Institutional Agency | Document Reference |
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Brazilian Federal Council of Dentistry (CFO) [22[22] Brasil. Conselho Federal de Odontologia. Manual de Boas Práticas em Biossegurança para Ambientes Odontológicos. Available from: http://website.cfo.org.br/wp-content/uploads/2020/04/cfo-lança-Manual-de-Boas-Práticas-em-Biossegurança-para-Ambientes-Odontologicos.pdf. [Accessed on May 05, 2020]. [In Portuguese]. http://website.cfo.org.br/wp-content/upl... ] |
Manual de Boas Práticas em Biossegurança para Ambientes Odontológicos |
Regional Council of Dentistry of the State of São Paulo (CRO-SP) [23[23] Brasil. Conselho Regional de Odontologia de São Paulo. Orientações de Segurança. Adequações Técnicas em Tempos de COVID-19. Available from: http://www.crosp.org.br/uploads/arquivo/747df5ff505e7beff33c1a5ff5d6f12a.pdf. [Accessed on May 05, 2020]. [In Portuguese]. http://www.crosp.org.br/uploads/arquivo/... ] |
Orientação de Biossegurança. Adequações Técnicas em Tempos de COVID-19 |
Brazilian Health Regulatory Agency (ANVISA) [24[24] Brasil. Agência Nacional de Vigilância Sanitária. Nota Técnica GVIMS/GGTES/ANVISA No 04/2020. Available from: http://portal.anvisa.gov.br/documents/33852/271858/Nota+Técnica+n+042020+GVIMS-GGTES-ANVISA/ab598660-3de4-4f14-8e6f-b9341c196b28. [Accessed on May 10, 2020]. [In Portuguese]. http://portal.anvisa.gov.br/documents/33... ] |
Orientações para Serviços de Saúde: Medidas de Prevenção e Controle que Devem ser Adotadas Durante a Assistência aos Casos Suspeitos ou Confirmados de Infecção pelo Novo Coronavírus (SARS-CoV-2) |
World Health Organization (WHO) [25[25] World Health Organization. Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected. Available from: https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125. [Accessed on May 10, 2020]. https://www.who.int/publications-detail/... ] |
Infection Prevention and Control During Health Care When Novel Coronavirus (Ncov) Infection is Suspected |
World Dental Federation (FDI) [26[26] World Dental Federation. COVID-19 Outbreak: Guidance for Oral Health Professionals. Available from: https://www.fdiworlddental.org/covid-19-outbreak-guidance-for-oral-health-professionals [Accessed on May 10, 2020]. https://www.fdiworlddental.org/covid-19-... ] |
COVID-19 Outbreak: Guidance for Oral Health Professionals |
American Dental Association (ADA) [27[27] American Dental Association. Return to Work Interim Guidance Toolkit. Available from: https://success.ada.org/~/media/CPS/Files/OpenFiles/ADA_Return_to_Work_Toolkit.pdf. [Accessed on May 10, 2020]. https://success.ada.org/~/media/CPS/File... ] |
Return to Work Interim: Guidance Toolkit |
Latin American Association of Pediatric Dentistry (ALOP) [28[28] Associación Latinoamericana de Odontopediatria. Tratamiento de la enfermedad de caries en época de COVID-19: protocolos clínicos para el control de aerosoles. Available from: https://www.revistaodontopediatria.org/ediciones/2020/2/art-2/-art1. [Accessed on May 05, 2020]. [In Spanish] https://www.revistaodontopediatria.org/e... ] |
Tratamiento de la Enfermedad de Caries en Época de COVID-19: Protocolos Clínicos para el Control de Aerosoles |
American Academy of Pediatric Dentistry (AAPD) [29[29] American Academy of Pediatric Dentistry. Re-emergence pediatric dentistry practice checklist. Available from: https://www.aapd.org/globalassets/media/covid-19/aapd-practicechecklist.pdf. [Accessed on May 05, 2020]. https://www.aapd.org/globalassets/media/... ] |
Re-emergence Pediatric Dentistry Practice Checklist |
International Association of Paediatric Dentistry (IAPD) [30[30] International Association of Paediatric Dentistry. International Pulmonologist’s Consensus on COVID-19. Available from: https://www.unah.edu.hn/dmsdocument/9674-consenso-internacional-de-neumologos-sobre-covid-19-version-ingles. [Accessed on May 05, 2020]. https://www.unah.edu.hn/dmsdocument/9674... ] |
International Pulmonologist's Consensus on COVID-19 |
Target Population | Adaptations of Techniques and Equipments |
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All children | • The air-water syringe must be used with care; and replace washing with a syringe with saline. • Preference for drying with cotton and gauze. • Minimize the use of the dental spittoon, with constant saliva suction, preferably with dental vacuum pump. • Attention and care in the handling medications and dental materials to avoid cross-infection. |
Children who require protective stabilization | • The companion must assist in patient restraint with mask and goggles. The assistance aims not to overload the dental staff, since contact with body fluids such as sweat is inherent to this type of approach. |
Immunologically compromised children | • They should be scheduled as the first appointment of the day, minimizing the risk of exposure to the environment, with increased attention to infection control and air turnover, given their increased susceptibility when infected by SARS-CoV-2, in addition to having medical contact for clarifications. |
Children who require urgent treatments | • Such children should have their procedures maximized, preferably aimed at the adequacy of the oral environment, and avoiding recurring visits to the dental office. |
Children with caries lesions with or without restorative needs | • Consider the risk of dental caries, directing strategies for the treatment of active caries lesions in enamel and dentin; • Use fluoride varnishes, silver diamine fluoride, pit and fissure sealants, temporary and atraumatic restorations, in addition to constant reinforcement of the diet and use of fluoride toothpaste. • Restorative treatment must be performed by quadrants under rubber dam isolation, reducing the production of saliva, aerosol and particles contaminated by blood. • If possible, choose non-aerosol-generating restorative procedures. Use high-speed handpiece without water spray; and give preference to manual instruments and low rotation. |