Abstract

BackgroundTo find out whether misuse of dental hygiene, in terms of certain dental habits, may facilitate the spread of COVID-19 among cohabiting individuals.Methods302 COVID-19 infected (PCR +) subjects cohabiting with someone else at home were selected for an observational cross-sectional study. An anonymous online questionnaire was developed using Google forms to avoid person-to-person contact. The structured questionnaire consisted of questions covering several areas: sociodemographic data, cross transmission to another person living together, oral hygiene habits during confinement, care and disinfection control behaviours in the dental environment like sharing toothbrush, sharing toothbrush container, sharing toothpaste, placing brush vertically, placing cap with hole for brush, disinfecting brush with bleach, closing toilet lid before flushing.ResultsTongue brushing was more used in the group where there was no transmission of the disease to other members (p < 0.05). Significant differences were found for shared toothbrush use (p < 0.05), although shared use was a minority in this group (4. 7%), significant differences were also found for the use of the same container (p < 0.01), shared use of toothpaste (p < 0.01), toothbrush disinfection with bleach (p < 0.01), brush change after PCR + (p < 0.05). The women performed significantly more disinfection with toothbrush bleach (p < 0.01), closing the toilet lid (p < 0.05) and changing the brush after PCR + (p < 0.05).ConclusionsThe use of inappropriate measures in the dental environment could contribute to the indirect transmission of COVID-19 between cohabitants.

Highlights

  • To find out whether misuse of dental hygiene, in terms of certain dental habits, may facilitate the spread of COVID-19 among cohabiting individuals

  • 56.3% of the sample had a person living with them affected by COVID-19 and positive in a PCR test

  • We found significant differences in oral hygiene measures for tongue brushing (t = 2.202; p = 0.029*)

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Summary

Introduction

To find out whether misuse of dental hygiene, in terms of certain dental habits, may facilitate the spread of COVID-19 among cohabiting individuals. The new coronavirus (SARS-CoV-2) is causing concern in the medical community, as the virus is spreading globally. The virus is mainly transmitted through direct or indirect contact with the mucous membranes of the eyes, nose or mouth [2, 3]. In this context, the detection of SARS-CoV-2 and a high viral load in the sputum of a convalescent patient raises concerns about the potential transmissibility after recovery. The SARS-CoV-2 virus infects human cells using the ACE2 receptors, which are widely distributed in the upper respiratory tract

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