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Coronavirus Disease 19 (COVID-19): Implications for Clinical Dental Care

Published:April 06, 2020DOI:https://doi.org/10.1016/j.joen.2020.03.008

      Abstract

      The recent spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its associated coronavirus disease has gripped the entire international community and caused widespread public health concerns. Despite global efforts to contain the disease spread, the outbreak is still on a rise because of the community spread pattern of this infection. This is a zoonotic infection, similar to other coronavirus infections, that is believed to have originated in bats and pangolins and later transmitted to humans. Once in the human body, this coronavirus (SARS-CoV-2) is abundantly present in nasopharyngeal and salivary secretions of affected patients, and its spread is predominantly thought to be respiratory droplet/contact in nature. Dental professionals, including endodontists, may encounter patients with suspected or confirmed SARS-CoV-2 infection and will have to act diligently not only to provide care but at the same time prevent nosocomial spread of infection. Thus, the aim of this article is to provide a brief overview of the epidemiology, symptoms, and routes of transmission of this novel infection. In addition, specific recommendations for dental practice are suggested for patient screening, infection control strategies, and patient management protocol.

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      References

        • Centers for Disease Control and Prevention
        Transmission of coronavirus disease 2019 (COVID-19).
        (Available at:)
        • Dong E.
        • Du H.
        • Gardner L.
        An interactive web-based dashboard to track COVID-19 in real time.
        Lancet Infect Dis. 2020; https://doi.org/10.1016/S1473-3099(20)30120-1
        • Gorbalenya A.E.
        • Baker S.C.
        • Baric R.S.
        • et al.
        The species Severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2.
        Nat Microbiol. 2020; https://doi.org/10.1038/s41564-020-0695-z
        • Wax R.S.
        • Christian M.D.
        Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients.
        Can J Anaesth. 2020; (https://doi.org/10.1007/s12630-020-01591-x. Accessed 18 March, 2020)
        • Zhou P.
        • Yang X.-L.
        • Wang X.-G.
        • et al.
        A pneumonia outbreak associated with a new coronavirus of probable bat origin.
        Nature. 2020; 579: 270-273
        • Wahba L.
        • Jain N.
        • Fire A.Z.
        • et al.
        Identification of a pangolin niche for a 2019-nCoV-like coronavirus through an extensive meta-metagenomic search.
        bioRxiv. 2020; https://doi.org/10.1101/2020.02.08.939660
        • Zhu N.
        • Zhang D.
        • Wang W.
        • et al.
        A novel coronavirus from patients with pneumonia in China, 2019.
        N Engl J Med. 2020; 382: 727-733
        • Gorbalenya A.E.
        Severe acute respiratory syndrome-related coronavirus – the species and its viruses, a statement of the Coronavirus Study Group.
        bioRxiv. 2020; https://doi.org/10.1101/2020.02.07.937862
        • Sohrabi C.
        • Alsafi Z.
        • O'Neill N.
        • et al.
        World Health Organization declares global emergency: a review of the 2019 novel coronavirus (COVID-19).
        Int J Surg. 2020; 76: 71-76
      1. WHO director-general's opening remarks at the media briefing on COVID-19 - 3 March 2020.
        (Available at:)
      2. Situation Report-67 SITUATION IN NUMBERS total and new cases in last 24 hours.
        (Available at:)
        • Lan L.
        • Xu D.
        • Ye G.
        • et al.
        Positive RT-PCR test results in patients recovered from COVID-19.
        JAMA. 2020; https://doi.org/10.1001/jama.2020.2783
      3. Giacomelli A, Laura Pezzati L, Conti F, et al. Self-reported olfactory and taste disorders in SARS-CoV-2 patients: a cross-sectional study, Clinical Infectious Diseases, , ciaa330, https://doi.org/10.1093/cid/ciaa330

        • Guan W.
        • Ni Z.
        • Hu Y.
        • et al.
        Clinical characteristics of 2019 novel coronavirus infection in China. medRxiv.
        (Available at:) (Accessed March 11, 2020)
        • Wu Z.
        • McGoogan J.M.
        Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention.
        JAMA. 2020; https://doi.org/10.1001/jama.2020.2648
        • Rothe C.
        • Schunk M.
        • Sothmann P.
        • et al.
        Transmission of 2019-nCoV infection from an asymptomatic contact in Germany.
        N Engl J Med. 2020; 382: 970-971
        • Kwok Y.L.
        • Gralton J.
        • McLaws M.L.
        Face touching: a frequent habit that has implications for hand hygiene.
        Am J Infect Control. 2015; 43: 112-114
        • To K.K.
        • Tsang O.T.
        • Yip C.C.
        • et al.
        Consistent detection of 2019 novel coronavirus in saliva.
        Clin Infect Dis. 2020; https://doi.org/10.1093/cid/ciaa149
        • Zhang J.
        • Wang S.
        • Xue Y.
        Fecal specimen diagnosis 2019 novel coronavirus–infected pneumonia.
        J Med Virol. 2020; https://doi.org/10.1002/jmv.25742
        • Hoffmann M.
        • Kleine-Weber H.
        • Schroeder S.
        • et al.
        SARS-CoV-2 cell entry depends on ACE2 and TMPRSS2 and is blocked by a clinically proven protease inhibitor.
        Cell. 2020; https://doi.org/10.1016/j.cell.2020.02.052
        • Sabino-Silva R.
        • Jardim A.C.G.
        • Siqueira W.L.
        Coronavirus COVID-19 impacts to dentistry and potential salivary diagnosis.
        Clin Oral Investig. 2020; https://doi.org/10.1007/s00784-020-03248-x
        • Peng X.
        • Xu X.
        • Li Y.
        • et al.
        Transmission routes of 2019-nCoV and controls in dental practice.
        Int J Oral Sci. 2020; 12: 9
        • Wang Y.
        • Wang Y.
        • Chen Y.
        • Qin Q.
        Unique epidemiological and clinical features of the emerging 2019 novel coronavirus pneumonia (COVID-19) implicate special control measures.
        J Med Virol. 2020; https://doi.org/10.1002/jmv.25748
        • Centers for Disease Control and Prevention
        Infection control: severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
        (Available at:)
        • Eggers M.
        • Koburger-Janssen T.
        • Eickmann M.
        • Zorn J.
        In vitro bactericidal and virucidal efficacy of povidone-iodine gargle/mouthwash against respiratory and oral tract pathogens.
        Infect Dis Ther. 2018; 7: 249-259
        • Kariwa H.
        • Fujii N.
        • Takashima I.
        Inactivation of SARS coronavirus by means of povidone-iodine, physical conditions, and chemical reagents.
        Jpn J Vet Res. 2004; 52: 105-112
        • Kampf G.
        • Todt D.
        • Pfaender S.
        • Steinmann E.
        Persistence of coronaviruses on inanimate surfaces and its inactivation with biocidal agents.
        J Hosp Infect. 2020; 104: 246-251
        • Hokett S.D.
        • Honey J.R.
        • Ruiz F.
        • et al.
        Assessing the effectiveness of direct digital radiography barrier sheaths and finger cots.
        J Am Dent Assoc. 2000; 131: 463-467
        • Verma N.
        • Sangwan P.
        • Tewari S.
        • Duhan J.
        Effect of Different Concentrations of Sodium Hypochlorite on Outcome of Primary Root Canal Treatment: A Randomized Controlled Trial.
        J Endod. 2019; 45: 357-363https://doi.org/10.1016/j.joen.2019.01.003
        • van Doremalen N.
        • Bushmaker T.
        • Morris D.H.
        • et al.
        Aerosol and surface stability of HCoV-19 (SARS-CoV-2) compared to SARS-CoV-1.
        N Engl J Med. 2020 March 17; https://doi.org/10.1056/NEJMc2004973
      4. List N: EPA's registered antimicrobial products for use against novel coronavirus SARS-CoV-2, the cause of COVID-19. Washington, DC: United States Environmental Protection Agency. Available at: https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2. Accessed March 18, 2020.

      5. ADA recommending dentists postpone elective procedures. Available at: https://www.ada.org/en/publications/ada-news/2020-archive/march/ada-recommending-dentists-postpone-elective-procedures. Accessed March 18, 2020.

        • Watts K.
        • Balzer S.
        • Drum M.
        • et al.
        Ibuprofen and acetaminophen versus intranasal ketorolac (Sprix) in an untreated endodontic pain model: a randomized, double-blind investigation.
        J Endod. 2019; 45: 94-98
        • Smith E.A.
        • Marshall J.G.
        • Selph S.S.
        • Barker D.R.
        • Sedgley C.M.
        Nonsteroidal anti-inflammatory drugs for managing postoperative endodontic pain in patients who present with preoperative pain: a systematic review and meta-analysis.
        J Endod. 2017; 43: 7-15
        • Taggar T.
        • Wu D.
        • Khan A.A.
        A randomized clinical trial comparing 2 ibuprofen formulations in patients with acute odontogenic pain.
        J Endod. 2017; 43: 674-678
        • Liesinger A.
        • Marshall F.J.
        • Marshall J.G.
        Effect of variable doses of dexamethasone on posttreatment endodontic pain.
        J Endod. 1993; 19: 35-39
        • Gordon S.M.
        • Mischenko A.V.
        • Dionne R.A.
        Long-acting local anesthetics and perioperative pain management.
        Dent Clin North Am. 2010; 54: 611-620
        • Eren B.
        • Onay E.O.
        • Ungor M.
        Assessment of alternative emergency treatments for symptomatic irreversible pulpitis: a randomized clinical trial.
        Int Endod J. 2018; 51: e227-e237
        • Hasselgren G.
        • Reit C.
        Emergency pulpotomy: pain relieving effect with and without the use of sedative dressings.
        J Endod. 1989; 15: 254-256
        • Baumgartner J.C.
        • Xia T.
        Antibiotic susceptibility of bacteria associated with endodontic abscesses.
        J Endod. 2003; 29: 44-47
        • Diangelis A.J.
        • Andreasen J.O.
        • Ebeleseder K.A.
        • et al.
        Guidelines for the management of traumatic dental injuries: 1. fractures and luxations of permanent teeth.
        Pediatr Dent. 2017; 39: 401-411
        • Andersson L.
        • Andreasen J.O.
        • Day P.
        • et al.
        Guidelines for the management of traumatic dental injuries: 2. avulsion of permanent teeth.
        Pediatr Dent. 2017; 39: 412-419
        • Cvek M.
        A clinical report on partial pulpotomy and capping with calcium hydroxide in permanent incisors with complicated crown fracture.
        J Endod. 1978; 4: 232-237

      Linked Article

      • Coronavirus Disease 2019: Implications for Clinical Dental Care
        Journal of EndodonticsVol. 46Issue 9
        • Preview
          We read with great interest the review article published by Ather et al1 that intended to provide a brief outline of coronavirus disease 2019 (COVID-19) infection along with suggestions for dental patient management. However, certain recommendations mentioned in the article require detailed clarification. More than half of the severe acute respiratory syndrome coronavirus 2–positive patients are asymptomatic carriers (ACs), meaning they start shedding live coronavirus from the upper respiratory tract in the presymptomatic stage2,3.
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