Abstract

The novel coronavirus (COVID-19) pandemic has become a real challenge for healthcare providers around the world and has significantly affected the dental professionals in practices, universities and research institutions. The aim of this article was to review the available literature on the relevant aspects of dentistry in relation to COVID-19 and to discuss potential impacts of COVID-19 outbreak on clinical dentistry, dental education and research. Although the coronavirus pandemic has caused many difficulties for provision of clinical dentistry, there would be an opportunity for the dental educators to modernize their teaching approaches using novel digital concepts in teaching of clinical skills and by enhancement of online communication and learning platforms. This pandemic has also highlighted some of the major gaps in dental research and the need for new relevant knowledge to manage the current crisis and minimize the impact of such outbreaks on dentistry in the future. In conclusion, COVID-19 has had many immediate complications for dentistry of which some may have further long-term impacts on clinical practice, dental education and dental research.

Highlights

  • A highly infectious pneumonia started to spread in Wuhan, China, from 12 December 2019 [1].In early January 2020, the officials announced the novel coronavirus (COVID-19) as the causative pathogen of the disease [2]

  • The aim of this article was to review the available literature on the relevant aspects of dentistry in relation to COVID-19 and to discuss potential impacts of the novel coronavirus pandemic on clinical dentistry, dental education and research

  • Clinical manifestations of the COVID-19 have not been associated with any visual impairment; some evidence suggests that eye exposure can provide a viable transmission route to the host’s body, and its spread is not limited to the respiratory tract [7,28]

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Summary

Introduction

A highly infectious pneumonia started to spread in Wuhan, China, from 12 December 2019 [1]. In early January 2020, the officials announced the novel coronavirus (COVID-19) as the causative pathogen of the disease [2]. This novel viral pneumonia was named “Corona Virus Disease (COVID-19)”. Some evidence highlighted the production of sputum, headache, diarrhea and hemoptysis amongst the less common clinical symptoms [7,8,9] These symptoms are slightly different from those of severe acute respiratory syndrome (SARS) caused by SARS coronavirus which was widely spread in early 2000s. A meta-analysis of 1527 patients with COVID-19 reported an overall case fatality rate of 2.3% in the entire cohort This rate was significantly higher in patients with hypertension, diabetes, and CVD with 6, 7.3, and 10.5 percent, respectively [21,22]. The aim of this article was to review the available literature on the relevant aspects of dentistry in relation to COVID-19 and to discuss potential impacts of the novel coronavirus pandemic on clinical dentistry, dental education and research

Potential Routes of Transmission
Spread of COVID-19 in Dental Setting
Immediate Impact of COVID-19 on Dental Practice
PPE for Treating COVID-19 Patients
Strict Protocol for Patient Screening
Hand Hygiene
Personal Protective Measures for Dental Professionals
Mouth Rinse before Dental Procedures
Rubber Dam Isolation
Anti-Retraction Handpiece
Strict Disinfecting Protocol for Clinical Environment
Clinical Waste Management
COVID-19 Testing
RT-PCR
Serological or Antibody Testing
Medical Imaging
Treatment of COVID-19
Impact of COVID-19 on Dental Education
Impact of COVID-19 on Dental Research
The Role of Tele-Medicine in Controlling the Pandemic
Minimising the Risk to Health Care Workers
Volunteer and Support
10. Potential Long-Term Impact of COVID-19 on Dentistry
11. Re-Opening
Findings
12. Conclusions and Future Trends

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