Guidelines for oral and maxillofacial imaging: COVID-19 considerations

Area of Science:

• Dentistry
• Infectious Diseases
• Radiology

Background:

• The COVID-19 pandemic, caused by SARS-CoV-2, poses significant risks to dental patients and healthcare personnel.
• Existing guidelines from CDC and ADA require specific adaptation for oral and maxillofacial radiology practices.

Purpose of the Study:

• To review the threat of SARS-CoV-2 to patients and dental health care personnel (DHCPs).
• To outline methods for identifying potentially infected patients.
• To detail infection control measures and personal protective equipment (PPE) for radiologic procedures.
• To evaluate the potential replacement of intraoral radiography with extraoral techniques to minimize disease transmission.

Main Methods:

• Literature review of current knowledge on SARS-CoV-2 transmission in dental settings.
• Analysis of infection control protocols and PPE effectiveness.
• Assessment of radiographic technique risks and benefits.

Main Results:

• Identification of patient and DHCP vulnerabilities to SARS-CoV-2.
• Recommendations for enhanced infection control and PPE use during radiologic procedures.
• Evaluation of intraoral versus extraoral radiography in the context of disease spread.

Conclusions:

• Specific strategies are needed to mitigate SARS-CoV-2 transmission risks in oral and maxillofacial radiology.
• Modified infection control practices and consideration of extraoral radiography are crucial for patient and staff safety.