The Monkeypox Outbreak and Implications for Dental Practice

<h3>Objectives</h3><p dir="ltr"><u>Monkeypox (MPX)</u> caused by the <u>MPX virus</u>, is a contagious disease confined mainly to African regions, and is currently making multiple appearances outside of disease-endemic countries. World Health Organ...

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Main Author: Lakshman Samaranayake (19139075) (author)
Other Authors: Sukumaran Anil (14158935) (author)
Published: 2022
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author Lakshman Samaranayake (19139075)
author2 Sukumaran Anil (14158935)
author2_role author
author_facet Lakshman Samaranayake (19139075)
Sukumaran Anil (14158935)
author_role author
dc.creator.none.fl_str_mv Lakshman Samaranayake (19139075)
Sukumaran Anil (14158935)
dc.date.none.fl_str_mv 2022-09-12T15:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.identj.2022.07.006
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/The_Monkeypox_Outbreak_and_Implications_for_Dental_Practice/29097041
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Dentistry
Health sciences
Epidemiology
Public health
Monkeypox
MPX virus
Dentistry
Infection control
Oral manifestations
dc.title.none.fl_str_mv The Monkeypox Outbreak and Implications for Dental Practice
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Objectives</h3><p dir="ltr"><u>Monkeypox (MPX)</u> caused by the <u>MPX virus</u>, is a contagious disease confined mainly to African regions, and is currently making multiple appearances outside of disease-endemic countries. World Health Organization (WHO) very recently declared the current monkeypox outbreak a<u> Public Health</u> Emergency of International Concern. We review here the salient features of MPX and its possible impact on <u>dentistry. </u></p><h3>Methods</h3><p dir="ltr">The data on the aetiology, transmission modes, <u>signs and symptoms,</u> diagnosis, and management, including the risk of its occupational transmission in dental settings, were garnered from the current literature, mainly from the World Health Organization and Centers for Disease Control and Prevention databases. </p><h3>Results</h3><p dir="ltr">Over recent months, MPX has reemerged in more than 88 countries in Europe, North America, and Australia, with some 22000 case reports to date (as of July 2022). The initial signs of MPX appear during the prodromal period, in the <u>oral cavity</u> as single or multiple macular lesions on the <u>oral mucosa</u>, accompanied by<u> generalised </u><u>lymphadenopathy</u>. Subsequently, the characteristic rash appears on the skin and spreads centripetally from the trunk towards the palms and soles. MPX is a self-limiting disease with very low mortality and may last from 2 to 4 weeks. Although MPX is similar to <u>chickenpox</u>, there are a number of differentiating signs, the main element being <u>lymphadenopathy</u>. Strict adherence to standard, contact, and droplet infection control precautions, including wearing N95 masks, FFP3 respirators, fluid-resistant attire, and eye protection, is necessary to prevent its spread. </p><h3>Conclusions</h3><p dir="ltr">MPX appears to be a significant travel-related disease. <u>Dental care</u> workers should note that premonitory signs of the disease usually appear on the <u>oral mucosa</u> as macules and ulcers prior to the characteristic <u>skin lesions</u>. Implementing standard, contact, and droplet infection control measures, patient isolation, and referral are important, particularly during a local outbreak. A vaccine specific for MPX is under development, although the <u>smallpox vaccine</u> appears to be effective.</p><h2>Other Information</h2><p dir="ltr">Published in: International Dental Journal<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.identj.2022.07.006" target="_blank">https://dx.doi.org/10.1016/j.identj.2022.07.006</a></p>
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spelling The Monkeypox Outbreak and Implications for Dental PracticeLakshman Samaranayake (19139075)Sukumaran Anil (14158935)Biomedical and clinical sciencesClinical sciencesDentistryHealth sciencesEpidemiologyPublic healthMonkeypoxMPX virusDentistryInfection controlOral manifestations<h3>Objectives</h3><p dir="ltr"><u>Monkeypox (MPX)</u> caused by the <u>MPX virus</u>, is a contagious disease confined mainly to African regions, and is currently making multiple appearances outside of disease-endemic countries. World Health Organization (WHO) very recently declared the current monkeypox outbreak a<u> Public Health</u> Emergency of International Concern. We review here the salient features of MPX and its possible impact on <u>dentistry. </u></p><h3>Methods</h3><p dir="ltr">The data on the aetiology, transmission modes, <u>signs and symptoms,</u> diagnosis, and management, including the risk of its occupational transmission in dental settings, were garnered from the current literature, mainly from the World Health Organization and Centers for Disease Control and Prevention databases. </p><h3>Results</h3><p dir="ltr">Over recent months, MPX has reemerged in more than 88 countries in Europe, North America, and Australia, with some 22000 case reports to date (as of July 2022). The initial signs of MPX appear during the prodromal period, in the <u>oral cavity</u> as single or multiple macular lesions on the <u>oral mucosa</u>, accompanied by<u> generalised </u><u>lymphadenopathy</u>. Subsequently, the characteristic rash appears on the skin and spreads centripetally from the trunk towards the palms and soles. MPX is a self-limiting disease with very low mortality and may last from 2 to 4 weeks. Although MPX is similar to <u>chickenpox</u>, there are a number of differentiating signs, the main element being <u>lymphadenopathy</u>. Strict adherence to standard, contact, and droplet infection control precautions, including wearing N95 masks, FFP3 respirators, fluid-resistant attire, and eye protection, is necessary to prevent its spread. </p><h3>Conclusions</h3><p dir="ltr">MPX appears to be a significant travel-related disease. <u>Dental care</u> workers should note that premonitory signs of the disease usually appear on the <u>oral mucosa</u> as macules and ulcers prior to the characteristic <u>skin lesions</u>. Implementing standard, contact, and droplet infection control measures, patient isolation, and referral are important, particularly during a local outbreak. A vaccine specific for MPX is under development, although the <u>smallpox vaccine</u> appears to be effective.</p><h2>Other Information</h2><p dir="ltr">Published in: International Dental Journal<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.identj.2022.07.006" target="_blank">https://dx.doi.org/10.1016/j.identj.2022.07.006</a></p>2022-09-12T15:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.identj.2022.07.006https://figshare.com/articles/journal_contribution/The_Monkeypox_Outbreak_and_Implications_for_Dental_Practice/29097041CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/290970412022-09-12T15:00:00Z
spellingShingle The Monkeypox Outbreak and Implications for Dental Practice
Lakshman Samaranayake (19139075)
Biomedical and clinical sciences
Clinical sciences
Dentistry
Health sciences
Epidemiology
Public health
Monkeypox
MPX virus
Dentistry
Infection control
Oral manifestations
status_str publishedVersion
title The Monkeypox Outbreak and Implications for Dental Practice
title_full The Monkeypox Outbreak and Implications for Dental Practice
title_fullStr The Monkeypox Outbreak and Implications for Dental Practice
title_full_unstemmed The Monkeypox Outbreak and Implications for Dental Practice
title_short The Monkeypox Outbreak and Implications for Dental Practice
title_sort The Monkeypox Outbreak and Implications for Dental Practice
topic Biomedical and clinical sciences
Clinical sciences
Dentistry
Health sciences
Epidemiology
Public health
Monkeypox
MPX virus
Dentistry
Infection control
Oral manifestations