• Dr.Jahanvi Chavda
• DR.Hiral Parikh
• Dr.Jalpa Patel

Background: Coronavirus disease-19 (COVID-19) is a pandemic disease that is advancing at a rapid rate. The future course of the disease includes severe respiratory infection and leads to death if unattended. Meticulous measures are necessary before attending any patient. The dental operatories and the clinic surroundings must be well sanitized to prevent the spread of pandemic. Contamination of saliva with SARS-CoV-2 is a great concern in dentistry, particularly for periodontal practice. COVID-19 is a highly contagious disease and can be easily contracted during aerosol-generating procedures. This will, undoubtedly, have future impacts for periodontal practice in ensuring safe and effective treatment. Aim and objective: This review discusses in brief about the pathophysiology and course of COVID-19. Further, we discussed in detail the management aspects of patients in periodontal perspective and the sanitization procedures required for the dental clinic. Review results: The SARS coronavirus enters the human circulation via the angiotensin-converting enzyme (ACE) receptors which are also found on the oral mucosal surfaces. The pro-inflammatory molecules released during pathogenesis of periodontitis and mediate the molecular pathways that help the virus invade into the host. The clinic set-up should be modified to best suit the pandemic conditions. The patient management is explained based on the emergency needs of the patient. Conclusion: It can be strongly concluded that there is direct relationship between oral health and systemic health. The treatment procedures and sanitization protocols must be modified. Further consensus and systematic reviews help us arriving at a more standardized protocol. Clinical significance: This review would help clinicians modify the way they treat patients in the clinic and provide better services depending upon the emergency needs of the patient in covid situation.

Coronavirus disease, Pandemic, Periodontitis, ACE-2, Cytokine Strome

"COVID-19 and Periodontics: A Review of Bidirectional Paradigm Shift ", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.10, Issue 5, page no.e130-e137, May-2023, Available :http://www.jetir.org/papers/JETIR2305418.pdf

"COVID-19 and Periodontics: A Review of Bidirectional Paradigm Shift ", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.10, Issue 5, page no. ppe130-e137, May-2023, Available at : http://www.jetir.org/papers/JETIR2305418.pdf