Role of Dental Professional in COVID-19 pandemic : A comprehensive review

  • Dr Preeti Dhir Dashmesh Institute of Research and Dental Sciences
  • Dr. Ramandeep Singh Punia Professor and Head, Dashmesh Institute of Research and Dental Sciences, Faridkot, Punjab
  • Dr. Sandeep Kumar Bains Professor, Dashmesh Institute of Research and Dental Sciences, Faridkot, Punjab.
Keywords: COIV-19, dentistry, pandemic, review


SARS-CoV-2, a virus causing severe acute respiratory syndrome, has inundated the whole world, generating global health concerns. The World Health Organization announced that the outbreaks of the novel coronavirus have constituted a public health emergency of international concern. Transmission occurs primarily through droplet spread or contact routes. Due to the characteristics of dental settings, the risk of cross infection can be high between patients and dental practitioners. Dental specialists in the upcoming days will likely come across patients with presumed or confirmed COVID-19 and will have to ensure stringent infection prevention and control to prevent its nosocomial spread. Therefore, a greater understanding of the structure of the virus, modes of transmission, clinical features, and testing methods is needed that can help to form protocols for dental practices to identify cases and prevent further spread of infection to the patients.




Download data is not yet available.


R. Mathur, “Ethics preparedness for infectious disease out-breaks research in India: a case for novel coronavirus disease 2019”. Indian Journal of Medical Research 2020;151: 124–131.

Cantas, L.; Suer, K. Review: The important bacterial zoonoses in “One Health” concept. Front. Public Health 2014;2:1–8.

Morse, S.S.; Mazet, J.A.K.; Woolhouse, M.; Parris, C.R.; Carroll, D.; Karesh, W.B.; Zambrana-Torrelio, C.;Lipkin, W.I.; Daszak, P. Prediction and prevention of next pandemic zoonosis. Lancet 2012;380:1956–1965.

Bidaisee, S.; Macpherson, C. Zoonoses and One Health: A Review of Literature. J. Paras. Res 2014;1–8.

Furuse, Y.; Suzuki, A.; Oshitani, H. Origin of measles virus: Divergence from rinderpest virus between the 11th and 12th centuries. Virol. J 2010;7:1–4.

Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, Ren R, Leung KSM, Lau EHY, Wong JY, et al. 2020. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med 2020 Mar 26; 382(13):1199–1207.

S. Prasad, V. Potdar, S. Cherian, P. Abraham, and A. Basu,“Transmission electron microscopy imaging of SARS-CoV-2,”. Indian Journal of Medical Research 2020;151(3):243.

Mahase E. 2020. China coronavirus: WHO declares international emergency as death toll exceeds 200. BMJ 2020;368:m408.

Centers for Disease Control and Prevention,Interim Infection Prevention and Control Guidance for Dental Settings during the COVID-19 Response, Centers for Disease Control and Prevention, Atlanta, GA, USA, 2019.

L. Meng, F. Hua, and Z. Bian, “Coronavirus disease 2019 (COVID-19): emerging and future challenges for dental and oral Medicine,”. Journal of Dental Research 2020;99( 5): 481–487.

Fehr AR, Perlman S. Coronaviruses: An overview of their replication and pathogenesis. Coronaviruses Methods in Molecular Biology 2015;1282:1-23.

Najla Dar Odeh, Hamzah Babkair, Shaden Abu‐Hammad, Sary Borzangy , Abdalla Abu‐Hammad and Osama Abu‐Hammad COVID‐19: Present and Future Challenges for Dental Practice Int. J. Environ. Res. Public Health 2020;17:1- 10.

Lancet T. MERS-CoV: A global challenge. Lancet 2013;381(9882):61184-8.

Li X, Geng M, Peng Y, Meng L, Lu S. Molecular immune pathogenesis and diagnosis of COVID-19. J Pharm Anal 2020; 10(2):102-8.

Tortorici MA, Veesler D. Structural insights into coronavirus entry. Adv Virus Res 2019; 22;105: 93-116.

Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, Qiu Y, Wang J, Liu Y, Wei Y, et al. 2020. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020;395(10223):507–513.

Del Rio C, Malani PN. 2020. 2019 novel coronavirus-important information for clinicians. JAMA 2020 Mar 17;323(11):1039-1040.

Holshue ML, DeBolt C, Lindquist S, Lofy KH, Wiesman J, Bruce H, Spitters C, Ericson K, Wilkerson S, Tural A, et al. 2020. First case of 2019 novel coronavirus in the United States. N Engl J Med N Engl J Med 2020 Mar 5;382(10):929-936.

J. F.-W. Chan, S. Yuan, K.-H. Kok et al., “A familial cluster of pneumonia associated with the 2019 novel coronavirus in-dicating person-to-person transmission: a study of a family cluster,”&e Lancet 2020;395:(10223)514–523.

World Health Organization, Modes of Transmission of Virus Causing COVID-19: Implications for IPC Precaution Recom-mendations, World Health Organization, Geneva, Switzer-land, 2019 detail/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations.

Backer JA, Klinkenberg D, Wallinga J. 2020. Incubation period of 2019 novel coronavirus (2019-nCoV) infections among travellers from Wuhan, China. Euro Surveill 2020;25(5):20-28.

A. Wilder-Smith, C. J. Chiew, and V. J. Lee, “Can we contain the COVID-19 outbreak with the same measures as for SARS?” 5e Lancet Infectious Diseases 2020;(20)5:e102–e107.

J. Riou and C. L. Althaus, “Pattern of early human-to-human transmission of Wuhan 2019 novel coronavirus (2019-nCoV), December 2019 to January 2020,”. Eurosurveillance 2020;25(4).

Y. Bai, L. Yao, T. Wei et al., “Presumed asymptomatic carrier transmission of COVID-19,”. JAMA 2020;323(14):1406.

C.-C. Lai, Y. H. Liu, C.-Y. Wang et al., “Asymptomatic carrier state, acute respiratory disease, and pneumonia due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2):facts and myths,” Journal of Microbiology, Immunology and Infection 2020;53(3):404–412.

K.-Q. Kam, C. F. Yung, L. Cui et al., “A well infant with coronavirus disease 2019 (COVID-19) with high viral load,” Clinical Infectious Diseases 2020 Jul 28;71(15):847-849.

Guan W-J, Ni Z-Y, Hu Y, Liang W-H, Ou C-Q, He J-X, Liu L, Shan H, Lei C-L, Hui DS, et al. 2020. Clinical characteristics of 2019 novel coronavirus infection in China. N Engl J Med 2020 Apr 30;382(18):1708-1720.

L. Fang, G. Karakiulakis, and M. Roth, “Are patients with hypertension and diabetes mellitus at increased risk for COVID-19 infection?”. Lancet Respiratory Medicine 2020; 8(4):e21.

J. Yang, Y. Zheng, X. Gou et al., “Prevalence of comorbidities in the novel Wuhan coronavirus (COVID-19) infection: a systematic review and meta-analysis,”International Journal of Infectious Diseases 2020;99:47-56.

P. Wang, N. Anderson, Y. Pan et al., “*e SARS-CoV-2 outbreak: diagnosis, infection prevention, and public per-ception,”. Clinical Chemistry 2020;66(5):644–651.

K Michael Coronavirus disease 2019 (COVID-: protecting hospitals from the invisible,” Annals of Internal Medicine 2020; 172(9):619-620.

K. K.-W. To, O. T.-Y. Tsang, C. Chik-Yan Yip et al., “Consistent detection of 2019 novel coronavirus in saliva,”Clinical Infectious Diseases 2020;71 (15):841–843.

X. Peng, X. Xu, Y. Li, L. Cheng, X. Zhou, and B. Ren, “Transmission routes of 2019-nCoV and controls in dental practice,” International Journal of Oral Science 2020;12(9):1-6.

Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, Wang B, Xiang H, Cheng Z, Xiong Y, et al. 2020. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. JAMA. 2020 Mar 17; 323(11): 1061–1069.

F. Bennardo, C. Buffone, and A. Giudice, “New therapeutic opportunities for COVID-19 patients with Tocilizumab:possible correlation of interleukin-6 receptor inhibitors with osteonecrosis of the jaws,”Oral Oncology 2020;106.

Kohn WG, Collins AS, Cleveland JL, Harte JA, Eklund KJ, Malvitz DM; Centers for Disease Control and Prevention. 2003. Guidelines for infection control in dental health-care settings—2003.

N. D. Jampani, R. Nutalapati, B. S. K. Dontula, and R. Boyapati, “Applications of teledentistry: a literature review and update,”Journal of International Society of Preventive and Community Dentistry 2011;1(2):37–44.

American Dental Association. ADA Interim Guidance for Minimizing Risk of COVID-19 Transmission. United States of America. 2020.

L. Fiorillo, G. Cervino, M. Matarese et al., “COVID-19 surface persistence: a recent data summary and its importance for medical and dental settings,”International Journal of Envi-ronmental Research and Public Health 2020;17(9):3132.

American Dental Association. Interim Guidance for Management of Emergency and Urgent Dental Care. United States of America. 2020.

Luzzi, V.; Ierardo, G.; Bossù, M.; Polimeni, A. COVID-19: Pediatric Oral Health during and after the Pandemics. Appl. Sci. 2020;10:1–8.

L. Fiorillo, “Chlorhexidine gel use in the oral district: a sys-tematic review,” Gels 2019;5 (2):31.

L. P. Samaranayake, J. Reid, and D. Evans, “*e efficacy of rubber dam isolation in reducing atmospheric bacterial contamination,” ASDC Journal of Dentistry for Children 1989;56(6):442–444.

A. Ather, B. Patel, N. B. Ruparel, A. Diogenes, and K. M. Hargreaves, “Coronavirus disease 19 (COVID-19): implications for clinical dental care,” Journal of Endodontics, 2020;46(5):584–595.

S. K. Harrel and J. Molinari, “Aerosols and splatter in den-tistry,” Journal of the American Dental Association 2004;135(4): 429–437.

D. Maret, O. A. Peters, F. Vaysse, and E. Vigarios, “Integration of telemedicine into the public health response to COVID-19 must include dentists,”International Endodontic Journal 2020;53(6):880-881.

Kampf, G.; Todt, D.; Pfaender, S.; Steinmann, E. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J. Hosp. Infect 2020;104: 246–251.

DOI: 10.26838/MEDRECH.2020.7.5.450
Published: 2020-10-21
How to Cite
Dr Preeti Dhir, Punia RS, Bains SK. Role of Dental Professional in COVID-19 pandemic : A comprehensive review . Med. res. chronicles [Internet]. 2020Oct.21 [cited 2020Dec.4];7(5):297-04. Available from:
Review Article