Delaying Intraoral Radiographs during the COVID-19 Pandemic: A Conundrum.

BACKGROUND: The COVID-19 pandemic has made dentists very assiduous about cross-infection during dental treatment, thereby delaying dental radiographs for treatment. However, patients needing dental emergency treatment in the ongoing pandemic require relevant intra/extraoral dental radiography for adequate diagnosis and treatment planning. METHODS: This article is aimed at adding to the hot debate: Is delay for intraoral radiographs justified or a possible proxy? As a narrative review, it provides an insight into the reasons for delaying intra-oral dental radiographs during in the pandemic and options of the nontraditional radiographic techniques available until the pandemic subsides. Discussion and Conclusion. Cross-contamination concerns through respiratory droplets grow while using intraoral film holders that stimulate gag reflex, coughing, saliva secretion, and if proper disinfection protocols are not applied. Since the patients' acquiring emergency dental treatment cannot be neglected, the return-to-work guidelines by the health regulatory bodies urge to prioritize extraoral radiographic imaging techniques to curb the infection, offering the best diagnostic efficacy. The dental professionals can consider cone-beam computed tomography (CBCT) scans and sectional dental panoramic radiographs (SDPRs), followed by a risk assessment for COVID-19, a safer modality in reducing cross-contamination and assuring an innocuous environment for both patient and coworkers.

Can Orthodontic Informatics Combat the Pandemic Pitfalls?

The largest public health crisis of our time, COVID-19 has recklessly squandered many of the channelized healthcare facilities globally with execution of newer guidelines over the standard architectural norms. There has been unparalleled use of smartphones and internet services to bear the major pitfall- social distancing- especially for elective treatment services. This demands a new paradigm shift from offline to online doctor-patient, student-educator, researcher-researcher operations. This articles provides an insight into potential role of orthodontic informatics to provide a combined platform to generate a learning system that routinely collects, correlates, and analyzes data for developing artificial intelligence programs, lab exploratory systems, clinical decision support systems and health-information exchange systems. In order to develop this system, orthodontic analytic communities as start-ups for developing user-friendly programs must be encouraged, where orthodontic informatics itself can be taken up as a didactic career source.

Accidental Exposure to Ultraviolet-C (UVC) Germicidal Lights: A Case Report and Recommendations in Orthodontic Clinical Settings

An emergent health crisis, coronavirus disease 2019 (COVID-19), has demanded strict disinfection and sterilization protocols to limit the spread. One such approach is the use of ultravioletC (UVC) radiation for surface decontamination in hospital settings. UVC is the most powerful of the UV wavelengths and, therefore, the most damaging. The radiation is used for sterilization of workplaces and objects, and although there is no current evidence, perhaps it may eradicate airborne coronavirus. Humans should not be subjected to this form of irradiation. This form of radiation comes with a health warning, and humans should not be in the vicinity when UVC sterilization is occurring. This case report deals with the unfortunate incidence of an operator affected by UVC radiation while working on a patient in an orthodontic clinic. The article will serve as a timely warning to clinicians that awareness of the safety protocols should be observed. Besides, we present some recommendations for the use of UVC depuration of dental operatories.

Appropriate orthodontic appliances during the COVID-19 pandemic: A scoping review.

INTRODUCTION: The esoteric Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2) infection or COVID-19 has been an unusual plummet in dental/orthodontic practice. Based on current recommendations for various amendments in an orthodontic practice, this scoping review aims to identify orthodontic appliances that are most appropriate to us during this on-going pandemic. METHODS: Electronic databases (PubMed, Scopus, Web of Science, Science Direct, and Google Scholar) were searched up until August 11, 2020. Full-text articles in English with keywords "COVID-19 and Orthodontics" and related search terms were included. RESULTS: Out of 17 retracted articles, only 4 articles were found to be brief the choice for orthodontic appliances in pandemic times speculating clear aligner therapy (CAT) to be a pragmatic solution. The remaining articles were also thoroughly studied and the new norms set by the pandemic were determined. Criteria for orthodontic appliance selection included careful patient screening and collection of records, minimal physical visits, efficient use of technology, virtual consultations but the use of PPE for physical appointments; and lesser AGPs with a lesser risk of airborne transmission. CONCLUSIONS: Subject to regional demands, CAT can be considered as the relatively safer modality-predictable and effective apposite to fixed orthodontic appliances in these unprecedented times.