Evidence map›Paper›PMID 34455018›Full record

ArticleJournal of dentistry2021

Risk of SARS-CoV-2 transmission following exposure during dental treatment - A national cohort study.

Lena Natapov, Dara Schwartz, Hagit Domb Herman, Dan Dekel Markovich, David Yellon, Mutaz Jarallah, Irena Liphshiz, Yehuda Carmeli, Isabella Karakis

Abstract read
In one paragraph

Article in Journal of dentistry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Dental Treatment and Risk of COVID-19 in Japan.Oral health & preventive dentistry · 2023
    Article
  10. Article
  11. Quantifying strategies to minimize aerosol dispersion in dental clinics.Experimental and computational multiphase flow · 2023
    Article
  12. Article
  13. COVID-19 incidence and vaccination rates among Canadian dental hygienists.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2022
    Article
  14. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Lena NatapovDental Health Division, Ministry of Health, Israel.
Dara SchwartzDental Health Division, Ministry of Health, Israel. Electronic address: dara.schwartz@moh.gov.il.
Hagit Domb HermanDental Health Division, Ministry of Health, Israel.
Dan Dekel MarkovichDental Health Division, Ministry of Health, Israel.
David YellonDental Health Division, Ministry of Health, Israel.
Mutaz JarallahDental Health Division, Ministry of Health, Israel.
Irena LiphshizDepartment of Data Research, Ministry of Health, Israel.
Yehuda CarmeliDivision of Epidemiology and the National Institute for Infection Control and Antibiotic Resistance, Tel Aviv Sourasky Medical Center, Israel.
Isabella KarakisFaculty of Health Science, Ben-Gurion University, Beer Sheva, Israel; Department of Environmental Epidemiology, Ministry of Health, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHealth care workers are at an increased risk of SARS - CoV-2 transmission. The risk of infection for dental teams is assumed to be high, due to work settings, proximity to mouth, exposure to saliva and aerosols. There is a lack of evidence that quantifies the risk of SARS-CoV-2 transmission for dental patients and staff. Our objective was to assess SARS-CoV-2 transmission risk for dental staff members (DSMs) and patients following exposure in dental clinics during the second wave of the pandemic in Israel.

methodsThe study analyzed new positive SARS-CoV-2 cases following exposures in dental clinics from May to September 2020. Two data sources were used: case report forms (CRFs) and epidemiological investigations. CRFs were developed by the MoH and distributed to dental clinics to identify DSMs exposed to SARS-CoV-2 positive patients, and patients exposed to positive DSMs. SARS-CoV-2 status was diagnosed using MoH approved tests in certified laboratories and verified against the national COVID-19 database. Statistical analysis on a non-identified basis was performed. The population incidence and dental setting transmission rates were calculated for the study period with 95% Confidence Intervals.

resultsFollowing 962 reported exposures of DSMs to 508 SARS-CoV-2 positive patients, 7 DSMs were SARS - CoV-2 positive with a 0.7% cumulative transmission rate. Following 507 reported exposures by 43 SARS-CoV-2 positive DSMs, 3 patients were SARS - CoV-2 positive, with a 0.6% cumulative transmission rate. During the study period, the SARS-CoV-2 incidence rate in dental clinics was significantly lower when compared to the population.

conclusionsThe transmission rate of SARS-CoV-2 in dental settings was very low for both patients and DSMs. CLINICAL SIGNIFICANCE: Our results suggest that routine dental care could be safely provided during the pandemic. Continuous monitoring should be performed due to the emergence of new variants and the vaccination programs.

Indexed as

COVID-19SARS-CoV-2Cohort StudiesDental CareHumansMouthCOVID-19Dental healthcareInfection controlPandemicSARS-CoV-2Transmission

Identifiers

PMID34455018
PMCPMC8388145

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.