So what should our measures be?
What are the known mistakes and what needs to be done right?
The Covid-19 Virus, which has been affecting our country and the whole world for a long time, has also hit us Dentists deeply. We could not serve our patients for three months.
So what will our dental treatments be like from now on?
In fact, dentists learn all the information about infectious diseases in the first years of university and we receive training on how to behave during treatment.
Cross infection and its control is one of the most important issues in dentistry. Our healthcare workers are highly susceptible to infections through bodily fluids such as blood, saliva, and other contaminated materials such as air, water, and surfaces.
We identify and treat all patients as potential carriers of infection.
1 mg of oral secretions contains approximately 200-500 million microorganisms.
In the oral flora of a normal adult, there are more than 300 types of microorganisms, consisting of pathogens and non-pathogens, in balance in the mouth.
The microorganisms in question in the mouth; They are Streptococci, Staphylococci, Lactobacilli, Viruses, Fungi-Yeasts and cause various infections.
Herpes simplex virus HIV (Human Immunodeficiency Virus), which is transmitted by saliva and hands and causes primary infection in the mouth; HBV (Hepatitis B Virus); EBV(Epstein Barr Virus); CMV (Cito Megalo Virus); are some of the most common viral infections.
We dentists must protect ourselves and our valuable patients not only against the Corona-Virus, but also against all these pathogens.
In the applications to be made in this period in dentistry, every patient should be considered as a carrier of Covid-19 and measures should be taken accordingly for dental treatment in the Corona epidemic.
So what is Corona?
Coronaviruses (CoV) are a large family of viruses that cause diseases ranging from the common cold to more serious diseases such as Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV).
It is a highly contagious virus. It can be transmitted by coughing, sneezing or by direct contact with the mucous membranes of the mouth, nose and eyes.
How should precautions be taken?
The mentioned 2 meters social distance; Since intraoral procedures are performed, it is not possible to protect it between the patient and the dentist. Therefore, more protective extra precautions should be taken.
Some of the importance that should be taken in the clinic are as follows:
* Only people who will be treated should be admitted to the clinic alone.
* Before the treatment, the consent form requested by the Ministry of Health, stating that he is healthy, must be filled.
* Patients with suspected Covid-19 should be directed to the nearest health institution.
* Cooperative work should be done with the physician who is treated in the emergency treatment of people diagnosed with Covid-19.
* Training on sterilization procedures should be given to dental assistants.
* In-clinic waiting room should not be used as much as possible.
* Environmental cleaning and disinfection should be ensured after each operation.
* Disposable instruments should be used.
* There should be no tea and coffee service in the clinic.
* With room disinfection systems, treatment rooms, waiting room and patient reception area should be sterilized.
* In clinics working with more than one physician, each patient should be treated in separate rooms.
The moment when we need to be most careful is when using power tools while the patient is being treated. In the meantime, a scattering called aerosol, which remains suspended in the air for a certain period of time, occurs. The air in the room should be cleaned.
So, what should our patients who come for treatment pay attention to:
* You should not remove your mask until you start the treatment.
* Phone, tablet or computer should not be used in the clinic.
* Hand hygiene should be provided when entering and leaving the clinic.
* If you have a foreign background or a connection, you should not have dental treatment for 15 days unless it is an emergency.
* Arrive on time for your appointment or postpone it 24 hours in advance.