COVID-19 and Periodontitis: A Reality to Live with.

Autor:	Jafer MA; Ministry of Health, Primary Health Care, Kingdom of Saudi Arabia., Hazazi MA; Ministry of Health, Primary Health Care, Kingdom of Saudi Arabia., Mashi MH; Ministry of Health, Primary Health Care, Kingdom of Saudi Arabia., Sumayli HA; Ministry of Health, Primary Health Care, Kingdom of Saudi Arabia., Mobarki YJA; Ministry of Health, Primary Health Care, Kingdom of Saudi Arabia., Sultan A; Ministry of Health, Primary Health Care, Kingdom of Saudi Arabia., Ali Hadi MS; Private Dental Practice, Jazan, Kingdom of Saudi Arabia., Abulqasim HM; Ministry of Health, Primary Health Care, Kingdom of Saudi Arabia., Thubab BMM; Ministry of Health, Primary Health Care, Kingdom of Saudi Arabia., Patil S; Department of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral and Maxillofacial Pathology, College of Dentistry, Jazan University, Kingdom of Saudi Arabia, Phone: +966507633755, e-mail: dr.ravipatil@gmail.com.
Jazyk:	angličtina
Zdroj:	The journal of contemporary dental practice [J Contemp Dent Pract] 2020 Dec 01; Vol. 21 (12), pp. 1398-1403. Date of Electronic Publication: 2020 Dec 01.
Abstrakt:	Background: Coronavirus disease-19 (COVID-19) is a r ecent pandemic that is advancing at a r apid r ate. The future course of the disease includes severe r espiratory infection and also leads to death if unattended. Meticulous measures are necessary before attending any patient. The dental operatories and the clinic surroundings must be well sanitized so as to prevent the spread of pandemic. Aim and Objective: This r eview discusses in brief about the pathophysiology and course of COVID-19. Further, we discussed in detail the management aspects of patients in periodontal perspective and the sanitization procedures required for the dental clinic. Review Results: The SARS coronavirus enters the human circulation via the angiotensin-converting enzyme (ACE) receptors which are also found on the oral mucosal surfaces. Furin and Cathepsin L are the pro-inflammatory molecules released during pathogenesis of periodontitis and mediate the molecular pathways that help the virus invade into the host. The clinic set-up should be modified to best suit the pandemic conditions. This includes the three phases, i.e., phase I: preparatory phase; phase II: implementation phase; and phase III: follow-up. The patient management is explained based on the emergency needs of the patient based on the recent AAP classification of periodontal diseases and conditions 2017 as emergency, urgent, and elective treatment needs which have been explained in detail. Conclusion: It can be strongly concluded that there is direct relationship between oral health and systemic health. The treatment procedures and sanitization protocols must be definitely modified. Further consensus and systematic reviews help us arriving at a more standardized protocol. Clinical Significance: This review would help clinicians modify the way they treat patients in the clinic and provide better services depending upon the emergency needs of the patient.
Databáze:	MEDLINE
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