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Dr Raana Anjum
Showing posts with label hand washing. Show all posts
Showing posts with label hand washing. Show all posts

Wednesday, January 13, 2021

Covid-19 pandemic and dentistry

 Corona virus has transmitted  throughout the world.It is quickly spreading virus affecting large population  of world. In most cases disease is mild to moderate but in severe cases it becomes  deadly. 

As a very famous idiom 

"PREVENTION IS BETTER THAN CURE "

Is hundred percent true in this pandemic of covid.

This disease spread through air borne droplets and sticking  it to hands and surfaces of different object, social distancing, gloves masks and washing hands are basic protocols for protection. 

Dental surgery

Dental surgeon  and staff are at greater risk as procedures have to perform in oral cavity  of patient, the major source of virus spread.
Dental offices and surgeries are needed proper  protocols to follow.  

Protocols  in dental surgery 

Dentist  and all staff should be educated and well trained about protocols and preventive measures against coronavirus. 

Teledentistry

Treatment of patient through telefonic contact.in case where minor symptoms can be managed with medicines and home remedies, reassurance of patient and lateron appointment should be recommended. 

      If physical checkups and procedures are necessary these protocols are followed 

1-before arrival of patient 

 : Appointment of patient on call should be made  with exact timings. 
: Ask patient to wait in car instead of waiting room.
:Educate regarding of visit rules and etiquette
 : Recommendation of  mask(not for those having breathing difficulty or unconscious)
:  limits entry points of clinic. 
:  space appointments to minimize  number of persons in clinic at any time
: hand washing and gloves wearing instructions 

 2 On arrival 

Written instructions on panaflex  and chats should be on prominent view.
Make sure of washing and sanitizing of hands before entering reception. 

screening for coronavirus
: by taking temperature with infrared or noncontact thermometer .
: take history travelling of risk areas 
: any complaint of coughing and sneezing. 
: history of to come in contact with coronavirus patient. 
    If suspected for this viral infection send to infection control department. 

3 -When with doctor 

: 1 patient at a time with no attendant.
: doctor /dentist  and assistan should  wear 
     PPE.
: treatment should be restricted to necessary    procedure .
: try to avoid  aerosol producing procedure       like scaling  and cavity preparation with.       handpiece etc.
: heavy suction,rubber dam isolation must         be used.
: disposable items should be used whenever     possible and appropriately discarded.
: advice patient to wash hand and wear   mask again before leaving clinic. 

4 - after leaving patient 

 : Dental unit will be clear and clean               properly
: disinfect  dental chair and all equipments      used .
: operatry room should be disinfected with       spray.
: gloves removed  and handwash with soap       for atleast 30 second .

 Dental emergencies 

Dental emergencies may be life threatening and need immediate treatment to stop ongoing tissue bleeding, to alliviate pain and control infection .
 These include
 :  Uncontrolled  bleeding
  : Cellulitis or soft tissue infection with intra      oral or extra oral  swelling  that                        potentially  compromise the patient                  airway. 
 : trauma to facial bones compromising       airway. 

 Urgent dental care 

Focuses on the management of conditions that require immidiate attention to relieve severe pain and controll  infection.these should be treated as minimally invasive as possible .
 : Severe dental pain by pulpitis
 : Pericoronitis and impaction 
 : abscess  or sinus fromation due to dental        and gingival  infection.
 : biopsy of abnormal tissue 
 : tooth fracture causing pain 
 : broken restorations  are causing gingival       irritation 
 : snipping or piercing orthodontic wires     causing ulceration of soft tissue. 
  : denture adjustment on radiology/     onchology patient.
 : suture removal. 


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