Practice Update

Dr Andrew Hall and his team are actively monitoring the current situation of the coronavirus outbreak.

The Studio for Exceptional Dentistry have increased our cleaning and safety protocols in response and are following all guidelines set out by the American Dental Association (ADA).

It’s important for all of us to work together and self quarantine if you have been exposed or are at risk to the virus.

Please help prevent the further spread.

Guidance from the ADA

On March 16, 2020, the ADA issued the following guidance to dentists regarding the COVID-19 pandemic:

The American Dental Association (ADA) recognizes the unprecedented and extraordinary circumstances dentists and all health care professionals face related to growing concern about COVID-19. The ADA is deeply concerned for the health and well-being of the public and the dental team.

In order for dentistry to do its part to mitigate the spread of COVID-19, the ADA recommends dentists nationwide postpone elective procedures for the next three weeks. Concentrating on emergency dental care will allow us to care for our emergency patients and alleviate the burden that dental emergencies would place on hospital emergency departments.

As health care professionals, it is up to dentists to make well-informed decisions about their patients and practices. The ADA is committed to provide the latest information to the profession in a useful and timely manner.

The ADA is continually evaluating and will update its recommendation on an ongoing basis as new information becomes available. Please visit ADA.org/virus for the latest information.

What Constitutes a Dental Emergency?

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:

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:

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

Other urgent dental care:

  • Extensive dental caries or defective restorations causing pain
  • Manage with interim restorative techniques when possible (silver diamine fluoride, glass ionomers)
  • Suture removal
  • Denture adjustment on radiation/ oncology patients
  • Denture adjustments or repairs when function impeded
  • Replacing temporary filling on endo access openings in patients experiencing pain
  • Snipping or adjustment of an orthodontic wire or appliances

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Virtual Consultations

Dr Hall is offering virtual consultations to help patients stay safe and informed.