{"id":18841,"date":"2020-09-11T16:24:01","date_gmt":"2020-09-11T21:24:01","guid":{"rendered":"http:\/\/thepapergown.zocdoc.com\/?p=18841"},"modified":"2023-03-22T13:37:06","modified_gmt":"2023-03-22T18:37:06","slug":"what-to-expect-at-your-first-covid-era-teeth-cleaning","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/guides\/what-to-expect-at-your-first-covid-era-teeth-cleaning\/","title":{"rendered":"What to Expect at Your First COVID-Era Teeth Cleaning"},"content":{"rendered":"<p><span style=\"color: #808080;\"><em>Coronavirus information changes quickly, so please note the publication date on this story. You can find current<\/em><em> recommendations and national outbreak data on the <a style=\"color: #808080;\" href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/cases-updates\/summary.html\">CDC<\/a> website. Or, if you want local coronavirus updates and stats, check out the department of health website <a style=\"color: #808080;\" href=\"https:\/\/www.usa.gov\/state-health\">for your state<\/a> or <a style=\"color: #808080;\" href=\"https:\/\/www.naccho.org\/membership\/lhd-directory\">your city<\/a>. Enjoy reading and stay safe.<\/em><\/span><\/p>\n<hr \/>\n<p><span style=\"font-weight: 400;\">In mid-July, for her first big post-quarantine outing, Margaret Abrams went to the dentist. Abrams, 31, was in desperate need of some dental TLC, but she was also wary of being in a medical facility during a pandemic, especially in Florida, where cases were skyrocketing. \u201cThere definitely was a moment of <\/span><i><span style=\"font-weight: 400;\">I&#8217;m about to have my mask off for an hour<\/span><\/i><span style=\"font-weight: 400;\">,\u201d she says of her initial trepidation.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As soon as Abrams arrived at the office, however, all her fears were assuaged. From increased personal protective equipment to spit-minimizing dental tools and techniques, the entire visit had been modified with pandemic-specific safety in mind.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThis is the best time to go to see your dental hygienist \u2014 it couldn\u2019t be safer,\u201d says JoAnn Gurenlian, chair of the American Dental Hygienists&#8217; Association Return to Work task force, which provides COVID-19 safety guidance for the field. \u201cWe have never been better than we are right now, because we are trying to make sure that we are providing every safety measure we possibly can.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While many dental practices temporarily closed at the start of the pandemic, save for emergency care, every state has reopened in some capacity and now allows for elective procedures, in accordance with the <\/span><a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/hcp\/dental-settings.html\"><span style=\"font-weight: 400;\">Centers for Disease Control and Prevention\u2019s guidelines<\/span><\/a><span style=\"font-weight: 400;\"> on safe dentistry for the COVID era. Currently, <\/span><a href=\"https:\/\/elemental.medium.com\/read-this-before-you-go-to-the-dentist-7385e2580c96\"><span style=\"font-weight: 400;\">no cases of COVID-19 have been traced to dental facilities<\/span><\/a><span style=\"font-weight: 400;\">. Still, with a virus that <\/span><a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/prevent-getting-sick\/how-covid-spreads.html\"><span style=\"font-weight: 400;\">primarily spreads<\/span><\/a><span style=\"font-weight: 400;\"> through an infected person\u2019s saliva entering someone else\u2019s eyes, nose or mouth, dentistry \u2014 where a patient lies down open-mouthed for an extended period of time \u2014 poses many risks.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In order to mitigate these risks, dental offices across the country have implemented stringent safety precautions to ensure a smooth visit for both patients and healthcare workers. \u201cIt\u2019s not as simple as walking into the building on time for your appointment,\u201d says Dr. <\/span><a href=\"https:\/\/www.territierskydds.com\/\"><span style=\"font-weight: 400;\">Terri Tiersky<\/span><\/a><span style=\"font-weight: 400;\">, a dentist in Illinois and the president of the Chicago Dental Society. \u201cWhile it is a more structured visit than before, patients and staff greatly appreciate the additional layers of protection.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here\u2019s what to expect at your next trip to the dentist.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Expect a screener before your appointment<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">As with many pandemic-era health appointments, <\/span><a href=\"https:\/\/www.zocdoc.com\/blog\/how-doctors-offices-are-changing-in-response-to-covid\/\"><span style=\"font-weight: 400;\">telehealth phone screeners<\/span><\/a><span style=\"font-weight: 400;\"> are becoming commonplace to determine if patients may have been exposed to COVID-19. Expect the dentist\u2019s office to give you a call the day before your visit to ask if you have any COVID-19 symptoms, such as cough, fever, breathing issues and loss of taste and smell, and if you\u2019ve been exposed to anyone who\u2019s contracted the virus.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you have a particular concern you\u2019d like to discuss with your dentist first, like a pain in your tooth, they might suggest a video call. <\/span><a href=\"https:\/\/www.zocdoc.com\/blog\/heres-how-teledentistry-works\/\"><span style=\"font-weight: 400;\">Teledentistry<\/span><\/a><span style=\"font-weight: 400;\"> helps dentists assess clients over video without in-person consultations. Through teledentistry, the doctor can weigh in on whether it makes more sense to postpone your visit (if you\u2019re concerned about physically coming to the office) or to proceed with in-person care. \u201cWe absolutely can do teledentistry if a patient has a particular concern,\u201d Gurenlian says. \u201cBut there are some times where we really don&#8217;t want you to wait, we want you to come in and we want you to understand this is a very safe time.\u201d<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">No more waiting rooms<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Thanks to COVID, waiting rooms are a thing of the past. When you arrive at the dentist\u2019s office, wear a mask and wait outside or in your car until someone from the practice calls, texts or comes outside to escort you in. Once inside, you\u2019ll need to sanitize your hands and get your temperature taken, and you\u2019ll be asked again if you\u2019re experiencing any symptoms of COVID-19. (If you are showing symptoms, you may be <\/span><a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/hcp\/dental-settings.html#section-2\"><span style=\"font-weight: 400;\">sent home<\/span><\/a><span style=\"font-weight: 400;\"> and told to call your primary care provider.) Staff at the practice undergo the same safety process every day too, Gurenlian says.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some practices may allow you to sit in their waiting rooms momentarily, which will have limited seating and no high-touch items like magazines or toys, says Dr. <\/span><a href=\"https:\/\/www.ada.org\/en\/publications\/ada-news\/2019-archive\/august\/gehani-transforming-the-face-of-dentistry\"><span style=\"font-weight: 400;\">Chad Gehani<\/span><\/a><span style=\"font-weight: 400;\">, a New York City dentist and president of the American Dental Association. You\u2019ll also be asked to limit the number of people you bring with you, Gehani says: preferably just the patient if you\u2019re an adult, although a spouse or advocate is welcome, and one parent if the patient is a child.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Then, while still wearing your mask, you\u2019ll be taken to a fully sanitized exam room.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Dental professionals will be in head-to-toe PPE<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">When Abrams first set foot in her dentist\u2019s reception area, she hardly recognized the person waiting for her. \u201cI\u2019ve gone to the same dental hygienist for the last 15 years,\u201d she says, \u201cand I didn\u2019t recognize her because she had a HAZMAT suit on.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Because you\u2019ll have your mask off during your appointment and dental hygienists will be in close proximity, they\u2019re taking extra precautions when it comes to personal protective equipment. \u201cWe\u2019re going to look a little different,\u201d Gurenlian says. Hygienists will be wearing gowns, gloves, masks, glasses, surgical caps and face shields for the duration of your appointment. After you leave and between every appointment, they\u2019ll discard their used gear and replace it with fresh PPE.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other parts of the office might look a little different too. The CDC has advised practices to erect plastic or glass barriers in front of the reception desk, as well as floor-to-ceiling barriers in between patient chairs in open-concept dental facilities.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Techniques and tools will reduce spit and aerosols\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">By nature, dentistry produces lots of spit and debris, from scraping, rinsing and spraying. Since COVID-19 is spread through saliva and aerosols, it\u2019s <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32367576\/\"><span style=\"font-weight: 400;\">highly plausible <\/span><\/a><span style=\"font-weight: 400;\">for the virus to spread if an infectious patient\u2019s aerosols or saliva castoff were to linger in the air or on surfaces.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For this reason, dentists say, some of the tools used during a typical cleaning that generate a lot of aerosols \u2014 like drills, <\/span><a href=\"https:\/\/www.dentistry.com\/topics\/ultrasonic-dental-cleaning\/#:~:text=During%20ultrasonic%20dental%20cleaning%2C%20the,calculus%2C%20off%20of%20your%20teeth!\"><span style=\"font-weight: 400;\">ultrasonic scalers<\/span><\/a><span style=\"font-weight: 400;\"> and water syringes \u2014 won\u2019t be used during your hygiene visit. Instead, hygienists will use hand instruments for your cleaning and might use suctioning devices throughout the entire procedure to control saliva production. Dental pros may also use rubber dams, a little rubber device that exposes only the tooth or teeth that the dentist wishes to work on. \u201cThis way there is minimal contact with the saliva and aerosols,\u201d Gehani says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These new tools or protocols don\u2019t lower the level of care you\u2019re receiving, Gurenlian says; it\u2019s simply another way of cleaning teeth.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Only the tools used on you will be out and available during your appointment. All other equipment will be stored to avoid exposure to other patients\u2019 aerosols.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some practices also require patients to rinse with a hydrogen peroxide solution for one minute at the start of their appointment to mitigate the spread of COVID-19, Tiersky says. However, the <\/span><a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/hcp\/dental-settings.html\"><span style=\"font-weight: 400;\">CDC has found no evidence<\/span><\/a><span style=\"font-weight: 400;\"> that pre-appointment rinses prevent disease transmission or lower the viral load in potentially infectious patients.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Virtual check-out\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">In some practices, instead of heading to the reception area after your visit to schedule the next one, you\u2019ll put your mask back on and promptly exit the practice. An office staff member may follow up in a few days by phone to schedule your next appointment and make sure you\u2019re not experiencing any COVID-19 symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For Abrams, the initial shock of seeing her dental hygienist in full PPE wore off quickly, and she felt safe and well cared for during her visit. While the new protocols of pandemic dentistry may appear daunting at first, it\u2019s all for the sake of public health and clean teeth.<\/span><\/p>\n<hr \/>\n<h1 class=\"p1\" style=\"text-align: center;\"><span class=\"s1\"><b>Ready to book a dentist&#8217;s appointment? Visit <\/b><a href=\"https:\/\/www.zocdoc.com\/dentists\"><span class=\"s2\"><b>Zocdoc.<\/b><\/span><\/a><\/span><\/h1>\n","protected":false},"excerpt":{"rendered":"<p>From increased PPE to spit-minimizing tools and techniques, dental care has been modified with pandemic safety in mind.<\/p>\n","protected":false},"author":8,"featured_media":18440,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[227],"tags":[97],"class_list":["post-18841","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guides","tag-dental-care","reviewer-dr-nassim-assefi","specialist_by_city-dentists"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What to Expect at Your First COVID-Era Teeth Cleaning - Guides<\/title>\n<meta name=\"description\" content=\"From increased PPE to spit-minimizing tools and techniques, dental care has been modified with pandemic safety in mind.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zocdoc.com\/blog\/guides\/what-to-expect-at-your-first-covid-era-teeth-cleaning\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What to Expect at Your First COVID-Era Teeth Cleaning - 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