Building infrastructure and operating-technological options in post-COVID-19 oral health care
DOI:
https://doi.org/10.33448/rsd-v9i12.11211Keywords:
Containment of biohazards; Facility design and construction; Evidence-based facility design; Community dentistry; Dentistry.Abstract
During the COVID-19 pandemic, concerns about the impact of the aerosol generated in dental procedures on the spread of disease led to additional infection control measures that will remain as part of the biosafety routine after the end of the pandemic. This article addresses a little discussed topic that concerns the need to adapt the physical space and operational-technological choices for post-COVID dental care19. The current architecture of spaces for dental care in teaching and public health service units allows the care of several patients simultaneously. However, aerosols are produced routinely during dental procedures, with a real possibility of contamination between different patients. In this way, we present perspectives and suggestions for readjusting these spaces for teaching units and public health services in the short, medium and long term and also for using the resources of Information and Communication Technologies and minimally invasive dentistry.
References
Carrer, F. C. A., Galante, M. L., Gabriel, M., Pischel, N., Giraldes, A. I., Neumann, A., Silva, D. P. da, & Pucca, G. A. (2020). A COVID-19 na América Latina e suas repercussões para a odontologia. Revista Panamericana de Salud Pública, 44, 1. https://doi.org/10.26 633/RP SP.2020.66
Carrer, F. C. de A., Matuck, B. F., Lucena, E. H. G. de, Martins, F. C., Junior, G. A. P., Galante, M. L., Tricoli, M. F. de M., & Macedo, M. C. S. (2020). Teleodontologia e SUS: uma importante ferramenta para a retomada da Atenção Primária à Saúde no contexto da pandemia de COVID-19. Pequisa Brasileira Em Odontolpediatria e Clínica Integrada, preprint. https://doi.org/10.1590/SciELOPreprints.837
CFO-Conselho Federal de Odontologia. (2020). Resolução CFO 226, de 04 de junho de 2020. Dispõe sobre o exercício da Odontologia a distância, mediado por tecnologias, e dá outras providências. Recuperado de http://sistemas.cfo.org.br/visualizar/atos/RESOLUÇÃO/ SEC/2020/226
Dawson, A. S., & Makinson, O. F. (1992). Dental treatment and dental health. Part 2. An alternative philosophy and some new treatment modalities in operative dentistry. Australian Dental Journal, 37(3), 205–210. https://doi.org/10.1111/j.1834-7819.1992.tb00744.x
Guo, Y., Cao, Q., Hong, Z., Tan, Y.-Y., Chen, S., Jin, H., Tan, K., Wang, D., & Yan, Y. (2020). The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak – an update on the status. Military Medical Research, 7(1), 11. https://doi.org/10.1186/s40779-020-00240-0
Jingarwar, M., Bajwa, N., & Pathak, A. (2014). Minimal Intervention Dentistry – A New Frontier in Clinical Dentistry. Journal Of Clinical And Diagnostic Research, 8(7), 4–8. https://doi.org/10.7860/JCDR/2014/9128.4583
Kassebaum, N. J., Smith, A. G. C., Bernabé, E., Fleming, T. D., Reynolds, A. E., Vos, T., Murray, C. J. L., Marcenes, W., Abyu, G. Y., Alsharif, U., Asayesh, H., Benzian, H., Dandona, L., Dandona, R., Kasaeian, A., Khader, Y. S., Khang, Y. H., Kokubo, Y., Kotsakis, G. A., Yonemoto, N. (2017). Global, Regional, and National Prevalence, Incidence, and Disability-Adjusted Life Years for Oral Conditions for 195 Countries, 1990–2015: A Systematic Analysis for the Global Burden of Diseases, Injuries, and Risk Factors. Journal of Dental Research, 96(4), 380–387. https://doi.org/10.1177/0022034517693566
Lau, H., Khosrawipour, V., Kocbach, P., Mikolajczyk, A., Schubert, J., Bania, J., & Khosrawipour, T. (2020). The positive impact of lockdown in Wuhan on containing the COVID-19 outbreak in China. Journal of Travel Medicine, 27(3). https://doi.org/10.1093/jtm/taaa037
Meng, L., Hua, F., & Bian, Z. (2020). Coronavirus Disease 2019 (COVID-19): Emerging and Future Challenges for Dental and Oral Medicine. Journal of Dental Research, 99(5), 481–487. https://doi.org/10.1177/0022034520914246
Newton, J. T., & Asimakopoulou, K. (2017). Minimally invasive dentistry: Enhancing oral health related behaviour through behaviour change techniques. British Dental Journal, 223(3), 147–150. https://doi.org/10.1038/sj.bdj.2017.659
Scully, C., & Samaranayake, L. (2016). Emerging and changing viral diseases in the new millennium. Oral Diseases, 22(3), 171–179. https://doi.org/10.1111/odi.12356
Van Doremalen, N., Bushmaker, T., Morris, D. H., Holbrook, M. G., Gamble, A., Williamson, B. N., Tamin, A., Harcourt, J. L., Thornburg, N. J., Gerber, S. I., Lloyd-Smith, J. O., de Wit, E., & Munster, V. J. (2020). Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. New England Journal of Medicine, 382(16), 1564–1567. https://doi.org/10.1056/NEJMc2004973
Volgenant, C. M. C., Persoon, I. F., Ruijter, R. A. G., & Soet, J. J. (2020). Infection control in dental health care during and after the SARS‐CoV‐2 outbreak. Oral Diseases, May, odi.13408. https://doi.org/10.1111/odi.13408
Zemouri, C., Volgenant, C. M. C., Buijs, M. J., Crielaard, W., Rosema, N. A. M., Brandt, B. W., Laheij, A. M. G. A., & De Soet, J. J. (2020). Dental aerosols: microbial composition and spatial distribution. Journal of Oral Microbiology, 12(1), 1762040. https://doi.org/10.1080/20002297.2020.1762040
Zemouri, C., de Soet, H., Crielaard, W., & Laheij, A. (2017). A scoping review on bio-aerosols in healthcare and the dental environment. PLOS ONE, 12(5), e0178007. https://doi.org/10.1371/journal.pone.0178007
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Copyright (c) 2020 Livia Fernandes Probst; Paulo Zárate Pereira; Gilberto Alfredo Pucca Junior; Alessandro Diogo De Carli
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