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      Oral Health and COVID-19: Increasing the Need for Prevention and Access

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      , DMD, MHA 1 , , , DDS, MPH 2
      Preventing Chronic Disease
      Centers for Disease Control and Prevention

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          Abstract

          Populations disproportionately affected by coronavirus disease 2019 (COVID-19) are also at higher risk for oral diseases and experience oral health and oral health care disparities at higher rates. COVID-19 has led to closure and reduced hours of dental practices except for emergency and urgent services, limiting routine care and prevention. Dental care includes aerosol-generating procedures that can increase viral transmission. The pandemic offers an opportunity for the dental profession to shift more toward nonaerosolizing, prevention-centric approaches to care and away from surgical interventions. Regulatory barrier changes to oral health care access during the pandemic could have a favorable impact if sustained into the future.

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          Most cited references26

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          Mental Health and the Covid-19 Pandemic

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            Dental caries

            Dental caries is a biofilm-mediated, sugar-driven, multifactorial, dynamic disease that results in the phasic demineralization and remineralization of dental hard tissues. Caries can occur throughout life, both in primary and permanent dentitions, and can damage the tooth crown and, in later life, exposed root surfaces. The balance between pathological and protective factors influences the initiation and progression of caries. This interplay between factors underpins the classification of individuals and groups into caries risk categories, allowing an increasingly tailored approach to care. Dental caries is an unevenly distributed, preventable disease with considerable economic and quality-of-life burdens. The daily use of fluoride toothpaste is seen as the main reason for the overall decline of caries worldwide over recent decades. This Primer aims to provide a global overview of caries, acknowledging the historical era dominated by restoration of tooth decay by surgical means, but focuses on current, progressive and more holistic long-term, patient-centred, tooth-preserving preventive care.
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              Possible aerosol transmission of COVID-19 and special precautions in dentistry

              Since its emergence in December 2019, corona virus disease 2019 (COVID-19) has impacted several countries, affecting more than 90 thousand patients and making it a global public threat. The routes of transmission are direct contact, and droplet and possible aerosol transmissions. Due to the unique nature of dentistry, most dental procedures generate significant amounts of droplets and aerosols, posing potential risks of infection transmission. Understanding the significance of aerosol transmission and its implications in dentistry can facilitate the identification and correction of negligence in daily dental practice. In addition to the standard precautions, some special precautions that should be implemented during an outbreak have been raised in this review.
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                Author and article information

                Journal
                Prev Chronic Dis
                Prev Chronic Dis
                PCD
                Preventing Chronic Disease
                Centers for Disease Control and Prevention
                1545-1151
                2020
                13 August 2020
                : 17
                : E82
                Affiliations
                [1 ]North Carolina Oral Health Collaborative, Foundation for Health Leadership and Innovation, Cary, North Carolina
                [2 ]University of North Carolina at Chapel Hill Adams School of Dentistry and Gillings School of Global Public Health, Chapel Hill, North Carolina
                Author notes
                Corresponding Author: Zachary Brian, DMD, MHA, Director, North Carolina Oral Health Collaborative, Foundation for Health Leadership and Innovation, 2401 Weston Parkway, Suite 203, Cary, NC 27513. Telephone: 231-340-1732. Email: zachary.brian@ 123456foundationhli.org .
                Article
                20_0266
                10.5888/pcd17.200266
                7458118
                32790606
                ec3c478b-aac5-4eac-8490-9d8cd83a3814
                Copyright @ 2020

                Preventing Chronic Disease is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.

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                Health & Social care
                Health & Social care

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