The coronavirus pandemic created a global human health crisis. To deal with the danger of SARS-CoV-2 disease and the hazard to general wellbeing brought about by COVID-19, oral health professionals need guidance. The dentists are particularly at risk, due to the higher possibility of aerosols produced by salivary droplets. These droplets can be inhaled, come into contact with skin or mucous membranes, and/or lodge on the surfaces of the dental equipment, etc. The Dental Council of India published guidelines to help interns and dental professionals in the daily clinical routine and guiding them to fight this crisis
Dentists should take strict personal protection measures and avoid or minimize operations that can produce droplets or aerosols. A four-handed technique is beneficial for controlling the infection. The use of saliva ejectors can reduce the production of droplets and aerosols.
Key recommendation for Dental Professionals:
-After the outbreak/lockdown of COVID-19, dental clinics are recommended to establish pre-check triages to measure and record the temperature of every staff and patient as routine procedures and elicit relevant medical history.
-Classify patients into emergency and non-emergency dental care and plan well before initiating any dental procedures.
-Primary care dental triage should focus on the provision of the three As:
Antimicrobials (where appropriate).
-Patients should be advised that elective treatment options are severely restricted and to call back in 48-72 hours if their dental symptoms have not resolved.
-Thorough Medical, travel and contact history of each Patient should be recorded before any clinical procedures. Patients should be scrubbed with Iso Propyl alcohol extra orally prior to any dental procedure.
-Wearing of least 3 ply masks, suitable head caps and shoe covers at all times when in clinics. Protective eye wear and face shield are also recommended. Wearing of N95, suitable head caps, protective eye wear, face shield, disposable gowns and shoe cover are recommended during all aerosol and non-aerosol based dental procedures, if carried out.
-Preoperative antimicrobial mouth rinse could reduce the number of microbes in the oral cavity. Rubber dams and high-volume saliva ejectors can help minimize aerosol or spatter in dental procedures.
-Scheduling of patients is very essential; hence avoid interaction of vulnerable patients (medically compromised or elderly patients) with general patients.
-Fumigation of clinics periodically is advised. Clean and disinfect public areas frequently, including door handles, chairs and bathrooms.
-All dental clinics should display health awareness posters regarding COVID-19, Hand and Respiratory hygiene at prominent locations of the clinical area.
-Avoid crowding of patients and schedule them based on treatment types (emergency or non- emergency)
-Dental Clinics should have adequate ventilation, as it can reduce the risk of infection through dilution and removal of infectious particles through air exchange. Improved ventilation in Clinics is essential in preventing the transmission of airborne infections.
-All patient details and records should be maintained properly and if the need arises should be shared with local health authorities or administration.
-Be aware of the local health authority protocol or testing laboratories and report any patient with relevant history for further necessary medical care.
Note: List of the personal protective equipment, the sequence of wearing and removal , guidelines for students, and interns are mentioned in the slides below refer them for information provided by DCI. This list is a brief compilation of some of the key recommendations included in the Guideline and is not exhaustive and does not constitute medical advice.
Kindly refer to the document for the original publication here