Guidelines for the practice of Brazilian Dental Education in COVID-19 context: Narrative review and two-year document analysis

Authors

DOI:

https://doi.org/10.33448/rsd-v11i12.34620

Keywords:

Dental education; Guideline; Pandemics; COVID-19; Biosecurity.

Abstract

COVID-19 pandemic has affected higher education around the world. Specially in dentistry courses that paralyzed their practices and, currently, returned to their activities with several biosafety adjustments to ensure a safe return. This work aimed to contribute with the discussion of the impacts of the pandemic on Brazilian dental education in these two years. A two-year exploratory and comparative narrative review and document analysis were carried out. There was an initial free search for official documents and technical notes. Afterwards, search for scientific articles in the Web of Science, PubMed, EBSCOhost and GoogleScholar databases with the descriptors: COVID-19 AND dentistry AND guidelines AND dental education ou COVID-19 AND odontologia AND diretrizes AND ensino odontológico.  Then, data were organized in spreadsheets and compared. Adaptations were proposed in the forms of embracing, reception and patient care, in order to avoid contamination in collective environments. Social distance, teleassessment, correct behavior towards symptomatic patients, as well as the use of new personal protective equipment also were implemented. Some existing measures such as hand hygiene were reinforced, as is one of the main forms of prevention against SARS-CoV-2 and other pathogens. It was verified the necessity to assure to the users adequate ventilation of the environment to avoid the spread of aerosols generated during care. In front of this scenario that drives transformations In dental education and considering the possibility of new pandemics, it is essential to include training and protocols for crisis management during health meltdowns in dental education.

References

Agência Nacional de Vigilância Sanitária. (2006). Serviços Odontológicos: Prevenção e controle de riscos (Manual, 2006), Brasília, DF.

Agência Nacional de Vigilância Sanitária. (2020a). 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) (Nota Técnica GVIMS/GGTES/ANVISA N° 04/2020/ 2020), Brasília, DF.

Agência Nacional de Vigilância Sanitária. (2020b). 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) (Nota Técnica GVIMS/GGTES/ANVISA N° 04/2020/) [Atualizada em 09 de março de 2022], Brasília, DF.

Ali, M. H., Amor, W. C. B., Faten, K., Mohamed, T., Arij, R., Mootaz, M., & Amor, F. B. (2020). Strategic measures of dental care during a pandemic period at the Hospital-University of Dental Clinic of Monastir. EAS J Dent Oral Med,2(3), 71-76. Retrieved from https://www.easpublisher.com/media/features_articles/EASJODM_23_71-76.pdf

Alzahrani, S. B., Alrusayes, A. A., & Aldossary, M. S. (2020). Impact of COVID-19 pandemic on dental education, research, and students. Int J Health Sci Res., 10(6), 207- 212. https://www.ijhsr.org/IJHSR_Vol.10_Issue.6_June2020/32.pdf

Aslam, M. R., Suryawati, C., & Agushybana, F. (2020). The importance of prevention and control of coronovirus disease (COVID-19) in dental and oral hospital. Jurnal Ilmu Kesehatan Masyarakat, 11(2), 89-100. https://doi.org/10.26553/jikm.2020.11.2.89-100

Associação Brasileira de Ensino Odontológico. (2020). Consenso ABENO: Biossegurança no ensino odontológico pós-pandemia da COVID-19 (2020). Porto Alegre: ABENO. https://abeno.org.br/abeno-files/downloads/retomada-de-praticas-seguras-no-ensino-odontologico.pdf

Associação de Medicina Intensiva Brasileira & Conselho Federal de Odontologia. (2020). Recomendações AMIB/CFO para enfrentamento da COVID-19 na Odontologia. São Paulo, SP: Comitê de Odontologia AMIB/CFO de enfrentamento ao COVID-19- Departamento de Odontologia AMIB.

Barabari, P., & Moharamzadeh, K. (2020). Novel Coronavirus (COVID-19) and Dentistry-A Comprehensive Review of Literature. Dentistry journal, 8(2), 53. https://doi.org/10.3390/dj8020053

Caldarelli, P. G., & Haddad, A. E. (2016). Teleodontologia em consonância com as Diretrizes Curriculares Nacionais no desenvolvimento de competências profissionais. Revista Da ABENO, 16(2), 25–32. https://doi.org/10.30979/rev.abeno.v16i2.264

Centers for Disease Control and Prevention. (2020a). Dental settings. https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html#section-1

Centers for Disease Control and Prevention. (2020b). Clinical care considerations: Clinical considerations for care of children and adults with confirmed COVID-19. https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-guidance-management-patients.html

Centers for Disease Control and Prevention. (2020c). Interim infection prevention and control recommendations for healthcare personnel during the coronavirus disease 2019 (COVID-19) pandemic. https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html#source-control

Centers for Disease Control and Prevention. (2020d). Sequence for putting on personal protective equipment (PPE). https://www.cdc.gov/hai/pdfs/ppe/ppe-sequence.pdf

Chigurupati, R., Panchal, N., Henry, A. M., Batal, H., Sethi, A., D'innocenzo, R., & Roser, S. M. (2020). Considerations for Oral and Maxillofacial Surgeons in COVID-19 Era: Can We Sustain the Solutions to Keep Our Patients and Healthcare Personnel Safe?. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 78(8), 1241–1256. https://doi.org/10.1016/j.joms.2020.05.027

Conselho Federal de Odontologia. (2020). COVID-19 e odontologia - medidas para aumentar a segurança de pacientes e profissionais. https://website.cfo.org.br/wp-content/uploads/2020/12/E-Book-CFO-Vers%C3%A3o-Dezembro-2020.pdf

Coronavirus COVID-19 Global Cases by Center for Systems Science and Engineering at Johns Hopkins University. (2020). https://www.arcgis.com/apps/dashboards/85320e2ea5424dfaaa75ae62e5c06e61

Dias, A. M., Meggiolaro, E. D. A., Oliveira, L. M. F., Veloso, E. M., & Soares, M. R. P. S. (2022). Climatization systems for Brazilian dental teaching clinics: a narrative review in the context of the COVID-19 pandemic. Revista da ABENO, 22(2), 1879. https://doi.org/10.30979/revabeno.v22i2.1879

Elangovan, S., Mahrous, A., & Marchini, L. (2020). Disruptions during a pandemic: Gaps identified and lessons learned. Journal of dental education, 84(11), 1270–1274. https://doi.org/10.1002/jdd.12236

Farooq, I., Ali, S., Moheet, I. A., & AlHumaid, J. (2020). COVID-19 outbreak, disruption of dental education, and the role of teledentistry. Pakistan journal of medical sciences, 36(7), 1726–1731. https://doi.org/10.12669/pjms.36.7.3125

Fernandez, M. dos S., Silva, N. R. J. da, Viana, V. dos S., & Oliveira, C. C. da C. (2020). Doença por Coronavírus 2019: desafios emergentes e o ensino odontológico brasileiro. Revista Da ABENO, 20(2), 2–15. https://doi.org/10.30979/rev.abeno.v20i2.1101

Forchette, L., Sebastian, W., & Liu, T. (2021). A Comprehensive Review of COVID-19 Virology, Vaccines, Variants, and Therapeutics. Current medical science, 41(6), 1037–1051. https://doi.org/10.1007/s11596-021-2395-1.

Galibourg, A., Delrieu, J., Monsarrat, P., Joniot, S., Maret, D., & Nasr, K. (2020). e-dental practicum: A way to maintain student hands-on training during disruptive crises. Journal of dental education, 85(Suppl 1), 1148–1151. Advance online publication. https://doi.org/10.1002/jdd.12341

Gaudin, A., Arbab-Chirani, R., & Pérez, F. (2020). Effect of COVID-19 on dental education and practice in france. Front. Dent. Med, 1(5), 1-4. https://doi.org/10.3389/fdmed.2020.00005

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. https://doi.org/10.1631/jzus.B2010010

Ghani, F. (2020). COVID-19 Pandemic –Implications, planning, and recommendations related to dental care services and dental education. Journal of Rawalpindi Medical College, 24(Suppl.1), 92-98. https://doi.org/10.37939/jrmc.v24iSupp-1.1406

Gurgel, B., Borges, S. B., Borges, R., & Calderon, P. (2020). COVID-19: Perspectives for the management of dental care and education. Journal of applied oral science : revista FOB, 28, e20200358. https://doi.org/10.1590/1678-7757-2020-0358

Haroon, Z., Azad, A. A., Sharif, M., Aslam, A., Arshad, K., & Rafiq, S. (2020). COVID-19 Era: Challenges and Solutions in Dental Education. Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 30(10), 129–131. https://doi.org/10.29271/jcpsp.2020.supp2.129

Iyer, P., Aziz, K., & Ojcius, D. M. (2020). Impact of COVID-19 on dental education in the United States. Journal of dental education, 84(6), 718–722. https://doi.org/10.1002/jdd.12163

Kulcsar, M. A., Montenegro, F. L., Arap, S. S., Tavares, M. R., & Kowalski, L. P. (2020). Alto risco de infecção por COVID-19 para cirurgiões de cabeça e pescoço. Sociedade Brasileira de Cirurgia de Cabeça e Pescoço. http://sbccp.org.br/alto-risco-de-infeccao-por-covid-19-para-cirurgioes-de-cabeca-e-pescoco/

Lei n. 13.979, de 6 de fevereiro de 2020. Dispõe sobre as medidas para enfrentamento da emergência de saúde pública de importância internacional decorrente do coronavírus responsável pelo surto de 2019. http://www.planalto.gov.br/ccivil_03/_ato2019-2022/2020/lei/l13979.htm#:~:text=1%C2%BA%20Esta%20Lei%20disp%C3%B5e%20sobre,objetivam%20a%20prote%C3%A7%C3%A3o%20da%20coletividade.

León, F. C. de, Canales, M. de L. J. C., Castillo, V. R. R., Lizardi, P. G., Gámez, D. E. S., & Sada, M. G. P. (2020). Desafíos y alternativas en la educación dental durante la pandemia del COVID-19. Revisión integrativa de la literatura. Universitas Odontologica, 39. https://doi.org/10.11144/Javeriana.uo39.cade

Linero-Segrera, I. M., & Rueda–Jiménez , A. (2020). Enseñanza de la cirugía oral en tiempos de COVID-19. Acta Odontológica Colombiana, 10(Supl.COVID–19). https://doi.org/10.15446/aoc.v10n3.89596

Lins, N. A. E., Lima, I. A., Nascimento, P. L. A., & Carneiro, V. S. M. (2020). COVID-19: Biossegurança e ensino na clínica odontológica. Odontol. Clín.-Cient, 19(3), 232 – 237. https://www.cro-pe.org.br/site/adm_syscomm/publicacao/foto/158.pdf#page=26

Machado, G. M., Kasper, R. H., Busato, A. L. S., & Vinholes, J. (2020). Biossegurança e retorno das atividades em odontologia: Aspectos relevantes para enfrentamento de COVID-19. Stomatos, 26(50), 30-45. http://www.periodicos.ulbra.br/index.php/stomatos/article/view/6035/3824#

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

Ministério Da Saúde. (2022). Guia de vigilância epidemiológica: Emergência de saúde pública de importância nacional pela doença pelo coronavírus 2019 (COVID-19). Brasília, DF: Secretaria de Vigilância em Saúde.

Morais, V. da S., Vieira, A. G. de S., Monteiro, R. da C., & Castro, A. L. S. (2021). A influência da coronavirus disease 2019 no atendimento e na execução e ensino dos protocolos de biossegurança em odontologia. JOUR, 1, 1-12. https://convibra.org/congresso/res/uploads/pdf/artigo24096_20200928.pdf

Norina, F. (2020). COVID 19 challenges in dental health care and dental schools. Romanian Journal of Oral Rehabilitation, 12(2):6-12. https://www.rjor.ro/wp-content/uploads/2020/06/COVID-19-CHALLENGES-IN.pdf

Occupational Safety and Health Administration . (2021a). Protecting Workers: Guidance on mitigating and preventing the spread of COVID-19 in the workplace. https://www.osha.gov/coronavirus/safework

Occupational Safety and Health Administration. (2021b). Dentistry Workers and Employers. https://www.osha.gov/coronavirus/safework

Paredes, S. de O., Meira, K. M. S., Bonan, P. R. F., de Sousa, F. B., & Valença, A. M. G. (2021). O ensino odontológico e os desafios relacionados ao cumprimento dos novos protocolos de biossegurança no contexto da pandemia da COVID-19. Revista Da ABENO, 21(1), 1554. https://doi.org/10.30979/revabeno.v21i1.1554

Peres, K. G., Reher, P., Castro, R. D. de, & Vieira, A. R. (2020). COVID-19 related challenges in dental education: Experiences from brazil, the usa, and australia. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 20(Suppl.1), 1-10. https://doi.org/10.1590/pboci.2020.130

Pimentel, A. (2001). O método da análise documental: Seu uso numa pesquisa historiográfica. Cadernos de Pesquisa, (114), 179-195. https://www.scielo.br/j/cp/a/FGx3yzvz7XrHRvqQBWLzDNv/?format=pdf&lang=pt

Portaria n. 343, de 17 de março de 2020. Dispõe sobre a substituição das aulas presenciais por aulas em meios digitais enquanto durar a situação de pandemia do Novo Coronavírus - COVID-19. http://www.planalto.gov.br/ccivil_03/Portaria/PRT/Portaria%20n%C2%BA%20343-20-mec.htm

Resolução CFO n.º 226, de 04 de junho de 2020. Dispõe sobre o exercício da Odontologia a distância, mediado por tecnologias, e dá outras providências. https://sistemas.cfo.org.br/visualizar/atos/RESOLU%C3%87%C3%83O/SEC/2020/226

Riatto, S. G., Vanderlei, A. C. de Q., Cabral, G. M. P., & Galvão, A. K. C. (2020). Biossegurança no atendimento odontológico em clínica-escola em tempos de pós-pandemia por COVID-19. Revista Diálogos Em Saúde, 3(1), 62-76. https://periodicos.iesp.edu.br/index.php/dialogosemsaude/article/view/276/236

Saeed, S. G., Bain, J., Khoo, E., & Siqueira, W. L. (2020). COVID-19: Finding silver linings for dental education. Journal of dental education, 84(10), 1060–1063. https://doi.org/10.1002/jdd.12234

Sa, Y., Lin, W. S., Morton, D., & Huang, C. (2021). Coronavirus disease 2019 (COVID-19): Experiences and protocols from the Department of Prosthodontics at the Wuhan University. The Journal of prosthetic dentistry, 126(1), 41–50. https://doi.org/10.1016/j.prosdent.2020.06.004

Souza, R. C. C., Costa, P. S., & Costa, L. R. (2020). Precauções e recomendações sobre sedação odontológica durante a pandemia de COVID-19. Revista Brasileira de Odontologia, 77, 1-3. http://revista.aborj.org.br/index.php/rbo/article/view/1788/pdf

Sukumar, S., Dracopoulos, S. A., & Martin, F. E. (2021). Dental education in the time of SARS-CoV-2. European journal of dental education : official journal of the Association for Dental Education in Europe, 25(2), 325–331. https://doi.org/10.1111/eje.12608

Sushanth, A. A., Srivastava, K. C., Shrivastava, D., Hosni , H. A., Khan, Z. A., Al-Johani, K, & Alam, M. K. (2020). Recommendations, Practices and infrastructural model for the dental radiology set-up in clinical and academic institutions in the COVID-19 era. Biology, 9(10), 334. https://doi.org/10.3390/biology9100334

Tregoning, J. S., Flight, K. E., Higham, S. L., Wang, Z., & Pierce, B. F. (2021). Progress of the COVID-19 vaccine effort: viruses, vaccines and variants versus efficacy, effectiveness and escape. Nature reviews. Immunology, 21(10), 626–636. https://doi.org/10.1038/s41577-021-00592-1

Tuñas, I. T. C., Silva, E. T., Santiago, S. B. S., Maia, K. D., & Silva-Júnior, G. O. (2020). Doença pelo coronavírus 2019 (COVID-19): Uma abordagem preventiva para odontologia. Revista brasileira de odontologia, 77, 1-7. http://revista.aborj.org.br/index.php/rbo/article/view/1776/pdf

Organização Mundial da Saúde. (2022). Tracking SARS-CoV-2 variants. https://www.who.int/en/activities/tracking-SARS-CoV-2-variants/

Worldometer’s COVID-19 data. (2020). https://www.worldometers.info/coronavirus/

Published

20/09/2022

How to Cite

OLIVEIRA, L. M. F. .; SANTOS, I. C. .; SALAS, M. M. S. .; DIAS, A. M. .; SOARES, M. R. P. S. . Guidelines for the practice of Brazilian Dental Education in COVID-19 context: Narrative review and two-year document analysis. Research, Society and Development, [S. l.], v. 11, n. 12, p. e437111234620, 2022. DOI: 10.33448/rsd-v11i12.34620. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/34620. Acesso em: 25 dec. 2024.

Issue

Section

Review Article