Sunday, March 22, 2020

ADA Releases Emergency Procedure Guidelines



What Constitutes a Dental Emergency?
The ADA has released the following guidelines.  They are reposted here to help with the current crisis.  Any questions should be answered by going to this web address.



The ADA recognizes that state governments and state dental associations may be best positioned to recommend to the dentists in their regions the amount of time to keep their offices closed to all but emergency care. This is fluid situation and those closest to the issue may best understand the local challenges being faced.


DENTAL EMERGENCY

This guidance may change as the COVID-19 pandemic progresses. Dentists should use their professional judgment in determining a patient’s need for urgent or emergency care.
Dental emergencies are potentially life threatening and require immediate treatment to stop ongoing tissue bleeding, alleviate severe pain or infection, and include:
  • Uncontrolled bleeding
  • Cellulitis or a diffuse soft tissue bacterial infection with intra-oral or extra-oral swelling that potentially compromise the patient’s airway
  • Trauma involving facial bones, potentially compromising the patient’s airway


Urgent dental care focuses on the management of conditions that require immediate attention
to relieve severe pain and/or risk of infection and to alleviate the burden on hospital emergency departments. These should be treated as minimally invasively as possible.
  • Severe dental pain from pulpal inflammation
  • Pericoronitis or third-molar pain
  • Surgical post-operative osteitis, dry socket dressing changes
  • Abscess, or localized bacterial infection resulting in localized
    pain and swelling

  • Tooth fracture resulting in pain or causing soft tissue trauma
  • Dental trauma with avulsion/luxation
  • Dental treatment required prior to critical medical procedures
  • Final crown/bridge cementation if the temporary restoration is lost,
    broken or causing gingival irritation
  • Biopsy of abnormal tissue
Other Urgent Dental Care
  • Extensive dental caries or defective restorations causing pain
  •  Manage with interim restorative techniques when possible (silver diamine fluoride, glass ionomers)
  • Snipping or adjustment of an orthodontic wire or appliances piercing or ulcerating the oral mucosa
  • Suture removal
    Denture adjustment on radiation oncology patients
  • Denture adjustment or repairs when function impeded
  • Replacing temporary filling on endo access openings in patients experiencing pain





DENTAL NON EMERGENCY PROCEDURES

Routine or non-urgent dental procedures includes but are not limited to:
  • Initial or periodic oral examinations and recall visits, including routine radiographs
  • Routine dental cleaning and preventive therapies
  • Orthodontic procedures other than those to address acute issues (e.g. pain, infection, trauma)
  • Extraction of asymptomatic teeth
  • Restorative dentistry including treatment of asymptomatic carious lesions
  • Aesthetic dental procedures

1 comment:

  1. invisalign is a type of orthodontic treatment that helps to straighten teeth without the use of the typical metal braces.

    ReplyDelete