June 1, 2020
The Chief Medical Officer of Health issued a new Directive #2 on May 26. As a result, dentists are now permitted to provide in-person care for all deferred, non-essential, and elective services, in addition to emergency and urgent care.
The College has revised its Guidance on managing infection risks during in-person dental care. That document is available on our website by clicking here.
To view the full update, please click here.
To view more COVID-19 news as it pertains to the dental profession, please click here.
I have concerns that others might appreciate too.
It appears that a Covid-19 negative can be determined by two questionaires: A passive one over the phone and an “active” one when the patient arrives. This is a big mistake and provides no confidence.
Once a subjective assessment of a negative Covid-19 diagnosis is made, then it is now permissible to use regular Class 2/3 masks for aerosol generating procedures. I can see business minds thinking about costs and only providing cheap masks only. They will say that because we don’t see Covid-19 positives, we don’t need N95 masks anyways. Big mistake because we do not yet know who is positive and who is negative based on a questionnaire. People lie all the time and Dentists probably have confirmation biases due to economic pressure.
And since businesses think of money, they will order some N95 or equivalent type masks and NOT have the staff fit tested because they think, “what’s the point if we have to order something else next time, we have to fit test the new masks.” Therefore, in the initial stages of opening, business minded clinicians are most likely using poorly fitting N95 masks and letting aerosols IN and aerosols OUT infecting their patients potentially. All it takes is one patient to get sick and we are on lock-down again. It is a public health hazard. Prove me wrong.
And the fallow times went from 3 hours to 15 minutes. What evidence is there that 15 minutes is adequate? At least we have studies showing that aerosols can linger up to 3 hours. What I see is money overriding public safety and staff safety IF money is the priority, hence the confirmation bias.
Has anyone read what the Dental Hygiene College has stated? They are more cautious than the Dental College.
Your comment represents exactly what I was thinking the moment I’ve read the revised guidelines. My staff and I are not going to work in an unsafe environment and I am not going to risk exposing my patients to the virus unless I’m convinced that it is safe to do so. I’ve decided to follow the college of dental hygienists guidelines and I’ve purchased air filtration system that will shorten the fallow time significantly. Having a clear conscience is important to me.
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