Introduction
Methods
Results
Dental Personal
Patients
Treatment strategy
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FFP2 mask.
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safety goggles / visor or face shields.
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use of rubber dam whenever possible.
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avoidance of using aerosol generating devices when possible,
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preference for hand instrumentation.
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intensive surface cleaning and disinfection
No | Group/Location | Discipline | Activities | Risk | 1. Substitution | 2. Technical measures | 3. Organizational measures | 4. Personal protective equipment (PPE) |
---|---|---|---|---|---|---|---|---|
Front desk | ||||||||
1) | Receptionist/Lobby | Appointments, conversations | Infection risk by transmission via droplets if the minimum distance cannot be maintained. | Clarify as much as possible by phone in advance | Protective screen | Mouth nose protective mask/FFP2 mask | ||
2) | Receptionist/Lobby | Receipt of patient data via Chipcard | Contact transmission | Not possible | Card reader in front of screen. Card handled by patient. | No handing out of chip card, No physical contact, in case of contact hand disinfection. | Mouth Nose protective mask/FFP2 mask | |
Preparation work | ||||||||
3) | Dental Assistant/ Waiting room/ hallway | Patients are called in and guided to the Treatment room | Infection risk by transmission via droplets if the minimum distance is not maintained. | Not possible | None | Maintain minimum distance of 1.5 m. No physical contact | Mouth Nose protective mask/FFP2 mask | |
4) | Dental Assistant/ Treatment room | Preparation work such as put on a napkin, patient cape | Infection risk by transmission via droplets as the minimum distance cannot be maintained. | Not possible | None | 1% H202 Mouth wash for 60 s before treatment by patient | Mouth Nose protective mask/FFP2 mask | |
Diagnostic & Non-invasive Activities | ||||||||
5) | Dentist/Treatment room | Activities, without invasive treatment, such as diagnosis consultation | Not possible | None | 1% H202 Mouth wash for 60 s before treatment by patient | |||
6) | Dental Assistant/Dentist/Treatment room | Radiograph | Infection risk by transmission via droplets as the minimum distance cannot be maintained. | Not possible | In patients with more gagging avoid optional intraoral x-ray, If necessary make an orthopantomo-gram | 1% H202 Mouth wash for 60 s before treatment by patient | Mouth Nose protective mask/FFP2 mask | |
7) | Dental assistant/ Dentist/ Treatment room | Handling of the Dental impression | Contact transmission | Not possible Optional digital dental impressions | Rinse with water and disinfection solution | - | ||
Invasive Activities | ||||||||
8) | Dental Hygienist | Prophylaxis(tooth cleaning) Scaling and root planning, Polishing, working with rotating instruments, sonic-/ ultrasonic, air abrasion tool | Possible | Reduction of aerosol development using only manual instruments(non sonic/ ultrasonic) | Postpone to a later date, | |||
9) | Dental Assistant/Dentist/ Treatment room | Periodontal initial treatments/ recalls | Scaling and root planning, working with rotating instrument, sonic-/ ultrasonic, air abrasion tool | Not possible | Reduction of Aerosol development using predominantly manual instruments | 1% H202 Mouth wash for 60 s before treatment by patient | ||
10) | Dental Assistant/ Dentist/ Treatment room | Restorative Treatment:Direct/ Indirect restaurations | working with rotating and sonic-/ ultrasonic equipment | Possible | Mouth covered using the dental dam. Reduction of aerosol development minimal use of sonic and ultrasonic instruments and turbine driven instruments. | 1% H202 Mouth wash for 60 s before treatment by patient | ||
11) | Dental Assistant/Dentist/ Treatment room | Prothetic Dentistry: | working with rotating and sonic-/ ultrasonic equipment | Not possible | None | 1% H202 Mouth wash for 60 s before treatment by patient | ||
12) | Dental Assistant/Dentist/ Treatment room | Endodontic Treatment | working with rotating and sonic-/ ultrasonic equipment | Not possible | Mouth covered using the dental dam. Desinfection of the tooth prior trepanation. Reduction of aerosol development minimal use of sonic and ultrasonic instruments and turbine driven instruments. | 1% H202 Mouth wash for 60 s before treatment by patient | ||
13) | Dental Assistant/Dentist/ Treatment room | Orthodontics | Brackets insertion or removal | Not possible | None | 1% H202 Mouth wash for 60 s before treatment by patient | ||
14) | Dental Assistant/Dentist/ Treatment room | Oral Maxillo Facial surgery | working with cutting/ oscillating/ rotating and sonic-/ ultrasonic equipment | Not possible | Postpone elective therapies in periods with high infection rates | 1% H202 Mouth wash for 60 s before treatment by patient |