ORAL MANIFESTATIONS AND INJURIES RELATED TO COVID-19: AN EXPERIENCE REPORT ON THE ROLE OF HOSPITAL DENTISTRY

Autores

  • Francis Rossetti Pedack
  • Marciano Eduardo da Rosa
  • Jaqueline Stall
  • Karina Munhoz de Paula Alves Coelho
  • Paulo Henrique Condeixa de França
  • Jussara Maria Gonçalves

DOI:

https://doi.org/10.25110/arqsaude.v27i7.2023-025

Palavras-chave:

Hospital, SARS-CoV-2, Anosmia, Dysgeusia, Dental Service

Resumo

SARS-COV-2 is transmitted among human beings by saliva droplets that come in direct contact with the oral cavity, nose, and eyes. Since the mouth is one of the anatomical sites primarily contaminated, oral manifestations have also been reported beyond the serious consequences inherent to progressive respiratory failure. This study aimed to identify oral manifestations possibly related to the infection by COVID-19 in hospitalized patients. A prospective study was carried out with patients diagnosed with COVID-19 in the period between March and June 2021, admitted to the Moderate COVID-19 Care Unit of the Hans Dieter Schmidt Regional Hospital, by applying a form and performing a clinical exam of the oral cavity. Out of all patients (n=45), 33.3% reported both olfactory (anosmia) and taste dysfunction (dysgeusia), with an average duration of 5.9 ±3.0 days. Regarding other oral manifestations evaluated, two patients reported dry and burning mouth and one patient reported a change in taste associated with plaque-like changes in the tongue. No patients presented ulcers or other lesions in the oral cavity. Olfactory and taste dysfunction were symptoms recognized of the novel coronavirus disease (COVID-19). However, the association with other oral manifestations is still controversy. Unfortunately, dentistry professionals are still not part of most teams in the hospital environment, mostly because of the lack of prioritization of dental care. Working with a multidisciplinary team may avoid possible systemic complications due to poor dental care.

Referências

AMERICAN ACADEMY OF OTOLARYNGOLOGY - Head and Neck Surgery (AAO-HNS). COVID-19 Anosmia Reporting Tool. Available at: https://www.entnet.org/covid-19-anosmia-reporting-tool. Accessed 2020 Dec 19.

AMORIM DOS SANTOS, J.; NORMANDO, A.G.C.; CARVALHO DA SILVA, R.L.; ACEVEDO, A.C.; DE LUCA CANTO, G.; SUGAYA, N.; GUERRA, E.N.S. Oral manifestations in pacientes with COVID-19: a living systematic review. Journal of Dental Research, v. 100, p. 141-154, 2021.

BÉNÉZIT, F.; LE TURNIER, P.; DECLERCK, C.; PAILLÉ, C.; REVEST, M.; DUBÉE, V.; TATTEVIN, P. Utility of hyposmia and hypogeusia for the diagnosis of COVID-19. The Lancet Infection Diseases, v. 20, p. 1014-1015, 2020.

BIADSEE, A.; BIADSEE, A.; KASSEM, F.; DAGAN, O.; MASARWA, S.; ORMIANER, Z. Olfactory and oral mnifestations of COVID-19: sex-related symptoms - A potential pathway to early diagnosis. Otolaryngology - Head and Neck Surgery, v. 163, p. 722-728. 2020.

BRANDÃO, T.B.; GUEIROS, L.A.; MELO, T.S.; PRADO-RIBEIRO, A.C.; NESRALLAH, A.C.F.A.; PRADO, G.V.B.; MIGLIORATI, C.A. Oral lesions in patients with SARS-CoV-2 infection: could the oral cavity be a target organ? Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, v. 131, p. 45-51, 2021.

CÂMARA MUNICIPAL DE JOINVILLE. Decreto nº 41.258, de 25 de fevereiro de 2021 (a). Redefine as medidas de enfrentamento à COVID-19 no Município de Joinville e dá outras providências. Diário Oficial Eletrônico do Município de Joinville nº 1656. Available at: https://sei.joinville.sc.gov.br/sei/publicacoes/controlador_publicacoes.php?acao=publicacao_visualizar&id_documento=10000009234493&id_orgao_publicacao=0. Accessed 2022 Feb 14.

CÂMARA MUNICIPAL DE JOINVILLE. Decreto nº 42.046, de 19 de abril de 2021 (b). Altera o Decreto nº 41.884, de 12 de abril de 2021 e prorroga o período de vigência de medidas para enfrentamento da pandemia de COVID-19. Diário Oficial Eletrônico do Município de Joinville nº 1693. Available at: <https://sei.joinville.sc.gov.br/sei/publicacoes/controlador_publicacoes.php?acao=publicacao_visualizar&id_documento=10000009794854&id_orgao_publicacao=0>. Accessed 2022 Feb 14.

IRANMANESH, B.; KHALILI, M.; AMIRI, R.; ZARTAB, H.; AFLATOONIAN, M. Oral manifestations of COVID-19 disease: a review article. Dermatologic Therapy, v. 34, p. 14578, 2021.

KOCHHAR, A.S.; BHASIN, R.; KOCHHAR, G.K.; DADLANI, H. Provision of continuous dental care for oral oncology patients during & after COVID-19 pandemic. Oral Oncology, v. 106, p. 104785, 2020.

LECHIEN, J.R.; CHIESA-ESTOMBA, C.M.; PLACE, S.; LAETHEM, Y.V.; CABARAUX, P. COVID-19 Task Force of YO-IFOS. Journal of International Medicine, v. 288, p. 335-344, 2020.

MAO, L.; JIN, H.; WANG, M.; HU, Y.; CHEN, S.; HE, Q.; et al. Neurologic manifestations of hospitalized patients With Coronavirus disease 2019 in Wuhan, China. JAMA Neurology, v. 77, p. 683-690, 2020.

MARIZ, B.; BRANDÃO, T.B.; RIBEIRO, A.C.P.; LOPES, M.A.; SANTOS-SILVA, A.R. New insights for the pathogenesis of COVID-19-related dysgeusia. Journal of Dental Research, v. 99, p. 1206, 2020.

MEINI, S.; SUARDI, L.R.; BUSONI, M.; ROBERTS, A.T.; FORTINI, A. Olfactory and gustatory dysfunctions in 100 patients hospitalized for COVID-19: sex differences and recovery time in real-life. European Archives of Oto-Rhino-Laryngology, v. 277, p. 3519-3523, 2020.

MINISTÉRIO DA SAÚDE. Painel de casos de doença pelo Coronavírus 2019 (COVID-19) no Brasil pelo Ministério da Saúde Available at: http://covid.saude.gov.br. Accessed 2022 Feb 08.

PARADOWSKA-STOLARZ, A.M. Oral manifestations of COVID-19: Brief review. Dental and Medical Problems, v. 58, p. 126-126, 2021.

RODRIGUEZ-MORALES, A.J.; GALLEGO, V.; ESCALERA-ANTEZANA, J.P.; MÉNDEZ, C.A.; ZAMBRANO, L.I.; FRANCO-PAREDES, C., et al. COVID-19 in Latin America: the implications of the first confirmed case in Brazil. Travel Medicine and Infectious Diseases, v. 35, p. 01613, 2020.

SAKAGUCHI, W.; KUBOTA, N.; SHIMIZU, T.; SARUTA, J.; FUCHIDA, S.; KAWATA A.; et al. Existence of SARS-CoV-2 entry molecules in the oral cavity. International Journal of Molecular Sciences, v. 21, p. 6000, 2020.

SILVA, D.H.F.; CAMARGOS, J.H.; RODRIGUES, J.G.; NOGUEIRA, L.S.; AZEVEDO D.A.; CARVALHO, M.D.G.; PINHEIRO, M.B. Impact of oral hygiene in patients undergoing mechanical ventilation in the COVID-19 pandemic. Revista da Associação Médica Brasileira, v. 66, p. 96-101, 2020.

SILVA, E.A.D.; CHAVES, F.J.M.; CALS, R.C.F.V.; GONÇALVES, R.D.; MAGNO, L.C.P. Contaminação pelo COVID-19 em profissionais de hospital de referência no Pará. Arquivos de Ciências da Saúde da UNIPAR, Umuarama, v.27, n.2, p. 754-769, 2003.

SINADINOS, A.; SHELSWELL. Oral ulceration and blistering in patients with COVID-19. Evidence-Based Dentistry, v. 21, p. 49, 2020.

SOUZA, A.F.; ARRUDA, J.A.A.; COSTA, F.P.D; BEMQUERER, L.M.; CASTRO, W.H.; CAMPOS, F.E.B.; et al. Safety protocols for dental care during the COVID-19 pandemic: the experience of a Brazilian hospital service. Brazilian Oral Research, v. 28, p. 070, 2021.

SURBOYO, M.D.; ERNAWATI, D.S.; BUDI, H.S. Oral mucosal lesions and oral symptoms of the SARS-CoV-2 infection. Minerva Dental and Oral Science, v. 70, p. 161-168, 2021.

TAN, H.Q.M.; PENDOLINO, A.L; ANDREWS, P.J.; CHOI, D. Prevalence of olfactory dysfunction and quality of life in hospitalised patients 1 year after SARS-CoV-2 infection: a cohort study. BMJ Open, v.12, p. e05459, 2022.

TAPIA, R.O.C.; LABRADOR, A.J.P; GUIMARAES, D.M.; VALDEZ, L.H.M. Oral mucosal lesions in patients with SARS-CoV-2 infection. Report of four cases. Are they a true sign of COVID-19 disease? Special Care in Dentistry, v. 40, p. 555-560, 2020.

WANG, D.; HU, B, H.U.C; ZHU, F.; LIU, X.; ZHANG, J.; et al. Clinical characteristics of 138 hospitalized patients with 2019 novel Coronavirus–infected pneumonia in Wuhan, China. JAMA, v. 323, p. 1061-1069, 2020.

WORLD HEALTH ORGANIZATION. Coronavirus disease 2019 (COVID-19): Situation report – 51 (2020a). Available at: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200311-sitrep-51-covid-19.pdf?sfvrsn=1ba62e57_10. Accessed 2022 Feb 9.

WORLD HEALTH ORGANIZATION. Coronavirus disease 2019 (COVID-19): Situation report – 59 (2020b) Available at: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200319-sitrep-59-covid-19.pdf?sfvrsn=c3dcdef9_2. Accessed 2022 Feb 9.

WORLD HEALTH ORGANIZATION. Coronavirus disease 2019 (COVID-19): Weekly epidemiological update - 08 February 2022 (2022). Available at: https://www.who.int/publications/m/item/weekly-epidemiological-update-on-covid-19---8-february-2022. Accessed 2022 Feb 9.

WORLD HEALTH ORGANIZATION. Coronavirus disease 2019 (COVID-19): Weekly epidemiological update - 16 February 2021 and 16 March 2021 (2021) Available at: https://www.who.int/publications/m/item/weekly-epidemiological-update---16-march-2021. Accessed 2022 Feb 9.

XU, H.; ZHONG, L.; DENG, J.; PENG, J.; DAN, H.; ZENG, X.; et al. High expression of ACE2 receptor of 2019-nCoV on the epithelial cells of oral mucosa. International Journal of Oral Science, v. 12, p. 1-5, 2020.

ZHU, N.; ZHANG, D.; WANG, W.; LI, X.; YANG, B.; SONG, J.; et al. A novel Coronavirus from patients with pneumonia in China, 2019. The New England Journal of Medicine, v. 382, p. 727-733, 2020.

Downloads

Publicado

20-07-2023

Como Citar

PEDACK , Francis Rossetti; ROSA, Marciano Eduardo da; STALL , Jaqueline; COELHO, Karina Munhoz de Paula Alves; FRANÇA , Paulo Henrique Condeixa de; GONÇALVES, Jussara Maria. ORAL MANIFESTATIONS AND INJURIES RELATED TO COVID-19: AN EXPERIENCE REPORT ON THE ROLE OF HOSPITAL DENTISTRY. Arquivos de Ciências da Saúde da UNIPAR, [S. l.], v. 27, n. 7, p. 3632–3642, 2023. DOI: 10.25110/arqsaude.v27i7.2023-025. Disponível em: https://unipar.openjournalsolutions.com.br/index.php/saude/article/view/10113. Acesso em: 21 dez. 2024.

Edição

Seção

Artigos