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A guideline document released by the EFP provides dental clinics with suggestions on how to manage patients before, during and after their treatment, in order to maximise safety. (Image: MangoNic/Shutterstock)

EFP devises SARS-CoV-2 safety protocol for dental patients and practices

BRUSSELS, Belgium: The provision of oral healthcare services has been severely affected all over the world by the SARS-CoV-2 pandemic because of the risk of infection for both dental professionals and patients. In order to provide the dental industry with a protocol to navigate the crisis effectively, the European Federation of Periodontology (EFP) has published a set of infographics that provide suggestions on how dental practices can operate safely and manage patient workflow before, during and after treatment.

The scientific evidence related to dental management during the COVID-19 pandemic has so far been merely observational, and there are no prospectively designed interventions—to form the basis for proper evidence-based guidelines. The EFP document is based on the limited scientific literature available and on the observations and experiences of dental clinicians. It does not conflict with any guidelines issued by local and national healthcare authorities. These EFP recommendations have been coordinated by Prof. Filippo Graziani, immediate past president of the EFP and chair of the EFP European Project Committee.

“We have tried to highlight the current knowledge, basing our ideas on three different levels of strength according to the information we have on the SARS-CoV-2 virus,” explained Graziani. “For the EFP, the safety of our colleagues, co-workers, and patients worldwide is of utmost importance. Despite the relatively little knowledge that is available, we have tried to encapsulate some practical information in graphics to support the dental and periodontal world globally. Please follow your own institutions’ guidelines if any discrepancies are noted and check for changes, as knowledge on the management of the virus is changing swiftly.”

“In these uncertain days, at the time when we will probably start going back to work in many countries, the EFP felt that this initiative was necessary to offer to all our members clear guidelines and also to have a global vision of the situation and the impact of the pandemic on periodontists, dentists, and hygienists,” added Dr Xavier Struillou, president of the EFP.

The infographics illustrate protocols for patient triage, patient management in the dental office, and treatment and post-treatment routines, as well as a phone triage questionnaire with questions to ask patients when they call the dental practice to make an appointment. All the material is available for download here.

  1. Dr Bruhvi says:

    Hi Manuela ,wanted to know if we use 253nm and 15W UVC in a room which is 15*10 ft how much time shall we keep the light on for disinfection ? Is there a factor to calculate it?

  2. Mike A says:

    @Bill
    1. The fatality rate for symptomatic people is 0.4%
    2. Symptomatic people make up 65% of COVID-19 infections
    3. The fatality rate for asymptomatic people is 0%
    4. Asymptomatic people make up 35% of COVID-19 infections
    5. If 100 people are infected with COVID-19 65 people will die with a 0.4% fatality rate and 35% won’t die at all (0% fatality rate), therefore, it lowers the fatality rate for those 100 people to 0.26%
    (65 x .4%) + (35 x 0%) = 0.26%

    Does this help?

  3. MichelleS says:

    Did anyone bother to go to the CDC website? The numbers wuote are for planning scenarios. This is a misleading article.

    We can only hope that the IFR is as low as the article states. Based on New Zealand data the CFR and probably the IFR are at 1.4%.

  4. Kelly says:

    Not sure where you’re living, but iodine is available all over the web, many forms and bottle sizes.

  5. teorik bilgileri tamamlayıp pratik için uygun zamanı beklemekten başka yok yok. Bir dönem de mezun vermesinler.

  6. Emma Jones says:

    Dentists are not open because working in the mouth cares a high risk of contracting covid 19,we will then take this home to our families and risk ourselves and, our loved ones lives,, urge t dental care centres are available, and at the end of the day if yuu look after your teeth they will never give you pain, poor brushing and poor diet are the cause of yiur toothache not the dentist being closed

  7. Sharon Baggs says:

    Does anyone know why dentists can’t safely open? Has anyone bothered to find out? If you want to risk contracting or giving your dentist and staff COVID-19, perhaps you should pop along to your local dentist for your filling or extraction, you might get more than you wanted! Google dentist, aerosol. It will explain why. I work at a dentist, I have a hole in my tooth, would I go to a dentist yet? Not on your life!

  8. Atul vaibhav says:

    I also want to be a part of this organisation

  9. We all are affraiid but pushing for Help our patience.

  10. Agnieszka Morsztyn says:

    I need dentist too, everyday I am checking when they will reopen. I have two problems on two sides. This is ridiculous to leave people without dental help for so many months. Apparently in dental hubs they remove teeth only. In Poland dentist were not available for one month only and reopened on 1st of May.

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