Front desk
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1)
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Receptionist/Lobby
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Appointments, conversations
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Infection risk by transmission via droplets if the minimum distance cannot be maintained.
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Clarify as much as possible by phone in advance
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Protective screen
| |
Mouth nose protective mask/FFP2 mask
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2)
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Receptionist/Lobby
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Receipt of patient data via Chipcard
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Contact transmission
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Not possible
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Card reader in front of screen. Card handled by patient.
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No handing out of chip card, No physical contact, in case of contact hand disinfection.
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Mouth Nose protective mask/FFP2 mask
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Preparation work
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3)
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Dental Assistant/ Waiting room/ hallway
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Patients are called in and guided to the Treatment room
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Infection risk by transmission via droplets if the minimum distance is not maintained.
|
Not possible
|
None
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Maintain minimum distance of 1.5 m. No physical contact
|
Mouth Nose protective mask/FFP2 mask
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4)
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Dental Assistant/ Treatment room
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Preparation work such as put on a napkin, patient cape
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Infection risk by transmission via droplets as the minimum distance cannot be maintained.
|
Not possible
|
None
|
1% H202 Mouth wash for 60 s before treatment by patient
|
Mouth Nose protective mask/FFP2 mask
|
Diagnostic & Non-invasive Activities
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5)
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Dentist/Treatment room
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Activities, without invasive treatment, such as diagnosis consultation
|
Infection risk by transmission via droplets as the minimum distance cannot be maintained [3, 4]
|
Not possible
|
None
|
1% H202 Mouth wash for 60 s before treatment by patient
|
Mouth Nose protective mask/FFP2 mask, Eye protection (Goggle, Visor), Gloves. Caps, Single use cape [3, 18]
|
6)
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Dental Assistant/Dentist/Treatment room
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Radiograph
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Infection risk by transmission via droplets as the minimum distance cannot be maintained.
|
Not possible
|
In patients with more gagging avoid optional intraoral x-ray, If necessary make an orthopantomo-gram
|
1% H202 Mouth wash for 60 s before treatment by patient
|
Mouth Nose protective mask/FFP2 mask
|
7)
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Dental assistant/ Dentist/ Treatment room
|
Handling of the Dental impression
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Contact transmission
|
Not possible Optional digital dental impressions
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Rinse with water and disinfection solution
|
-
|
Mouth Nose protective mask/FFP2 mask, Eye protection (Goggle, Visor), Gloves. Caps, Single use cape [3, 18]
|
Invasive Activities
|
8)
|
Dental Hygienist
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Prophylaxis(tooth cleaning) Scaling and root planning, Polishing, working with rotating instruments, sonic-/ ultrasonic, air abrasion tool
|
Infection risk by transmission via droplets and aerosols as the minimum distance cannot be maintained [3, 4]
|
Possible
|
Reduction of aerosol development using only manual instruments(non sonic/ ultrasonic)
|
Postpone to a later date,
|
Mouth Nose protective mask/FFP2 mask, Eye protection (Goggle, Visor), Gloves. Caps, Single use cape [3, 18]
|
9)
|
Dental Assistant/Dentist/ Treatment room
|
Periodontal initial treatments/ recalls
|
Scaling and root planning, working with rotating instrument, sonic-/ ultrasonic, air abrasion tool
|
Infection risk by transmission via droplets and aerosols as the minimum distance cannot be maintained [3, 4]
|
Not possible
|
Reduction of Aerosol development using predominantly manual instruments
|
1% H202 Mouth wash for 60 s before treatment by patient
|
Mouth Nose protective mask/FFP2 mask,Eye protection (Goggle, Visor), Gloves. Caps, Single use cape [3, 18]
|
10)
|
Dental Assistant/ Dentist/ Treatment room
|
Restorative Treatment:Direct/ Indirect restaurations
|
working with rotating and sonic-/ ultrasonic equipment
|
Infection risk by transmission via droplets and aerosols, as the minimum distance cannot be maintained [3, 4]
|
Possible
|
Mouth covered using the dental dam. Reduction of aerosol development minimal use of sonic and ultrasonic instruments and turbine driven instruments.
|
1% H202 Mouth wash for 60 s before treatment by patient
|
Mouth Nose protective mask/FFP2 mask,Eye protection (Goggle, Visor), Gloves. Caps, Single use cape [3, 18]
|
11)
|
Dental Assistant/Dentist/ Treatment room
|
Prothetic Dentistry:
|
working with rotating and sonic-/ ultrasonic equipment
|
Infection risk by transmission via droplets and aerosols, as the minimum distance cannot be maintained [3, 4]
|
Not possible
|
None
|
1% H202 Mouth wash for 60 s before treatment by patient
|
Mouth Nose protective mask/FFP2 mask,Eye protection (Goggle, Visor), Gloves. Caps, Single use cape[3, 18] Optional prior Covid test recommended for the patient in case of larger preparations (several teeth)
|
12)
|
Dental Assistant/Dentist/ Treatment room
|
Endodontic Treatment
|
working with rotating and sonic-/ ultrasonic equipment
|
Infection risk by transmission via droplets and aerosols, as the minimum distance cannot be maintained [3, 4]
|
Not possible
|
Mouth covered using the dental dam. Desinfection of the tooth prior trepanation. Reduction of aerosol development minimal use of sonic and ultrasonic instruments and turbine driven instruments.
|
1% H202 Mouth wash for 60 s before treatment by patient
|
Mouth Nose protective mask/FFP2 mask,Eye protection (Goggle, Visor), Gloves. Caps, Single use cape[3, 18]
|
13)
|
Dental Assistant/Dentist/ Treatment room
|
Orthodontics
|
Brackets insertion or removal
|
Infection risk by transmission via droplets and aerosols, as the minimum distance cannot be maintained [3, 4]
|
Not possible
|
None
|
1% H202 Mouth wash for 60 s before treatment by patient
|
Mouth Nose protective mask/FFP2 mask,Eye protection (Goggle, Visor), Gloves.Caps, Single use cape[3, 18]
|
14)
|
Dental Assistant/Dentist/ Treatment room
|
Oral Maxillo Facial surgery
|
working with cutting/ oscillating/ rotating and sonic-/ ultrasonic equipment
|
Infection risk by transmission via droplets and aerosols, as the minimum distance cannot be maintained [3, 4]
|
Not possible
|
Postpone elective therapies in periods with high infection rates
|
1% H202 Mouth wash for 60 s before treatment by patient
|
Mouth Nose protective mask/FFP2 mask,Eye protection (Goggle, Visor), Gloves.Caps, Single use cape [3, 18]Optional prior Covid test recommended for the patient in case of elective surgery with increased aerosol developments
|