Dental Practices to Safeguard Against COVID-19: How Dentists Protect Themselves and Their Patients

In the face of the global pandemic, dentists have taken comprehensive measures to ensure both their safety and the safety of their patients. This article outlines the various precautions and protocols dentists implement to protect against the spread of COVID-19.

Introduction to Dental Safety Protocols

The healthcare industry has long been proactive in implementing safety measures, and dentistry is no exception. Dentists in the United States have been adhering to universal precautions since the 1990s, thanks to federal guidelines set by OSHA, the Occupational Safety and Health Administration. These protocols are designed to protect against various infectious diseases, including hepatitis, HIV, and now COVID-19.

Temperature Checks and Personal Protective Equipment

Upon entering a dental practice, patients are typically required to undergo a temperature check. This is an initial step in identifying potential cases of COVID-19. Dental office staff, including receptionists, administrative personnel, and dental assistants, are usually required to wear masks, gloves, and face shields. This ensures that personal protective equipment (PPE) is readily available, even in smaller practices where supplies may be limited.

Preventive Measures for Dental Staff

Dental health professionals are trained to recognize and manage patients with respiratory illnesses. Upon arrival, symptomatic patients are directed to a single isolation room, where they are provided with disposable surgical masks. Staff members also wear disposable surgical masks, non-sterile gloves, protective clothing, and goggles to prevent contact and to protect themselves.

Modified Procedures to Minimize Risk

To further minimize the risk of airborne transmission, dental practices have adapted certain procedures. For example, the use of ultrasonic scalers and hand scaling devices have been modified. While mobile phone polishing can be an effective alternative to ultrasonic scalers, they may still produce some splatter. However, the most significant risk is associated with the high-speed drill, which absolutely must be accompanied by a heavy water spray to prevent the tooth from overheating and to reduce airborne transmission.

Enhanced Cleaning and Disinfection Protocols

Dental offices also follow stringent cleaning and disinfection protocols, particularly during flu seasons. Non-contact containers are provided for the disposal of used tissues, and hand hygiene stations are readily available. These measures help to maintain a clean and hygienic environment, further reducing the risk of transmission.

Conclusion

Since the emergence of the hepatitis and HIV crises in the 1990s, dentistry has been at the forefront of infection control. Today, these same practices and protocols are being rigorously followed to safeguard against the spread of COVID-19. By maintaining high standards of hygiene and using modified procedures, dentists can continue to provide essential care while protecting both themselves and their patients.

For more information on dental safety measures, visit the CDC's webpage on dental practices and COVID-19.