Introduction:

This article would be covering the safety measures for dentists, precautions to take and safety measures for usage of handpieces, dental x-ray equipment, dental chair, light etc.


Before Dental Care

  • Ensure that the dental health care personnel have received their seasonal flu vaccine
  • Doctor or staff experiencing influenza-like illness fever with either cough or else sore throat, muscle aches must not report to work
  • Do an initial check-up with the patient over call to understand if he has any one of the external symptoms of COVID-19
  • All patients should be considered as asymptomatic carriers.
  • For elective care, take limited appointments, avoid overcrowding & defer treatment for two weeks
  • For Urgent Care (Acute Pain / Swelling) approach with pharmacological Management (give Antibiotics only for systemic problem, otherwise give dexamethasone 4mg) and Analgesics
  • For emergency Care perform dental treatment in negative pressure room. ie., airborne infection isolation room (AIIRs)
  • Prevent adult patients from bringing companions to their appointments; Preserve social distancing in the waiting area

During Dental Care

  • Dental Health Care’s should adhere to Standard Precautions:
    Standard Precautions contain: Hand hygiene, use of PPE, respiratory hygiene/etiquette, sharps safety, safe injection practices, sterile instruments as well as devices, clean along with disinfected environmental surfaces
  • If available, dental health care should implement transmission-based Precautions:
  • Essential transmission-based precautions may include patient placement (e.g., isolation), adequate room ventilation, respiratory protection (e.g., N-95 masks) for DHCP, or else postponement of nonemergency dental procedures
  • Wear a surgical mask as well as eye protection with solid side shields or else a face shield to guard mucous membranes of the eyes, nose, as well as mouth throughout procedures likely to generate splashing or spattering large droplets of blood or other body fluids

After Dental Care

  • Clean with soap as well as water, or else if visibly soiled, clean plus disinfect reusable facial protective equipment (e.g., clinician and patient protective eyewear or face shields) between patients
  • Non-dedicated and non-disposable equipment (e.g., handpieces, dental x-ray equipment, dental chair, and light) should be disinfected according to the manufacturer’s instructions. Handpieces should be cleaned to remove debris, followed by heat-sterilization after each patient
  • Routine cleaning and disinfection procedures (e.g., using cleaners and water to pre-clean surfaces prior to applying an EPA-registered, hospital-grade disinfectant to frequently touched surfaces or objects for appropriate contact times as indicated on the product’s label) are appropriate for SARS-CoV-2 in healthcare settings, including those patient-care areas in which aerosol-generating procedures are performed

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