JICDRO is a UGC approved journal (Journal no. 63927)

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EDITORIAL
Year : 2020  |  Volume : 12  |  Issue : 1  |  Page : 1-2

Being in peace with coronavirus disease 2019


Department of Orthodontics, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India

Date of Submission06-Jan-2020
Date of Acceptance01-Jun-2020
Date of Web Publication29-Jul-2020

Correspondence Address:
Sonali Vijay Deshmukh
Department of Orthodontics, Dr. D. Y. Patil Dental College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jicdro.jicdro_34_20

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How to cite this article:
Deshmukh SV. Being in peace with coronavirus disease 2019. J Int Clin Dent Res Organ 2020;12:1-2

How to cite this URL:
Deshmukh SV. Being in peace with coronavirus disease 2019. J Int Clin Dent Res Organ [serial online] 2020 [cited 2020 Sep 27];12:1-2. Available from: http://www.jicdro.org/text.asp?2020/12/1/1/291109





“It is only in our darkest hours that we may discover the true strength of the brilliant light with in ourselves that can never, ever be dimmed.”

- Doe Zanthamata.

Coronavirus disease 2019, also called COVID-19, is the latest infectious disease to rapidly develop worldwide. COVID-19 has as its etiologic agent the severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2): the 2019 CoV is different from SARS-CoV, but it has the same host receptor: human angiotensin-converting enzyme 2. SARS-CoV-2 was first discovered in 2019 in Wuhan, China, unfortunately spreading globally, resulting in the 2019–2020 pandemic, as declared by the World Health Organization (WHO) and the Public Health Emergency of International Concern.[1]

The darkest hour is the COVID-19 pandemic, and we as dentist in general have to find that strength of brilliant light within, to be in peace with this pandemic. The dental community has shown immense restrain during these difficult times. The practice protocols were given by various concern organizations such as WHO,[2] ICMR, and DCI.

The main protocols were targeted for medical practitioners but the guidelines for dental practices took a lot of time and hence the uncertainty among the dental practitioners. Not only practitioners but academic institutes were also clueless initially. Dentists are often the first line of diagnosis, as they work in close contact with patients. On March 15, 2020, the New York Times published an article entitled “The Workers Who Face the Greatest Coronavirus Risk,” where an impressive schematic figure described that dentists are the workers most exposed to the risk of being affected by COVID-19, much more than nurses and general physicians.[3]

With the widespread propaganda about dental practice and risks at dental practice through social media, the confusion and fear among dental fraternity as well as patients needed some guidelines. The Ministry of Health and Family Welfare, Government of India, issued “Guidelines for Dental Professionals in COVID-19 pandemic situation” on May 19, 2020.[4]

These guidelines indeed provided the clarity about starting private practices as well as academic institutions. Thus, starting practices with patience and restrain was necessary because it needed new protocols, new equipment, and new inventory investment to start safe and sustainable dental practices. Moreover, not only dentists are well versed with protocol but patients are also very well aware of the risks and protocols. The major confusion among the dentist is about what treatments that can be done once patient sits on the dental chair, however, the consensus about patient screening and protective gears given to the patients is agreed upon. As dentistry uniquely produces aerosols during dental procedures, the ambiguity about equipment needed to take care of aerosols still persist because it comes with substantial cost to procure different filters, as it comes with substantial cost to procure different filters such as high-efficiency particulate air, ultraviolet germicidal irradiations, and disinfectant defogging. More and more focus and protocols are made for hospital setups where COVID-19 wards are present. Thus, what we as dentists have is something I will term as hand-down protocols. Though from time to time all dental associations, Local, National as well as International, have given Protocols regarding Practices and equipment needed during COVID-19, the cost of these protocols to bring in practice is overwhelming.

Moreover, we should not only talk about private practices but academic institutes as well. The majority of low socioeconomic and mid socioeconomic class is catered by dental colleges, be it private or government. This is the most difficult aspect of this pandemic, as the number of patients these colleges cater to is humongous. To cater to such a huge population is a challenge in itself. Based on their experience and relevant guidelines and research, Meng et al.introduce essential knowledge about COVID-19 and nosocomial infection in dental settings and provide recommended management protocols for dental practitioners and students in (potentially) affected areas.[5]

It seems that a dentist's life is changed beyond our comprehension for now. Dr. Miguel Stanly's “Slow Dentistry"[6] concept speaks volumes and is gaining popularity. Slow dentistry with fewer patients and minimally invasive procedures is the new mantra. It is becoming a game of faith and patience. The one who takes a leap of faith with patience will come out triumphed in the long run.

The triumphed will be those who already have a robust sterilization and disinfection protocols and those who will adapt to the newer protocols. As we all know that this COVID-19 threat is not going to go away anytime soon, we have to learn and adapt to this new friend of ours, though irritating but if you consider this threat as your friend, it is easier for us to stay, adapt, and cohabitate with it. “The inner strength and the bright light at the end of the tunnel is within our reach” Patience, precaution, perseverance, and peaceful mind will sail us through this bright tunnel toward our future.



 
   References Top

1.
Spagnuolo G, De Vito D, Rengo S, Tatullo M. COVID-19 outbreak: An overview on dentistry. Int J Environ Res Public Health 2020;17:2094.  Back to cited text no. 1
    
2.
WHO/2019-ncoV/Disinfection/2020.1. This Work is Available under the CC BY-NC-SA 3.0 IGO License.  Back to cited text no. 2
    
3.
Gamio L. The Workers Who Face the Greatest Coronavirus Risk. Available from: https://www.nytimes.com/interactive/2020/03/15/business/economy/coronavirus-worker-risk.html. [Last accessed on 2020 May 10].  Back to cited text no. 3
    
4.
Guidelines for Dental Professionals in Covid-19 Pandemic Situation. Issued These Guidelines on; 19 May, 2020. Available from: https://www.mohfw.gov.in/pdf/DentalAdvisoryF.pdf. [Last accessed on 2020 May 10]  Back to cited text no. 4
    
5.
Meng L, Hua F, Bian Z. Coronavirus disease 2019 (COVID-19): Emerging and future challenges for dental and oral medicine. J Dent Res 2020:99:481-7.  Back to cited text no. 5
    
6.
Stanly M. Slow Dentistry. The Importance of Going Slow-Dental Tribune. Available from: http://www.dental-tribune.com. [Last accessed on 2020 May 10]  Back to cited text no. 6
    




 

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