/epidemiologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Estudos Transversais , Odontólogos/estatística & dados numéricos , Surtos de Doenças , Humanos , Itália/epidemiologia , Ortodontistas/psicologia , Ortodontistas/estatística & dados numéricos , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle
13.
Swiss Dent J ; 130(6): 486-492, 2020 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-32512981

RESUMO

A status report of dental implantology in Switzerland has already been performed in 1994 and 2006. The present study, based on these former surveys, aimed to update these results for the year 2016. To this end, a questionnaire was sent to all dentists in Switzerland who were members of the Swiss Dental Society (SSO) at the time of the survey. The questionnaire asked for personal background data and obtained information about the dentists' knowledge and concepts when using implants, the extent to which they used implants and about specific implant systems, which were selected based on the previous surveys. Out of 3,168 questionnaires, 1,446 were returned (return rate: 45.6%). Approximately 91% of the responding dentists had a practical involvement in implantology (implant placement only, superstructure insertion only, or both). Just over half of them (53%) placed more than twenty implants per year. Good handling was chosen by all dentists (100%) as a selection criterion for the implant system they used preferably. The current data suggested that the range of indications had widened, yet that the edentulous mandible was still the indication of choice. The percentage of dentists engaged in dental implantology doubled from 1994 to 2006 (1994: 42.2%, 2006: 82.2%). An increase of almost 10% in dentists involved in dental implantology was also apparent from 2006 to 2016 (2006: 82.2%, 2016: 91%). Our data show that, whilst the relative number of implant users had greatly increased among Swiss dentists, their rationale to place implants has remained similar.


Assuntos
Implantação Dentária Endo-Óssea , Implantes Dentários , Estudos Transversais , Padrões de Prática Odontológica , Inquéritos e Questionários , Suíça
14.
Braz Oral Res ; 34: e054, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32490887

RESUMO

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.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Odontólogos/normas , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Padrões de Prática Odontológica/normas , Adulto , Idoso , Infecções por Coronavirus/epidemiologia , Clínicas Odontológicas , Odontólogos/estatística & dados numéricos , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Pneumonia Viral/epidemiologia , Padrões de Prática Odontológica/estatística & dados numéricos , Fatores de Risco , Distribuição por Sexo , Especialidades Odontológicas/normas , Especialidades Odontológicas/estatística & dados numéricos , Inquéritos e Questionários , Turquia/epidemiologia
15.
Oral Oncol ; 108: 104821, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32474389

RESUMO

Outbreak pneumonia announced in Wuhan, China, in December 2019, had its causative factor classified as a new coronavirus (SARS-CoV-2). Since saliva can host several viruses including SARS-CoV-2, the transmission chance of viruses through saliva, particularly those causing respiratory infections, is unavoidable. COVID-19 can be detected through salivary diagnostic testing which has lots of advantages for medical care professionals and patients. It should be noted that not only does saliva offer an ecological niche for the colonization and development of oral microorganisms, but it also prevents the overgrowth of particular pathogens such as viral factors. The aim of this study is to gather all the information about saliva and its association with COVID-19 for the whole health care professionals across the world.


Assuntos
Betacoronavirus/metabolismo , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , Saliva/imunologia , Saliva/virologia , Sialadenite/diagnóstico , Idoso , Betacoronavirus/genética , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/virologia , Assistência Odontológica , Odontólogos/psicologia , Testes Diagnósticos de Rotina/métodos , Feminino , Humanos , Imunidade Inata , Controle de Infecções/métodos , Masculino , Pessoa de Meia-Idade , Pandemias , Segurança do Paciente , Peptidil Dipeptidase A/metabolismo , Pneumonia Viral/diagnóstico , Pneumonia Viral/virologia , Padrões de Prática Odontológica , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Neoplasias das Glândulas Salivares/diagnóstico , Glândulas Salivares/metabolismo , Glândulas Salivares/virologia , Proteínas e Peptídeos Salivares/imunologia , Sialadenite/virologia , Telemedicina/métodos , Xerostomia
16.
Oral Health Prev Dent ; 18(1): 447-454, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32515415

RESUMO

PURPOSE: To evaluate the knowledge and practices of Swiss dentists concerning oral care during pregnancy. MATERIALS AND METHODS: A cross-sectional survey was conducted among 200 dentists from the German and French part of Switzerland. The survey consisted of 16 questions which assessed the knowledge, attitudes and barriers faced by dentists regarding dental care during pregnancy. RESULTS: The majority of dentists agreed that dental care should be part of prenatal care. Overall, good agreement between the French- and German-speaking dentists was found concerning the timing of conducting various dental procedures and the administration of anesthetics and other drugs during pregnancy. Uncertainty was observed regarding the link between periodontal disease and adverse pregnancy outcomes. CONCLUSION: The survey reported that Swiss dentists in private practice have the knowledge to provide dental care to pregnant women. However, they all expressed the need for clear guidelines and direction on this important aspect of public health.


Assuntos
Saúde Bucal , Padrões de Prática Odontológica , Atitude do Pessoal de Saúde , Estudos Transversais , Odontólogos , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Gravidez , Inquéritos e Questionários , Suíça
17.
Head Neck ; 42(7): 1543-1547, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32533621

RESUMO

The coronavirus disease 2019 (COVID-19) pandemic has become a major public health crisis. The diagnostic and containment efforts for the disease have presented significant challenges for the global health-care community. In this brief report, we provide perspective on the potential use of salivary specimens for detection and serial monitoring of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), based on current literature. Oral health-care providers are at an elevated risk of exposure to COVID-19 due to their proximity to nasopharynx of patients, and the practice involving the use of aerosol-generating equipment. Here, we summarize the general guidelines for oral health-care specialists for prevention of nosocomial transmission of COVID-19, and provide specific recommendations for clinical care management.


Assuntos
Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/prevenção & controle , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Exposição Ocupacional/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Padrões de Prática Odontológica , Saliva/virologia , Anti-Infecciosos Locais/administração & dosagem , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/transmissão , Odontólogos , Guias como Assunto , Humanos , Controle de Infecções/métodos , Antissépticos Bucais , Equipamento de Proteção Individual/provisão & distribução , Pneumonia Viral/diagnóstico , Pneumonia Viral/transmissão , Povidona-Iodo/administração & dosagem , Dispositivos de Proteção Respiratória , Estados Unidos/epidemiologia
18.
PLoS One ; 15(6): e0233652, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32502170

RESUMO

Clinical decision-making is a complex process influenced by clinical and non-clinical factors. The aim of this study was to investigate the association between provider, patient, and practice factors with clinical decision-making among dentists in Ontario, Canada's most populated province and its largest dental care market. This was a cross-sectional, self-administered survey of a random sample of general dentists in Ontario (n = 3,201). The 46-item survey collected demographic, professional, and practice information. The outcome (treatment intensity) was measured using a set of clinical scenarios, which categorized dentists as either relatively aggressive or conservative in their treatment decisions. Associations were assessed using bivariate analysis and logistic regressions. One thousand and seventy-five dentists responded (33.6% response rate). Age (p = 0.001), place of initial training (p<0.001), number of dependents (p = 0.001), number of hygienists employed (p = 0.001), and perceptions of practice loans (p = 0.020) were associated with treatment intensity. Dentists who were <40-years old (OR = 2.06, 95% CI:1.39-3.06, p<0.001), American-trained (OR = 2.48, 95% CI:1.51-4.06, p<0.001), and perceived their practice loans as large (OR = 1.57, 95% CI:1.02-2.42, p = 0.039), were relatively more aggressive in their treatment decisions. Various non-clinical factors appear to influence the clinical decision-making of dentists in Ontario.


Assuntos
Tomada de Decisão Clínica , Odontólogos , Padrões de Prática Odontológica , Adulto , Estudos Transversais , Odontólogos/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ontário , Inquéritos e Questionários
19.
Artigo em Inglês | MEDLINE | ID: mdl-32540319

RESUMO

BACKGROUND: Dentists are high prescribers of antibiotics for both treatment and prevention of infection, although there are few guidelines to aid clinicians. Given the worldwide concerns about unnecessary use of antibiotics, there is a need for a better understanding of dentists' use of these drugs for antibiotic prophylaxis (AP) to prevent distant site infections (i.e., infective endocarditis and prosthetic joint infection). OBJECTIVE: The aim of this study was to develop and implement an effective, self-reporting, cross-sectional, survey instrument that optimized the response rate and maximized reliability and validity for determining the beliefs and behaviors of a large and nationally representative group of generalist and specialist dentists concerning their use of AP. STUDY DESIGN: A 15-question survey (58 items) was developed in a structured process by a multidisciplinary team and configured for automated online dissemination to 3584 national Dental Practice-Based Research Network (DPBRN; hitherto referred to as "Network") practitioners. The implementation phase consisted of 3 waves of greater than 1000 Network members. Additionally, 47 randomly selected dentists were surveyed twice to assess test-retest reliability. RESULTS: Of 3584 eligible Network members, 2169 (60.5%) completed the survey. The age and geographic distributions of responders was similar to those of dentists in the 2019 American Dental Association census. Furthermore, test-retest weighted kappa values for the survey were acceptable (median 0.56; interquartile range 0.42-0.64). CONCLUSIONS: We developed a highly structured survey with a high response rate and good reliability that will allow us to obtain unique data on dentists' beliefs and practices regarding AP prescribing.


Assuntos
Antibioticoprofilaxia , Odontólogos , Estudos Transversais , Humanos , Padrões de Prática Odontológica , Reprodutibilidade dos Testes , Inquéritos e Questionários
20.
Braz Oral Res ; 34: e041, 2020 May 08.
Artigo em Inglês | MEDLINE | ID: covidwho-256281

RESUMO

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.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Assistência Odontológica/normas , Saúde Bucal/normas , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Padrões de Prática Odontológica/normas , Betacoronavirus/patogenicidade , Infecções por Coronavirus/transmissão , Odontólogos/normas , Humanos , Pneumonia Viral/transmissão , Guias de Prática Clínica como Assunto , Fatores de Risco
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