As many dental offices look to expand their operations in the next few weeks, hygienists have raised concerns about their safety, and the safety of patients, due to the nature of the procedures they perform.
By Christine Stuart, CTNewsJunkie.com and Ronni Newton, We-Ha.com
Dentists offices never closed, but now that dentists are starting to look beyond emergency procedures some are raising safety concerns.
COVID-19 spreads through droplets in the air and in a dentist’s office there will be a need to remove a face mask and expose the staff to the virus, even if someone is asymptomatic. There’s simply not enough testing supplies to make sure everyone is tested before coming in for a cleaning or another elective procedure, which is concerning some dental hygienists.
Marie Paulis, a dental hygienist and past president of the American Dental Hygiene Association of Connecticut, said dentists offices were never completely closed so they were treating people with dental emergencies.
That has meant the decision to reopen would be up to each private dental office.
Some dental offices, like Dental Associates in Farmington, are still canceling appointments.
“We won’t be making appointments for at least a few weeks except for emergencies,” an office manager said Tuesday.
When they do reopen, Dental Associates will not have all staff in the office at the same time, and will be working in teams on different days. Conversations are still ongoing with the hygienists to discuss which procedures will be performed. “We have taken every single precaution,” the office manager said.
Paulis said some dental offices are planning to reopen and some hygienists are happy to get back to work because they know they will be doing it with the proper personal protective gear.
She said there are others who are concerned about the lack of PPE and the other safety measures the office might employ.
“We’ve received a lot of feedback from hygienists in particular since Friday with concerns about returning to work,” David Lehman, commissioner of the Department of Economic and Community Development, said Tuesday.
That’s why they are putting together a stakeholder group under the Reopen Connecticut Advisory Committee to look at the issue.
The group is looking “to make a determination – what guidelines should be in place if we’re going to start this now, should it be started later?” Lehman said.
If enough people don’t feel comfortable, the state could at some point restrict cleanings and other non-urgent care, Lehman said.
Josh Geballe, the state’s chief operating officer, said at Tuesday’s press briefing that the stakeholder group would be meeting tomorrow and has plenty of representation from dental hygienists among its members.
Paulis said all practices are following federal guidelines from the Centers for Disease Control and the Occupational Health and Safety Administration.
“I’m pleased the state is working closely with us and I believe that they are hearing us and they’re understanding the risk,” Paulis said. “We don’t want to dictate what people are doing, but we want to make sure every hygienist feels comfortable in what they are choosing to do.”
The Connecticut State Dental Association said dental offices should be following the American Dental Association’s “Return to Work Interim Guidance Toolkit.” https://pages.ada.org/return-
“Oral health is important to overall health, and dental offices must prepare themselves and their teams to ensure the health and safety of everyone who works in or visits a dental office,” said Dr. Tam Le, CSDA President.
The CSDA has had productive conversations with the Connecticut Dental Hygienists’ Association and will participate in the Reopen CT Dental Subgroup recently convened by the Governor’s office. “We look forward to working with our hygiene partners and other dental professionals on the Reopen CT Dental Subgroup, to determine the best practices to implement for dental offices to resume elective procedures, as safely as possible,” Dr. Le said.
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The CT State Dental Association is working with the CT Dental Hygiene Association to ensure safety for staff and patients. It is recommended that hygienists only use hand instruments (no ultrasonic cavitron), in order to minimize aerosols. And the CSDA has a task force to help ensure that dentists have access to appropriate PPE for themselves and staff. A collaborative effort is under way to ensure that dentists and staff are figuring this out together!