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MacDonald DS, Colosi DC, Mupparapu M, Kumar V, Shintaku WH, Ahmad M. Guidelines for oral and maxillofacial imaging: COVID-19 considerations. Oral Surg Oral Med Oral Pathol Oral Radiol 2021; 131:99-110. [PMID: 33248906 PMCID: PMC7586124 DOI: 10.1016/j.oooo.2020.10.017] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Revised: 09/30/2020] [Accepted: 10/09/2020] [Indexed: 12/17/2022]
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus causing the current coronavirus disease 2019 (COVID-19) pandemic, is not only highly infectious but can induce serious outcomes in vulnerable individuals including dental patients and dental health care personnel (DHCPs). Responses to COVID-19 have been published by the Centers for Disease Control and Prevention and the American Dental Association, but a more specific response is required for the safe practice of oral and maxillofacial radiology. We aim to review the current knowledge of how the disease threatens patients and DHCPs and how to determine which patients are likely to be SARS-CoV-2 infected; consider how the use of personal protective equipment and infection control measures based on current best practices and science can reduce the risk of disease transmission during radiologic procedures; and examine how intraoral radiography, with its potentially greater risk of spreading the disease, might be replaced by extraoral radiographic techniques for certain diagnostic tasks. This is complemented by a flowchart that can be displayed in all dental offices.
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Affiliation(s)
- David S MacDonald
- Professor & Chair, Division of Oral & Maxillofacial Radiology, Faculty of Dentistry, The University of British Columbia, Vancouver, BC, Canada.
| | - Dan C Colosi
- Associate Professor & Director, Division of Diagnostic Imaging, President-Elect, American Academy of Oral and Maxillofacial Radiology, Stony Brook University School of Dental Medicine, Stony Brook, NY, USA
| | - Muralidhar Mupparapu
- Professor & Director, Division of Oral & Maxillofacial Radiology, University of Pennsylvania, Philadelphia, PA, USA
| | - Vandana Kumar
- Associate Professor, Department of Oncology and Diagnostic Sciences, University of Maryland, Baltimore, Baltimore, MD, USA
| | - Werner H Shintaku
- Associate Professor, Director of Imaging Sciences, The University of Tennessee Health Science Center, College of Dentistry, Memphis, TN, USA
| | - Mansur Ahmad
- Associate Professor, President, American Academy of Oral and Maxillofacial Radiology, School of Dentistry, University of Minnesota, Minneapolis, MN, USA
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