An overview of Dentistry during and after the COVID-19 pandemic period in Brazil

Authors

DOI:

https://doi.org/10.33448/rsd-v11i3.23419

Keywords:

Dentist; COVID-19; Personal protective equipment.

Abstract

This study investigated how Brazilian dentists are performing their clinical activities during the pandemic in different dentistry specialties and whether changes in biosafety protocols and the use of personal protective equipment (PPE) made will continue in the post-pandemic period. For that, a cross-sectional online questionnaire-based survey was presented to the volunteers. A total of 423 dentists (298 females) responded to the survey. Their age ranged from 22-73 (38.07 ± 10.58) years and years of dental practice ranged from 1-45 (14.68 ± 10.56). Most of the responders (66.43%) worked in private clinic. Since the beginning of the outbreak, 53.9% limited its activities only to urgent and emergency care; 75% starting limit its activities between March 18th and April 1st; and 25.88% limited for more than 15 weeks. Most of dentists are aware about the setting of dental office and are taking actions to prevent the transmission of the COVID-19 virus. The majority are all personal protective equipment. After the pandemic period, volunteers stated that will continue with the use of personal protective equipment, exception only to the use of the respirator. There was continuity of dental care, following the recommendations for safe care. There was a tendency for changes in relation to PPE to last after the end of the pandemic.

References

Ahmed, M. A., Jouhar, R., Ahmed, N., Adnan, S., Aftab, M., Zafar, M. S., Khurshid, Z. (2020). Fear and Practice Modifications among Dentists to Combat Novel Coronavirus Disease (COVID-19) Outbreak. International Journal of Environmental Research and Public Health, 17 (8), 2821. doi: 10.3390/ijerph17082821.

Al-Sehaibany, F. S. (2017). Middle East respiratory syndrome in children. Dental considerations. Saudi Medical Journal, 38 (4), 339-343. doi: 10.15537/smj.2017.4.15777.

Ather, A., Patel, B., Ruparel, N. B., Diogenes, A., Hargreaves, K. M. (2020). Coronavirus Disease 19 (COVID-19): Implications for Clinical Dental Care. Journal of Endodontics, 46 (5), 584-595. doi: 10.1016/j.joen.2020.03.008.

Azim, A. A., Shabbir, J., Khurshid, Z., Zafar, M. S., Ghabbani, H. M., Dummer, P. M. H. (2020). Clinical endodontic management during the COVID-19 pandemic: a literature review and clinical recommendations. International Endodontic Journal, 53 (11), 1461-1471. doi: 10.1111/iej.13406.

Banakar, M., Bagheri Lankarani, K., Jafarpour, D., Moayedi, S., Banakar, M. H., MohammadSadeghi, A. (2020). COVID-19 transmission risk and protective protocols in dentistry: a systematic review. BMC Oral Health, 20 (1), 275. doi: 10.1186/s12903-020-01270-9.

Buss, L. F., Prete, C. A. Jr., Abrahim, C. M. M., Mendrone, A. Jr., Salomon, T., de Almeida-Neto, C., França, R. F. O., Belotti, M. C., Carvalho, M. P. S. S., Costa, A. G., Crispim, M. A. E., Ferreira, S. C., Fraiji, N. A., Gurzenda, S., Whittaker, C., Kamaura, L. T., Takecian, P. L., da Silva Peixoto, P., Oikawa, M. K., Nishiya, A. S., Rocha, V., Salles, N. A., de Souza Santos, A. A., da Silva, M. A., Custer, B., Parag, K. V., Barral-Netto, M., Kraemer, M. U. G., Pereira, R. H. M., Pybus, O. G., Busch, M. P., Castro, M. C., Dye, C., Nascimento, V. H., Faria, N. R., Sabino, E. C. (2021). Three-quarters attack rate of SARS-CoV-2 in the Brazilian Amazon during a largely unmitigated epidemic. Science, 371 (6526), 288-292. doi: 10.1126/science.abe9728.

Cagetti, M. G., Cairoli, J. L., Senna, A., Campus, G. (2020). COVID-19 Outbreak in North Italy: An Overview on Dentistry. A Questionnaire Survey. International Journal of Environmental Research and Public Health, 17 (11), 3835. doi: 10.3390/ijerph17113835.

Centers for Disease Control and Prevention (CDC). Guidance for dental settings. Interim infection prevention and control guidance for dental settings during the COVID-19 response. Available at: www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html. Accessed July 21, 2020

Chen, X., Ran, L., Liu, Q., Hu, Q., Du, X., Tan, X. (2020). Hand Hygiene, Mask-Wearing Behaviors and Its Associated Factors during the COVID-19 Epidemic: A Cross-Sectional Study among Primary School Students in Wuhan, China. International Journal of Environmental Research and Public Health, 17 (8), 2893. doi: 10.3390/ijerph17082893.

Cotrin, P., Peloso, R. M., Oliveira, R. C., de Oliveira, R. C. G., Pini, N. I. P., Valarelli, F. P., Freitas, K. M. S. (2020a). Impact of coronavirus pandemic in appointments and anxiety/concerns of patients regarding orthodontic treatment. Orthodontics & Craniofacial Research, 23 (4), 455-461. doi: 10.1111/ocr.12395.

Cotrin, P., Peloso, R. M., Pini, N. I. P., Oliveira, R. C., de Oliveira, R. C. G., Valarelli, F. P., Freitas, K. M. S. (2020b). Urgencies and emergencies in orthodontics during the coronavirus disease 2019 pandemic: Brazilian orthodontists' experience. American Journal of Orthodontics and Dentofacial Orthopedics, 158 (5), 661-667. doi: 10.1016/j.ajodo.2020.06.028.

Coulthard, P. (2020). Dentistry and coronavirus (COVID-19) - moral decision-making. Brazilian Dental Journal, 228 (7), 503-505. doi: 10.1038/s41415-020-1482-1.

Fernandes Matuck, B., Dolhnikoff, M., Maia, G. V. A., Isaac Sendyk, D., Zarpellon, A., Costa Gomes, S., Duarte-Neto, A. N., Rebello Pinho, J. R., Gomes-Gouvêa, M. S., Sousa, S. C. O. M., Mauad, T., Saldiva, P. H. D. N., Braz-Silva, P. H., da Silva, L. F. F. (2020). Periodontal tissues are targets for Sars-Cov-2: a post-mortem study. Journal of Oral Microbiology, 13 (1), 1848135. doi: 10.1080/20002297.2020.1848135.

García-Camba, P., Marcianes, M., Varela Morales, M. (2020). Changes in orthodontics during the COVID-19 pandemic that have come to stay. American Journal of Orthodontics and Dentofacial Orthopedics, 158 (4), e1-e3. doi: 10.1016/j.ajodo.2020.07.014.

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, 21 (5), 361-368. doi: 10.1631/jzus.B2010010.

González-Olmo, M. J., Delgado-Ramos, B., Ruiz-Guillén, A., Romero-Maroto, M., Carrillo-Díaz, M. (2020), Oral hygiene habits and possible transmission of COVID-19 among cohabitants. BMC Oral Health, 20 (1), 286. doi: 10.1186/s12903-020-01274-5.

Johnson, I. G., Jones, R. J., Gallagher, J. E., Wade, W. G., Al-Yaseen, W., Robertson, M., McGregor, S. K. C. S., Innes, N., Harris, R. (2021). Dental periodontal procedures: a systematic review of contamination (splatter, droplets and aerosol) in relation to COVID-19. BDJ Open, 7 (1), 15. doi: 10.1038/s41405-021-00070-9.

Kiliçarslan, M. A., Snel, F. Ç., Özcan, M. (2020). Assessment of dental care during the COVID-19 pandemic in Turkey and future projections. Brazilian Dental Science, Apr/Jun;23(2): supp. 2.

Krishnan, A., Hamilton, J. P., Alqahtani, S. A., A Woreta, T. (2021). A narrative review of coronavirus disease 2019 (COVID-19): clinical, epidemiological characteristics, and systemic manifestations. Internal and Emergency Medicine, 16, 1–16.

Marouf, N., Cai, W., Said, K. N., Daas, H., Diab, H., Chinta, V. R., Hssain, A. A., Nicolau, B., Sanz, M., Tamimi, F. (2021). Association between periodontitis and severity of COVID-19 infection: A case-control study. Journal of Clinical Periodontology, 48 (4), 483-491. doi: 10.1111/jcpe.13435.

Matuck, B. F., Dolhnikoff, M., Duarte-Neto, A. N., Maia, G., Gomes, S. C., Sendyk, D. I., Zarpellon, A., de Andrade, N. P., Monteiro, R. A., Pinho, J. R. R., Gomes-Gouvêa, M. S., Souza, S. C., Kanamura, C., Mauad, T., Saldiva, P. H. N., Braz-Silva, P. H., Caldini, E. G., da Silva, L. F. F. (2021). Salivary glands are a target for SARS-CoV-2: a source for saliva contamination. The Journal of Pathology. doi: 10.1002/path.5679.

Melo Neto, C. L. M., Bannwart, L. C., de Melo Moreno, A. L., Goiato, M. C. (2020). SARS-CoV-2 and Dentistry-Review. European Journal of Dentistry, 14 (S 01), S130-S139. doi: 10.1055/s-0040-1716438.

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. doi: 10.1177/0022034520914246.

Ministério da Saúde, 2020; Disponível em: https://antigo.saude.gov.br/. Acessado em 17 de jan. de 2021.

Moraes, R. R., Correa, M. B., Queiroz, A. B., Daneris, Â., Lopes, J. P., Pereira-Cenci, T., D'Avila, O. P., Cenci, M. S., Lima, G. S., Demarco, F. F. (2020). COVID-19 challenges to dentistry in the new pandemic epicenter: Brazil. PLoS One, 15 (11), e0242251. doi: 10.1371/journal.pone.0242251.

Odeh, N. D., Babkair, H., Abu-Hammad, S., Borzangy, S., Abu-Hammad, A., Abu-Hammad, O. (2020). COVID-19: Present and Future Challenges for Dental Practice. International Journal of Environmental Research and Public Health, 17 (9), 3151. doi: 10.3390/ijerph17093151.

Peng, X., Xu, X., Li, Y., Cheng, L., Zhou, X., Ren, B. (2020). Transmission routes of 2019-nCoV and controls in dental practice. International Journal of Oral Science, 12 (1),9. doi: 10.1038/s41368-020-0075-9.

Phelan, A. L., Katz, R., Gostin, L. O. (2020). The Novel Coronavirus Originating in Wuhan, China: Challenges for Global Health Governance. Journal of the American Medical Association, 323 (8), 709-710. doi: 10.1001/jama.2020.1097.

Ren, Y. F., Rasubala, L., Malmstrom, H., Eliav, E. (2020). Dental Care and Oral Health under the Clouds of COVID-19. JDR Clinical and Translational Research, 5 (3), 202-210. doi: 10.1177/2380084420924385.

Saccomanno, S., Quinzi, V., Sarhan, S., Laganà, D., Marzo, G. (2020). Perspectives of tele-orthodontics in the COVID-19 emergency and as a future tool in daily practice. European Journal of Paediatric Dentistry, 21 (2), 157-162. doi: 10.23804/ejpd.2020.21.02.12.

Samaranayake, L. P., Peiris, M. (2004), Severe acute respiratory syndrome and dentistry: a retrospective view. The Journal of the American Dental Association, 135 (9), 1292-302. doi: 10.14219/jada.archive.2004.0405.

Sampson, V., Kamona, N., Sampson, A. (2020). Could there be a link between oral hygiene and the severity of SARS-CoV-2 infections? Brazilian Dental Journal, 228 (12), 971-975. doi: 10.1038/s41415-020-1747-8.

Sergis, A., Wade, W. G., Gallagher, J. E., Morrell, A. P., Patel, S., Dickinson, C. M., Nizarali, N., Whaites, E., Johnson, J., Addison, O., Hardalupas, Y. (2021). Mechanisms of Atomization from Rotary Dental Instruments and Its Mitigation. Journal of Dental Research, 100 (3), 261-267. doi: 10.1177/0022034520979644.

Spagnuolo, G., De Vito, D., Rengo, S., Tatullo, M. (2020). COVID-19 Outbreak: An Overview on Dentistry. International Journal of Environmental Research and Public Health, 17 (6), 2094. doi: 10.3390/ijerph17062094.

Vergara-Buenaventura, A., Castro-Ruiz, C. (2020). Use of mouthwashes against COVID-19 in dentistry. British Journal of Oral and Maxillofacial Surgery. 58 (8), 924-927. doi: 10.1016/j.bjoms.2020.08.016.

Vieira-Meyer, A. P. G. F., Coutinho, M. B., Santos, H. P. G., Saintrain, M. V., Candeiro, G. T. M. (2020). Brazilian Primary and Secondary Public Oral Health Attention: Are Dentists Ready to Face the COVID-19 Pandemic? Disaster Medicine and Public Health Preparedness, 10, 1-8. doi: 10.1017/dmp.2020.342.

Villani, F. A., Aiuto, R., Paglia, L., Re, D. (2020). COVID-19 and Dentistry: Prevention in Dental Practice, a Literature Review. International Journal of Environmental Research and Public Health. 17 (12), 4609. doi: 10.3390/ijerph17124609.

World Health Organization. Coronavirus disease (COVID-19) Weekly Epidemiological Update and Weekly Operational Update. January 12th, 2021. Available in: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports. Access in: January 16th, 2021.

Xu, J., Li, Y., Gan, F., Du, Y., Yao, Y. (2020). Salivary Glands: Potential Reservoirs for COVID-19 Asymptomatic Infection. Journal of Dental Research, 99 (8), 989. doi: 10.1177/0022034520918518.

Yu, J., Zhang, T., Zhao, D., Haapasalo, M., Shen, Y. (2020). Characteristics of Endodontic Emergencies during Coronavirus Disease 2019 Outbreak in Wuhan. Journal of Endodontics, 46 (6), 730-735. doi: 10.1016/j.joen.2020.04.001.

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Published

22/02/2022

How to Cite

MARTINS, C. M.; SANTINONI, C. dos S. .; MORAES, L. dos S. de .; CATELAN, A. .; MONTEIRO , D. R. .; MORI , G. G. .; BATISTA, V. E. de S. . An overview of Dentistry during and after the COVID-19 pandemic period in Brazil. Research, Society and Development, [S. l.], v. 11, n. 3, p. e28011323419, 2022. DOI: 10.33448/rsd-v11i3.23419. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/23419. Acesso em: 21 jul. 2024.

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Health Sciences