Today new COVID 19 Safety Protocols in dentistry are being implemented in every dental office. When news about the Coronavirus first came out, no one imagined things would get this bad. Now almost a year later, millions are infected and thousands have died because of the disease we now infamously know as COVID-19. With the virus changing constantly and no vaccine in sight, governments have put out different restrictions to prevent more people from getting sick. From staying indoors to wearing uncomfortable masks and reaching for that bottle of hand sanitizer every now and then, we’re all trying our best to avoid the virus and its terrifying consequences.

But things get scarier when your tooth starts to ache.
You might think
I can’t go to the dentist. It’s too dangerous.
And you have a right to be concerned.

This is a dream scenario for a virus that transfers via respiratory droplets, and an absolute nightmare for you and your aching tooth.
Thankfully, the Centers for Disease Control and Prevention (CDC) and the American Dental Association (ADA) were quick to put out guidelines for dentists to make sure that patients stayed safe. Now, these guidelines have been updated to help more dentists reopen their practices and more people get the dental help they need. The dental protocols during COVID are put in place to make sure you visit the safest COVID dentist every time.

In this article, we are going to go over what the safety covid protocols are and how they can resolve your concerns about visiting the dentist.

5 Concerns in COVID Dentistry That Are Holding You Back From Going to the Dentist
You might not even want to know what the updated dental protocols during COVID are. You just can’t risk it and go to the dentist. You would rather tolerate the pain of that aching tooth and ignore your swollen gums than put yourself in danger of catching the disease.
And you’re not the only one who thinks this way. So many other people are postponing their dental visits because they share the same concerns.
Let’s take a look at some of these concerns.

1-Aerosols and Droplets
We’ve all been told to keep our masks on, because COVID’s main transmission route is through air, specifically aerosols and droplets. Aerosols are respiratory particles that can suspend in the air for hours, while droplets are larger in size and fall to the ground.
When we talk, cough or sneeze, these particles leave our mouths and float in the air. If we inhale infected aerosols and droplets from a COIVD patient, we will catch the disease. In a dental office where patients have to sit with an open mouth for long hours in a small closed space during procedures that create more of these droplets and aerosols, the chance of catching COVID dramatically increases.

2-Dentist and the Staff
With the number of patients visiting the dental office, the dental health care personnel (DHCP) are at the most risk. Dentists are exposed to all types of infections from patients and a tiny spray of blood or saliva is enough to infect them. The personnel have to tend to the patients and are also in contact with the dentists.
Plus, the DHCP might be infected themselves. They might catch the virus in a split second and give it to the next patient. This will create a dangerous chain of transmission without them even knowing until it’s too late.

3-Other Patients
The dental office is always a crowded place and never short of patients. Most offices are not that big and with procedures taking longer than expected, the waiting room can get crammed. Social distancing is a golden rule in avoiding COVID and is recommended that you stay at least 3 feet apart from other people.
This seems almost impossible in a dental office.

4-Equipment
What worries you the most might be the equipment used by the dentist. Most devices are used on every patient and have a high risk of transmitting the infection. They can easily transfer the virus from one patient to the other if they are not sterilized properly.
With the exhaustion from having to take all these precautions, a brief moment of neglect by an under-trained staff member while disinfecting the instruments can be all the time the virus needs to stick to the equipment and travel to the next patient’s mouth.

5-The Office Environment
Remember the droplets we talked about? These droplets can land on different surfaces in the office like doorknobs and chairs. Based on the material of the surfaces, the droplets can live up to 72 hours and still be infectious.
Although the risk of catching COVID from these contaminated surfaces is less than the other ways, it’s still possible. If you touch these areas and then accidentally touch your face, the infected particles will travel from your fingertips to your eyes, mouth, or nose and the virus will enter your body.
It’s completely understandable for you to have these concerns, but the new protocols are here to address them.

What Are the COVID 19 Safety Protocols?
Back in March, the ADA advised people to only visit the dentist for emergency dental situations including broken teeth, severe pain, and non-stop bleeding, a new safety covid protocols. This precaution also helped save necessary protective equipment for people working in hospitals and responding to COVID. CDC has also published some guidelines to make sure that patients went to the safest COVID dentists every time.
But if you delay your visit to the dentist, something that seems like a non-emergency dental situation can develop into a chronic one. According to the ADA, no cases of COVID have been reported to date because of dental practices, and dentists agree that by taking strict precautions, the dental visits can be safe. So more and more offices are reopening and seeing patients. And thanks to COVID and the quarantines, most of us have had a little too much sugar and are in need of a dentist.
So CDC has updated its dental protocols during COVID to help more dental offices reopen safely. To be fair, dentists followed these guidelines before COVID anyway, but now the attention has increased and so has the pressure. CDC’s new guidelines elaborate on the previous ones and if followed strictly, can make the visit to the dentist as safe as it was before COVID.

What new COVID 19 Safety Protocols Should I See When Visiting the Safest COVID Dentist?
The goal of these new dental protocols during COVID is to protect the dentists, personnel, and patients and erase any concerns about catching the disease during a visit. Let’s see what these updated protocols are and how they can resolve each of your concerns.

1-Respiratory Hygiene Protocols
Remember the aerosols and droplets you were worried about? Well, worry no more because from the moment you step into the dentist’s office, you should see the safety precautions.
Upon entry, there should be signs instructing patients to cover their mouths with a tissue while coughing or sneezing, dispose of the tissue, and then clean their hands. The staff should also offer you masks and tissues with access to close by facilities to wash your hands. They should also ask patients with symptoms of respiratory infections to sit farther away from other patients or lead them to a different area.
Some dentists like Dr. Kezian will take the precautions a little further and use air filtration systems. In the office of Dr. Kezian, you can see a HEPA air filtration unit in the waiting area and where the dental procedures are being done to catch the aerosols created during processes like drilling and give patients an extra layer of safety.

2- DHCP Safety Protocols
The dental health care personnel (DHCP) are routinely screened and in case of infection, restricted from work. The DHCP are also immunized for other types of diseases to protect their own safety and the safety of other patients.
Since DHCP are in contact with many different patients in one day, there are strict hygiene protocols they have to follow to minimize the risk of infection and transmission. Hand hygiene is the most important one and they have to wash their hands before and after touching equipment and seeing each patient.
The use of personal protective equipment (PPE) is also mandatory. These include wearing a different pair of gloves for each patient, protective clothes covering the skin, and face shields to avoid contact with splashing blood or saliva. And before they leave the work area, they have to remove all of these PPEs.

3-Patient Protocols
Besides the temperature check upon arrival, patients should fill a form containing questions about their health status. At the cost of seeing fewer patients, the dental offices should schedule appointments in a way that no more than one patient will be present at a time and they should ask patients to come alone or at most, with one other person.
In case other patients show up, they might ask them to stay in their cars until the office clears up, or they will arrange the office settings so that the patients have minimum contact with each other. In Dr. Kezian’s office, you will see marked chairs that patients can’t sit on. This allows them to keep the recommended 3 feet distance.

4-Equipment Protocols
The reusable equipment should be disinfected by trained DHCP wearing the appropriate PPEs. The sterilization process will be different based on the type of instrument and following the manufacturer’s instructions.
The items are divided into three groups and sterilized accordingly. Critical items like surgical instruments and devices that penetrate soft tissues and bones should be disinfected with heat. Semicritical items like mirrors and equipment that contact the mucous membranes should also be sterilized using heat. If any of the items are heat-sensitive, they should be replaced with a reusable or heat-tolerant alterative. Noncritical items like radiograph heads or blood pressure cuffs that only touch the skin can be sterilized with just a disinfectant. There are also protocols in place for safe disposal of sharp objects like needles that might be infected.

5-Environmental Protocols
Other than the reception area being partitioned off to minimize exposure, the environmental surfaces should be cleaned and disinfected with hospital-grade disinfectants after each patient. Areas like switches and computer equipment that are hard to clean, should be covered with surface barriers. Also if a surface is contaminated with infectious materials like blood spills, it should be cleaned and disinfected immediately.

So Can I Visit the Dentist During COVID?
You should take care of your teeth at home as best as you can, but if you need to see a dentist, you don’t have to postpone it anymore and put your oral health at risk. These updated dental protocols during COVID are put in place to make sure you visit the safest COVID dentists and take care of your dental problems without worrying about catching the vicious coronavirus. You might wonder if dental offices even bother with these protocols, but rest assured that if they don’t, they will be in serious legal trouble.
If you are looking for the safest COVID dentist, your search ends here. Dr. Arthur A. Kezian and his team are taking drastic measures to answer your emergency dental problems and ensure your safety during your visit. They follow the latest protocols and leave no place for you to worry.
Please stay safe by following COVID 19 Safety Protocols and let’s hope that the coronavirus leaves us alone so we can get back to our normal lives. Until that happens, if you’re in need of a dentist, call the office of Dr. Kezian and schedule your next appointment.

Dr. Arthur A. Kezian DDS
443 N. Larchmont Blvd
Los Angeles, CA 90004
(323) 467-2777
http://www.drkezian.com

References:

  1. The Centers for Disease Control and Prevention (CDC) – Guidance for Dental Settings
  2. American Dental Association – Return to work toolkit
  3. WebMD – Coronavirus and Dental Care