Modifications of emergency dental clinic protocols to combat COVID‐19 transmission

Long, Robert Hollinshead; Ward, Tyrous David; Pruett, Michael Edward; Coleman, John Finklea; Plaisance, Marc Charles

doi:10.1111/scd.12472

Cited by 34 publications

(56 citation statements)

References 39 publications

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“…Nonetheless, dental practices need special arrangements to manage urgent cases that mandate immediate intervention. This intervention, when needed, should be performed in a setting that prevents or minimizes transmission of COVID-19 infection to dental staff and other patients [33,34]. One such procedure is using extra-suction beyond regular saliva suction.…”

Section: Discussionmentioning

confidence: 99%

“…To measure the mindset and willingness to adapt new infection control measures and because the use of the N-95 face mask was one of the continuing recommendations to prevent droplet transmission during the pandemic, the participants were asked if they thought the N-95 mask should be routinely worn in dental practice [33]. High agreement was detected by 72% with the number of younger dentists (< 45 years) significantly higher in the agreement response.…”

Section: Discussionmentioning

confidence: 99%

“…In another study that surveyed 650 dentists in 30 countries, 81% of participating dentists indicated that measuring a patient's body temperature is mandatory before undertaking any dental procedure [ 23 ]. Furthermore, social distancing has been advocated as an essential measure to prevent the transmission of COVID-19 infection [ 33 , 38 ]. In this survey, the results suggest that about three-quarters of participating dentists have indicated that reducing the number of patients in waiting areas, "so-called social distancing," is employed in their practices.…”

Section: Discussionmentioning

confidence: 99%

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Pandemic preparedness of dentists against coronavirus disease: A Saudi Arabian experience

et al. 2020

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Background Dental offices are among the highest risk for transmission of the COVID-19, having the potential to transmit the virus via routine dental procedures. This cross-sectional study assessed the preparedness and perception of infection control measures against the COVID-19 pandemic by dentists in Saudi Arabia. Materials and methods This online survey addressed the impact and perception of the COVID-19 pandemic on dental practice in Saudi Arabia. The questionnaire comprised 26 closed-ended questions. Descriptive statistics included frequency distributions with percentages. In addition, the significance between the different demographic variables and questions about dentists' perception of the COVID-19 pandemic was tested using the Chi-square test. Results COVID-19 management in dental clinics varied in terms of adherence to the Ministry of Health (MOH) guidelines. Dental clinics' screening questionnaire for patients showed good adherence (67%), while the lowest agreement was detected with the question on the existence of an airborne infection in the isolation room (15%). Almost two-thirds of the respondents agreed that the dental reception area adopted the proper COVID-19 preventive measures. Greatest accord was observed in their answers on questions about dentists' perception of the COVID-19 pandemic, ranging from 64%-89%. In addition, there were statistically significant differences in questions about the perception of dentists towards the COVID-19 pandemic by different demographic variables such as age and years of work experience (p < 0.05).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Pandemic preparedness of dentists against coronavirus disease: A Saudi Arabian experience

et al. 2020

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“…It is not recommended for dental personnel to treat the confirmed COVID-19 patients if there is a lack of PPEs or no isolation negative pressure dental treatment room. Dental personnel could contact a dental clinic or hospital with the above protective standards and make a referral [ 20 , 37 ].…”

Section: Emergency Dental Treatment For Confirmed Covid-19mentioning

confidence: 99%

Precautions in dentistry against the outbreak of corona virus disease 2019

Li¹,

Chang²,

Li³

et al. 2020

Journal of Infection and Public Health

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The outbreak of Coronavirus Disease 2019 (COVID-19) has become a severe global acute respiratory pandemic around the world in just a few months with an increasing number of infections and deaths. COVID-19 is a highly contagious and fatal disease. Almost everyone in the population is susceptible, and the incubation period is 1–14 days, mostly 3–7 days. The clinical symptoms of the COVID-19 are fever, dry cough and fatigue. Some patients are accompanied by symptoms such as nasal congestion, runny nose, sore throat, myalgia and diarrhea. Severe patients could even develop acute respiratory distress syndrome, septic shocks, metabolic acidosis and multifunctional organ failure, etc. Due to the relatively closed environment of dental clinics and the unique nature of dental procedures, both dental personnel and patients are easy to get infection through currently known respiratory droplet transmission, aerosol transmission, close contact transmission and other ways, inducing mutual cross-infection. Dental practitioners are facing unprecedented challenges due to the high risk of exposure to droplets and aerosols from saliva and other body fluids during dental procedures. Based on our experience and relevant research, this article introduces the basic knowledge about COVID-19 and the corresponding protective measures for dental practitioners, includes the risk of infection during dental procedures, the precautions related to the patients, infection control measures during dental treatment in clinics, protection measures at different levels for dental practitioners, and emergency dental treatment for confirmed COVID-19. It is the responsibility of every dental practitioner to fully understand the characteristics of the new coronavirus and strictly implement the most appropriate protective measures to reduce and control the risk of cross infection in dental procedures.

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“…As mentioned, dental practice and aerosol generation are inextricably linked due to interventional procedures that generate copious volumes of droplets, splatter and aerosol [4,5]. The regulatory measures for dental professionals advocated by many organisations, can be relatively easily implemented in resource-rich, first-world nations where personal protective equipment (PPE) is available and clinic decontamination and other instructions could be readily realised [18][19][20][21][22]. On perusal of the literature we were unable to locate any publications on strategic and coordinated response to dental services in resource-constrained, developing countries during the current pandemic, apart from a single, short opinion piece from Pakistan [23].…”

Section: Implementation Of Infection Control In Resource Poor Countriesmentioning

confidence: 99%

Strategic implementation of dental infection control in resource-poor jurisdictions during COVID-19 pandemic: a perspective from South Africa

Blignaut

Nemutandani

Samaranayake

2020

Acta Odontologica Scandinavica

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Background: The coronavirus disease-19 (COVID-19) pandemic caused by the severe acute respiratory syndrome Coronavirus À2 is unceasing, and the consensus is that the dental profession has to co-exist with this vicious foe for the foreseeable future. Dental professionals in resource poor countries, as opposed to those in developed countries, face additional challenges due to the lack of personal protective equipment, and chronic infrastructural impediments extant in such jurisdictions, such as regular and chronic interruptions to electricity and water supplies. Objectives: To address this new 'normal' which dictates that dentistry has to 'adapt and adopt' in order to deliver care to the needy, particularly in resource poor nations, whilst care deliverers take appropriate precautionary measures to obviate cross infection. Methods: A review was preformed of the challenges to delivery of infection control measures in dentistry in resource meagre settings, and practical interventional measures proposed to mitigate these challenges, taking South Africa as a case study. Results: In reality, optimal infection control measures cannot be implemented in delivering dental care in resource poor settings, a challenge that has been ill addressed by the relevant authoritative bodies. A re-adaptation of infection control guidelines that could be simply implemented in such settings has been formulated. Conclusion: We present practical infection control guidelines to lessen the burden of dental professionals in resource poor countries who dispense treatment under trying circumstance. The strategic infection control measures, including engineering and administrative controls outlined could be applicable in jurisdictions with a diminished capacity to respond to local, regional or national infection control guidelines , due to financial, regulatory, or other infrastructural resource deficiencies.

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Modifications of emergency dental clinic protocols to combat COVID‐19 transmission

Cited by 34 publications

References 39 publications

Pandemic preparedness of dentists against coronavirus disease: A Saudi Arabian experience

Pandemic preparedness of dentists against coronavirus disease: A Saudi Arabian experience

Precautions in dentistry against the outbreak of corona virus disease 2019

Strategic implementation of dental infection control in resource-poor jurisdictions during COVID-19 pandemic: a perspective from South Africa

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