Biosafety in dental surgical procedures in front of the COVID-19 pandemic
DOI:
https://doi.org/10.33448/rsd-v10i1.11401Keywords:
Oral surgery; Biosafety; Dentistry; COVID-19.Abstract
Biosafety measures intensified after the beginning of the COVID-19 pandemic, which is a disease that can develop a clinical picture ranging from asymptomatic infections to severe respiratory conditions. Thus, dental surgeons, as well as other health professionals, had to adapt to stricter criteria for dressing. The objective of this study is to present the main recommendations regarding biosafety in dental surgical procedures in the face of the pandemic. This work is a systematic review of the literature, carried out through articles published in English, Spanish and Portuguese, between 2010 and 2020, published in the PUBMED, BVS, RESEARCH GATE, SCIELO databases, with the following descriptors: oral surgery, biosafety, COVID-19. It was found that the specialty of Buccomaxillofacial Surgery and Traumatology is the most exposed to the risks of infections by bioaerosols, and due to this, the use of surgical masks is necessary, PFF2 / N-95, faceshields, goggles and disposable cloak, as well as the adoption of strict protocols for hygiene, disinfection, sterilization, and organization of the surgical environment, whereas Teledentistry proved to be a viable auxiliary instrument in this period in order to reduce the risks to exposure by SARS-CoV-2. The professional who works in urgent and emergency surgical care must follow the biosafety measures issued by the health surveillance agencies in order to ensure that the worker's health is guaranteed, as well as that of the patient.
References
Agência Nacional de Vigilância Sanitária. Nota técnica GVIMS/GGTES/ANVISA n. 04/2020: orientações para serviços de saúde: medidas de prevenção e controle que devem ser adotadas durante a assistência aos casos suspeitos ou confirmados de infecção pelo novo coronavírus (SARS-CoV-2). Brasília, DF: ANVISA; 2020. http://portal.anvisa.gov.br/documents/33852/271858/Nota+T%C3%A9cnica+n+04-2020+GVIMS-GGTES-ANVISA-ATUALIZADA/ab598660-3de4-4f14-8e6f-b9341c196b28.
Allevi, F., Dionisio, A., Baciliero, U., Balercia, P., Beltramini, G. A., Bertossi, D., Bozzetti, A., Califano, L., Cascone, P., Colombo, L., Copelli, C., De Ponte, F. S., De Riu, G., Della Monaca, M., Fusetti, S., Galié, M., Giannì, A. B., Longo, F., Mannucci, N., Nocini, P. F., & Biglioli, F. (2020). Impact of COVID-19 epidemic on maxillofacial surgery in Italy. The British journal of oral & maxillofacial surgery, 58(6), 692–697. https://doi.org/10.1016/j.bjoms.2020.04.035
Armond, A. C. V., Gonçalves, P. F., Flecha, O. D., Oliveira, D. W. D., de Sampaio, F. C., Falci, S. G. M. Conhecimentos de biossegurança para as principais atividades de risco envolvendo serviços públicos, discentes e empregados da limpeza do curso de odontologia da UFVJM/Diamantina. RBOL. 2016; 3(2), 32-52.
Careddu, R., Ciaschetti, M., Creavin, G., Molina, F., & Plotino, G. (2020). COVID-19 and dental practice: overview and protocols during pandemic. Giornale Italiano di Endodonzia, 34(1).
Edwards, S. P., Kasten, S., Nelson, C., Elner, V., & McKean, E. (2020). Maxillofacial trauma management during COVID-19: multidisciplinary recommendations. Facial Plastic Surgery & Aesthetic Medicine, 22(3), 157-159.
Freitas, J.A., Cavalcante, L.S., & Lopes, I.A. (2020). Manifestações orais do covid-19: o impacto do vírus na saúde bucal. XVIII Jornada Acadêmica da UFPI. Teresina - PI. Disponivel em: https://drive.google.com/file/d/1dZNAZ2oMfGcuYSlse0pXi3bQ4_NGL-xw/view
Ge, Z. Y., Yang, L. M., Xia, J. J., Fu, X. H., & Zhang, Y. Z. (2020). Possible aerosol transmission of COVID-19 and special precautions in dentistry. Journal of Zhejiang University-Science B, 1-8.
Guo, H., Zhou, Y., Liu, X., & Tan, J. (2020). The impact of the COVID-19 epidemic on the utilization of emergency dental services. Journal of dental sciences,10.1016/j.jds.2020.02.002. Advance online publication. doi.org/10.1016/j.jds.2020.02.002
JB, F., De Camargo, A. R., & MPSM, P. (2020). Cuidados Odontológicos na era do COVID-19: recomendações para procedimentos odontológicos e profissionais. Rev Assoc Paul Cir Dent, 74(1), 18-21.
Li, Y., Zhou, W., Yang, L., & You, R. (2020). Physiological and pathological regulation of ACE2, the SARS-CoV-2 receptor. Pharmacological research, 157, 104833. doi.org/10.1016/j.phrs.2020.104833.
Ludwig, S., & Zarbock, A. (2020). Coronaviruses and SARS-CoV-2: A Brief Overview. Anesthesia and analgesia, 131(1), 93–96. doi.org/10.1213/ANE.0000000000004845.
Maia, S. E. S., Dias, L. P. S., Beserra, P. S., Cardoso. L. I. S., Silva, K. R. V., Moreira, T. C. A. (2020). Recomendações de biossegurança para a atuação do cirurgião bucomaxilofacial na assistência a pacientes no período de pandemia pelo Coronavírus. JCS HU-UFPI. Ed. Espec. 3(Supl.2):e-11208 ISSN: 2595-0290 Recuperado de https://revistas.ufpi.br/index.php/rehu/article/viewFile/11208/pdf.
Marcele, J. P., Mário M. V. B. F., Jozemar, P. dos S., Marize, R. D.R.(2012). Scielo, Biossegurança: comportamento dos alunos em relação ao controle de infecção cruzada. Universidade Federal da Paraíba (UFPB), João Pessoa (PB), Brasil.
Meza-P. L., & Rosales-S. J. (2020). Protocolo de teleodontología para asistencia al paciente en el manejo de urgencia dental. Cuarentena COVID-19 (SARS-CoV-2). Categorización remota de urgencia dental y asistenci (C.R.U.D.A.). Int. J. Odontostomat., 14(4):529-537, doi.org/10.4067/S0718-381X2020000400529
Moura, J., Moura, K., Pereira, R., & Marinho, R. (2020). COVID-19: A odontologia frente à pandemia. Brazilian Journal of Health Review. 3. 7276-7285. 10.34119/bjhrv3n4-006.
Panesar, K., Dodson, T., Lynch, J., Bryson-Cahn, C., Chew, L., & Dillon, J. (2020). Evolution of COVID-19 Guidelines for University of Washington Oral and Maxillofacial Surgery Patient Care. Journal of Oral and Maxillofacial Surgery.
Pereira, M. E. C., Costa, M. A. F. B., Cintia, M., & Jurberg, C. (2010). Construção do conhecimento em biossegurança: uma revisão da produção acadêmica nacional na área de saúde (1989-2009). Saúde e Sociedade, 19(2), 395-404. doi.org/10.1590/S0104-12902010000200015.
Petrescu, N., Lucaciu, O., Roman, A. (2020). Oral mucosa lesions in COVID-19 [published online ahead of print, Jun 19]. Oral Dis.10.1111/ odi.13499. doi:10.1111/ odi.13499.
RESOLUÇÃO CFO-226, de 04 de junho de 2020. Dispõe sobre o exercício da Odontologia a distância, mediado por tecnologias, e dá outras providências. http://sistemas.cfo.org.br/visualizar/atos/RESOLU%C3%87%C3%83O/SEC/2020/226
Neto, R. S. A., Batista, B. B., & Reis, J. de F. D. (2020). Equipamentos de proteção individual para prevenção de infecção por Sars-Cov-2. JMPHC | Journal of Management & Primary Health Care | ISSN 2179-6750, 12, 1-7. doi.org/10.14295/jmphc.v12.985.
Segata, J. (2020). Covid-19, biossegurança e antropologia. Horizontes Antropológicos, 26(57), 275-313. doi.org/10.1590/s0104-71832020000200010.
Siles, G. A. A., Alzamora, C. A. G., Atoche, S. K. J., Peña, S, C., & Arriola, G. L. E. (2020). Biosafety for Dental Patients During Dentistry Care After COVID-19: A Review of the Literature. Disaster medicine and public health preparedness, 1–6. doi.org/10.1017/dmp.2020.252.
Teixeira, P., & Valle, S. (2010). Biossegurança: uma abordagem multidisciplinar. (2a ed.), Rio de Janeiro, RJ: Fiocruz, 442p.
Xavier, T. B. et al. (2020). Protocolo de Tratamento Odontológico na Cirurgia e Traumatologia Buco-Maxilo-Facial no Contexto do COVID-19/Dental Treatment Protocol in Buco-Maxillofacial Surgery in the Context of COVID-19. Brazilian Journal of Health Review, 3(3), 4484-4500.
Xu, H., Zhong, L., Deng, J., Peng, J., Dan, H., Zeng, & Chen, Q. (2020). High expression of ACE2 receptor of 2019-nCoV on the epithelial cells of oral mucosa. International journal of oral science, 12(1), 8. doi.org/10.1038/s41368-020-0074-x.
Wang, T. T., Moon, H.S., Le, A., Panchal, N. (2020). Proceedings of the OMS COVID-19 Response Conference [published online ahead of print. May 11]. J Oral Maxillofac Surg. 2020;78(8),1268-1274.
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