Coronavirus disease 2019 and oral health: Changing paradigms and the public health perspective

S. Shrivastava, P. Shrivastava
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Abstract

The coronavirus disease-2019 (COVID-19) pandemic has impacted all the areas of health care, including interruptions in the delivery of essential health care services in varied settings. In the oral settings, the virus transmission can happen either through direct transmission via inhalation of droplets produced during coughing or sneezing, or direct transmission via mucous membranes, or indirect transmission through contaminated surfaces or fomites. It is quite obvious that most of the aerosol-generating procedures are being done in the oral settings and thus the potential risk of transmission of infection cannot be ruled out. There is a specific need to strengthen infection prevention and control measures in the oral health care settings. In conclusion, the oral health care services need to be rigourosly strengthened in the current pandemic as there is a potential risk for the spread of the COVID-19 infection. The need of the hour is to continue the delivery of emergency services and at the same time delay the routine procedures to ensure safety of the patients as well as the health care personnel.
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2019冠状病毒病与口腔健康:不断变化的范式和公共卫生视角
2019冠状病毒病(COVID-19)大流行影响了卫生保健的所有领域,包括在各种环境中中断提供基本卫生保健服务。在口腔环境中,病毒可通过吸入咳嗽或打喷嚏时产生的飞沫直接传播,或通过粘膜直接传播,或通过受污染的表面或污染物间接传播。很明显,大多数产生气溶胶的程序都是在口腔环境中进行的,因此不能排除感染传播的潜在风险。特别需要加强口腔卫生保健机构的感染预防和控制措施。总之,由于COVID-19感染存在传播的潜在风险,在当前的大流行中,需要严格加强口腔卫生服务。当务之急是继续提供紧急服务,同时推迟常规程序,以确保病人和医护人员的安全。
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