Biosafety Practices of Private Dental Clinicians during COVID-19 Pandemic: A Descriptive Phenomenological Study

Krisandra Batula; Precious Mindac; Jan Kristine Ruzgal; Vincent Gabriel Caagbay; Geovani Mercado; Nathalya Bmay Subido-Opena; Herminiano Jr. Inandan Subido

Authors

Krisandra Batula
Precious Mindac
Jan Kristine Ruzgal
Vincent Gabriel Caagbay
Geovani Mercado
Nathalya Bmay Subido-Opena
Herminiano Jr. Inandan Subido Adventist University of the Philippines

Keywords:

Biosafety Practices, Private Dental Clinician, Covid-19, Aerosol Generating Procedures

Abstract

This study investigates the implementation of biosafety protocols in dental settings during the COVID-19 pandemic. It draws attention to the increased risk of Covid-19 transmission to dental practitioners because of close contact and aerosol-generating procedures. There have been several transmissions among dentists, according to reports, which highlights the significance of taking appropriate precautions. Through a phenomenological study approach utilizing Colaizzi's method, six private dental practitioners were interviewed to understand their lived experiences during this period. The study unveils key themes and adaptations made by dental clinicians, including the swift implementation of safety measures such as online scheduling and specialized equipment adoption. Financial challenges, including increased PPE costs and clinic closures, prompted innovative solutions like implementing PPE fees for patients. Emphasis was placed on adherence to guidelines, patient triage systems, and clinic layout modifications, with a focus on safety measures such as high-vacuum suction systems and comprehensive PPE coverage. Despite financial constraints, dental clinicians demonstrated resilience and dedication to prioritizing safety amid challenging circumstances, highlighting the importance of ongoing adaptation and commitment to biosafety protocols in dental practice during the pandemic. For future research, recommend extending interviews, conducting further studies on Biosafety Practices among Private Dental Clinicians in Silang, Cavite, and assessing current biosafety practices while exploring decision-making processes behind specific measures.

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References

Ahmed, M. A., Jouhar, R., Ahmed, N., Adnan, S., Aftab, M., Zafar, M. S., & Khurshid, Z. (2020). Fear and Practice Modifications among Dentists to Combat Novel Coronavirus Disease (COVID-19) Outbreak. International Journal of Environmental Research and Public Health, 17(8), 2821. MDPI AG. Retrieved from http://dx.doi.org/10.3390/ijerph17082821

Al-Amer, R., Ramjan, L. M., Maneze, D., Al-Rashdan, O., Villarosa, A. R., Salamonson, Y., & George, A. (2022, July 28). The impact of a pandemic on dental professionals’ work and personal lives: A qualitative study with implications for primary healthcare workers. Frontiers. Retrieved December 5, 2022, from ttps://www.frontiersin.org/articles/10.3389/ fpubh.2022.963410/full

Alwazzan RA, Baseer MA, ALMugeiren OM, Ingle NA. Dental Professional's Knowledge, Preventive Awareness and Attitude Towards COVID-19 in Saudi Arabia: A Cross-Sectional Survey. Risk Manag Healthc Policy. 2021 Jun 1;14:2277-2288. doi: 10.2147/RMHP.S303858. PMID: 34104018; PMCID: PMC8179811.

Aldahlawi, S. A., & Afifi, I. K. (2020). COVID-19 in dental practice: Transmission risk,

infection control challenge, and clinical implications. The Open Dentistry Journal, 14(1).

Bahador, M., Alfirdous, R. A., Alquria, T. A., Griffin, I. L., Tordik, P. A., & Martinho, F. C. (2021). Aerosols Generated during Endodontic Treatment: A Special Concern during the Coronavirus Disease 2019 Pandemic. Journal of Endodontics, 47(5), 732–739. doi:10.1016/j.joen.2021.01.009

Banakar, M., Bagheri Lankarani, K., Jafarpour, D. et al., COVID-19 transmission risk and protective protocols in dentistry: a systematic review. BMC Oral Health 20, 275 (2020). https://doi.org/10.1186/s12903-020-01270-9

Cabrera-Tasayco, F. del P., Rivera-Carhuavilca, J. M., Atoche-Socola, K. J., Peña-Soto, C., & Arriola-Guillén, L. E. (2020). Biosafety measures at the dental office after the appearance of COVID-19: A systematic review. Disaster Medicine and Public Health Preparedness, 1–16. doi:10.1017/dmp.2020.269

Çelik OE, Cansever İH. Evaluation of the effects of the COVID-19 pandemic on dentistry. Clin Exp Dent Res. 2021 Dec;7(6):943-950. doi: 10.1002/cre2.466. Epub 2021 Jun 30. PMID: 34196128; PMCID: PMC8427031 https://content.iospress.com/articles/work/wor211035

CDC. (2020, February 11). COVID-19 and Your Health. Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/your-health/if-you-were-exposed.html

Chaudhary FA, Fazal A, Ahmad B, Khattak O, Hyder M, Javaid MM, Iqbal A, Issrani R. The Impact of COVID-19 Pandemic on the Psychological Health and Dental Practice of Oral Healthcare Workers: A Scoping Review. Risk Manag Healthc Policy. 2022;15:1421-1431 https://doi.org/10.2147/RMHP.S370125

Cruz-Fierro, N., Borges-Yáñez, A., Duarte, P. C., Cordell, G. A., & Rodriguez-Garcia, A. (2022). COVID-19: the impact on oral health care. Ciência & Saúde Coletiva, 27, 3005-3012.

Faccini, M., Ferruzzi, F., Mori, A. A., Santin, G. C., Oliveira, R. C., Oliveira, R. C. G. de, … Freitas, K. M. S. (2020). Dental Care during COVID-19 Outbreak: A Web-Based Survey. European Journal of Dentistry. doi:10.1055/s-0040-1715990

Esperanza, D., ng (2022). Examining characteristics of descriptive phenomenological nursing studies: A scoping review. Shefaly Shorey, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11, 10 Medical Drive, Singapore. https://doi.org/DOI: 10.1111/jan.15244

Farshidfar, N., Jafarpour, D., Hamedani, S., Dziedzic, A., & Tanasiewicz, M. (2021). Proposal for Tier-Based Resumption of Dental Practice Determined by COVID-19 Rate, Testing and COVID-19 Vaccination: A Narrative Perspective. Journal of Clinical Medicine, 10(10), 2116.

Hafeez, M., Javed, Y., Hanif, S., Haseeb, M., Butt, A., Aftab, R., & Rana, M. (2022). AN ANALYSIS OF EXPERIENCES AND PROBLEMS FACED BY THE DENTISTS DURING COVID-19 PANDEMIC: A QUESTIONNAIRE-BASED SURVEY. Biological and Clinical Sciences Research Journal, 2022(1). https://doi.org/10.54112/bcsrj.v2022i1.89

Hanif, M (2020). Infection control in dentistry: present and future. Dental News Pakistan. Published June 14, 2020. https://www.dentalnewspk.com/infection-control-in-dentistry-present-and-future/.

Hegde, S. (2020). Which type of personal protective equipment (PPE) and which method of donning or doffing PPE carries the least risk of infection for healthcare workers?. Evidence-based dentistry, 21(2), 74-76.

Hleyhel, M., Haddad, C., Haidar, N. et al., Determinants of knowledge and prevention

measures towards COVID-19 pandemic among Lebanese dentists: a cross sectional survey. BMC Oral Health 21, 241 (2021). https://doi.org/10.1186/s12903-021-01599-9

Malateaux, G., Gamarra, R. S., & Dib, L. L. (2020). UV irradiation as a disinfection method to reduce COVID-19 cross-contamination in dentistry: a scoping review. J Dent Oral Hyg, 3, 2020.

Miglani, S., Ansari, M. I., Ahuja, B., & Gupta, A. (2020). Use of newer protective and disinfection strategies: A simple tool guide for the dentists during the COVID-19 pandemic. International Journal of Current Research and Review, 151-154.

Montalli, V. A. M., Garcez, A. S., Montalli, G. A. M., FranÇA, F. M. G., Suzuki, S.S., Mian, L. M. T., ... & Junqueira, J. L. C. (2020). Individual biosafety barrier in dentistry: an alternative in times of COVID-19. Preliminary study. RGO-Revista Gaúcha de Odontologia, 68.

Plaza-Ruiz, S., Barbosa-Liz, D., & Agudelo-Suárez, A. (2022). Impact of COVID-19 on the future career plans of dentists. Dental and Medical Problems, 59(2), 155–165. https://doi.org/10.17219/dmp/143548

Ren, Y.-F., Huang, Q., Marzouk, T., Richard, R., Pembroke, K., Martone, P., Eliav, E.(2021). Effects of mechanical ventilation and portable air cleaner on aerosol removal from dental treatment rooms. Journal of Dentistry, 105, 103576. doi:10.1016/j.jdent.2020.103576

Schwendicke F., Krois, J., Gomez, J., (2020) Impact of SARS-CoV2 (COVID-19) on dental practices: Economic analysis. (2020, May 27). Impact of SARS-CoV2 (COVID-19) on Dental Practices: Economic Analysis - ScienceDirect. Retrieved December 4, 2022, from https://www.sciencedirect.com/science/article/pii/S0300571220301330?fbclid=IwAR3q8H1ODcKJXF3xP2iS8iz7C4oDH6UATrVkkGzdPYaubR_oGXV2y31SjJw#section-cited-by

Siles-Garcia, A. A., Alzamora-Cepeda, A. G., Atoche-Socola, K. J., Peña-Soto, C., & Arriola-Guillén, L. E. (2020). Biosafety for dental patients during dentistry care after COVID-19: A review of the literature. Disaster Medicine and Public Health Preparedness, doi:10.1017/dmp.2020.252 38.

Tysiąc-Miśta, M., & Dziedzic, A. (2020). The Attitudes and Professional Approaches of Dental Practitioners during the COVID-19 Outbreak in Poland: A Cross- Sectional Survey. International Journal of Environmental Research and Public Health, 17(13), 4703. doi:10.3390/ijerph17134703

Van Doremalen, N., Bushmaker, T., Morris, D. H., Holbrook, M. G., Gamble, A., Williamson, B. N., Munster, V. J. (2020). Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. New England Journal of Medicine, 382(16), 1564–1567. doi:10.1056/nejmc2004973 42.

Zhao, B., An, N., & Chen, C. (2020). Using air purifier as a supplementary protective measure in dental clinics during the COVID-19 pandemic. Infection Control & Hospital Epidemiology, 1-4. doi:10.1017/ice.2020.292