The spread of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has resulted in millions of confirmed cases and hundreds of thousands of deaths. Despite all efforts to contain the spread of the disease, the number of infections and deaths continue to rise, particularly in some regions. Given its presence in the salivary secretions of affected patients, and the presence of many reported asymptomatic cases that have tested positive for COVID-19, dental professionals, including Endodontists, are at high risk of becoming infected if they do not take appropriate precautions. As of today, there are no predictable treatments or approved vaccines that can protect the public and healthcare professionals from the virus; however, there is speculation that a vaccine might be available sometime in 2021. Until then, general dentists and Endodontist will need to be able to treat emergency patients in order to relieve pressure on emergency clinics in hospitals or local community hubs. In addition, as the pandemic continues, strategies to manage patients will need to evolve from a palliative to a more permanent/definitive treatment approach. In this article, an update on the treatment considerations for dental care in general is provided, as well as a discussion on the available endodontic guidelines reported in the literature. Recommendations on clinical management of endodontic emergencies are proposed.

中文翻译：

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COVID-19 大流行期间的临床牙髓管理：文献综述和临床建议。

严重急性呼吸系统综合症冠状病毒 2 (SARS-CoV-2) 的传播已导致数百万确诊病例和数十万人死亡。尽管为遏制该疾病的传播做出了一切努力，但感染和死亡人数仍在继续上升，尤其是在某些地区。鉴于它存在于受影响患者的唾液分泌物中，并且存在许多报告的 COVID-19 检测呈阳性的无症状病例，因此，包括牙髓病医生在内的牙科专业人员如果不采取适当的预防措施，就有很高的感染风险。到目前为止，还没有可预测的治疗方法或批准的疫苗可以保护公众和医疗保健专业人员免受病毒侵害；然而，有人猜测疫苗可能会在 2021 年的某个时候问世。在那之前，普通牙医和牙髓病医生需要能够治疗急诊患者，以减轻医院急诊诊所或当地社区中心的压力。此外，随着大流行的继续，管理患者的策略将需要从姑息治疗转变为更持久/明确的治疗方法。在这篇文章中，提供了关于一般牙科护理治疗注意事项的更新，以及对文献中报道的可用牙髓治疗指南的讨论。提出了关于牙髓急症临床管理的建议。管理患者的策略需要从姑息治疗转变为更持久/明确的治疗方法。在这篇文章中，提供了关于一般牙科护理治疗注意事项的更新，以及对文献中报道的可用牙髓治疗指南的讨论。提出了关于牙髓急症临床管理的建议。管理患者的策略需要从姑息治疗转变为更持久/明确的治疗方法。在这篇文章中，提供了关于一般牙科护理治疗注意事项的更新，以及对文献中报道的可用牙髓治疗指南的讨论。提出了关于牙髓急症临床管理的建议。