Dentistry in the COVID-19 environment. adaptation of the dental health units in Madrid's public primary health centres
Revista Espanola de Salud Publica
; 94(e202011148), 2020.
Article
in English
| GIM | ID: covidwho-1871410
ABSTRACT
The COVID-19 respiratory manifestations go from mild symptoms similar to those of a common cold to severe pneumonia with respiratory distress syndrome, septic shock and multiorgan failure. The disease is caused by the SARS-CoV-2 virus, whose transmission mechanism most relevant to dentistry is through respiratory droplets and possibly also aerosols, as well as direct contact with mucous membranes of the nose, mouth or eye via contaminated hands or objects. The professionals of the dental health units have a high risk exposure since they work at short distances (less than 1 m from the head of the patient) in the oral cavity, where a maximal expression of possible cell receptors for the virus has been reported. Also, most procedures in the dental cabinet imply aerosol generation. Cross-infection is possible during dental care, not only with diagnosed COVID-19-positive patients but also with patients who remain undetected due to asymptomatic or presymptomatic disease. For all these reasons, dental care in the primary health setting has had to change in order to adapt to the pandemic. The changes affect both the appointment scheduling and the care itself and imply the establishment of general and specific barrier protections as well as measures related to ventilation, cleaning, disinfection and sterilization, reinforced with additional infection prevention and control measures. This article summarizes.
aerosols; cleaning; coronavirus disease 2019; cross infection; dental health; dentistry; dentists; disease prevention; disease transmission; disinfection; exposure; eyes; health care; health protection; health services; human diseases; mouth; pandemics; pneumonia; public health; respiratory diseases; respiratory system; risk; septic shock; sterilizing; symptoms; ventilation; viral diseases; man; Severe acute respiratory syndrome coronavirus 2; Spain; Homo; Hominidae; primates; mammals; vertebrates; Chordata; animals; eukaryotes; Severe acute respiratory syndrome-related coronavirus; Betacoronavirus; Coronavirinae; Coronaviridae; Nidovirales; positive-sense ssRNA Viruses; ssRNA Viruses; RNA Viruses; viruses; European Union Countries; high income countries; Mediterranean Region; OECD Countries; Southern Europe; Europe; very high Human Development Index countries; lung diseases; SARS-CoV-2; viral infections
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Collection:
Databases of international organizations
Database:
GIM
Language:
English
Journal:
Revista Espanola de Salud Publica
Year:
2020
Document Type:
Article
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