Considerations about dental care in Peru during the COVID-19 pandemic
Keywords:
Coronavirus infections, Dental Staff, Oral Health, Saliva, COVID-19.Abstract
Introduction: Coronavirus disease (COVID-19), classified as a pandemic by the World Health Organization, has affected many deaths to vulnerable populations due to its high transmission capacity. These transmission routes are by direct and indirect contact even of asymptomatic people. This article presents some considerations to take into account regarding the COVID-19 pandemic in oral health and the professional challenges of the stomatologist in state and private consultation from a perspective of the reality of Peru.
Main remarks: Procedures that generate aerosols or droplets from the oral cavity increase the risk of transmission to health personnel, especially the stomatologist; since even dental emergency procedures require the use of instruments that generate possible means of contamination. The institutions related to stomatology have to establish biosafety protocols for dental emergency and routine practice to avoid generating chains of transmission. The role of the dentist in this health emergency is to follow biosafety guidelines for dental care in state and private health center.
Final considerations: Dental practice is potentially risky in the COVID-19 pandemic, despite this, it is the duty of the dentist to fulfill his role as a health professional considering the biosecurity standards established by the health institutions.
Downloads
References
Rothe C, Schunk M, Sothmann P, Bretzel G, Froeschl G, Wallrauch C, et al. Transmission of 2019-nCoV Infection from an Asymptomatic Contact in Germany. New England Journal of Medicine. 2020;382;970-1. DOI: 10.1056/NEJMc2001468
Zheng J. SARS-CoV-2: an Emerging Coronavirus that Causes a Global Threat. Int J Biol Sci. 2020 [acceso: 05/04/2020];16(10):1678-85. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098030/
COVID-19 Map. Maryland: Johns Hopkins Coronavirus Resource Center; 2020 [acceso: 9/04/2020]. Disponible en: https://coronavirus.jhu.edu/map.html
Sohrabi C, Alsafi Z, O’Neill N, Khan M, Kerwan A, Al-Jabir A, et al. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). Int J Surg. 2020 [acceso: 05/04/2020];76:71-6. Disponible en: http://www.sciencedirect.com/science/article/pii/S1743919120301977
Perú. Ministerio de Salud: Sala Situacional COVID-19 Perú. Lima: Dirección General de Epidemiología, MINSA; 2020 [acceso: 09/04/2020]. Disponible en: https://covid19.minsa.gob.pe/sala_situacional.asp
Decreto Supremo que declara Emergencia Sanitaria a nivel nacional por el plazo de noventa (90) días calendario y dicta medidas de prevención y control de la COVID-19, Decreto Supremo N° 008-2020-SA. Diario El Peruano; 11/03/2020 [acceso: 09/04/2020]. Disponible en: http://busquedas.elperuano.pe/normaslegales/decreto-supremo-que-declara-en-emergencia-sanitaria-a-nivel-decreto-supremo-n-008-2020-sa-1863981-2/
Organización Panamericana de la Salud. Información y criterios para la priorización de pruebas diagnósticas del SARS-CoV2 para dirigir las necesidades de adquisición por los sistemas de salud. Washington, D. C.: OPS; 2020 [acceso: 10/04/2020]. Disponible en: https://www.paho.org/es/file/62622/download?token=2Dyukmk0
Koyama T, Platt D, Parida L. Variant analysis of COVID-19 genomes. Bull World Health Organ. 2020 [acceso: 5/04/2020]; Disponible en: http://www.who.int/bulletin/online_first/20-253591.pdf
Shen Z, Xiao Y, Kang L, Ma W, Shi L, Zhang L, et al. Genomic diversity of SARS-CoV-2 in Coronavirus Disease 2019 patients. Clin Infect Dis. 2020 [acceso: 5/04/2020]; ciaa203. Disponible en: https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciaa203/5780800
Walls AC, Park Y-J, Tortorici MA, Wall A, McGuire AT, Veesler D. Structure, Function, and Antigenicity of the SARS-CoV-2 Spike Glycoprotein. Cell. 2020 [acceso: 10/04/2020];181(2):281-92.e6 Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7102599/
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 [acceso: 10/04/2020];12(1):1-6. Disponible en: https://www.nature.com/articles/s41368-020-0075-9
Ge Z, Yang L, Xia J, Fu X, Zhang Y. Possible aerosol transmission of COVID-19 and special precautions in dentistry. J Zhejiang Univ-Sci B. 2020 [acceso: 10/04/2020];21(5):361-8. Disponible en: https://doi.org/10.1631/jzus.B2010010
Sabino-Silva R, Jardim ACG, Siqueira WL. Coronavirus COVID-19 impacts to dentistry and potential salivary diagnosis. Clin Oral Investig. 2020 [acceso: 09/04/2020];24(4):1619-21. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7088419/
Perú. Ministerio de Salud. Lineamientos técnicos para la prestación de los servicios de salud. Lima: MINSA; 2020 [acceso: 20/04/2020]. Disponible en: https://www.gob.pe/institucion/minsa/informes-publicaciones/460545-lineamientos-tecnicos-para-la-prestacion-de-los-servicios-de-salud
Guo H, Zhou Y, Liu X, Tan J. The impact of the COVID-19 epidemic on the utilization of emergency dental services. J Dent Sci. 2020 [acceso: 30/03/2020]. Disponible en: http://www.sciencedirect.com/science/article/pii/S1991790220300209
Sáez Moreno MÁ, Carreño Zeta AC, Castaño Díaz M, López-Torres Hidalgo J, Sáez Moreno MÁ, Carreño Zeta AC, et al. Abordaje de las infecciones odontogénicas por el Médico de Familia. Rev Clínica Med Fam. 2019 [acceso: 30/03/2020];12(2):82-6. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S1699-695X2019000200082&lng=es&nrm=iso&tlng=es
Cope AL, Wood F, Francis NA, Chestnutt IG. General practitioners’ attitudes towards the management of dental conditions and use of antibiotics in these consultations: a qualitative study. BMJ Open. 2015 [acceso: 7/04/2020];5(10). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4606392/
Haque M, Sartelli M, Haque SZ. Dental Infection and Resistance - Global Health Consequences. Dent J. 2019 [acceso: 6/04/2020];7(1). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6473604/
CDC. Coronavirus Disease 2019 (COVID-19). Washington D. C.: Centers for Disease Control and Prevention. 2020 [acceso: 10/04/2020]. Disponible en: https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html
Costa Rica. Ministerio de Salud. Lineamiento técnico para la prevención y contención de COVID-19 para odontólogos y personal auxiliar de Costa Rica. San José; 2020 [acceso: 10/04/2020]. Disponible en: https://www.ministeriodesalud.go.cr/sobre_ministerio/prensa/docs/lineamientos_odontologos_v2_27032020.pdf
Gaceta Dental. SECIB da las pautas para tratar a los pacientes durante y después de la pandemia del COVID-19. Madrid; 2020 [acceso: 10/04/2020]. Disponible en: https://gacetadental.com/2020/03/secib-da-las-pautas-para-tratar-a-los-pacientes-durante-y-despues-de-la-pandemia-del-covid-19-96240/
WHO. Rational use of personal protective equipment for coronavirus disease (COVID-19) and considerations during severe shortages: interim guidance, 6 April 2020. Ginebra: 2020 [acceso: 10/04/2020]; Disponible en: https://apps.who.int/iris/handle/10665/331695
Perú. Ministerio de Salud. Alertas Epidemiológicas. Lima: Dirección General de Epidemiología, MINSA; 2020 [acceso: 10/04/2020]. Disponible en: https://www.dge.gob.pe/portal/index.php?option=com_content&view=article&id=370&Itemid=396
Downloads
Published
How to Cite
Issue
Section
License
Authors retain all rights to their works, which they can reproduce and distribute as long as they cite the primary source of publication.
The Rev Cubana Estomatol is subject to the Creative Commons Attribution-Non-Commercial 4.0 International License (CC BY-NC 4.0) and follows the publication model of SciELO Publishing Schema (SciELO PS) for publication in XML format.
You are free to:
- Share — copy and redistribute the material in any medium or format.
- Adapt — remix, transform, and build upon the material.
The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
- You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
- No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
Download PDF
