COVID-19 and the ethical challenges of management in Private Dental Clinics in Egypt.

Document Type : Original Article

Authors

1 Assistant Professor, Oral Biology Dep. Faculty of Dentistry, Zagazig University

2 Associate Professor, Department of Oral Surgery, Faculty of Dentistry, Mansoura University

3 Associate Professor, Department of Endodontic, Faculty of Oral and Dental Medicine, Zagazig University

4 Assistant Professor, Oral Radiology Dep. Faculty of Dentistry, Mansoura University

Abstract

Background: One of the challenges that face effective dental and oral surgical treatment is reducing transmission of infectious diseases. This study assessed the challenges and the changes in management of patients in private dental clinics in Egypt in view of rapid spread of SARS-COVID-19.
Methods: Six private dental clinics in Egypt were enrolled in this study. Changes in the management protocols were recorded and evaluated. Data were collected about the changes in clinic policies and in infection control practices. The modifications in patient management and the number and types of treatment approaches either surgical or non-surgical for dental and oral conditions were recorded and evaluated.
Results: The most commonly followed guidelines were wearing gloves followed by wearing masks and using disposable products. Remote consultations and shortage of personal protective equipment were recorded by all clinics. Management approaches included conservative endodontic management for periapical lesions and fistulae. Aerosols and minor surgical interventions could not be avoided in many cases.
Conclusion: Conservative approaches were effective and could be considered during pandemic spread. Dental personnel should be more aware and more prepared for any pandemic spread. Management modifications and strict precautions should be followed

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