World Oral Health Day 2020: Best Practices for Ensuring Safe & Effective Care in the Wake of COVID-19

Posted Mar 20th, 2020 in the wire, thought leadership, 2020

Dr. Gary Glassman, Chief Dental Officer, dentalcorp


The effects of the COVID-19 pandemic on healthcare systems have been felt on a global scale –dental communities being no exception. In response to the virus’ rapid spread in Canada, regulatory authorities across the country have recently advised dental practices to reschedule all non-essential dental treatments, reserving treatment for emergency cases only.

As healthcare professionals, it our collective responsibility to ensure a safe and healthy environment for all our patients and team members. In addition to the everyday best practices required by regulatory authorities and public health, below are Infection Prevention and Control (IPAC) best practices to aid you in providing safe and effective patient care as we strive to flatten the curve together.

Risk Assessment

1.  Before patient appointments, the office should contact them to ensure that the patient:

  • Has not travelled abroad in the last 14 days;
  • Has not recently been exposed to symptoms;
  • Has no cold or flu-like symptoms; 
  • Has a true dental emergency; and
  • Has NOT tested positive for COVID-19.

2.  Reschedule patients who:

  • Screen as a risk for having COVID-19 or influenza;
  • Who do not present with a true dental emergency; and
  • Have tested positive for COVID-19.

3.  Appropriate signage on the entrance door will allow those who have missed the above communication to stop and think about any potential symptoms or travel/contact history before entering the office.
 
4.  The front desk staff should screen patients who show signs of upper respiratory infection and ask them to leave the clinic and reschedule.
If there’s a dental emergency, make sure the patient’s needs are accommodated at that practice (if prepared) or at another facility.
 
5.  Schedule appointments to minimize the number of people in your waiting area at one time.
 
6.  Restrict visitors to the practice to those who are essential; limit family members attending with patients.
 
7.  Have patients wait in their cars until ready to be seen. Text or call them when ready and seat them in the treatment room immediately.
 

Reception Area—Social Distancing

8. Minimize any hand contact and unnecessary touching. Shaking hands should be forbidden until the COVID-19 crisis is over.
 
9.  Rearrange seating in the waiting area to represent the appropriate space between patients, i.e., two meters.
 
10.  When patients complete medical and dental history and/or new patient forms, disinfect the pen for patients to use - wipe down after each use.

11.  Remove toys, reading materials, and prizes from the reception/waiting area.

12.  Thoroughly and frequently disinfect high contact surfaces in the reception area, including furniture, door handles, railings, front desk, etc.
     

Clinical Areas

13.  Take the patient’s temperature before treatment.
 
14.  Have the patient rinse prior to treatment with hydrogen peroxide solution.  
 
15.  Ensure appropriate PPE is used – e.g., gowns or lab coats should be worn and discarded or laundered, respectively, after treatment of each patient, before leaving the operatory.
 
16.  Minimize procedures that cause aerosolization, by only providing essential dental treatment.
 
17.  Use high-volume suction when using instruments that produce aerosol, such as handpieces, ultrasonic scalers, and air/water syringes.
 
18.  Isolate teeth with rubber dams, whenever possible, to reduce aerosols created during essential treatments.
 

Follow-Up

19.  Follow up call to be completed within 24 hours to re-assess patients after surgeries and check for any symptoms.

20.  Contact your local public health unit if a patient tests positive for COVID-19, or if you have any concerns about patient or staff safety.
 

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