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Orthodontics at Times of National Emergency: Past and Current Crises Part 2. COVID-19: Implications for Clinical Practice

From Volume 13, Issue 3, July 2020 | Pages 108-116

Authors

Tara V N Lee

BDS, DDS, MOrth RCSEd

Senior Registrar in Orthodontics, University of Bristol Dental Hospital and Royal United Hospitals, Bath

Articles by Tara V N Lee

Peter V Fowler

BDS, MSc, PhD, MOrth RCS, FRACDS(Orth)

Honorary Consultant Senior Lecturer in Orthodontics, University of Bristol Dental Hospital

Articles by Peter V Fowler

Julie C Williams

BDS, MFGDP, DPDS MA (Ethics of Healthcare)

StR in Orthodontics, Musgrove Park Hospital, Taunton and Yeovil District Hospital and University of Bristol, Bristol, UK

Articles by Julie C Williams

Pamela Ellis

BDS, MSc, MOrth RCS, FDS RCS

Consultant Orthodontist, Dorchester Hospital NHS Foundation Trust, Dorchester

Articles by Pamela Ellis

Nikki E Atack

BDS, MSc, MOrth RCS, FDS RCS

Consultant Orthodontist, Musgrove Park Hospital, Taunton and School of Oral and Dental Sciences, University of Bristol

Articles by Nikki E Atack

Abstract

This paper explores the disease COVID-19 caused by the SARS-CoV-2 virus. This disease has caused a global pandemic affecting the way society both works and lives. COVID-19 is spread through droplets from the mouth and nose, which has implications for how we practice orthodontics. Our clinical practice will therefore need to be adapted to keep both patients and staff safe. This paper addresses the adaptations that should be considered. We also address what the future of orthodontics may look like in light of the issues with cross infection that COVID-19 has raised.

CPD/Clinical Relevance: How to adapt our clinical practice to keep both staff and patients safe.

Article

In the first part of this two-part article, past crises were looked at in relation to the recovery process and how this impacted the delivery of orthodontics. In this second part, the way forward after the impact of this novel disease of COVID-19 will be discussed and how the lessons learnt from previous crises can influence this.

In late 2019, the World Health Organization (WHO) was notified of an outbreak of pneumonia cases of unknown cause in Wuhan, China. On 7 January 2020, the Chinese government identified a new coronavirus as the cause of this pneumonia outbreak.1 Coronaviruses can cause illnesses in both animals and humans, presenting with a range of symptoms ranging from the common cold to more severe diseases such as Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS).2

On 11 February 2020, this new virus was given the name SARS-CoV-2 due to its genetic resemblance to the coronavirus responsible for the 2003 SARS outbreak, and the disease it causes was named COVID-193 (Figure 1). The SARS-CoV-2 virus has a higher transmissibility than the SARS-CoV and MERS-CoV viruses.4

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