Recommendations for Safe Dental Care: A Systematic Review of Clinical Practice Guidelines in the First Year of the COVID-19 Pandemic
Por:
Deana, NF, Seiffert, A, Aravena-Rivas, Y, Alonso-Coello, P, Munoz-Millan, P, Espinoza-Espinoza, G, Pineda, P, Zaror, C
Publicada:
1 oct 2021
Resumen:
In the context of a pandemic, the rapid development of clinical practice guidelines (CPGs) is critical to guide dental staff towards the safe provision of dental care; detailed knowledge of the recommendations will help to achieve the intended results. We carried out a systematic review of the recommendations in clinical practice guidelines (CPGs) on the provision of dental care issued during the first year of the COVID-19 pandemic. A systematic database search was performed in MEDLINE, EMBASE, LILACS, Epistemonikos, and Trip databases to identify documents with recommendations intended to minimize the risk of COVID-19 transmission during dental care. The selection process and data extraction were carried out by two researchers independently. The majority of CPGs recommended the use of rubber dam, high-volume evacuator, mouthwash prior to dental care, four-handed work, and mechanical barriers. The use of aerosol-generating equipment should be avoided whenever possible. In aerosol-generating procedures, the use of a N95 respirator (or similar) is recommended, in addition to a face protector, an impermeable disposable apron/gown, a cap, and gloves. The CPGs developed during the first year of the pandemic offer recommendations which guide dental staff in providing safe dental care, minimizing exposure to SARS-CoV-2 and reducing the risk of COVID-19 infection in the clinical environment. Such recommendations must, however, be updated as new evidence arises.
Filiaciones:
Deana, NF:
Univ La Frontera, Dept Pediat Dent & Orthodont, Fac Dent, Temuco 4781176, Chile
Univ La Frontera, Ctr Res Epidemiol Econ & Oral Publ Hlth CIEESPO, Fac Dent, Temuco 4811230, Chile
Seiffert, A:
Univ La Frontera, Dent Sch, Fac Dent, Temuco 4781176, Chile
Aravena-Rivas, Y:
Univ La Frontera, Ctr Res Epidemiol Econ & Oral Publ Hlth CIEESPO, Fac Dent, Temuco 4811230, Chile
Alonso-Coello, P:
Biomed Res Inst Sant Pau IIB Sant Pau, Iberoamer Cochrane Ctr, Barcelona 08025, Spain
CIBER Epidemiol & Salud Publ CIBERESP, Barcelona, Spain
Munoz-Millan, P:
Univ La Frontera, Dept Pediat Dent & Orthodont, Fac Dent, Temuco 4781176, Chile
Univ La Frontera, Ctr Res Epidemiol Econ & Oral Publ Hlth CIEESPO, Fac Dent, Temuco 4811230, Chile
Espinoza-Espinoza, G:
Univ La Frontera, Ctr Res Epidemiol Econ & Oral Publ Hlth CIEESPO, Fac Dent, Temuco 4811230, Chile
Univ La Frontera, Dept Publ Hlth, Fac Med, Temuco 4781135, Chile
Pineda, P:
Univ La Frontera, Dept Pediat Dent & Orthodont, Fac Dent, Temuco 4781176, Chile
Univ La Frontera, Ctr Res Epidemiol Econ & Oral Publ Hlth CIEESPO, Fac Dent, Temuco 4811230, Chile
Zaror, C:
Univ La Frontera, Dept Pediat Dent & Orthodont, Fac Dent, Temuco 4781176, Chile
Univ La Frontera, Ctr Res Epidemiol Econ & Oral Publ Hlth CIEESPO, Fac Dent, Temuco 4811230, Chile
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