Journal: Advances in Medicine and Engineering Interdisciplinary Research DOI: 10.32629/ameir.v4i3.5471
Abstract
Introduction: Biosafety is a fundamental pillar of dentistry. Objective: To describe biosafety in relation to biological risk in dental services. Method: A systematic review was conducted between January 2023 and May 2025, using the PRISMA flow diagram, 2020, and the Joanna Briggs method to evaluate the quality of the articles, using the PICO question: What is biosafety against biological risk in dental services, and can it be applied using protocols, guidelines or manuals? For the study, 180 articles that met the inclusion criteria were included. Results: Seventy-five articles were pre-selected, and only 10 were chosen, with Pubmed and Scielo predominating as databases with 30%. Peru was the predominant country (20.0%), 2019-2020 was the predominant year (50.0%), and original articles were the predominant type (40.0%). According to the journal group, group 1 prevailed, and five articles stood out in terms of relevant overall results. Most of the articles reviewed were classified as high quality. It was concluded that there are currently discrepancies and research gaps regarding biosafety standards in relation to biological risk in dental services.
Keywords
biosafety; biological risk; dentistry; dental services
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[27] Bedoya Marrugo EA, López Gutiérrez V (2025). Biological risk accidents among healthcare workers: incidence and associated factors in a healthcare provider (2023). Revista Ciencia UNEMI, 18 (49):82-92. https://doi.org/10.29076/issn.2528-7737vol18iss49.2025pp82-92p.
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[2] Estupiñán Ramírez, LE (2021). Perception of biosafety standards in the event of accidental exposure to biological contaminants in the gynaecology and obstetrics department of the Hospital General del Sur-Delfina Torres de Concha, Ecuador (Thesis). Retrieved from digital thesis repositories. https://repositorio.puce.edu.ec/bitstreams/f407881c-9a6b-4acb-93c1-96c0e2938f00/download.
[3] Kumate J, Gutiérrez G, Muñoz Hernández O, Santos Preciado JI, Solórzano Santos F, Miranda Novales MG, et al (2016). Clinical Infectious Diseases Kumate-Gutiérrez. Méndez Editores. Mexico. Seventeenth edition. http://www.academia.edu.mx.
[4] Badanian A. (2020). Biosafety in dentistry during the COVID-19 pandemic. Odontoestomatología, 22(35), 4-24. https://doi.org/10.22592/ode2020nespa2.
[5] Report from the National Institute for Occupational Safety and Health (NIOSH 2018-2024). Definition and assessment of health risks. WHO [Internet]. 2024 [cited 11 Jun 2024], pp. 11–26. Available at: https://www.cdc.gov/sphanish/niosh/hhe/default/html.
[6] World Health Organization (2019). Prevention and control of infections. https://apps.who.int/iris/handle/10665/330080.
[7] Linares Sosa H, Sánchez González A, García Daniel MA, et al. (2023). Knowledge of biosecurity measures against COVID-19 among nursing students. (Thesis). EDUMECENTRO. https://revedumecentro.sld.cu/index.php/edumc/article/view/e2309/html.
[8] Huayanca Rios IE, Martı́nez Vega JJ, Gamarra Tinoco GB, Mattos -Vela MA (2022). Biosafety in dentistry in the context of COVID-19. Odontoestomatología. https://doi.org/10.22592/ode2022n39e308.
[9] Suárez Conde Y, Morales Basulto RD, Viamontes Beltrán J (2021). Biosecurity measures in maxillofacial emergency care during the COVID-19 pandemic. Rev Inf Cient. 100(5): e3535. http://www.revinfcientifica.sld.cu/index.php/ric/article/view/3535.
[10] Morales Navarro, D (2018). Proposed protocol for the initial management of severe maxillofacial trauma (Thesis). University of Medical Sciences of Havana. Retrieved from Cuban thesis repositories. https://www.tesis.sld.cu/index.php?P=FullRecord&ID=623.
[11] González Naya G, Montero del Castillo, ME (2013). Comprehensive General Stomatology. Ecimed. Havana, Ed 28:18-26.
[12] Yánez-Portero AG, Carvajal-Zurita MA, López-Jácome JF, Armijos-Briones M (2023). Biosafety in dentistry before and during the COVID-19 pandemic. Rev Ciencias Médicas. 27: e5852. http://revcmpinar.sld.cu/index.php/publicaciones/article/view/5852.
[13] Mackenzie JE et al (2021). The PRISMA 2020 statement. An updated guide to reporting systematic reviews. BMJ, 372, n71 [PubMed].
[14] Manterola C (2014). Hierarchy of evidence. Levels of evidence and grades of recommendation for current use. Rev. chil. Infectol, 30 (6): 7. http://dx.doi.org/10.4067/so716-10182014000600011.
[15] Cayo Rojas, C, Briceño-Vergel,G, Córdova Limaylla, N,Huamani Echaccaya,J, et al (2023). Impact of a virtual educational intervention on knowledge and awareness of biomedical waste management among Peruvian dental professionals. Scientific Reports. 13(1): 22346. https://www.nature.com/articles/s41598-023-49878-5.pdf.
[16] Cazares León, F, Treviño Taméz, M, Soto Gámez, DE, Sánchez Márquez, MC (2019). Magnitude of the risk of accidents with sharp objects in dental practices. 38(80). https://revistas.javeriana.edu.co/index.php/revUnivOdontologica/article/download/25640/22024.
[17] Volgenant, CMC, Soet (2018), JJ. Cross-transmission in dental offices: Does this make you ill? Current Oral Health Reports, vol. 5, pp. 221–228. https://link.springer.com/content/pdf/10.1007/s40496-018-0201-3.pdf.
[18] Vila Sierra, LA, Hernández Fuentes MT (2020). Perception of patients with HIV/AIDS regarding dental consultations at IPS in Santa Marta, Colombia. University and Health, vol. 22, no. 2, pp. 120-126. http://www.scielo.org.co/scielo.php?pid=S012471072020000200120.
[19] Paz Betanco, MA (2019). Knowledge, attitudes and practices regarding biosafety and biological risk standards among private dental practitioners in three cities in Nicaragua. Odontología sanmarquina, Gale OneFile: Academic Report, vol. 22, no. 1, pp. 19-24. https://revistasinvestigacion.unmsm.edu.pe/index.php/odont/es/article/view/15839/13615.
[20] Pérez, N, Diaz, C, Adorno C, Fretes, V, et al (2021). Evaluation of the dispersion of aerosols produced during the use of dental turbines using equipment ejectors and/or extraoral suction devices. Rev. Salud Pública Parag.11(1):28-32. http://www.scielo.iics. una.py / scielo.php.
[21] Alarcón, M.; Sanz, I.; Shibli, J.; Treviño, A.; Caram, S; et al (2021). Delphi project on the trends in implant dentistry in the COVID-19 era: perspectives from Latin America. Clin. Oral Implants Res; 32(4):521-37. https://pubmed.ncbi.nlm.nih.gov/3359584.
[22] Rodríguez-Aguilar, RM (2020). Dentistry: role in the transmission of SARS-CoV-2 through bioaerosols. Odovtos Int. J. Dent. Sci; 22(3):103-12. http://www.mediagraphic.com/cgi bin/new/resumen.cgi%3FDIARTICULO%3D95994.
[23] Herrera, P.; Enoki, E. & Ruiz, M (2020). Risks, contamination and prevention of COVID-19 in dental practice: a review. Rev. Salud Pública, 22(5): e300. http://www.scielop.org/ article/ rsap/2020.v22n5/560-565.
[24] Díaz Ronquillo, MA, OD- TNNV, Montece Ochoa, ER (2019). A look at biosafety and ergonomics in dental services. Scientific Journal World of Research and Knowledge. Vol. 3 no. 1, January 2019, pp. 151-174. DOI: 10.26820/recimundo/3. (1). January.2019. pp.151-174.
[25] Barbieri, A (2019). Biosafety measures in dental practice: Literature Review. Braz. Dent. Sci; 22(1):9-16. http://bds.ict.unesp.br/index.php/cob/article/view/1661.
[26] Panda, S; Menon, R. K; Mohanty, N.; Mishra, L; Srivastava, G. & Gopinath (2020). SARS-CoV-2 and oral health: Implications and recommendations for dental practice reformation post pandemic. Indian J. Forensic Med. Toxicol; 14(4):9187-93.
[27] Bedoya Marrugo EA, López Gutiérrez V (2025). Biological risk accidents among healthcare workers: incidence and associated factors in a healthcare provider (2023). Revista Ciencia UNEMI, 18 (49):82-92. https://doi.org/10.29076/issn.2528-7737vol18iss49.2025pp82-92p.
[28] Carrera Guanga GL, Torres Alvarez JJ, et al (2024). Occupational risks and biosafety in dentistry. Gac Med Est; 5(2): e347. http://www.revgacetaestudiantil.sld.cu/index.php/gme/article/view/347.
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