Hospital Dentistry and Dental Care for Patients with Special Needs: Dental approach during COVID-19 Pandemic.

Authors

  • Juliana Bertoldi Franco *Department of Dentistry - Auxiliary Hospital of Suzano - Clinical Hospital of Medical School of the University of São Paulo, São Paulo, SP, Brazil *Department of Dentistry - Central Institute - Clinical Hospital of Medical School of the University of São Paulo, São Paulo, SP, Brazil. *Department of Stomatology, School of Dentistry, University of São Paulo, São Paulo, Brazil https://orcid.org/0000-0001-7787-4062
  • Priscila Fernandes Ribas Department of Dentistry - Central Institute - Clinical Hospital of Medical School of the University of São Paulo, São Paulo, SP, Brazil. https://orcid.org/0000-0002-9540-3587
  • Luiz Alberto Soares Valente Júnior Department of Dentistry - Central Institute - Clinical Hospital of Medical School of the University of São Paulo, São Paulo, SP, Brazil. https://orcid.org/0000-0003-0717-7354
  • Diogo Toledo Matias Department of Dentistry - Central Institute - Clinical Hospital of Medical School of the University of São Paulo, São Paulo, SP, Brazil.
  • Bruna Luiza Roim Varotto Department of Dentistry - Central Institute - Clinical Hospital of Medical School of the University of São Paulo, São Paulo, SP, Brazil. https://orcid.org/0000-0001-6104-2528
  • Ciliana Rossato Hamza Department of Dentistry - Central Institute - Clinical Hospital of Medical School of the University of São Paulo, São Paulo, SP, Brazil.
  • Jorge Ferreira Araújo Department of Dentistry - Central Institute - Clinical Hospital of Medical School of the University of São Paulo, São Paulo, SP, Brazil.
  • Maria Paula Siqueira de Melo Peres Department of Dentistry - Central Institute - Clinical Hospital of Medical School of the University of São Paulo, São Paulo, SP, Brazil. https://orcid.org/0000-0002-4698-3976

DOI:

https://doi.org/10.14295/bds.2020.v23i2.2243

Abstract

Introduction: The COVID19 pandemic brought a new panorama for the realization of dental treatment for the general population due to the risk of cross infection in the dental office -  aerosol formation and insertion of new personal protective equipment. Emergency and emergency dental criteria were defined to limit the flow of patients in the office in order to improve biosafety conditions among patients. Objective: to describe the dental procedures pertinent to outpatient special care or during hospitalization in the VOCID19 pandemic -  changes in care and implement biosecurity criteria. Basic procedures: The dental care of the special patient suffers changes -  mainly referring to the difficulty of access to the offices -  interruption of the conditioning process and difficulty to perform outpatient sedation and sedation with nitrous oxide. Dental care during hospitalization is essential in this patient due to prolonged time of tracheal oro intubation -  traumatic oral lesions -  preparation of specific oral care protocols -  removal of mouth infectious and installation of mouth protectors. Conclusion: Change of care -  inclusion of individual protection equipment and new knowledge about the COVID19 allows us to safely assist the patient with special needs both in the dental office and in hospital environment -  providing quality of life -  oral comfort and reducing oral infections during and after the pandemic.

 

KEYWORDS

Dental care; Hospitals - Special; Needs assessment; Dental service - Hospital; Intensive care units; Pandemics.

 

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Published

2020-06-12

Issue

Vol. 23 No. 2 (2020): SUPP. 2 - Dentistry and Sars-CoV-2

Section

COVID special issue