Biosafety in Dental Care Facing Highly Transmissible SARS-CoV-2 Variants: Introduction of Prospective Setting Protocol in Prevention of COVID-19

Andrej Thurzo; Alexandra Bražinová; Neda Markovská; Iveta Waczulíková; Martin Smatana; Wanda Urbanová; Martin Strunga; Veronika Kurilová; Jana Kaiferová; Peter Sabaka; Helena Kosnáčová; Bela Mriňáková; Ivan Varga; Ladislav Czakó; Branislav Gális; Georgia Fountoulaki; Bohuslav Novák

doi:10.20944/preprints202201.0315.v2

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preprints.org > medicine and pharmacology > dentistry and oral surgery > doi: 10.20944/preprints202201.0315.v2

Preprint Article Version 2 Preserved in Portico This version is not peer-reviewed

Biosafety in Dental Care Facing Highly Transmissible SARS-CoV-2 Variants: Introduction of Prospective Setting Protocol in Prevention of COVID-19

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Version 1 : Received: 16 January 2022 / Approved: 21 January 2022 / Online: 21 January 2022 (03:01:21 CET)
Version 2 : Received: 7 April 2022 / Approved: 8 April 2022 / Online: 8 April 2022 (03:58:00 CEST)

A peer-reviewed article of this Preprint also exists.

Thurzo, A.; Urbanová, W.; Waczulíková, I.; Kurilová, V.; Mriňáková, B.; Kosnáčová, H.; Gális, B.; Varga, I.; Matajs, M.; Novák, B. Dental Care and Education Facing Highly Transmissible SARS-CoV-2 Variants: Prospective Biosafety Setting: Prospective, Single-Arm, Single-Center Study. International Journal of Environmental Research and Public Health, 2022, 19, 7693. https://doi.org/10.3390/ijerph19137693. Thurzo, A.; Urbanová, W.; Waczulíková, I.; Kurilová, V.; Mriňáková, B.; Kosnáčová, H.; Gális, B.; Varga, I.; Matajs, M.; Novák, B. Dental Care and Education Facing Highly Transmissible SARS-CoV-2 Variants: Prospective Biosafety Setting: Prospective, Single-Arm, Single-Center Study. International Journal of Environmental Research and Public Health, 2022, 19, 7693. https://doi.org/10.3390/ijerph19137693.

Abstract

With arrival of highly transmissible Omicron variants in global pandemic, dentistry is facing another challenge to preserve biosafety of dental care. With a mission to protect both patients and healthcare workers, adaptability to the changing epidemiologic situation is required from dental professionals. This work presents a prospective sustainable biosafety setting for routine orthodontic care. The protocol is composed from combination of available technologies focused on the air-borne part of a virus pathway. Introduced biosafety protocol has been clinically evaluated after 18 months of application in the real clinical environment. The protocol has three fundamental pillars: (1) UVC air disinfection; (2) air saturation with certified virucidal oils through nebulizing diffusers; (3) complementary solutions. As a method of evaluation pseudonymous on-line smart form was used. Protocol operates with premise that everybody as a hypothetical asymptomatic carrier. Results from 115 patient feedbacks imply that with this protocol in place, there was no observed or reported translation of virus from patient to another patient or from patient to doctor or nurse and vice versa, albeit nine patients have retrospectively admitted visiting the clinic as probably infectious. Despite promising results, a larger clinical sample and exposition to current mutated strains is necessary for reliable conclusions about protocol virucidal efficiency.

Keywords

SARS-CoV-2; Omicron; biosafety protocol; dentistry; orthodontics; sustainability

Subject

Medicine and Pharmacology, Dentistry and Oral Surgery

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Comment 1

Received: 8 April 2022
Commenter: Andrej Thurzo
Commenter's Conflict of Interests: Author

Comment: title, abstract were updated, some text changes

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