Ortodontia Interceptiva durante a Pandemia Covid-19: Urgências e Tratamentos prioritários
DOI:
https://doi.org/10.47990/alop.v10i2.198Palavras-chave:
Ortodoncia interceptiva, COVID-19, emergências e tratamentos prioritários, pandemiaResumo
Até à data, as várias agências de saúde internacionais e locais publicaram recomendações, regulamentos e protocolos para os cuidados dentários durante a pandemia COVID-19, ajustados às diferentes fases da pandemia.
A Associação Latino-americana de Odontologia Pediátrica, na sua missão de apoiar e levar a melhor informação disponível a todos os colegas latinos, publicou guias práticos e documentos de apoio que são fáceis de usar e partilhar com todo o pessoal dentário que trabalha em ambientes hospitalares, clínicas governamentais, instituições educacionais e clínicas privadas, que prestam cuidados a crianças, adolescentes e pacientes com deficiências.1-3
Os diferentes países encontram-se em fases diferentes da pandemia, pelo que as recomendações podem incluir a limitação do tratamento dentário às necessidades de emergência ou de tratamento prioritário. Isto pode envolver a suspensão temporária de controles ortodônticos interceptores regulares. O objectivo desta revisão é fornecer orientações sobre a gestão dos cuidados de saúde dos pacientes com tratamento ortodôntico interceptor durante o período da Pandemia VID-19, utilizando a literatura disponível e a opinião de especialistas. Muitos pacientes pediátricos estão a utilizar aparelhos ou necessitam de terapia a curto prazo, situações que requerem planeamento de tratamento com base na fase da pandemia em que cada local se encontra.
Embora os procedimentos ortodônticos sejam geralmente considerados eletivos, há situações em que são uma prioridade. Portanto, este documento procura definir o termo emergências ortodônticas durante o confinamento COVID-19, determinando quais as situações que podem ser geridas em casa através da teledontologia e quais as que requerem o atendimento pessoal no consultório dentário. Procura também descrever as más oclusões que requerem tratamento prioritário após o confinamento COVID-19, fazendo algumas recomendações terapêuticas baseadas em diferentes níveis de evidência, para a fase de dentição primária ou mista precoce.
As recomendações propostas abaixo estão ligadas à situação excepcional da pandemia e podem diferir das práticas clínicas habituais. Não constituem um protocolo clínico exaustivo de todos os tratamentos possíveis, mas sim um guia de orientação, sem substituir regulamentos locais, protocolos específicos, ou leis em vigor em cada país, e são susceptíveis de evolução e mudança, dependendo da situação sanitária. Os profissionais são encorajados a seguir quaisquer actualizações a este documento.
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