Abstract
As the COVID-19 pandemic spreads around the world, professionals must prepare for an increase in severely ill patients. Considering that professionals who perform oral care, especially the oral health team, is the most exposed to SARS-CoV-2, and that saliva can be the main vector in the transmission from person to person, it is essential that they are supported by the best evidence for their performance with risk reduction. In view of the literature, the clinical studies of COVID-19 do not often describe oral symptoms, and it is still uncertain whether these manifestations may be a typical clinical pattern resulting from direct SARS-CoV-2 infection or a systemic consequence, given the possibility of co-infections, impaired immune system and adverse drug reactions. As the prevalence of clinical manifestations is still unknown, the possible manifestations of COVID-19 in the oral cavity has been considered of wide and current interest. Therefore de aim of this study was to report a case series of oral lesions in patients infected with SARS-CoV-2.
Highlights
Coronaviruses belong to the family of Coronaviridae, of the order Nidovirales, comprising large, single and genomestranded RNA (Chan et al, 2020; Peng et al, 2020)
Considering that professionals who perform oral care, especially the oral health team, is the most exposed to severe acute respiratory syndrome (SARS)-Cov-2, and that saliva can be the main vector in the transmission from person to person, it is essential that they are supported by the best evidence for their performance with risk reduction (Bao et al, 2020; Tysiąc-Miśta & Dziedzic, 2020)
Different clinical manifestations are being observed during SARS-CoV-2 infection, including oral manifestations directly associated with the virus, secondary lesions associated with systemic repercussions related to the virus, or secondary lesions to the treatment of patients with SARS-CoV-2 (Brandão et al, 2021; Mariz et al, 2020)
Summary
Coronaviruses belong to the family of Coronaviridae, of the order Nidovirales, comprising large, single and genomestranded RNA (Chan et al, 2020; Peng et al, 2020). Oral signs and symptoms related to COVID-19 are taste disorders, nonspecific oral ulcerations, scaly gingivitis, petechiae and co-infections, such as candidiasis (Amorim dos Santos et al 2020; Cebeci Kahraman & Çaşkurlu, 2020; Martín Carreras- Presas et al 2020). It is still uncertain whether these manifestations may be a typical clinical pattern resulting from direct SARS-CoV-2 infection or a systemic consequence, given the possibility of co-infections, impaired immune system and adverse drug reactions (Amorim dos Santos et al, 2020; Dziedzic & Wojtyczka 2020). Understanding the pathogenesis of COVID-19 infection is vital for the control of possible oral lesions and infections that may appear in dental offices associated with patients with COVID-19
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