Monday, September 28, 2020

Dental Visits Continue to be Safe and are an Essential Part of a Plan to Improve Overall Health


I've said it many times before, but I'll say it here again because no matter how you slice it, the statement is true...  "Fear Sells".  It's an unfortunate part of the way humans are wired intellectually, but it's true.  Terrifying stories and terrifying rumors spread *much* faster than stories of victory, triumph, or success.  Why is that?  No one seems to know for sure.   Psychologists have been studying the phenomenon for years, but haven't come up with much definitive science.

Along those lines, dentistry frequently falls into this category.  Many people have a fear of dentistry anyway, so it's pretty easy to prey on those fears with stories that trigger fright.  Since SARS-CoV-2 reach the United States this winter, dentistry has been front and center on the fight to prevent its spread and also the recipient of lots of speculation on the safety of dental visits.  If you are looking for ways to trigger deep rooted fears in people there are many better ways than trying to pair dentistry with a virus that no one seems to know a lot about and in some cases can be fatal.  Let the speculation begin!

Well the speculation began, but truth beats fiction.  Dentistry is incredibly safe.  Always has been and will continue to be.  At this point in the pandemic there is NO documented case of transmission in a dental setting and that includes during the early phases in China where no one even knew what was causing the respiratory impairment.

Recently published an article that goes over the "whys" of safety.  If you are harboring *any* concerns at all, this is a must read.  Of course, even if you have no concerns, I still think you should read it.  There is some great information here.

Some people might be hesitant to visit the dentist during the coronavirus pandemic, especially after the World Health Organization suggested not to in an August announcement.

However, it's actually a low-risk activity for the patient, said Amesh Adalja, an infectious disease expert at the Johns Hopkins University Center for Health Security. 

"I would be more worried about my dentist than I would myself contracting the virus there," Adalja told Insider.

Dentists aren't too concerned either. After the WHO's recommendation to delay routine dental care in certain situations due to COVID-19, the American Dental Association released a statement saying it "respectfully yet strongly disagrees."

"Our first job is to be sure that our patients are safe," American Dental Association President Chad Gehani, DDS, told Insider. "If we did not think that the patients were safe, we simply would not go to the office at all. We would not have even done the emergency care in the months of March, April, and May."

Since mid-May, most dental offices in the US have been open for routine care. During those four months, there has been no evidence of COVID-19 transmission in dental offices, Kami Hoss, DDS, said — "a remarkable track record."

Along with implementing new screening procedures, dentists have taken steps to clear out their waiting rooms, reduce the potential aerosols created by some dental procedures, and ramp up personal protective equipment worn by dental professionals since reopening.

Dentists treat every patient like they could have every infectious disease

Dentists have been dealing with the possibility of coming into contact with infectious diseases from HIV to hepatitis since well before the coronavirus pandemic.

"As a profession, we are infection control experts," Hoss said. "We've always had to deal with infectious diseases and diseases that are easily transmitted via air or through blood." 

It's already standard practice for dentists and hygienists to wear masks and gloves to decrease their risk of transmitting or contracting diseases, and they've only stepped up their PPE since the pandemic, Hoss said.

The ADA also recommends additional precautions to reduce the creation of aerosols, which can carry viral particles through the air. Those measures include using high-powered suction whenever possible, and, for longer procedures, limiting exposure with rubber dental dams.

You won't find magazines in waiting rooms anytime soon

Back when dental offices in the US closed to non-emergency care in March, the primary concern was transmission in crowded waiting rooms, not during dentist-patient interactions, Gehani said.

The ADA has since encouraged dentists to limit the amount of people that pass through their offices and take away some of the shared objects they might touch. At Gehani's practice in New York, a waiting room that could hold 14 people now seats four — and there are no magazines in sight.

Hoss said the check-in process that used to take place in his waiting room is now almost entirely virtual. Patients undergo a phone screening before they book an appointment, fill out forms online instead of at reception, and they're screened again and get their temperature checked before they enter the office.

Oral health affects your overall health, so now is not the time to skip your cleaning

Much of dental care is preventive in nature, Hoss said, so it's important to keep up with regular cleanings and not put off filling cavities. Delaying a simple procedure could result in a much more costly, involved operation down the line.

Poor oral hygiene can also have "cascading effects" on other aspects of your health, Adalja said. He said he never advocated for the closure of dental offices during the pandemic because he considers dentistry to be an essential health service.

Studies have shown gum disease is associated with a higher risk of dementia, heart disease, and rheumatoid arthritis, among other health issues. And according to a pre-print of a study due to be published in the Journal of the California Dental Association next month, COVID-19 patients with gum disease have a higher risk of developing acute respiratory complications and dying.

"During a pandemic, one of the best things we can do is to stay healthy, and staying healthy starts with our oral health," Hoss said.

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