Features of the work of a dentist and maxillofacial surgeon in a pandemic of a new coronavirus infection (COVID-19). World experience and own practice

Abstract

Relevance. SARS-CoV-2 caused the pandemic of the new coronavirus infection (COVID-19) in the world. The virus belongs to the family of RNA-containing coronaviruses and is a representative of the Beta-CoV B line. Epidemiological analysis shows that the disease is transmitted by airborne droplets, airborne dust and contact routes. During dental treatment, patients are face-to-face with the doctor. Coughing, sneezing, salivation and blood may occur when using an ultrasonic or high-speed handpiece. If the patient is infected, then standard protective measures in everyday clinical work are not effective enough to prevent the spread of COVID-19, even if the patients are in an asymptomatic incubation period. Purpose. A generalization of colleagues ’knowledge and their own practical experience is necessary for the proper organization of the provision of dental care to patients and minimization of the risk of infection in a pandemic of a new coronavirus infection. Materials and methods . We analyzed the data of colleagues of dentists from different countries, and also presented our own understanding of the issues of dental care during a pandemic of a new coronavirus infection. Results. In conclusion: the main important steps in the implementation of dental practice are during a pandemic: the doctor's compliance with the recommendations of the Ministry of Health of the Russian Federation on the prevention, diagnosis and treatment of new coronavirus infection (COVID-19); strict observance by the dentist and maxillofacial surgeon of the rules of their own safety; obtaining additional information from the history of possible risk factors for the patient; the correct use of the diagnostic algorithm depending on the pathology of the patient; the use of mainly disposable materials; flawless sterilization and disinfection of materials that are reused; competent aseptic processing of hands and mandatory work with gloves; prudent and proper use of personal protective equipment; disinfection measures; Class B medical waste disposal. Conclusion. Knowledge of the clinical manifestations of the new coronavirus infection and methods for preventing infection of patients and medical personnel is necessary for each dentist and maxillofacial surgeon to prevent new episodes of spread and provide quality medical care.