Una visión general de la Odontología durante y después del período pandémico de COVID-19 en Brasil

Autores/as

DOI:

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

Palabras clave:

Odontólogo; COVID-19; Equipo de protección personal.

Resumen

Este estudio investigó cómo los dentistas brasileños están realizando su actividad clínica durante la pandemia en diferentes especialidades y si los cambios en los protocolos de bioseguridad y el uso de equipos de protección personal (EPP) realizados continuarán en el período pospandémico. Para eso, se presentó a los voluntarios un cuestionario transversal en línea. Un total de 423 dentistas (298 mujeres) respondieron a la encuesta. Su edad osciló entre 22 y 73 (38,07 ± 10,58) años y los años de práctica odontológica osciló entre 1 y 45 (14,68 ± 10,56). La mayoría de los encuestados (66,43%) trabajaba en una clínica privada. Desde el comienzo de la pandemia, el 53,9% limitó sus actividades a la atención de urgencia y emergencia únicamente; El 75% comenzó a limitar sus actividades entre el 18 de marzo y el 1 de abril; y 25,88% limitado por más de 15 semanas. La mayoría de los dentistas conocen el entorno de su consultorio dental y están tomando medidas para prevenir la transmisión del virus COVID-19. La mayoría usa todo el equipo de protección personal. Después del período de la pandemia, los voluntarios declararon que continuarán con el uso de equipo de protección personal, excepto por el uso de un respirador. La atención dental continuó, siguiendo las recomendaciones para una atención segura. Hubo una tendencia a que los cambios relacionados con el EPP persistieran después del final de la pandemia.

Citas

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.

Descargas

Publicado

22/02/2022

Cómo citar

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. . Una visión general de la Odontología durante y después del período pandémico de COVID-19 en Brasil. 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: 17 jul. 2024.

Número

Sección

Ciencias de la salud