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Recommendations for Dental Care during COVID-19 Pandemic

1
Department of Oral Surgery, University of Birmingham, 5 Mill Pool Way, Edgbaston, Birmingham B5 7EG, UK
2
Department of Orthodontics, Universitätsklinikum Düsseldorf, Moorenstr. 5, Building 18.21, 40225 Düsseldorf, Germany
3
Department of Oral Surgery and Implantology, Carolinum, Goethe University, Theodor-Stern-Kai 7/Haus 29, 60596 Frankfurt am Main, Germany
4
Department of Neurosciences, Dentistry Section, University of Padova, Via Giustiniani 2, 35128 Padova, Italy
5
Trilateral Research Ireland, Marine Point, Belview Port, X91 W0XW Waterford, Ireland
*
Author to whom correspondence should be addressed.
The authors contributed equally to this work.
J. Clin. Med. 2020, 9(6), 1833; https://doi.org/10.3390/jcm9061833
Received: 20 May 2020 / Revised: 5 June 2020 / Accepted: 9 June 2020 / Published: 12 June 2020
Dental clinics were suspected to be a hotspot for nosocomial transmission of coronavirus disease 19 (COVID-19), yet there has been no clear recommendation about emergency dental care and appropriate personal protective equipment during pandemics. In this paper, we aim to summarize recommendations for (i) patient risk assessment, (ii) patient triage, and (iii) measures to prevent infection of health professionals and nosocomial transmission in dental clinics. The available evidence was collected by performing searches on PubMed, Embase, and Cochrane databases. We reviewed papers on COVID-19, severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS), influenza, and related respiratory viral diseases. Legal and ethical frameworks, as well as international (e.g., World Health Organization (WHO)) and national (e.g., public health institutes, dental associations) guidelines were screened to summarize recommendations related to dental emergency care. To assess the patient risk, a questionnaire was developed to classify patients at unknown, high, and very high risk. Patient triage recommendations were summarized in a flow chart that graded the emergency level of treatments (i.e., urgent, as soon as possible, and postpone). Measures to prevent disease transmission based on current evidence were grouped for dental health professionals, dental clinics, and patients. The present recommendations may support health professionals implement preventative measures during the pandemic. View Full-Text
Keywords: COVID-19; SARS-CoV-2; coronavirus; patient questionnaire; patient triage; dental emergency treatment COVID-19; SARS-CoV-2; coronavirus; patient questionnaire; patient triage; dental emergency treatment
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MDPI and ACS Style

Gurzawska-Comis, K.; Becker, K.; Brunello, G.; Gurzawska, A.; Schwarz, F. Recommendations for Dental Care during COVID-19 Pandemic. J. Clin. Med. 2020, 9, 1833.

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