Conceptual Paper
Volume 19 Issue 4 - 2020
News from the COVID-19 front in an Italian Dental Practice
Livia Barenghi*
Office of Infection Prevention, Integrated Orthodontic Services srl, Italy
*Corresponding Author:Livia Barenghi, Office of Infection Prevention, Integrated Orthodontic Services srl, Italy.
Received: March 17, 2020, 2020; Published: March 24, 2020


Keywords: Infection Control; Covid-19; Sars-Cov; Dentistry

Dental healthcare personnel (DHCP) faces up to air-borne and blood-borne infections every day during dental work. Concerning COVID- 19 and as of 7 March 2020, 08.00, Italy represents 63% of the cases (n = 4636) and 92% of the fatalities (n = 197) in the EU/EEA, the UK, San Marino, Monaco and Switzerland, which totally count 7264 cases and 197 fatalities [1]. In Italy, the mortality rate (MR) seems to be higher than worldwide, being respectively 4,2% (197/4636) compared to 3,4% (3488/102132), but data could be affected by the differences of the applied case definitions in the affected countries. The main cluster of cases for COVID-19 has been found in Lombardy (56% of cases with MR 5,1%) and other cases (~32% with MR 3,5%) from three other Regions (Veneto, Emilia Romagna and Marche) [2,3]. Transmission events seem to have occurred locally and have been reported also in hospitals. Up to now, the restrictive and preventative measures have been extended for a few extra weeks in Italy, in particular in Lombardia and another 15 districts [4,5]. Concurrently, we should remember the fatalities and cases of other diseases with a similar mode of transmission. Fatalities for seasonal influenza and tuberculosis are estimated respectively to be about 8000 and 330 - 340 per year in Italy; in Lombardy, the new cases for tuberculosis, legionellosis and pneumonia acquired by different agents were respectively 598, 962, 653 in 2017 [6-8]. DHCP is in the front line for infection prevention during COVID-19 and other respiratory disease outbreaks (i.e. flu, meningitis etc) [9,10]. Long term occupational mental stress and health-risk is expected because DHCP is potentially exposed with almost all close contacts, but also stressed by misinformation and rumours.


  1. ECDC. “Situation update for the EU/EEA, the UK, San Marino, Monaco, Switzerland and Andorra” (2020). 
  2. “Covid-19: cases in Italy as of 7 March” (2020).
  3. Italian Minister of Health. 
  4. “Decreto Del Presidente del Consiglio dei Ministri 8 marzo 2020. Ulteriori disposizioni attuative del decreto-legge 23 febbraio 2020, n. 6, recante misure urgenti in materia di contenimento e gestione dell’emergenza epidemiologica da COVID-19”. Gazzetta Ufficiale Della Repubblica Italiana 59 (2020). 
  5. Spina S., et al. “The response of Milan’s Emergency Medical System to the COVID-19 outbreak in Italy”. The Lancet (2020).
  6. Istituto Supertiore di Sanità. 
  7. ECDC. Tuberculosis surveillance and monitoring in Europe (2019). 
  8. Regione Lombardia. “Le malattie infettive in Lombardia Anni 2017-2018”.
  9. Report sorveglianza del. “le malattie infettive in lombardia 2017-2108” (2019).
  10. ECDC. “Invasive meningococcal disease”. Annual Epidemiological -Report for 2017.
  11. “Meningococcal C outbreak in Lombardy” (2019-2020).
  12. Peng X., et al. “Transmission routes of 2019-nCoV and controls in dental practice”. International Journal of Oral Science 12 (2020): 9.
  13. California Dental Association. “Coronavirus and patient screening: Recommended actions for dentists”. (2020). 
  14. American Dental association. “Infectious Diseases: 2019 Novel Coronavirus” (2019). 
  15. “Coronavirus: No do-it-yourself (DIY) data collection, says the Italian DPA” (2020).
  16. Sidley Austin LLP. “Coronavirus Risks - U.S. and European Employment and Privacy Law Issues” (2020). 
  17. Tyson T and Susser P. “What Are Companies’ Legal Obligations Around Coronavirus?” (2020). 
  18. “Summary of Infection Prevention Practices in Dental Settings”. USA: Centers for Disease Control and Prevention (2016). 
  19. Barenghi L., et al. “Infection control in dentistry and drug resistant infectious agents: a burning issue”. InTech 2 (2018). 
  20. Barenghi L., et al. “Innovation by computer-aided design/computer-aided manufacturing technology: a look at infection prevention in dental settings. BioMed Research International (2019).
  21. Weber DJ., et al. “Continuous room decontamination technologies”. American Journal of Infection Control 47 (2019): A72-A78.
  22. Liu MH., et al. “Removal efficiency of central vacuum system and protective masks to suspended particles from dental treatment”. PLoS ONE 14.11 (2019): e0225644.
  23. Di Blasio A and Barenghi L. “Orthodontic instruments and supplies: are they semicritical or critical items?” American Journal of Infection Control 45 (2017): 210-213.
  24. Sistema Nazionale Linee Guida. “Dell’Istituto Superiore di Sanità” (2020).
  25. ECDC. “Infection prevention and control in dentistry” (2020). 
  26. Regione Lombardia. “Aggiornamento Linee guida per la prevenzione e controllo delle malattie trasmissibili negli ambulatori e/o studi odontoiatrici” 20 (2009).
  27. Kai-Wang To K., et al. “Consistent Detection of 2019 Novel Corona virus in Saliva”. Clinical Infectious Diseases (2020): 1-3.
  28. Sabino-Silva R., et al. “Corona virus COVID-19 impacts to dentistry and potential salivary diagnosis”. Clinical Oral Investigations (2020).
  29. Kampf G., et al. “Persistence of corona viruses on inanimate surfaces and its inactivation with biocidal agents”. Journal of Hospital Infection 104.3 (2020): 246-251.
  30. Cieplik F., et al. “Resistance Toward Chlorhexidine in Oral Bacteria - Is There Cause for Concern?” Frontiers in Microbiology 10 (2019): 587.
  31. Radonovich LJ., et al. “N95 Respirators vs Medical Masks for Preventing Influenza Among Health Care Personnel. A Randomized Clinical Trial”. The Journal of the American Medical Association 322.9 (2019): 824-833.
  32. Kobza J., et al. “Do exposures to aerosols pose a risk to dental professionals?” Occupational Medicine 68.7 (2018): 454-458. 
  33. Zemouri C., et al. “A scoping review on bio-aerosols in healthcare and the dental environment”. PLoS ONE 12.5 (2017): e0178007.
  34. Collins FM. “The significance of the US Food and drug administration for dental professionals and safe patient care”. The Journal of the American Dental Association 148.11 (2017): 858-861.
  35. Oral Health. “China’s Island Province Hainan Suspends All Dental Clinics to Avoid Coronavirus Risks” (2020).
Citation: Livia Barenghi. “News from the COVID-19 front in an Italian Dental Practice”. EC Dental Science 19.4 (2020): 157-161.

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