International Journal of Clinical Pediatric Dentistry

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VOLUME 14 , ISSUE 6 ( November-December, 2021 ) > List of Articles


The Epiphany of Post-COVID: A Watershed for Pediatric Dentistry

Aishwaraya Gupta, Syed G Shah, Bhavna Kaul

Keywords : Aerosol-free dentistry, Atraumatic restorative technique, Coronavirus, COVID-19, Hall technique, Infection control, Minimal invasive dentistry, Pediatric dentistry, Silver diamine fluoride

Citation Information : Gupta A, Shah SG, Kaul B. The Epiphany of Post-COVID: A Watershed for Pediatric Dentistry. Int J Clin Pediatr Dent 2021; 14 (6):802-811.

DOI: 10.5005/jp-journals-10005-2080

License: CC BY-NC 4.0

Published Online: 06-01-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Coronavirus disease-2019 (COVID-19) has spread as a pandemic throughout the world, posing a serious public health threat. Dentists appear to have a higher risk of COVID-19 exposure amongst Healthcare workers. This danger is even more magnified in pediatric dentistry since infected children typically have an asymptomatic, mild, or severe clinical viral infection and so can considerably contribute to community-based COVID-19 transmission. These are unprecedented times that require unprecedented efforts with dynamic protocols to be adopted. It is very challenging, but also an amazing opportunity to UNLEARN, RELEARN, AND REORGANIZE our approach of dental practice, so as to adapt and come at par to the emerging “NEW NORMAL”. Coronavirus–” THE ENFORCER has enforced upon us, screening of patients for COVID-19, utilization of stringent disinfection & sterilization protocols, be attired with personal protection such as PPE, N95 Mask, face shield, etc., to minimize chances of contraction or cross-contamination with social distancing and appropriate hygiene practices as a new norm. It has further enlightened the concept of “Non-aerosol” or “Minimally invasive techniques” that will possibly guide our therapeutic choices not only in the immediate future but also in the long term. The purpose of this review is to offer a compendious abridgment of literature available on COVID-19 to give an insight on recommendations that have been published about pediatric dental practice during COVID-19 and lays a concrete emphasis on the paradigm shift in the actual in-practice treatment options, to adapt to the changing circumstances during the pandemic and the times to follow, opening scenarios of prevention and cure that are more sustainable, safe, and efficient.

  1. Meng L, Hua F, Bian Z. Coronavirus disease 2019 (COVID-19): emerging and future challenges for dental and oral medicine. J Dent Res 2020;99(5):481–487. DOI:10.1177/0022034520914246
  2. Carlotti APCP, Carvalho WB, Johnston C, et al. COVID-19 diagnostic and management protocol for pediatric patients. Clinics (Sao Paulo) 2020;75:e1894. DOI: 10.6061/clinics/2020/e1894
  3. Zhu N, Zhang D, Wang W, et al. China novel coronavirus investigating and research team. A novel coronavirus from patients withpneumonia in china, 2019. N Engl J Med 2020;382(8):727–733. DOI: 10.1056/NEJMoa2001017
  4. Cascella M, Rajnik M, Cuomo A, et al. Features, evaluation, and treatment of coronavirus. 2020. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020.
  5. International Committee on Taxonomy Viruses. Naming the 2019 Coronavirus. Available online:
  6. World Health Organization. Novel Coronavirus (2019-nCoV) Situation Report-22. Available online:
  7. World Health Organization. Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV). Available online:
  8. World Health Organization. WHO Director-General's opening remarks at the media briefing on COVID-19 - 11 March 2020. Available online:
  9. Centers for Disease Control and Prevention, New COVID-19 variants Updated Jan. 9, 2021. Available online:
  10. Paglia L. COVID-19 and paediatric dentistry after the lockdown. Eur J Paediatr Dent. 2020;21(2):89. DOI: 10.23804/ejpd.2020.21.02.01
  11. Parihar A, Saxena A, Rawat A, et al. COVID – 19: influenced alteration in dental OPD management. Int J Appl Dent Sci 2020;6(2):349–355.Available online at
  12. Centers for Disease Control and Prevention, Interim Infection Prevention and Control Guidance for Dental Settings During the Coronavirus Disease 2019 (COVID-19) Pandemic. Updated Dec. 4, 2020.
  13. World Health Organization (WHO). Diagnostic testing for SARS-COV-2.Interim guidance. 11 September 2020. Available from:
  14. Lee PI, Hu YL, Chen PY, et al. Are children less susceptible to COVID-19? J Microbiol Immunol Infect 2020;53(3):371–372. DOI: 10.1016/j.jmii.2020.02.011
  15. Park JY, Han MS, Park KU, et al. First pediatric case of coronavirus disease 2019 in Korea. J Korean Med Sci 2020;35(11):e124. DOI: 10.3346/jkms.2020.35.e124
  16. Sabino-Silva R, Jardim ACG, Siqueira WL. Coronavirus COVID-19 impacts to dentistry and potential salivary diagnosis. Clin Oral Investig 2020;24(4):1619–1621. DOI: 10.13039/501100000024
  17. Wei J, Li Y. Airborne spread of infectious agents in the indoor environment. Am J Infect Control 2016;44(9 Suppl):S102–S108. DOI: 10.1016/j.ajic.2016.06.003
  18. Ministry of Health and Family Welfare, Government of India, Advisory on the Use of Hydroxy-Chloroquine as Prophylaxis for SARS-CoV-2 Infection, Ministry of Health and Family Welfare, Government of India, New Delhi, India, 2019. Available online: AdvisoryontheuseofHydroxy chloroquinasprophylaxisforSARSCoV2infection.pdf
  19. Centers for Disease Control and Prevention, Criteria for Return to Work for Healthcare Personnel with SARS-Cov-2 Infection (Interim Guidance). Updated Aug. 10, 2020. Available online:
  20. Guidelines for Dental Professionals in Covid-19 pandemic situation – Ministry of Health and Family Welfare. Issued on 19/05/2020.
  21. World Health Organization. Clean hands protect against infection. Available online:
  22. Symptoms of coronavirus. National Center for Immunization and Respiratory Diseases (NCIRD), Division of Viral Diseases. Centers for Disease Control and Prevention. Updated May 8, 2020.
  23. Peng X, Xu X, Li Y, et al. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci 2020;12(1):9. DOI:
  24. N95 Respirators, Surgical Masks, and Face Masks-FDA. Available online:
  25. Ather A, Patel B, Ruparel NB, et al. Coronavirus disease 19 (COVID-19): implications for clinical dental care. J Endod 2020;46(5):584–595. DOI: 10.1016/j.joen.2020.03.008
  26. Swaminathan Y, Thomas J. “Aerosol” - a prospective contaminant of dental environment. IOSR J Dent Med Sci 2013;11(2):45–50. DOI: 10.9790/0853-1124550
  27. American Academy of Pediatric Dentistry 2020. A guide for re-entry into practice for pediatric dentists during the COVID-19 pandemic.
  28. Tedesco TK, Calvo AF, Lenzi TL, et al. ART is an alternative for restoring occlusoproximal cavities in primary teeth - evidence from an updated systematic review and meta-analysis. Int J Paediatr Dent 2017;27(3):201–209. DOI: 10.1111/ipd.12252
  29. De Amorim RG, Frencken JE, Raggio DP, et al. Survival percentages of atraumatic restorative treatment (ART) restorations and sealants in posterior teeth: an updated systematic review and meta-analysis. Clin Oral Investig 2018;22(8):2703–2725. DOI: 10.13039/501100003593
  30. Dhar V, Marghalani AA, Crystal YO, et al. Use of vital pulp therapies in primary teeth with deep caries lesions. Pediatr Dent 2017;39(5):146–159. Erratum in: Pediatr Dent 2020;42(1):12–15. PMID: 29070150.
  31. Coll JA, Campbell A, Chalmers NI. Effects of glass ionomer temporary restorations on pulpal diagnosis and treatment outcomes in primary molars. Pediatr Dent 2013;35(5):416–421. PMID: 24290553
  32. Berg JH. Glass ionomer cements. Pediatr Dent 2002;24(5):430–438. PMID: 12412957
  33. Ganesh M, Dhaval P. Chemomechanical caries removal (CMCR) agents: review and clinical application in primary teeth. J Dent Oral Hyg 2011;3(3):34–45. Available online at
  34. Welbury RR. the Hall Technique 10 years on: its effect and influence. Br Dent J 2017;222(6):421–422. DOI: 10.1038/sj.bdj.2017.262
  35. Innes NPT, Chu CH, Fontana M, et al. A century of change towards prevention and minimal intervention in cariology. J Dent Res 2019;98(6):611–617. DOI: 10.1177/0022034519837252
  36. Deery C. The hall technique: a paradigm shift in our care of children with caries. Dent Update 2015;42(10):903–904. DOI: 10.12968/denu.2015.42.10.903
  37. SDCEP 2018. Prevention and management of dental caries in children.
  38. Millar LM, Cairns AM, Fowler L. Preformed metal crowns for the permanent dentition. Prim Dent J 2015;4(4):44–45. DOI: 10.1308/205016815816682281
  39. Urquhart O, Tampi MP, Pilcher L, et al. Nonrestorative treatments for caries: systematic review and network meta-analysis. J Dent Res 2019;98(1):14–26. DOI: 10.1177/0022034518800014
  40. Seifo N, Cassie H, Radford JR, et al. Silver diamine fluoride for managing carious lesions: an umbrella review. BMC Oral Health 2019;19(1):145. DOI: 10.1186/s12903-019-0830-5
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