Biosafety and use of EPI in dentistry in Covid-19 times

Authors

  • Mirilaini Lino Brancini Centro Universitário do Norte Paulista
  • Paula Renata de Souza Centro Universitário do Norte Paulista
  • Mayara Terenzi Centro Universitário do Norte Paulista
  • Taylane Soffener Berlanga de Araújo Centro Universitário do Norte Paulista
  • Andréa Candido dos Reis Universidade de São Paulo

DOI:

https://doi.org/10.11606/issn.2357-8041.clrd.2021.180834

Keywords:

Covid-19, Personal protective equipment, Dentistry

Abstract

The coronavirus (COVID-19) has challenged health professions and systems worldwide, the role of dental professionals in preventing the transmission of Covid-19 is extremely important, since they are exposed to aerosols in the oral cavity of patients that contain various microorganisms pathogenic. This current moment has brought changes in Dentistry, causing a significant change in the way of care, the routine and the use of PPE in an appropriate and safe way within a dental office. This article seeks to guide the professional on biosafety in dentistry and the importance of the correct use of PPE in the prevention of autoinfection or dissemination of Covid-19 in times of pandemic. The PubMed, LILACS, SciELO and Bireme databases served as a search for the terms changes by corona virus, dentistry and biosafety. The selection criteria were a form of transmission of the new Corona virus and ways of preventing the spread of the virus within the dental office, published between 2004 and June 2020. Dental professionals play an important role in preventing the transmission of Covid-19 by the correct use of PPE, use of antimicrobial agents in the oral cavity and proper management in screening patients.

Downloads

Download data is not yet available.

Author Biographies

  • Mirilaini Lino Brancini, Centro Universitário do Norte Paulista

    Faculdade de Odontologia, Centro Universitário do Norte Paulista (Unorp), São José do Rio Preto, SP, Brasil

  • Paula Renata de Souza, Centro Universitário do Norte Paulista

    Faculdade de Odontologia, Centro Universitário do Norte Paulista (Unorp), São José do Rio Preto, SP, Brasil

  • Mayara Terenzi, Centro Universitário do Norte Paulista

    Faculdade de Odontologia, Centro Universitário do Norte Paulista (Unorp), São José do Rio Preto, SP, Brasil

  • Taylane Soffener Berlanga de Araújo, Centro Universitário do Norte Paulista

    Faculdade de Odontologia, Centro Universitário do Norte Paulista (Unorp), São José do Rio Preto, SP, Brasil

  • Andréa Candido dos Reis, Universidade de São Paulo

    Departamento de Materiais e Próteses Odontológicas, Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo (USP), Ribeirão Preto, Brasil

References

Franco JB, Camargo AR, Peres MPSM. Cuidados odontológicos na era do COVID-19: recomendações para procedimentos odontológicos e profissionais. Rev Assoc Paul Cir Dent. 2020;74(1):18-21.

Napimoga MH, Freitas ARR. Odontologia vs síndrome respiratória aguda grave coronavirus 2: como enfrentar esse inimigo. Rev Gauch Odontol. 2020;68:1-2. doi: https://doi.org/10.1590/1981-863720200001120200034.

Agência Nacional de Vigilância Sanitária (BR). Nota Técnica GVIMS/GGTES/Anvisa nº 04/2020 – 26/02/2021: orientações para serviços de saúde: medidas de prevenção e controle que devem ser adotadas durante a assistência aos casos suspeitos ou confirmados de infecção pelo novo coronavírus (SARS-CoV-2) [Internet]. Brasília; 2020 [cited 2021 Mar 18]. Available from: https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/notas-tecnicas/nota-tecnica-gvims_ggtes_anvisa-04_2020-25-02-para-o-site.pdf/view

Kobza J, Pastuszka JS, Bragoszewska E. Do exposures to aerosols pose a risk to dental professionals? Occup Med. 2018;68(7):454-8. doi: https://doi.org/10.1093/occmed/kqy095.

Lages SMR, Santos AF, Silva FF Jr, Costa JG. Formação em odontologia: o papel das instituições de ensino na prevenção do acidente com exposição a material biológico. Cienc Trab. 2015;17(54):182-7. doi: https://doi.org/10.4067/S0718-24492015000300005.

O’Donnell VB, Thomas D, Stanton R, Maillard JY, Murphy RC, Jones SA, et al. Potential Role of Oral Rinses Targeting the Viral Lipid Envelope in SARS-CoV-2 Infection. Function. 2020;1(1):zqaa002. doi: https://doi.org/10.1093/function/zqaa002.

Micik RE, Miller RL, Mazzarella MA, Ryge G. Studies on dental aerobiology. I. Bacterial aerosols generated during dental procedures. J Dent Res. 1969;48(1):49-56. doi: https://doi.org/10.1177/00220345690480012401.

Harrel SK, Molinari J. Aerosols and splatter in dentistry: a brief review of the literature and infection control implications. J Am Dent Assoc. 2004;135(4):429-37. doi: https://doi.org/10.14219/jada.archive.2004.0207.

Meng L, Hua F, Bian Z. Coronavirus Disease 2019 (COVID-19): Emerging and Future Challenges for Dental and Oral Medicine. J Dent Res. 2020;99(5):481-7. doi: https://doi.org/10.1177/0022034520914246.

Montalli VAM, Garcez AS, Montalli GAM, França FMG, Suzuki SS, Mian LMT, et al. Individual biosafety barrier in dentistry: an alternative in times of covid-19: preliminary study. Rev Gauch Odontol. 2020;68:1-7. doi: https://doi.org/10.1590/1981-863720200001820200088.

Coulthard P. Dentistry and coronavirus (COVID-19): moral decision-making. Br Dent J. 2020;228(7):503-5. doi: https://doi.org/10.1038/s41415-020-1482-1.

Santos IRM, Moreira ACA, Costa MG, Barbosa MC. Effect of 0.12% chlorhexidine in reducing microorganisms found in aerosol used for dental prophylaxis of patients submitted to fixed orthodontic treatment. Dental Press J Orthod. 2014;19(3):95-101. doi: https://doi.org/10.1590/2176-9451.19.3.095-101.oar.

Associação Brasileira de Normas Técnicas. NBR 13698-1996 – Equipamentos de Proteção Respiratória. Rio de Janeiro; 2011.

Conselho Regional de Odontologia de São Paulo. CROSP atualiza manual de biossegurança para atendimento durante a pandemia [Internet]. São Paulo; 2020 [cited 2021 Mar 18]. Available from: http://www.crosp.org.br/noticia/ver/4101-2107-crosp-atualiza-manual-de-biossegurana-para-atendimento-durante-a-pandemia.html

Meister TL, Brüggemann Y, Todt D, Conzelmann C, Müller JA, Groß R, et al. Virucidal Efficacy of Different Oral Rinses Against Severe Acute Respiratory Syndrome Coronavirus 2. J Infect Dis. 2020;222(8):1289-92. doi: https://doi.org/10.1093/infdis/jiaa471.

Bastos L. FOB: pesquisa aponta que antisséptico bucal reduz a gravidade da covid-19. JCNET.com.br [Internet]. 2020 [cited 2021 Mar 20];Geral. Available from: https://www.jcnet.com.br/noticias/geral/2020/11/742112-fob--pesquisa-aponta-que-antisseptico-bucal-reduz-a-gravidade-da-covid-19.html

Burton MJ, Clarkson JE, Goulao B, Glenny AM, McBain AJ, Schilder AG, et al. Antimicrobial mouthwashes (gargling) and nasal sprays administered to patients with suspected or confirmed COVID-19 infection to improve patient outcomes and to protect healthcare workers treating them. Cochrane Database Syst Rev. 2020;16(9):CD013627. doi: https://doi.org/10.1002/14651858.CD013627.pub2.

Conselho Federal de Odontologia (BR). Odontologia: sempre bem protegida, para bem proteger [Internet]. Brasília; 2020 [cited 2021 Mar 18]. Available from: https://website.cfo.org.br/e-book-da-campanha-odontologia-sempre-bem-protegida-para-bem-proteger-reforca-seguranca-de-pacientes-e-profissionais/.

Peng X, Xu X, Li Y, Cheng L, Zhou X, Ren B. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci. 2020;19(12):9. doi: https://doi.org/10.1038/s41368-020-0075-9.

Li RWK, Leung KWC, Sun FCS, Samaranayake LP. Severe Acute Respiratory Syndrome (SARS) and the GDP. Part I: Epidemiology, virology, pathology and general health issues. Br Dent J. 2004;197(2):77-80. doi: https://doi.org/10.1038/sj.bdj.4811469.

Freitas ARR, Napimoga M, Donalisio MR. Análise da gravidade da pandemia de Covid-19. Epidemiol Serv Saúde. 2020;29(2):e2020119. doi: https://doi.org/10.5123/s1679-49742020000200008.

Pimentel MJ, Batista Filho MMV, Santos JP, Rosa MRD. Biossegurança: comportamento dos alunos de odontologia em relação ao controle de infecção cruzada. Cad Saude Colet. 2012;20(4):525-32. doi: https://doi.org/10.1590/S1414-462X2012000400017.

Froum SH, Froum SJ. Incidence of COVID-19 Virus Transmission in Three Dental Offices: a 6-Month Retrospective Study. Int J Periodontics Restorative Dent. 2020;40:853-859. doi: https://doi.org/10.11607/prd 5455.

Reed C, Biggerstaff M, Finelli L, Koonin LM, Beauvais D, Uzicanin A, et al. Novel framework for assessing epidemiologic effects of influenza epidemics and pandemics. Emerg Infec Dis. 2013;19(1):85-91. doi: https://doi.org/10.3201/eid1901.120124.

World Health Organization. Coronavirus disease (COVID-19) outbreak [Internet]. Geneva; 2020 [cited 2020 Mar 3]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019

Spagnuolo G, Vito D, Rengo S, Tatullo M. COVID-19 Outbreak: an Overview on Dentistry. Int J Environ Res Public Health. 2020;17(6):2094. doi: https://doi.org/103390/ijerph1706204.

Downloads

Published

2021-08-18

Issue

2021

Section

Original Research

License

Copyright (c) 2021 Mirilaini Lino Brancini, Paula Renata de Souza, Mayara Terenzi, Taylane Soffener Berlanga de Araújo, Andréa Candido dos Reis

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors are requested to send, together with the letter to the Editors, a term of responsibility. Thus, the works submitted for appreciation for publication must be accompanied by a document containing the signature of each of the authors, the model of which is presented as follows:

I/We, _________________________, author(s) of the work entitled_______________, now submitted for the appreciation of Clinical and Laboratorial Research in Dentistry, agree that the authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

Date: ____/____/____Signature(s): _______________

How to Cite

Brancini, M. L. ., Souza, P. R. de ., Terenzi, M. ., Araújo, T. S. B. de ., & Reis, A. C. dos . (2021). Biosafety and use of EPI in dentistry in Covid-19 times. Clinical and Laboratorial Research in Dentistry. https://doi.org/10.11606/issn.2357-8041.clrd.2021.180834