Public Health Challenges of Restorative Dental Practice in Low Resource Settings during the Covid-19 Pandemic

I. Menakaya, N. Menakaya
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Abstract

Background: COVID-19 remains a major public health threat globally, and has challenged healthcare systems and services including oral health Objective: This study examines the key public health challenges posed by the COVID-19 pandemic in low resource settings. While healthcare services are learning to cope with the COVID-19 pandemic, dental care services, in particular restorative dental practice have been adversely impacted because of the closeness of caregivers to the patient’s mouth as well as the generation of aerosols during most restorative procedures. This presents a challenge for low-and-middle-income countries (LMICs) such as Nigeria where weak and poor governance structures characterize healthcare systems in addition to paucity of economic resources. Another challenge in the form of COVID-19 conspiracy theories has threatened to undermine public health efforts designed to control the pandemic. Conclusion: The implementation of optimal guidelines and safety protocols for effective COVID -19 infection prevention and control is a major challenge for restorative dental care practice in low resource settings owing to paucity of key material resources and inappropriate behaviour associated with lingering doubts about COVID-19 reality among the majority of the populace. The Safer Aerosol-Free Emergent Dentistry concept offers a viable practical approach for restorative dental practice in LMICs during and in the post COVID-19 pandemic era. There is a need to deploy all resources, human and material, in the education and enlightenment of the populace regarding the reality of COVID-19. , COVID-19 pandemic
Covid-19大流行期间资源匮乏地区恢复性牙科实践的公共卫生挑战
背景:COVID-19仍然是全球主要的公共卫生威胁,并对包括口腔健康在内的卫生保健系统和服务构成挑战。目的:本研究探讨了COVID-19大流行在资源匮乏环境中构成的主要公共卫生挑战。虽然医疗保健服务正在学习应对COVID-19大流行,但由于护理人员与患者口腔的距离较近,以及在大多数修复过程中会产生气溶胶,牙科保健服务,特别是牙科修复实践受到了不利影响。这对尼日利亚等低收入和中等收入国家(LMICs)提出了挑战,这些国家除了缺乏经济资源外,卫生保健系统的特点是治理结构薄弱和不良。以COVID-19阴谋论形式出现的另一个挑战有可能破坏旨在控制大流行的公共卫生努力。结论:由于关键物质资源缺乏,大多数民众对COVID-19现实的疑虑挥之不去,行为不当,实施有效预防和控制COVID-19感染的最佳指南和安全方案是资源匮乏地区修复性牙科保健实践面临的主要挑战。在COVID-19大流行期间和后时代,“更安全的无气溶胶紧急牙科”概念为中低收入国家的恢复性牙科实践提供了一种可行的实用方法。有必要部署所有人力和物力资源,对民众进行关于COVID-19现实的教育和启蒙。COVID-19大流行
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