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METHODS Table 1: Scoping review included articles and key findings
Pubmed
Identifying Relevant Studies Article Article Key Findings
Type
This scoping review was conducted by matching the
guidelines provided by the Preferred Reporting Items 1) pre-appointment questionnaire
2) patient risk assessment and redirection: Patients presenting risk factors (advanced
for Systemic Review and Meta-Analyses (PRISMA) Gurgel Original age and other comorbidities) have their appointments postponed or are treated in a
declaration. Google scholar and Cochrane library search [23] Article remote area
3) teletriage
keywords were “COVID 19”, “patient screening”, and 4) at appointment register their body temperature
“dental school”. Search terms for PubMed/Medline 1) take patient’s temperature and ask the medical history (symptoms of COVID-19),
employed were (“COVID” [All Fields] OR “covid traveling and contact history
19” [MeSH Terms] OR “severe acute respiratory Chang [7] Original 2) risk assessment: only emergency treatment will be completed in the emergency unit
Article
of teaching hospital or public dental clinic
syndrome coronavirus 2” [All Fields] OR “ncov” 3) TOCC history used to screen for high risk group
[All Fields] OR “coronavirus” [MeSH Terms] OR 4) triage and screening for patients with fever.
“coronavirus” [All Fields]) AND (“schools, dental” 1) patient’s questionnaire to determine if they have had COVID-19 symptoms within
[MeSH Terms] OR “dental schools” [All Fields] Barabari Sys- the past two weeks. Contact tracing
2) risk assessment was taken for each patient risk category
tematic
OR “education, dental” [MeSH Terms] OR “dental [8] Review 3) telemedicine technology
education” [All Fields]) AND (“patient screening” [All 4) non-contact temperature measurement
5) no routine dentistry, only treat emergency.
Fields] OR “Infection Control”[Mesh] OR “screening”
1) initial screen by Whatsapp
[All Fields] OR “mass screening” [MeSH Terms] OR Amorim Original 2) remote fever clinic for pediatric patients
“mass screening” [All Fields] OR “screen” [All Fields] [12] Article 3) patient screened for symptoms remotely
OR “screened” [All Fields] OR “point of care testing” 4) non-contact temperature
[MeSH Terms] OR “point of care testing” [All Fields]) 1) primary screening questionnaire: emergency or elective, risk for COVID-19
2) secondary screening: measure body temperature
to identify relevant articles. Data based search results Falahchai Review 3) questionnaires separating patients into 3 groups: healthy, suspected, confirmed cases.
were independently verified by the two authors. Search [11] Article separate operating rooms were designed for them
terms for PubMed/Medline were adopted from the NYU 4) body temperature by a noncontact forehead thermometer or infrared cameras with
thermal sensors for in-office patient screening.
librarian. The two authors reviewed independently to 1) patient screening flowchart
remove duplicate articles. 2) telescreening
Abram- Review 3) triage questionnaire: evaluate visible signs of respiratory symptoms
4) risk assessment: patient with negative triage can perform emergency dentistry if
Study Selection ovtiz [9] Article body temperature is below 37.5C. positive triage patients not allowed to enter dental
Articles were eligible for initial inclusion if they facility
described the COVID-19 screening process or 5) treat these patients in hospital setting if emergency in negative pressure rooms.
mentioned the keyword “screen” in the abstract. Only 1) body temperature
2) respiratory symptoms
articles published in English were included. The titles Peng [3] Review 3) travel history
and abstracts were independently reviewed by the two Article 4) close contact with COVID-19 patient
5) large gatherings. Options were given to people who answered yes to any of the
authors (RY, LY). If the articles met the first inclusion above questions.
criteria, full texts were independently reviewed by the 1) telescreening
two authors (RY, LY). In the secondary review, articles 2) risk assignment: defer suspected patients for at least 2 weeks if positive response to
were then excluded that failed to mention a dental Ather [24] Review screening questions
Article
3) teletriage
education center or school. Articles were also excluded 4) upon arrival: medical history form, covid screening questionnaire, assessment of true
if they did not specifically mention strategies or tools for emergency questionnaire. measure body temperature
screening COVID-19 patients. The NYU librarian (RM) 1) targeted screening questions for COVID-19 Emergency dental treatment protocol
search results went through the same study selection Ge [21] Review 2) assignment protocols to COVID-19 confirmed patients
3) personal, travel, and epidemiological history recorded
Article
process after eliminating redundancy. In addition, CDC 4) temperature and lower respiratory tract symptoms closely monitored
and ADA guidelines regarding COVID-19 screening and 1) questions about the health status and history of contact or travel, temperature mea-
guidelines regarding other infectious diseases in dental Meng [6] Com- surement once patients enter hospital
settings were included for comparison. ment 2) patients with fever should be registered and referred to designated hospitals
3) diagnosis tests needed: CT image and COVID-19 RT-PCR tests.
1) remote treatment via chat, video conversation, and teledentistry. limited to delivering
Charting Data Mattos Review emergency treatment only
After study selection, basic authorship information [25] Article 2) separate building floors for the provision of screening emergency dental care
3) in hospital patient triage
and key findings relating to COVID-19 screening
RESULTS 1) dental students are required to do PCR tests, not patients. All patients need to be
Maltezou Review screened by a telephone interview using a standardized questionnaire before arriving at
Figure 1: Scoping review process [26] Article the dental school
2) triage upon entering
N = 19, citations from Medline, Cochrane Library, Google
Scholar, PubMed TB Guide Review 1) annual risk assessment
[22] Article 2) questionnaire
N = 4, excluded articles without the key word “screen” in article 1) non-contact Temperature
abstract 2) patient questionnaire
ADA
Guide Official 3) post-visit follow up
4) telehealth/COVID-19 screening
Guide
N = 15, potentially relevant articles [10] 5) risk assessment
6) chairside screening
N = 3, excluded articles that are non-dental education centers, failure
to mention screening tools 1) teledentistry/teletriage
CDC Official 2) non-contact temperature
N = 12, articles included Guide [4] Guide 3) questionnaire during visit
N = 4, included guidelines from WHO, CDC, ADC, previous 4) post-op follow up or patient inform any change 48hr later
experience of screening infectious disease outbreak 5) targeted patient COVID-19 without symptom as 3rd party blind check
N = 16, articles included WHO 1) questionnaire
Guide Official 2) risk assessment
RESULTS [27] Guide 3) teletriage
4) chairside questionnaire
Figure 1: Scoping review process www.nysagd.org l Fall 2021 l GP 29