A thread for fellow Dentists out there, regarding the latest developments concerned with #COVID19 and Dental practice.
An attempt to jot down few articles related to management and protocol that needs to be followed.
1.
Safety is paramount for the well-being of all practitioners and their loved ones.
Open your clinics only for emergencies, no elective procedures are to be undertaken now
2.
Since SARS-CoV-2 is vulnerable to oxidation, preprocedural mouthrinse containing oxidative agents such as 1% hydrogen peroxide or 0.2% povidone-iodine is recommended for the purpose of reducing the salivary load of oral microbes, including potential SARS-CoV-2 carriage.
3.
Study recommends following the two-before and three-after hand hygiene guidelines for dental professionals

-before patient examination;
-before dental procedures;
-after touching the patient;
-after touching the surroundings and equipment that have not been disinfected;
and
-after touching the oral mucosa, damaged skin or a wound, blood, bodily fluid, secretion or excreta.
4.
Standard protection includes disposable caps, surgical masks, white coat, latex gloves, protective goggles or face shield
Strengthened protection for being in contact with patients with suspected or confirmed COVID-19: If you cannot avoid close contact,
special protective outerwear is needed.
If not available, working clothes with extra disposable protective clothing over them and impermeable shoe coverings should be added to what has already been listed.
Use of proper PPE is the gold standard.
5.
Use dental dam isolation when possible.The use of dental dams can significantly minimise the production of saliva- and blood-contaminated aerosol or spatter, particularly when high-speed handpieces and dental ultrasonic devices are used.
The use of a dental dam could reduce airborne particles by 70% within a 1 m radius of the operational field. This benefit is especially valuable now.
When a dental dam is applied, additional high-volume suction should be used during the procedures along with regular suction.
If dental dam isolation is not possible, manual devices, such as CariSolv and a hand scaler, are recommended for caries removal and periodontal scaling, in order to minimise the generation of aerosol as much as possible.
6.
Use anti-retraction handpieces
A high-speed dental handpiece with no anti-retraction valves may suck in and expel debris and fluids. Microbes may further contaminate the air and water tubes within the dental unit and thus potentially cause cross-infection as well.
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