Gov. DeWine recommends COVID-19 actions for dental offices
- Any cosmetic or aesthetic procedures, such as veneers, teeth bleaching, or cosmetic bonding
- All routine hygiene appointments
- Any orthodontic procedures not including those that relieve pain and infection or restore oral function or are trauma-related
- Initiation of any crowns, bridges, or dentures that do not address or prevent pain or restore normal oral functioning
- Any periodontal plastic surgery
- Extraction of asymptomatic non-carious teeth
- Recall visits for periodontally healthy patients
- Delay all appointments for high risk patients, including ASA 2 and 3 patients, unless it is an emergency
- Use cell phone triage – use the cell phone to take a picture of the area and text to the dentist
- Have a detailed questionnaire/conversation before scheduling appointments and prior to any procedure about flu like symptoms, travel abroad for self and family/friends/co-workers etc. to permit a thorough evaluation of the patient
- Consider taking the temperature of the patient at the outset
- Reconsider scheduling high risk patients unless they need emergency treatment
- Careful evaluation of the need for scheduling of ASA 2 & 3 patients
- Use of 1% hydrogen peroxide rinse prior to examination of the oral cavity by the patient to reduce microbial load
- Use of rubber dam isolation & high volume suction to limit aerosol in treatment procedures
- Proper disinfection protocol between patients with a possible repeat of the protocol for a 2nd time.
- Consider having patients wait in their cars instead of the waiting areas to prevent inadvertent spread of the virus (call patient when surgical area is ready for treatment)
- Consider staggering appointment times to reduce waiting room exposure
- Consider rescheduling elective procedures on ASA 2 & 3 patients (https://www.asahq.org/standards-and-guidelines/asa-physical-status-classification-system)
- Have front desk staff take measures to prevent exposure
- Have sterilization staff, lab technicians and auxiliary staff take adequate measures to prevent exposure
- Limit access to waiting room use to only patients. Accompanying individuals have to wait in their respective transportation.
- Remove all magazines/toys etc from waiting area to prevent contamination.
- Info from the ADA specific to dentists: https://success.ada.org/…/infectious-diseases-2019-novel-co…
- Info from the Ohio Department of Health: https://coronavirus.ohio.gov/wps/portal/gov/covid-19/
- Info from the CDC: https://www.cdc.gov/coronavirus/2019-ncov/summary.html
Check back here for more details as they become available.
This information is being provided as a public service during the coronavirus outbreak.