Prevention and Management of Dental Trauma in Primary Teeth in the Context of the COVID-19: A Critical Literature Review

Almeida, Fernanda Vieira; Costa, Vanessa Polina Pereira da; Schuch, Helena Silveira; Goettems, Marília Leão

doi:10.1590/pboci.2021.161

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Sumário

CRITICAL REVIEW • Pesqui. Bras. Odontopediatria Clín. Integr. 21 • 2021 • https://doi.org/10.1590/pboci.2021.161 copy

Prevention and Management of Dental Trauma in Primary Teeth in the Context of the COVID-19: A Critical Literature Review

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To evaluate and discuss the prevention and management of dental trauma in primary teeth during the COVID-19 pandemic.

Material and Methods:

Critic literature review, searching electronic databases and Google for articles and guidelines published in English that described prevention and management of dental trauma in primary dentition during the pandemic of COVID-19.

Results:

5 publications regarding management and 1 leaflet about prevention for parents were identified. Urgent care is required when the child presents tooth fracture resulting in pain or causing soft tissue trauma and luxation affecting bite. Avulsed teeth should not be replanted and advice and self-help may be sufficient in some situations. Instructions about soft diet and hygiene must be provided. Remote consults are recommended for non-urgent situations and during follow-up to evaluate the presence of sequelae. Aerosol generating procedures should be avoided and, in cases of poor prognosis, extraction is recommended to prevent recurring visits to the dental office.

Conclusion:

During COVID-19 pandemic, remote consults should be recommended to evaluate traumatic dental injuries in primary dentition. Follow-up should not be neglected and may be performed through remote consultation.

Keywords:
Pediatric Dentistry; COVID-19; Tooth Injuries; Emergencies

Database	Search Strategy
PubMed	((2019 novel coronavirus disease) OR (COVID19) OR (COVID-19 pandemic) OR (SARS-CoV-2 infection ) OR (COVID-19 virus disease) OR (2019 novel coronavirus infection) OR (2019-nCoV infection) OR (coronavirus disease 2019) OR (coronavirus disease-19) OR (2019-nCoV disease) OR (COVID-19 virus infection)) AND ((((((((((((((((((((((((“Tooth Injuries”[Mesh]) OR (“tooth injuries”[Text Word])) OR (“teeth injuries”[Text Word])) OR (“tooth injury”[Text Word])) OR (“teeth injury”[Text Word])) OR (“Tooth Avulsion”[Mesh])) OR (“tooth avulsion”[Text Word])) OR (“tooth avulsions”[Text Word])) OR (“avulsed tooth”[Text Word])) OR (“tooth Dislocation”[Text Word])) OR (“tooth dislocations”[Text Word])) OR (“tooth luxation”[Text Word])) OR (“tooth luxations”[Text Word])) OR (“Tooth Fractures”[Mesh])) OR (“tooth fractures”[Text Word])) OR (“tooth fracture”[Text Word])) OR (“lateral luxation”[Text Word])) OR (“lateral luxations”[Text Word])) OR (“intruded tooth”[Text Word])) OR (“intruded teeth”[Text Word])) OR (“dental trauma”[Text Word])) OR (“traumatic dental”[Text Word])) OR (“root fracture”[Text Word])) OR (“root fractures”[Text Word])).
SciELO	“dental trauma” OR “traumatic dental injuries” OR “tooth injuries” OR “teeth injuries” OR “tooth injury” OR “teeth injury” OR “tooth avulsion” OR “tooth avulsions” OR “avulsed tooth” OR “tooth dislocation” OR “tooth dislocations” OR “tooth luxation” OR “tooth luxations” OR “Tooth Fractures” OR “tooth fracture” OR “lateral luxation” OR “lateral luxations” OR “intruded tooth” OR “intruded teeth” OR “root fractures”) AND ((2019 novel coronavirus disease) OR (COVID19) OR (COVID-19 pandemic) OR (SARS-CoV-2 infection ) OR (COVID-19 virus disease) OR (2019 novel coronavirus infection) OR (2019-nCoV infection) OR (coronavirus disease 2019) OR (coronavirus disease-19) OR (2019-nCoV disease) OR (COVID-19 virus infection))
Web of Science	((2019 novel coronavirus disease) OR (COVID19) OR (COVID-19 pandemic) OR (SARS-CoV-2 infection ) OR (COVID-19 virus disease) OR (2019 novel coronavirus infection) OR (2019-nCoV infection) OR (coronavirus disease 2019) OR (coronavirus disease-19) OR (2019-nCoV disease) OR (COVID-19 virus infection)) AND ((“Tooth Injuries") OR (“teeth injuries") OR (“tooth injury") OR (“teeth injury") OR (“Tooth Avulsion") OR (“tooth avulsions") OR (“avulsed tooth") OR (“tooth Dislocation") OR (“tooth dislocations") OR (“tooth luxation") OR (“tooth luxations") OR (“Tooth Fractures") OR (“tooth fracture") OR (“lateral luxation") OR (“lateral luxations") OR (“intruded tooth") OR (“intruded teeth") OR (“dental trauma") OR (“traumatic dental") OR (“root fracture") OR (“root fractures"))

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[1] Correspondence: Marília Leão Goettems, Graduate Program in Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457, Pelotas, RS, Brazil. 96015-560. E-mail:marilia.goettems@gmail.com