{"id":313,"date":"2020-04-07T02:34:03","date_gmt":"2020-04-06T21:04:03","guid":{"rendered":"https:\/\/dantkritidentalclinic.com\/blog\/?p=313"},"modified":"2021-05-14T20:08:11","modified_gmt":"2021-05-14T14:38:11","slug":"covid-19-dental-treatment-during-and-after-pandemic","status":"publish","type":"post","link":"https:\/\/dantkritidentalclinic.com\/blog\/covid-19-dental-treatment-during-and-after-pandemic\/","title":{"rendered":"COVID-19: DENTAL TREATMENT DURING AND AFTER PANDEMIC"},"content":{"rendered":"\n\n<div class=\"kk-star-ratings kksr-auto kksr-align-left kksr-valign-top kksr-disabled\"\n    data-payload='{&quot;align&quot;:&quot;left&quot;,&quot;id&quot;:&quot;313&quot;,&quot;readonly&quot;:&quot;1&quot;,&quot;slug&quot;:&quot;default&quot;,&quot;valign&quot;:&quot;top&quot;,&quot;ignore&quot;:&quot;&quot;,&quot;reference&quot;:&quot;auto&quot;,&quot;class&quot;:&quot;&quot;,&quot;count&quot;:&quot;1&quot;,&quot;legendonly&quot;:&quot;&quot;,&quot;score&quot;:&quot;5&quot;,&quot;starsonly&quot;:&quot;&quot;,&quot;best&quot;:&quot;5&quot;,&quot;gap&quot;:&quot;5&quot;,&quot;greet&quot;:&quot;Rate this post&quot;,&quot;legend&quot;:&quot;5\\\/5 - (1 vote)&quot;,&quot;size&quot;:&quot;20&quot;,&quot;title&quot;:&quot;COVID-19: DENTAL TREATMENT DURING AND AFTER PANDEMIC&quot;,&quot;width&quot;:&quot;122.5&quot;,&quot;_legend&quot;:&quot;{score}\\\/{best} - ({count} {votes})&quot;,&quot;font_factor&quot;:&quot;1.25&quot;}'>\n            \n<div class=\"kksr-stars\">\n    \n<div class=\"kksr-stars-inactive\">\n            <div class=\"kksr-star\" data-star=\"1\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 20px; height: 20px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"2\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 20px; height: 20px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"3\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 20px; height: 20px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"4\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 20px; height: 20px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"5\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 20px; height: 20px;\"><\/div>\n        <\/div>\n    <\/div>\n    \n<div class=\"kksr-stars-active\" style=\"width: 122.5px;\">\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 20px; height: 20px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 20px; height: 20px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 20px; height: 20px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 20px; height: 20px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 20px; height: 20px;\"><\/div>\n        <\/div>\n    <\/div>\n<\/div>\n                \n\n<div class=\"kksr-legend\" style=\"font-size: 16px;\">\n            5\/5 - (1 vote)    <\/div>\n    <\/div>\n<h1>Dental Treatment in COVID-19 Pandemic<\/h1>\n<p><img fetchpriority=\"high\" class=\"size-medium wp-image-333 aligncenter\" src=\"https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/coronavirus-300x178.jpg\" alt=\"corona virus\" width=\"300\" height=\"178\" srcset=\"https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/coronavirus-300x178.jpg 300w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/coronavirus-455x270.jpg 455w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/coronavirus-20x12.jpg 20w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/coronavirus.jpg 620w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>Currently the entire world is in the grip of a new disease known as COVID 19. The Disease was first described in December 2019 from Wuhan city of China. unfortunately this disease has spread to all the continents in the world. It Is well known that awareness is the key to the containment of an epidemic.<\/p>\n<p>Amid of COVID-19 Global Pandemic caused by novel corona Virus all over the world, Everyone is praying and playing their role in containing the Pandemic. Once the active spread will be controlled and the infection will be contained, We all know our world will never be the same again especially in regards to the Dental fraternity and their patients.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_1 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-69ea5af9d17cb\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-69ea5af9d17cb\"  aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/dantkritidentalclinic.com\/blog\/covid-19-dental-treatment-during-and-after-pandemic\/#How_Dentistry_is_a_Risk_Branch_In_Coronavirus_Pandemic\" >How Dentistry is a Risk Branch In Coronavirus Pandemic?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/dantkritidentalclinic.com\/blog\/covid-19-dental-treatment-during-and-after-pandemic\/#MODE_OF_TRANSMISSION_IN_DENTAL_SETTING\" >MODE OF TRANSMISSION IN DENTAL SETTING<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/dantkritidentalclinic.com\/blog\/covid-19-dental-treatment-during-and-after-pandemic\/#What_To_Do_In_Case_Dental_Emergency_During_COVID_19_Period\" >What To Do In Case Dental Emergency During COVID 19 Period<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/dantkritidentalclinic.com\/blog\/covid-19-dental-treatment-during-and-after-pandemic\/#Nonessential_Dental_procedures_should_be_avoided_which_includes\" >Nonessential Dental procedures should be avoided which includes<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/dantkritidentalclinic.com\/blog\/covid-19-dental-treatment-during-and-after-pandemic\/#Dental_Maxillofacial_Emergencies_Include\" >Dental &amp; Maxillofacial Emergencies Include<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/dantkritidentalclinic.com\/blog\/covid-19-dental-treatment-during-and-after-pandemic\/#Recommendations_For_Specific_Dental_Procedure\" >Recommendations For Specific Dental Procedure:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/dantkritidentalclinic.com\/blog\/covid-19-dental-treatment-during-and-after-pandemic\/#Precautions_To_Be_Taken_By_Dentist_Oral_Surgeons_To_Prevent_nCOVID_19_Transmission\" >Precautions To Be Taken By Dentist &amp; Oral Surgeons To Prevent nCOVID 19 Transmission<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/dantkritidentalclinic.com\/blog\/covid-19-dental-treatment-during-and-after-pandemic\/#If_possible_avoid_aerosol-related_treatments_Air_rotor_And_Scaler_till_active_disease_gets_contained\" >If possible avoid aerosol-related treatments (Air rotor And Scaler) till active disease gets contained.<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"How_Dentistry_is_a_Risk_Branch_In_Coronavirus_Pandemic\"><\/span><strong>How Dentistry is a Risk Branch In Coronavirus Pandemic?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As Dental professionals we have always been at risk of exposure to various life-threatening &amp; contagious diseases like HIV, Hepatitis B, Tuberculosis, etc which can infect or spread through saliva, oral cavity, and respiratory tract.<\/p>\n<p>The New York Times on 15th March 2020 published an article \u201c<strong><em>The Workers Who Face the Greatest Coronavirus Risk<\/em><\/strong>\u201d, where a schematic figure described that dentists as the professionals are most susceptible to the risk of being infected by COVID-19<\/p>\n<p>&nbsp;<\/p>\n<p><img class=\"size-medium wp-image-314 aligncenter\" src=\"https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Exposure-Risk-covid19-220x300.jpg\" alt=\"risk of exposure to different professional workers\" width=\"220\" height=\"300\" srcset=\"https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Exposure-Risk-covid19-220x300.jpg 220w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Exposure-Risk-covid19-751x1024.jpg 751w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Exposure-Risk-covid19-768x1047.jpg 768w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Exposure-Risk-covid19-198x270.jpg 198w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Exposure-Risk-covid19-15x20.jpg 15w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Exposure-Risk-covid19.jpg 1058w\" sizes=\"(max-width: 220px) 100vw, 220px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>This new Coronavirus varies from all above infections by having a very high Human to Human transmission rate and relatively long Incubation period (time from getting infected to showing symptoms) which ranges from 2 to 14 days with the median duration being 5 days.<\/p>\n<p>It is of concern that to date no specific guideline, treatment, or vaccine is available for nCOVID 19.<\/p>\n<p><strong>\u00a0<\/strong>The main that should concern us as Dental Surgeon for our patients is the<\/p>\n<p>\u2013Mode of Transmission<\/p>\n<p>&#8211;Virulence of Virus on Fomites.<\/p>\n<p>&#8212; Patient with improper history<\/p>\n<h2><span class=\"ez-toc-section\" id=\"MODE_OF_TRANSMISSION_IN_DENTAL_SETTING\"><\/span><strong>MODE OF TRANSMISSION IN DENTAL SETTING<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The main mode of transmission of this COVID 19 infection is through Droplet Infection, which means it spreads via nasal and oral droplets released during coughing, sneezing, blowing the nose.<\/p>\n<p>We as Dental Professionals are considered at very high risk due to the nature of our work that includes splatter and aerosols from the oral cavity generated by our Headpieces and Ultrasonicscalers.<\/p>\n<p><img class=\"alignnone size-medium wp-image-315\" src=\"https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/transmission-covid19-dentistry-300x141.jpg\" alt=\"route of transmission of covid 19 in dental clinic\" width=\"300\" height=\"141\" srcset=\"https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/transmission-covid19-dentistry-300x141.jpg 300w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/transmission-covid19-dentistry-768x362.jpg 768w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/transmission-covid19-dentistry-573x270.jpg 573w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/transmission-covid19-dentistry-20x9.jpg 20w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/transmission-covid19-dentistry.jpg 1000w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Also, another mode of spread is through Fomites.<\/strong><\/p>\n<p>Fomites are various objects on which if Virus can retain its infective potential for a specific period of time.<\/p>\n<ul>\n<li>Aerosol splatter- 3 to 8 Hours<\/li>\n<li>Copper \u2013 4 to 5 Hours<\/li>\n<li>Stainless steel \u2013 2-3 days<\/li>\n<li>Cardboard\/plastic\/Paper \u2013 up to 24 hours.<\/li>\n<li>Plastic &#8211; up to 3 days<\/li>\n<\/ul>\n<p><img loading=\"lazy\" class=\"size-medium wp-image-316 aligncenter\" src=\"https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Transmission-modes-covid19-300x200.jpg\" alt=\"time for covid 19 virus to survive in objects\" width=\"300\" height=\"200\" srcset=\"https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Transmission-modes-covid19-300x200.jpg 300w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Transmission-modes-covid19-1024x681.jpg 1024w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Transmission-modes-covid19-768x511.jpg 768w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Transmission-modes-covid19-1536x1021.jpg 1536w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Transmission-modes-covid19-406x270.jpg 406w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Transmission-modes-covid19-20x13.jpg 20w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Transmission-modes-covid19.jpg 1621w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_To_Do_In_Case_Dental_Emergency_During_COVID_19_Period\"><\/span><strong>What To Do In Case Dental Emergency During COVID 19 Period<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Nonessential_Dental_procedures_should_be_avoided_which_includes\"><\/span>Nonessential Dental procedures should be avoided which includes<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Routine Dental Checkups and Treatments where there is no pain, swelling or bleeding<\/p>\n<ul>\n<li>Teeth Cleaning<\/li>\n<li>Teeth Whitening<\/li>\n<li>Most of the dental fillings ( which are asymptomatic)<\/li>\n<li>Cosmetic Dental treatments<\/li>\n<li>Denture Concerns<\/li>\n<li>Braces Treatment<\/li>\n<li>Facial Cosmetic Surgeries<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Dental_Maxillofacial_Emergencies_Include\"><\/span><strong>Dental &amp; Maxillofacial <a href=\"https:\/\/dantkritidentalclinic.com\/emergency-dental-care-gurgaon.html\">Emergencies<\/a> Include<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li><a href=\"https:\/\/dantkritidentalclinic.com\/blog\/relieve-your-wisdom-teeth-pain\/\">Severe Acute Pain Associated with Teeth<\/a> or Jaws<\/li>\n<li>Facial Infections<\/li>\n<li>Fracture of teeth or Jaw bone due to trauma<\/li>\n<li>Lacerations &amp; Cuts on the face<\/li>\n<li>Temporomandibular Joint Dislocation<\/li>\n<li>Conditions, where the patient is suffering from some complex systemic illness &amp; doing no treatment, may lead to worsening of the condition<\/li>\n<li>Biopsy of a suspicious lesion<\/li>\n<\/ul>\n<h2 class=\"Default\"><span class=\"ez-toc-section\" id=\"Recommendations_For_Specific_Dental_Procedure\"><\/span><span style=\"font-size: 14.0pt;\">Recommendations For Specific Dental Procedure:<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<table id=\"tablepress-2\" class=\"tablepress tablepress-id-2\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">Dental Decipline<\/th><th class=\"column-2\">Special Precaution<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Endodontics<\/td><td class=\"column-2\">Rubber Dam must be applied.<br \/>\nRoot canal treatment usually requires a number of endodontic  instruments &amp; devices, therefore minimising unnecessary hand contact with surfaces and equipment in the dental office to reduce possibility of Fomite transmission<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">Restorative &amp; Pediatric Dentistry<\/td><td class=\"column-2\">Avoid using rotary instruments during cavity preparation. In selective cases consider using chemochemical caries removal or Atraumatic Restorative Techniques.<br \/>\nRotary instrumentation must be performed under Rubber Dam Isolation<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\">Periodontics &amp; Gums Treatment<\/td><td class=\"column-2\">Hand &amp; Ultrasonic Scaling are equally effective in removing plaque and calculus. If required manual scaling and polishing is recommended<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\">Prosthodontics<\/td><td class=\"column-2\">Salivary suction should be done with care to avoid gagging.<br \/>\nAvoid touching other objects during Denture try in and adjustments.<br \/>\nDuring Fixed partial denture or single crown preparation treatment alteration must be considered to incorporate rubber dam application eg. Supragingival margins or Split Dam Technique.<br \/>\nUpon removal from patient's mouth, dental prosthesis, impressions and other materials should be throughly disinfected<\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\">Oral &amp; Maxillofacial Surgery<\/td><td class=\"column-2\">Treat the patient in supine position to avoid working in breath way of patient.<br \/>\nConsider closed reduction of jaw fractures with self drilling MMF screws.<br \/>\nUse Scalpel over cautry.<br \/>\nSelf Drilling Screws are preferrable.<br \/>\nUse osteotome instead of power saw for bone cutting.<br \/>\nAvoid repeated suction &amp; irrigation<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-2 from cache -->\n<h2><span class=\"ez-toc-section\" id=\"Precautions_To_Be_Taken_By_Dentist_Oral_Surgeons_To_Prevent_nCOVID_19_Transmission\"><\/span><strong>Precautions To Be Taken By Dentist &amp; Oral Surgeons To Prevent nCOVID 19 Transmission<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"If_possible_avoid_aerosol-related_treatments_Air_rotor_And_Scaler_till_active_disease_gets_contained\"><\/span>If possible avoid aerosol-related treatments (Air rotor And Scaler) till active disease gets contained.<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>&nbsp;<\/p>\n<ol>\n<li>Strict Screening should be done and detailed written informed consent and Undertaking should be taken from ALL patients regarding COVID 19 and other diseases in General.<\/li>\n<li>Patients should be asked to scrub their hands with alcohol-based hand sanitizers provided by staff from a distance.<\/li>\n<li>Dental Chair, Hand rests, Spitoon, Tray, Buttons, Headlight switch, Door handles to be disinfected with Alcohol scrub Before and after each patient.<\/li>\n<li>Patients should be asked not to touch anything unless its unavoidable.<\/li>\n<li>A mouth rinse containing oxidative agents such as 1% Hydrogen Peroxide or 2% Povidone Iodine should be used before any procedure to reduce the salivary load of oral microbes, including potential nCOVID 19 carriages.<img loading=\"lazy\" class=\"alignnone size-medium wp-image-336\" src=\"https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Betadine-230x300.jpg\" alt=\"betadine\" width=\"230\" height=\"300\" srcset=\"https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Betadine-230x300.jpg 230w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Betadine-784x1024.jpg 784w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Betadine-768x1004.jpg 768w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Betadine-207x270.jpg 207w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Betadine-15x20.jpg 15w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/Betadine.jpg 1050w\" sizes=\"(max-width: 230px) 100vw, 230px\" \/><\/li>\n<li>All asymptomatic treatments to be deferred till the epidemic ends.<\/li>\n<li>Proper Donning and Doffing protocols if using PPE Should be followed.<img loading=\"lazy\" class=\"alignnone size-medium wp-image-337\" src=\"https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/PPE-300x235.jpg\" alt=\"Personal protection equipments\" width=\"300\" height=\"235\" srcset=\"https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/PPE-300x235.jpg 300w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/PPE-1024x802.jpg 1024w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/PPE-768x601.jpg 768w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/PPE-345x270.jpg 345w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/PPE-20x16.jpg 20w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/PPE.jpg 1051w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/li>\n<li>Procedures that generate splatter &amp; aerosols to be done with complete Disposable PPE for all operating Doctors and Assistants and appointments for such cases should preferably be scheduled at the end of the day.<\/li>\n<li>Use of Rubber Dam can significantly reduce the spatter &amp; Aerosol from saliva and blood.<img loading=\"lazy\" class=\"alignnone size-medium wp-image-338\" src=\"https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/rubber-dam-300x259.jpg\" alt=\"rubber dam\" width=\"300\" height=\"259\" srcset=\"https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/rubber-dam-300x259.jpg 300w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/rubber-dam-768x664.jpg 768w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/rubber-dam-312x270.jpg 312w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/rubber-dam-20x17.jpg 20w, https:\/\/dantkritidentalclinic.com\/blog\/wp-content\/uploads\/2020\/04\/rubber-dam.jpg 921w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/li>\n<li>Operatory should be fumigated with commercial fumigators or liquid Formalin and Potassium permanganate crystals.<\/li>\n<li>Appointments should be scheduled such that there should be minimal waiting time for the patients and leaving sufficient time for disinfection.<\/li>\n<li>Patients should be requested to have a mask or a nose protection worn in the reception till they are called in the operatory and maintain the spacing of 6 feet<\/li>\n<li>Routine treatments like OPD, Crown cementation, ART, can be carried out.<\/li>\n<li>Water reservoir of chair be added with 0.5%Hydrogen Peroxide<\/li>\n<li>The floor of the operatory should be mopped with the Three-bucket technique or with 1%sodium hypochlorite and detergent after each patient.<\/li>\n<li>Dispose of the PPEs and Biomedical waste judiciously.<\/li>\n<li>Patients should be\u00a0 encouraged to pay Fees by Digital routes<\/li>\n<li>Before and after each session meticulous floor mopping, handle disinfection, Dental chair, x rays, Trays, Spittoon, operator, and waiting area.<\/li>\n<li>Handpieces, burs, diagnostic instruments, etc, have to be autoclaved, in sealed pouches. Overlooked practices such as scrubbing the handpiece with a disinfectant and working on the next patient must be avoided under all circumstances.<\/li>\n<li>Used burs should be soaked in a disinfectant solution prior to autoclaving. Root canal files should be single-use and preferably a single visit under Rubber Dam.<\/li>\n<li>The use of Hii-vac suctions in conjunction with saliva ejectors, will help to minimize aerosol dissemination.<\/li>\n<li>Use of Air Conditioners should be restricted during \u00a0Aerosol generating procedures. And should be kept ON during fumigation so that Fumigant should reach the filters. Also regular the filters should be cleaned regularly.<\/li>\n<li>Follow biomedical waste disposal protocols stringently as defined by the Municipal authorities.<\/li>\n<li>Dental Impressions should be effectively disinfected prior to dispatch to laboratories.<\/li>\n<li>Thoroughly wash the dental impression in running water after removing it from the mouth. &amp; Gently scrub with a hairbrush and liquid detergent under running water.[For all materials including alginates, polyethers, and polysioxanes]<\/li>\n<li>Polysiloxanes impressions should be immersed in 5.25% Sodium Hypochlorite with 1:10 dilution. Alginate &amp; Polyether impressions can be disinfected using an intermediary level disinfectant.<\/li>\n<li>Packets of work received should be disinfected first using disinfectant spray and prosthesis should be immersed in Glutaraldehyde<\/li>\n<\/ol>\n<p>To ensure utmost medical professionalism, curb the spread of CoVid-19 and consequently reinstate confidence in the minds of the masses. Protocols stated above should be implemented with the reopening of dental practices.<\/p>\n<p>Lastly, this will provide the patients with relief that clinics are barriers to the spread of infection, as opposed to a source.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Recommended Read:<\/strong><\/p>\n<ol>\n<li><a href=\"https:\/\/dantkritidentalclinic.com\/blog\/mucormycosis-symptoms-treatment\/\">Mucormycosis In COVID 19 Patients<\/a><\/li>\n<\/ol>\n<p><strong>Sources:<\/strong><\/p>\n<ol>\n<li><a href=\"https:\/\/youtu.be\/BTLGGV3_XnI\" target=\"_blank\" rel=\"noopener\">https:\/\/youtu.be\/BTLGGV3_XnI<\/a><\/li>\n<li><a href=\"https:\/\/www.zerodonto.com\/en\/2020\/03\/covid-19-dentistry-new-coronavirus\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.zerodonto.com\/en\/2020\/03\/covid-19-dentistry-new-coronavirus\/<\/a><\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15127864\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15127864<\/a><\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18247451\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18247451<\/a><\/li>\n<\/ol>\n<p><strong>Disclaimer:<\/strong><\/p>\n<p>The above post is prepared by individual after going through various articles, literature, and videos available on the internet. Doctors who wish to follow all or any points mentioned are advised to please verify themselves of the facts and follow only if they are completely satisfied. The author doesn\u2019t undertake any responsibility if some\/either or all of the steps don\u2019t match the latest updates regarding COVID 19 guidelines issued by authorities. Or any unwanted, unexpected, or untoward incidence occurring after following the above points the author will not bear any responsibility whatsoever.<\/p>\n<p>Thank You.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dental Treatment in COVID-19 Pandemic Currently the entire world is in the grip of a new disease known as COVID 19. The Disease was first described in December 2019 from Wuhan city of China. unfortunately this disease has spread to all the continents in the world. It Is well known that awareness is the key &hellip; <\/p>\n<p class=\"read-more\"><a class=\"btn btn-default\" href=\"https:\/\/dantkritidentalclinic.com\/blog\/covid-19-dental-treatment-during-and-after-pandemic\/\"> Read More<span class=\"screen-reader-text\">  Read More<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-313","post","type-post","status-publish","format-standard","hentry","category-general"],"_links":{"self":[{"href":"https:\/\/dantkritidentalclinic.com\/blog\/wp-json\/wp\/v2\/posts\/313","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dantkritidentalclinic.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dantkritidentalclinic.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dantkritidentalclinic.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/dantkritidentalclinic.com\/blog\/wp-json\/wp\/v2\/comments?post=313"}],"version-history":[{"count":17,"href":"https:\/\/dantkritidentalclinic.com\/blog\/wp-json\/wp\/v2\/posts\/313\/revisions"}],"predecessor-version":[{"id":951,"href":"https:\/\/dantkritidentalclinic.com\/blog\/wp-json\/wp\/v2\/posts\/313\/revisions\/951"}],"wp:attachment":[{"href":"https:\/\/dantkritidentalclinic.com\/blog\/wp-json\/wp\/v2\/media?parent=313"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dantkritidentalclinic.com\/blog\/wp-json\/wp\/v2\/categories?post=313"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dantkritidentalclinic.com\/blog\/wp-json\/wp\/v2\/tags?post=313"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}