Dataset Information

Exposure Risks and Preventive Strategies Considered in Dental Care Settings to Combat Coronavirus Disease (COVID-19).

ABSTRACT: In recent times, numerous scientific articles have been published on the risks of exposure to infectious microorganisms in dental care settings. The main mode of transmission of such infectious organisms is primarily through bioaerosols generated during routine dental procedures which put both dental care providers and their patients at an increased risk of exposure. Other frequent modes of infection transmission often reported include cross contamination and inadequate adoption of infection control protocols. The main objective of this article is to highlight the findings of those studies that have reported on the routes and modes of transmission of infectious organisms in dental settings, to report possibilities of cross contamination in dental care settings, and also to report any breach in adherence to infection control protocols in dental care settings. We also intend to emphasize on standard infection control protocols and strategies that need to be considered in dental care settings during disease outbreaks like coronavirus disease (COVID-19).

SUBMITTER: Khanagar SB

PROVIDER: S-EPMC7459178 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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Exposure Risks and Preventive Strategies Considered in Dental Care Settings to Combat Coronavirus Disease (COVID-19).

Khanagar Sanjeev B SB Al-Ehaideb Ali A Vishwanathaiah Satish S Maganur Prabhadevi C PC Naik Sachin S Siddeeqh Salman S

HERD 20200830 1

In recent times, numerous scientific articles have been published on the risks of exposure to infectious microorganisms in dental care settings. The main mode of transmission of such infectious organisms is primarily through bioaerosols generated during routine dental procedures which put both dental care providers and their patients at an increased risk of exposure. Other frequent modes of infection transmission often reported include cross contamination and inadequate adoption of infection con ...[more]

PMID: 32865019

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Project description:ImportanceThere is a recommendation for children to have a dental home by 6 months of age, but there is limited evidence supporting the effectiveness of early preventive dental care or whether primary care providers (PCPs) can deliver it.ObjectiveTo investigate the effectiveness of preventive dental care in reducing caries-related treatment visits among Medicaid enrollees.Design, setting, and participantsHigh-dimensional propensity scores were used to address selection bias for a retrospective cohort study of children continuously enrolled in coverage from the Alabama Medicaid Agency from birth between 2008 and 2012, adjusting for demographics, access to care, and general health service use.ExposuresChildren receiving preventive dental care prior to age 2 years from PCPs or dentists vs no preventive dental care.Main outcome and measuresTwo-part models estimated caries-related treatment and expenditures.ResultsAmong 19 658 eligible children, 25.8% (n = 3658) received early preventive dental care, of whom 44% were black, 37.6% were white, and 16.3% were Hispanic. Compared with matched children without early preventive dental care, children with dentist-delivered preventive dental care more frequently had a subsequent caries-related treatment (20.6% vs 11.3%, P < .001), higher rate of visits (0.29 vs 0.15 per child-year, P < .001), and greater dental expenditures ($168 vs $87 per year, P < .001). Dentist-delivered preventive dental care was associated with an increase in the expected number of caries-related treatment visits by 0.14 per child per year (95% CI, 0.11-0.16) and caries-related treatment expenditures by $40.77 per child per year (95% CI, $30.48-$51.07). Primary care provider-delivered preventive dental care did not significantly affect caries-related treatment use or expenditures.Conclusions and relevanceChildren with early preventive care visits from dentists were more likely to have subsequent dental care, including caries-related treatment, and greater expenditures than children without preventive dental care. There was no association with subsequent caries-related treatment and preventive dental care from PCPs. We observed no evidence of a benefit of early preventive dental care, regardless of the provider. Additional research beyond administrative data may be necessary to elucidate any benefits of early preventive dental care.

Dataset Information

Exposure Risks and Preventive Strategies Considered in Dental Care Settings to Combat Coronavirus Disease (COVID-19).

Publications

Exposure Risks and Preventive Strategies Considered in Dental Care Settings to Combat Coronavirus Disease (COVID-19).

Similar Datasets

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