Reference: Health Protection Scotland – NHS
COVID-19 Advice for Dental Teams
Publication date 05 March 2020
Individuals with possible or confirmed #COVID19 should not be seen for routine dental care.
It is highly important for patients presenting symptoms of a common cold, seasonal flu to cancel their appointments via phone calls.
Individuals coming from risk areas and suffering from respiratory symptoms should be dismissed from dental practice and are advised to return home and contact their medical doctor by telephone
if the individual is not well enough to return home, place them in a room with the door closed. Immediately wash your hands and contact the local Health protection team for advice
Personal Protective Equipment:
facemask + goggles or full face visor.
Comply with already existing guidance on decontamination and standard infection control precautions as routine practice
If a possible case has spent time within a communal area, for example the waiting area or used toilet facilities, these areas should be cleaned with detergent and disinfectant as soon as possible.
in the event of blood/fluid spillage, this should be dealt with immediately in accordance with Appendix 9 of the National Infection Prevention and Control Manual (NIPCM). nipcm.hps.scot.nhs.uk/media/1412/nip…
As already stated before, face masks should only be provided to people showing symptoms of a flu, common cold, or #COVID19.
If a member of the staff appears to be sick upon arrival to work, they must be dismissed and not return to work until they are free of symptoms for at least 24 hours.
It is recommended to place posters that encourage coughing and sneezing etiquette and proper hand hygiene at the entrance to the workplace and in other areas where they are likely seen.
Dentists may also send a notice advising patients who are experiencing acute respiratory illness to remain home and reschedule appointments.
Illustration of Transmission routes of #COVID19 in dental clinics and hospitals.
Avoid going to the dentist if you have flu-like symptomes.
In dental practice, the disinfectants used are STRONG ENOUGH to decontaminate surfaces. Chlorhexidine may not be effective to kill #COVID19.
#COVID19 is vulnerable to oxidation, pre-procedural mouth rinse containing oxidative agents such as 1% hydrogen peroxide or 0.2% povidone is recommended for the purpose of reducing the salivary load of oral microbes.
A pre-procedural mouth rinse would be most useful in cases when rubber dam cannot be used.
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I also translated a patient evaluation questionnaire that might help with the dismissal of #COVID19 patients in the dental practice and their referral to health care facilities able to take care of them