Role of Telemedicine for Facio-Odontogenic Pain Management During COVID-19 Pandemic

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CLINICAL PAPER

Role of Telemedicine for Facio-Odontogenic Pain Management During COVID-19 Pandemic Kritant Bhushan1 • Prashant Kulkarni2 • Mansi Luthra Sharma3

Received: 26 July 2020 / Accepted: 16 September 2020  The Association of Oral and Maxillofacial Surgeons of India 2020

Abstract Introduction As the COVID-19 pandemic is increasingly griping the world, the entire landscape of existing patient management needs to be changed to avoid spread of Corona virus. In cases of emergencies, there is no option other than getting in-person consultations with doctors. But, in non-emergency patients, telemedicine can serve as a boon. Material and methods In this article, we have tried to summarize the rules, regulations and protocols in accordance with government guidelines along with practical management for urgencies in dento-/oro-facial pains. Conclusion If used wisely and as per recommendations, telemedicine is a very useful tool in the present COVID-19 pandemic, to avoid spread of infection to patients as well as health care workers. Keywords Telemedicine  COVID-19 pandemic  Facial odontogenic pains

& Kritant Bhushan [email protected] Prashant Kulkarni [email protected] 1

Armed forces, Shimla, India

2

Nirmay Hospital, Pune, India

3

KD Dental college and hospital, Mathura, India

Introduction Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It was first identified in December 2019 in Wuhan, Hubei, China, and has resulted in an ongoing pandemic. The first case of COVID-19 in India was reported on 30 January 2020. Ever since the emergence of these first cases, COVID-19 has become a public health crisis globally. To halt transmission, GOI impose the lockdown Pan India on 23 March 2020. COVID-19 spreads primarily when people are in close contact and one person inhales small droplets produced by an infected person [1, 2]. The WHO recommends 6 ft of social distance. As dentists are very prone and come under high-risk category in consideration of the risk, dental treatment may pose due to close contact with the patient oral cavity, saliva, blood and respiratory tract secretions; the Indian Government suspended regular dental treatments, allowing only emergency treatment [1]. In the current scenario of COVID-19 pandemic, telemedicine is emerging as a key technology for efficient communication and sustainable solution to provide essential health care services. Practice of dental surgery is an out-patient-based practice requiring a close contact with patient. Apart from that, pre- and post-treatment visits are required too. During these pre- and post-visits, patient needs to seat in waiting room, has to interact with receptionist and has to come in physical contact with other patient and their relatives [1]. In the time of corona pandemic, these visits can be avoided to some extent by telemedicine.

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J. Maxillofac. Oral Surg.

Guidelines for Use of Telemedicine Due to COVID-19 crisis, on 25 March 2020, Board of Governors (B