IJMDC. 2020; 4(10): 1686-1692

Emergency root canal treatment and infection control measures in endodontics during COVID-19 pandemic

Authors: Sarah Tawfig Hamza Gaafar, Sameer A. Althomairy, Mohamad Nabil Azmouz, Khames Torki Alzahrani, Abdullah Almufarriji.

ABSTRACT

Both professionals and dental patients are usually exposed to pathogenic microbes, including viruses and bacteria. Dental healthcare workers are more prone to get an infection due to their proximity and direct contact with patients. The clinical treatment of nasopharyngeal area through procedures generating aerosols becomes contagious with infected saliva and blood. Dentistry, in general, and periodontal, endodontic, and prosthodontic surgeries specifically are procedures that generate aerosols. Almost all the steps of root canal treatment (RCT) usually use rotary machines that generate aerosols that are contaminated with infected blood, saliva, and mucous secretions of the treated patient. Unenviable, symptomatic irreversible pulpitis and symptomatic apical periodontitis and dentialveolar laxative injuries are emergencies that need operative intervention. Any pharmacological treatments such as antibiotics or analgesics for pulpal pain, such as analgesics and/or dexamethasone injection, would not get rid of the source of inflammation and can worsen the affected tooth. To perform emergency RCT, rigorous adherence is required to the standard infection prevention control guidelines and the following special measures to minimize or prevent cross-infection during this pandemic. This literature review provides knowledge about the possible route of transmission, pharmacological treatments of dental pain, applying standardized infection control measures, conservative access cavity preparation for RCT, biomechanical precautions, and procedures that should be followed during the SARS-CoV2 pandemic.

Keywords:
Aerosols, airborne diseases, coronavirus disease, mode of transmission, N95, operative dentistry.


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Emergency root canal treatment and infection control measures in endodontics during COVID-19 pandemic


Authors
Sarah Tawfig Hamza Gaafar
BDS, MSc, College of Dentistry, Khartoum University, Khartoum, Sudan
PubMed articlesGoogle scholar articles

Sameer A Althomairy
BDS, DPH, College of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Mohamad Nabil Azmouz
BDS, College of Dentistry and Nursing, Alfarabi Colleges, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Khames Torki Alzahrani
BDS, College of Dentistry and Nursing, Alfarabi Colleges, Jeddah, Saudi Arabia
PubMed articlesGoogle scholar articles

Abdullah Almufarriji
MOH, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles


Correspondence to:
. Mohamad Nabil Azmouz, BDS, College of Dentistry and Nursing, Alfarabi Colleges, Riyadh, Saudi Arabia.; mohamadazmouz@outlook.com

Publication history
Received 16 Aug 2020
Accepted 01 Sep 2020
Published online 18 Sep 2020
Published in print 11 Oct 2020

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Pubmed Style

Gaafar STH, Althomairy SA, Azmouz MN, Alzahrani KT, Almufarriji A. Emergency root canal treatment and infection control measures in endodontics during COVID-19 pandemic. IJMDC. 2020; 4(10): 1686-1692. doi:10.24911/IJMDC.51-1597319328


Web Style

Gaafar STH, Althomairy SA, Azmouz MN, Alzahrani KT, Almufarriji A. Emergency root canal treatment and infection control measures in endodontics during COVID-19 pandemic. http://www.ijmdc.com/?mno=125076 [Access: November 26, 2020]. doi:10.24911/IJMDC.51-1597319328


AMA (American Medical Association) Style

Gaafar STH, Althomairy SA, Azmouz MN, Alzahrani KT, Almufarriji A. Emergency root canal treatment and infection control measures in endodontics during COVID-19 pandemic. IJMDC. 2020; 4(10): 1686-1692. doi:10.24911/IJMDC.51-1597319328


Vancouver/ICMJE Style

Gaafar STH, Althomairy SA, Azmouz MN, Alzahrani KT, Almufarriji A. Emergency root canal treatment and infection control measures in endodontics during COVID-19 pandemic. IJMDC. (2020), [cited November 26, 2020]; 4(10): 1686-1692. doi:10.24911/IJMDC.51-1597319328


Harvard Style

Gaafar, S. T. H., Althomairy, . S. A., Azmouz, . M. N., Alzahrani, . K. T. & Almufarriji, . A. (2020) Emergency root canal treatment and infection control measures in endodontics during COVID-19 pandemic. IJMDC, 4 (10), 1686-1692. doi:10.24911/IJMDC.51-1597319328


Turabian Style

Gaafar, Sarah Tawfig Hamza, Sameer A. Althomairy, Mohamad Nabil Azmouz, Khames Torki Alzahrani, and Abdullah Almufarriji. 2020. Emergency root canal treatment and infection control measures in endodontics during COVID-19 pandemic. International Journal of Medicine in Developing Countries, 4 (10), 1686-1692. doi:10.24911/IJMDC.51-1597319328


Chicago Style

Gaafar, Sarah Tawfig Hamza, Sameer A. Althomairy, Mohamad Nabil Azmouz, Khames Torki Alzahrani, and Abdullah Almufarriji. "Emergency root canal treatment and infection control measures in endodontics during COVID-19 pandemic." International Journal of Medicine in Developing Countries 4 (2020), 1686-1692. doi:10.24911/IJMDC.51-1597319328


MLA (The Modern Language Association) Style

Gaafar, Sarah Tawfig Hamza, Sameer A. Althomairy, Mohamad Nabil Azmouz, Khames Torki Alzahrani, and Abdullah Almufarriji. "Emergency root canal treatment and infection control measures in endodontics during COVID-19 pandemic." International Journal of Medicine in Developing Countries 4.10 (2020), 1686-1692. Print. doi:10.24911/IJMDC.51-1597319328


APA (American Psychological Association) Style

Gaafar, S. T. H., Althomairy, . S. A., Azmouz, . M. N., Alzahrani, . K. T. & Almufarriji, . A. (2020) Emergency root canal treatment and infection control measures in endodontics during COVID-19 pandemic. International Journal of Medicine in Developing Countries, 4 (10), 1686-1692. doi:10.24911/IJMDC.51-1597319328


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