Endodontic treatment during the COVID-19 pandemic - perception and behaviour of dental professionals.

Fabio de A Gomes, Eduarda C Malhão, Cláudio Maniglia-Ferreira, Danilo Lf Lima, Maísa Casarin, Fernanda G Pappen
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Abstract

This study evaluated the impact of COVID-19 on the endodontic treatment routine. It was a cross-sectional study using an online questionnaire applied to endodontists to collect information about practical modifications during endodontic treatment to protect professionals and patients against the COVID-19 outbreak. A total 1105 participants from Brazil participated in the survey. More than 90% of respondents identify the high risk of COVID-19 infection to dentists and the need to change some clinical practices. Most respondents (60.1%) are partially following social isolation. The need for a change in Personal Protective Equipment (PPE) during dental appointments was mentioned by 97.1% of respondents. The use of minimal adequate PPE during the pandemic period was associated with the area of residence and marital status of participants. Only 30% of respondents say they use the minimal adequate PPE. Most respondents will change cavity access preparation to reduce virus dissemination. Other changes in endodontic appointments were described in the survey: greater attention to biosafety measures, duration of dental appointments, and duration of intervals between appointments. Endodontists still need to identify the best arrangement for performing their procedures safely during the COVID-19 pandemic. Specific guidelines require detailed information for each specialty and its procedures.

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COVID-19大流行期间的牙髓治疗——牙科专业人员的认知和行为
本研究评估了COVID-19对根管治疗常规的影响。这是一项横断面研究,通过对牙髓医生进行在线问卷调查,收集有关牙髓治疗期间实际修改的信息,以保护专业人员和患者免受COVID-19疫情的影响。共有1105名巴西人参与了这项调查。超过90%的受访者认为牙医感染COVID-19的风险很高,需要改变一些临床实践。大多数答复者(60.1%)在一定程度上遵循社会隔离。97.1%的答复者提到在牙科预约期间需要更换个人防护装备。大流行期间使用最低限度的足量个人防护装备与参与者的居住地区和婚姻状况有关。只有30%的受访者表示他们使用了最低限度的个人防护装备。大多数应答者将改变空腔通道准备,以减少病毒传播。调查中描述了牙髓治疗预约的其他变化:对生物安全措施的更多关注,牙科预约的持续时间和预约间隔的持续时间。牙髓医生仍然需要确定在COVID-19大流行期间安全执行手术的最佳安排。具体的指导方针需要每个专业及其程序的详细信息。
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