Aftermath of Covid-19 Pandemic on oral surgery and orthodontic practices in Northern India
The scuttlebutt is already churning out projections about what the post COVID-19 work environment might look like. While we get ‘old-school’ in tackling challenges, we may also want to consider getting ‘tech savvy’ in regards to oral health delivery via teledentistry for prior consultation ultimately decreasing footfall in OPDs. The COVID-19 outbreak serves as both a reminder and an opportunity to assist. This is an ever evolving dynamic situation, and recommendations discussed herein are based on the best currently available information. However, the decision of the treatment of patients still rests with the individual practitioner. The blanket instruction is to dodge all aerosol related procedures in dental setups. It’s dentist prerogative to install all fail-safes and perform restorative procedure requiring AGPs with all efforts to mitigate the risk of transmission of the SARS-Cov-2 virus and for minimal working times with the appropriate PPE and infection control protocols. Even when not using AGPs, it is important that robust infection control measures are employed as this isn’t a perfect world, and we’re still in the throes of a pandemic, making it imperative to cultivate the right mind-set within ourselves. The intent of the present review is to consider changes in the clinical oral and maxillofacial surgery and orthodontic workflow and, allow for a smoother transition, with less risk to our patients and healthcare personnel.
Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature 2020; 579:270-3.
Ge ZY, Yang LM, Xia JJ, Fu XH, Zhang YZ. Possible aerosol transmission of COVID-19 and special precautions in dentistry. J Zhejiang UnivSci B 2020;1-8.
Sean P. Steve, Kasten Christine, Nelson et al - Maxillofacial trauma management during covid-19:multidisciplinary recommendations
Bali R, Choudhary K (2020) maxillofacial surgery and COVID-19, The Pandemic!!
Indian Dental Association’s Preventive Guidelines for Dental Professionals on the Coronavirus Threat, accessed April 13, 2020
Susarla SM, Parmar S, Fernandes R. COVID-19 and thecraniomaxillofacial surgical community. Craniomaxillofac TraumaReconstr 2020; 1http://journals.sagepub.com/ doi/10.1177/1943387520921325
Diaz A, Sarac BA, Schoenbrunner AR, Janis JE, Pawlik TM. Electivesurgery in the time of COVID-19. Am J Surg [Internet] 2020; (xxxx):1-3. Available from: https://linkinghub.elsevier.com/ retrieve/pii/S000296102030218X.
American Dental Association (ADA). Constitutes a Dental Emergency? 2020; Available from:https://success.ada.org/~/media/CPS/Files/ Open Files/ADA_COVID19_Dental_Emergency_DDS.pdf?utm_source=adaorg&utm_medium=covid-resourceslp&utm_content=cv-pm-emergdef&utm_campaign=covid19&_ga=2.158719422.527261862.1584796909-1982106663.1584563184
AO CMF International Task Force. AO CMF International Task ForceRecommendations on Best Practices for Maxillofacial Proceduresduring COVID-19 Pandemic. 1-6. Available from:http://go.aocmf.aofoundation.org/e/ %0A700333/ d-19-task-forceguidelinespdf/g1mvl/61093701?%0Ah1/4asHHpTEGtRgEQODbr_GvMPg8FonX6ecjoPQ8q%0AHKM8ZA
Caprioglio, A., Pizzetti, G.B., Zecca, P.A. (2020), Management of orthodontic emergencies during 2019-NCOV.
Sunjaysuri,Yona R Vandersluis, Anuraj S Kochhar, RitashaBhasin, Mohamed-NurAbdallah(2020), Clinical orthodontic management during the COVID-19 pandemic.
Carvalho MR, dos Santos da Silva MA, de Sousa Brito CA, Campelo V, Kuga MC, Tonetto MR, et al. Comparison of antimicrobial activity between chemical disinfectants on contaminated orthodontic pliers. J Contemp Dent Pract 2015; 16: 619-23.
Papaioannou A. A review of sterilization, packaging and storage considerations for orthodontic pliers. Int J Orthod Milwaukee 2013; 24:19-21.