Dilemmas and Opportunities in Dentistry in the Face of the Covid-19 Pandemic

A. Sultan, A. Juneja
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Abstract

On March 21, 2020, the "Janta Curfew" was enforced in India and extended in three parts, restricting all movement. Due to the lack of physical medical services available during that time, the suffering of people with various oral conditions increased. There was an essential lag in this face-toface treatment during the lockdown, and the dental treatment of children declined the most among all age groups. The altered stress-related sleep patterns in younger children led parents to use faulty methods to promote sleep more frequently, such as bottle-feeding children with fermentable liquids like milk rather than honey or sugar-laden pacifiers. These actions increased their vulnerability to developing early childhood caries (ECC). The COVID-19 pandemic provides a reason for dentistry to move from a surgical intervention-based approach to that emphasising prevention and associated with the decreased aerosol generation, such as selective carious tissue excavation, sealants, resin infiltration, Silver Diamine Fluoride (SDF) application, and Hall technique. The current scenario should also prompt the researchers to do additional research applying the pandemic "shock" to dentistry to systematically explore how treatment delays affect dental health and overall well-being.
面对Covid-19大流行,牙科面临的困境和机遇
2020年3月21日,印度实施“宵禁令”,并分三个部分延长,限制所有行动。由于当时缺乏医疗服务,患有各种口腔疾病的人的痛苦增加了。在封锁期间,这种面对面治疗出现了严重滞后,在所有年龄组中,儿童的牙科治疗下降幅度最大。年幼儿童的压力相关睡眠模式的改变导致父母更频繁地使用错误的方法来促进睡眠,例如用牛奶等可发酵液体而不是蜂蜜或含糖安抚奶嘴来喂养孩子。这些行为增加了他们发展早期儿童龋齿(ECC)的脆弱性。COVID-19大流行为牙科从基于手术干预的方法转向强调预防并与减少气溶胶产生相关的方法提供了一个理由,例如选择性龋齿组织挖掘、密封剂、树脂渗透、氟化二胺银(SDF)应用和霍尔技术。目前的情况也应该促使研究人员进行更多的研究,将大流行的“冲击”应用于牙科,以系统地探索治疗延误如何影响牙齿健康和整体福祉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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