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Model for Taking Care of Patients with Early Childhood Caries during the SARS-Cov-2 Pandemic

Author

Listed:
  • Stefano Cianetti

    (Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, 06100 Perugia, Italy)

  • Stefano Pagano

    (Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, 06100 Perugia, Italy)

  • Michele Nardone

    (Azienda Socio-Sanitaria Territoriale, Melegnano e della Martesana, 20070 Milano, Regione Lombardia, Italy)

  • Guido Lombardo

    (Biomedical Sciences, Unit of Paediatric Dentistry, University of Perugia, 06100 Perugia, Italy)

Abstract

Pending the availability of vaccines to contain the SARS-CoV-2 pandemic, the current solution is “social distancing” with a reduction of dental treatments to those assessed as urgent and emergency cases. These treatments also involve Early Childhood Caries (ECC) due to the fact that this disease affects preschool children (a vulnerable population) and, in addition, shows a propensity to evolve into more serious complications (dental pain, infections). A narrative review was carried out to support a protocol for treating ECC with efficacious and safe (in terms of SARS-CoV-2 transmission) procedures. Protocol involves criteria for patients’ selection remotely (telemedicine), and well-detailed criteria/equipment and hygiene procedures to combat against SARS-CoV-2 transmission. Moreover, the protocol proposes innovative caries treatments, named Minimally Invasive Treatments (MITs), well known in pedodontics for their high level of children’s acceptance during dental care. MITs allow for caries removal (particularly in primary teeth) without any high-speed rotating instrument cooled with nebulized air-water spray (with high risk of virus environmental diffusion), usually adopted during traditional treatments. For evaluating MITs effectiveness in caries management, only Systematic Review and Randomized Controlled Trials (RCTs) were included in our study, without any risk of bias assessment. The indications proposed in this protocol could support clinicians for the temporary management of ECC until the SARS-CoV-2 pandemic ends.

Suggested Citation

  • Stefano Cianetti & Stefano Pagano & Michele Nardone & Guido Lombardo, 2020. "Model for Taking Care of Patients with Early Childhood Caries during the SARS-Cov-2 Pandemic," IJERPH, MDPI, vol. 17(11), pages 1-17, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:11:p:3751-:d:362961
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    References listed on IDEAS

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    1. Duangporn Duangthip & Kitty Jieyi Chen & Sherry Shiqian Gao & Edward Chin Man Lo & Chun Hung Chu, 2017. "Managing Early Childhood Caries with Atraumatic Restorative Treatment and Topical Silver and Fluoride Agents," IJERPH, MDPI, vol. 14(10), pages 1-13, October.
    2. Steffen Mickenautsch & Veerasamy Yengopal, 2016. "Caries-Preventive Effect of High-Viscosity Glass Ionomer and Resin-Based Fissure Sealants on Permanent Teeth: A Systematic Review of Clinical Trials," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-19, January.
    3. Sherry Shiqian Gao & Irene Shuping Zhao & Steve Duffin & Duangporn Duangthip & Edward Chin Man Lo & Chun Hung Chu, 2018. "Revitalising Silver Nitrate for Caries Management," IJERPH, MDPI, vol. 15(1), pages 1-9, January.
    4. Siying Tao & Yan Zhu & He Yuan & Sibei Tao & Yiming Cheng & Jiyao Li & Libang He, 2018. "Efficacy of fluorides and CPP-ACP vs fluorides monotherapy on early caries lesions: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-13, April.
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    Cited by:

    1. Rohan Diwakar & Anuraj Singh Kochhar & Harshita Gupta & Harneet Kaur & Maninder Singh Sidhu & Helen Skountrianos & Gurkeerat Singh & Michele Tepedino, 2021. "Effect of Craniofacial Morphology on Pharyngeal Airway Volume Measured Using Cone-Beam Computed Tomography (CBCT)—A Retrospective Pilot Study," IJERPH, MDPI, vol. 18(9), pages 1-11, May.
    2. Stefano Cianetti & Chiara Valenti & Massimiliano Orso & Giuseppe Lomurno & Michele Nardone & Anna Palma Lomurno & Stefano Pagano & Guido Lombardo, 2021. "Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals," IJERPH, MDPI, vol. 18(23), pages 1-22, November.
    3. Constantin Ciucurel & Elena Ioana Iconaru, 2020. "An Epidemiological Study on the Prevalence of the Clinical Features of SARS-CoV-2 Infection in Romanian People," IJERPH, MDPI, vol. 17(14), pages 1-19, July.
    4. Ruba M. Mustafa & Ruwaida Z. Alshali & Dalea M. Bukhary, 2020. "Dentists’ Knowledge, Attitudes, and Awareness of Infection Control Measures during COVID-19 Outbreak: A Cross-Sectional Study in Saudi Arabia," IJERPH, MDPI, vol. 17(23), pages 1-14, December.
    5. Javier Santabarbara & Nahia Idoiaga & Naiara Ozamiz-Etxebarria & Juan Bueno-Notivol, 2021. "Prevalence of Anxiety in Dental Students during the COVID-19 Outbreak: A Meta-Analysis," IJERPH, MDPI, vol. 18(20), pages 1-14, October.

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