Abstract and keywords
Abstract (English):
The purpose of the research: to study the hygienic condition of the oral cavity and clinical manifestations of diseases of the oral mucosa in patients with COVID-19 in a hospital setting and to justify the need to motivate early hygienic measures using a toothbrush and toothpaste in this contingent of patients. Material and methods. We observed 43 patients of the infectious diseases department of the Simferopol clinic aged 21–25 years with COVID-19 of mild and moderate severity. All patients underwent a comprehensive dental examination with the determination of the Green–Vermillion index, the PMA index. Particular attention was paid to the hygiene products used and the regime of hygienic measures before and during hospital stay. Results and their discussion. It was found that 67.44% of the surveyed brushed their teeth with different frequency of use of a toothbrush and toothpaste. Before admission to the hospital, 93.02% of patients brushed their teeth regularly 2 times a day. 27.91% used cleaning tampons and a mouthwash, 4.65% of the surveyed did not brush their teeth. A significant increase in the hygiene index and the PMA index was revealed in patients of groups 1 and 2 who do not use a toothbrush and paste for oral care (p < 0.001). In 27.91% of patients, changes in the lips and oral mucosa was noted: 4.65% – recurrent labial herpes, 4.65% – desquamative glossitis, aphthous rashes – 16.28%, lichenoid manifestations – 2.32% of the examined. Healing of aphthous lesions of oral mucosa in patients who brushed their teeth was noted on the day 5–10, and in patients who did not brush their teeth – on 15th day. Conclusions. The data obtained in our research indicate the need for active motivation of patients with COVID-19 in a hospital setting for early hygienic measures with the mandatory use of a toothbrush and toothpaste.

COVID-19, coronavirus infection, oral hygiene, hygiene products, oral mucosa

1. Gileva O.S., Libik T.V., Gibadullina N.V., Sivak E.Yu., Gavrilenko M.S., Beleva N.S., Zadorina I.I. Klyuchevye stomatologicheskie problemy perioda pandemii COVID-19: monitoring sostoyaniya stomatologicheskogo zdorov'ya u pacientov s hronicheskimi zabolevaniyami slizistoy obolochki polosti rta. Stomatologiya. 2021;100(6-2):8-15. [O.S. Gileva, T.V. Libik, N.V. Gibadullina, E.Ju. Sivak, M.S. Gavrilenko, N.S. Beleva, I.I. Zadorina. Key dental challenges during COVID-19 pandemic: oral health monitoring in patients with chronic oral mucosal diseases. Dentistry. 2021;100(6-2):8-15. (In Russ.)].

2. Gileva O.S., Felyudblyum I.V., Libik T.V., Baydarov A.A., Smetanin D.G., Chuprakova E.V., Sivak E.Yu., Syutkina E.S. Klyuchevye stomatologicheskie problemy perioda pandemii COVID-19: mezhdisciplinarnaya platforma. Stomatologiya detskogo vozrasta i profilaktika. 2021;21(1(77)):61-65. [O.S. Gileva, I.V. Feljudbljum, T.V. Libik, A.A. Bajdarov, D.G. Smetanin, E.V. Chuprakova, E.Ju. Sivak, E.S. Sjutkina. Key dental problems of the COVID-19 pandemic period: an interdisciplinary platform. Pediatric dentistry and prevention. 2021;21(1(77)):61-65. (In Russ.)].

3. Modina T.N., Cinneker D.T., Haritonova M.A., Mahdi Mohaymen Mahmud Mahdi, Mamaeva E.V., Usmanova I.N. SARS-COV-2 v polosti rta i obostrenie hronicheskoy parodontal'noy patologii u pacientov s novoy koronavirusnoy infekciey (COVID-19). Problemy stomatologii. 2021;1:70-75. [T.N. Modina, D.T. Cinneker, M.A. Haritonova, Mahdi Mohajmen Mahmud Mahdi, E.V. Mamaeva, I.N. Usmanova. SARS-COV-2 in the oral cavity and exacerbation of chronic periodontal pathology in patients with a new coronavirus infection (COVID-19). Actual problems in dentistry. 2021;1:70-75. (In Russ.)].

4. Nasibullina A.H., Kabirova M.F., Kabirov I.R., Valishin D.A. Osobennosti stomatologicheskogo statusa pacientov s SARS-COV-2. Problemy stomatologii. 2021;17(3):29-34. [A.H. Nasibullina, M.F. Kabirova, I.R. Kabirov, D.A. Valishin. Features of the dental status of patients with SARS-COV-2. Actual problems in dentistry. 2021;17(3):29-34. (In Russ.)].

5. Rozov R.A., Cheburanova N.N., Severova O.M., Pervuhina N.A., Soprun L.A. Organizaciya neotlozhnoy stomatologicheskoy pomoschi vzroslym i detyam s novoy koronavirusnoy infekciey, vyzvannoy SARS-CoV-2, na baze gorodskoy stomatologicheskoy polikliniki megapolisa. Stomatologiya. 2021;100(4):88-97. [R.A. Rozov, N.N. Cheburanova, O.M. Severova, N.A. Pervukhina, L.A. Soprun. Emergency dental care for adults and children with a new coronavirus infection caused by SARS-Cov-2 at an out-patients dental clinic in a megapolis. Dentistry. 2021;100(4):88-97. (In Russ.)].

6. Amorim Dos Santos J., Normando A.G.C., Carvalho da Silva R.L. et al. Oral Manifestations in Patients with COVID-19: A Living Systematic Review // J Dent Res. – 2021;100(2):141-154.

7. Baig A.M., Khaleeq A., Ali U., Syeda H. Evidence of the COVID-19 virus targeting the CNS: Tissue distribution, host–virus interaction, and proposed neurotropic mechanisms // ACS Chemical Neuroscience. – 2020;11(7):995-998.

8. Bhujel N., Zaheer K., Singh R.P. Oral mucosal lesions in patients with COVID-19: a systematic review // Br J Oral Maxillofac Surg. – 2021;S0266-4356(21)00243-6.

9. Bradley M., Black P., Noble S., Thompson R., Lamey P.J. Application of teledentistry in oral medicine in a community dental service, N. Ireland // British Dental Journal. – 2010;209(8):399- 404.

10. Brandão T.B., Gueiros L.A., Melo T.S. et al. Oral lesions in patients with SARS-CoV-2 infection: could the oral cavity be a target organ? // Oral Surg Oral Med Oral Pathol Oral Radiol. – 2021;131(2):45-51.

11. Chan J.-W., Yuan S., Kok K.-H., To K.-W., Chu H., Yang J., Yuen K.-Y. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: A study of a family cluster // Lancet. – 2020;395(10223):514-523.

12. Chaux-Bodard A.-G., Deneuve S., Desoutter A. Oral manifestation of Covid-19 as an inaugural symptom? // Journal of Oral Medicine and Oral Surgery. – 2020;26;2:18.

13. Coulthard P. Dentistry and coronavirus (COVID-19) - moral decision-making // British Dental Journal. – 2020;228:503-505.

14. Elmas Ö.F., Dembas A., Özyurt K., Atasoy M., Türsen Ü. Cutaneous manifestations of COVID-19: A review of the published literature // DermatolTher. – 2020;33(4):13696.

15. Guo Y., Yuan C., Wei C. Emergency measures for acute oral mucosa diseases during the outbreak of COVID-19 // Oral Dis. – 2021;27(3):737-739.

16. Iranmanesh B., Khalili M., Amiri R., Zartab H., Aflatoonian M. Oral manifestations of COVID-19 disease: A review article // DermatolTher. – 2021;34(1):e14578.

17. Kumar K.S., Venkitachalam R., Varma B., Nair P.K., Shanmugham A.M., Jose R. Oral medicine practice during COVID-19: A scoping review // J Indian Acad Oral Med Radiol. – 2021;33:215-221.

18. Lv N., Sun M., Polonowita A., Mei L., Guan G. Management of oral medicine emergencies during COVID-19: A study to develop practise guidelines // J Dent Sci. – 2021;16(1):493-500.

19. Meng L., Hua F., Bian Z. Coronavirus Disease 2019 (COVID-19): Emerging and future challenges for dental and oral medicine // Journal of Dental Research. – 2020;99(5):481-487.

20. Nörz D., Fischer N., Schultze A., Kluge S., Mayer-Runge U., Aepfelbacher M., Lütgehetmann M. Clinical evaluation of a SARS-CoV-2 RT-PCR assay on a fully automated system for rapid on-demand testing in the hospital setting // Journal of Clinical Virology. – 2020;128:104390.

21. Peng X., Xu X., Li Y., Cheng L., Zhou X., Ren B. Transmission routes of 2019-nCoV and controls in dental practice // International Journal of Oral Science. – 2020;12(1):9.

22. Society of Oral Mucosal Diseases, Chinese Stomatological Association. Expert recommendations for prevention, treatment and care of oral ulcers and other mucosal diseases during the outbreak of COVID-19 // Clinical Journal of Dental Research. – 2020;3;23.

23. Stomatological Healthcare Service Branch of Chinese Stomatological Association. The guidelines on prevention and disease control in dental practice during the outbreak of corona virus disease 2019 // Clinical Journal of Dental Research. – 2020;4;23.

24. Xu H., Zhong L., Deng J., Peng J., Dan H., Zeng X., Chen Q. High expression of ACE2 receptor of 2019-nCoV on the epithelial cells of oral mucosa // International Journal of Oral Science. – 2020;12(1):8.

25. Xu R., Cui B., Duan X., Zhang P., Zhou X., Yuan Q. Saliva: Potential diagnostic value and transmission of 2019-nCoV // International Journal of Oral Science. – 2020;12(1):11.

Login or Create
* Forgot password?