Dental care during COVID‐19 pandemic: Survey of experts’ opinion

• DOI: 10.1111/clr.13676
• Publication Date: 2020-10-13T02:31:10Z
• Authors: Kathrin Becker; Giulia Brunello; Katarzyna Gurzaws...; Jürgen Becker; Stefano Sivolella; Frank Schwarz; Björn Klinge
• Keywords: Infectious Disease Transmission, Patient-to-Professional; Pneumonia, Viral; coronavirus; 710; Odontologi; Betacoronavirus; 03 medical and health sciences; 0302 clinical medicine; Surveys and Questionnaires; Humans; Dental Care; Pandemics; patient triage; Original Research; SARS-CoV-2; pandemic; COVID-19; expert opinion; 3. Good health; Dentistry; personal protective equipment; coronavirus; COVID-19; expert opinion; pandemic; patient triage; personal protective equipment; Oral Surgery; Coronavirus Infections

AbstractObjectivesThe current COVID‐19 outbreak in conjunction with the need to provide safe dental treatments and the limited knowledge on the efficacy of protective measures has posed dentists into a challenging situation. Therefore, the present article aimed at collecting experiences and recommendations of frontline clinical experts on critical aspects of dental treatment provision during pandemic.Material & MethodsFrom a total of 32 European countries, one leading academic expert in Oral and Maxillofacial Surgery or Oral Surgery per country was asked to participate in an anonymous online 10‐item survey on COVID‐19 covering the topics of safety of dental settings, personal protective equipment (PPE), and patient‐related measures to reduce transmission risk. Data collection took place from April 12th to May 22nd, 2020.ResultsA total of 27 experts from different European countries completed the survey. The transmission risk of SARS‐CoV‐2 in dental settings for aerosol‐generating procedures was considered high by all experts except two. For aerosol‐free and aerosol‐generating procedures, more than 80% of the experts recommended face protection and caps for every single treatment. For aerosol‐generating procedures, additional measures (FFP2/FFP3 masks and gowns) were suggested by the vast majority of the experts. To reduce transmission risk, all experts recommended limiting aerosol‐generating procedures and reducing the number of patients in waiting areas as well as hand hygiene for the patients.ConclusionThe limitation of aerosol‐generating procedures along with the usage of adequate personal protection equipment was considered to be crucial to protect dental healthcare providers and patients, thus reducing the transmission risk of COVID‐19.