These recommendations outlined are subjected to change as the sanitary situation evolves.
Always be cautious, focused, and follow the recommendations issued by the local health authorities or recommendations of the regional dental.
Our Priority, Your Safety!
People with these symptoms may have COVID-19:
Cough – Shortness of breath or difficulty breathing – Fever – Chills – Muscle pain – Sore throat- New loss of taste or smell
This list is not all inclusive. Other less common symptoms have been reported, including gastrointestinal symptoms like nausea, vomiting, or diarrhea.
Watch video from the World Health Organization about the Covid-19 and spread:
PRECAUTIONS & RECOMMENDATIONS
If sick and Symptoms: Stay at home!
In the case, you or your staff have developed symptoms while at work, send the staff and yourself at home. If you feel sick and have a respiratory infection, do not try to work and contact immediately the recommended emergency center of your country.
Don’t forget the teledentistry and teleconferencing.
You can contact all your schedule patient trough a telephone screen to check the signs or symptoms of respiratory illness (fever, cough, shortness of breath). Delay, if possible, every dental care emergency until an infected patient has entirely recovered from the respiratory infection and provide them home care instructions and any appropriate pharmaceuticals help.
What to do If a patient without the COVID-19 came to my facility?
Check if your patient has the COVID-19 through a form and questions him about the presence of symptoms of a respiratory infection and travel to areas experiencing transmission of COVID-19 or contact with possible patients with COVID-19. You can find in this article a form to help you with the check-in of the patient.
Control the temper of your patient, he should be afebrile:
Normal: 36.5–37.5 °C (97.7–99.5 °F)
Hypothermia: <35.0 °C (95.0 °F) Fever: >37.5 or 38.3 °C (99.5 or 100.9 °F)
Hyperthermia: >37.5 or 38.3 °C (99.5 or 100.9)
Avoid aerosol-generating procedures whenever possible. Avoid the use of dental handpieces and the air-water syringe. The use of ultrasonic scalers is not recommended during this time. Prioritize minimally invasive/atraumatic restorative techniques (hand instruments only).
If aerosol-generating procedures are necessary for emergency care, use four-handed dentistry, high evacuation suction and dental dams to minimize droplet spatter and aerosols.
What to do If a patient with the COVID-19 came to my clinic?
After the check of your patients, in this case, if you suspect or confirm that the patient has the COVID-19, you should take the following actions:
- Defer dental treatment
- Give the patient a mask to cover his or her nose and mouth, (if it’s not the case) and avoid every physical contact with the other patients, your staff, and you.
- If he is sick (for example, has trouble breathing) refer the patient to a medical facility.
- If not currently sick, send the patient home and instruct the patient to call the recommended emergency center for coronavirus for advice and recommend him a teledentistry consultation.
What should I do if the patient has the COVID-19 and is in need of a dental emergency necessary?
-Take some Airborne Precautions (an isolation room with negative pressure relative to the surrounding area and use of an N95 filtering disposable respirator for persons entering the room).
- The dental treatment should be provided in a hospital or other competent facility to handle the COVID-19.
Protect yourself with the highest level of personal protective equipment (PPE):
- Wear gloves, a gown, eye protection wear gloves, a gown, eye protection (i.e., goggles or a disposable/reusable face shield that covers the front and sides of the face), and an N954 or higher-level respirator during emergency dental care for patients without COVID-19.
- Removed disposable respirators and discarded them after exiting the patient’s room or treatment area.
- Clean and disinfect every reusable eye protection. If only disposable eye protection, you should discard it after every use.
- If soiled, change the gown, remove and discard the gown in a waste or linen container before leaving the patient room or treatment area. Or it should be transported to the temporary storage area of the dental clinic/ medical institute timely.
- If a respirator is unavailable, use a combination of a surgical mask and a full-face shield (cleared and recommended by your country government).
- Surgical masks should be removed and discarded after exiting the patient’s room or care area.
- Screen all DHCP at the beginning of their shift for fever and respiratory symptoms. Document shortness of breath, new or change in cough, and sore throat. If they are ill, have them put on a facemask and leave the workplace.
- Change surgical masks during patient treatment if the mask becomes wet.
- Clean, disinfect, or discard the surface, supplies, or equipment located within 2m of symptomatic patients.
- Use products with approved by the regulation organism (like EPA) and emerging viral pathogens claims.
Your clinic should be clean, you should take effective and strict disinfection measures in the clinical settings and public areas, don’t forget the COVID-19 can survive 24 hours on the surface. You can use the following cleaners such as 0.1% sodium hypochlorite, 0.5% hydrogen peroxide, or 62-71% ethanol have all been shown to be effective.