Reopening policy for patients

smiling face - reopening policy

Second phase Covid19 reopening policy

This policy has been created based on multiple updated sources from within the dental and medical professions and the government.
It outlines modifications to our normal procedures that we intend to employ once the practice can be reopened after the COVID-19 pandemic peak has subsided.

It is not known at this time whether these procedures are temporary or whether they will become a permanent feature of the way dental practices must be run to ensure patient and staff safety in the future.

The worldwide COVID-19 pandemic is still being evaluated and studied and policies and recommendations are likely to change in line with new scientific evidence over time.

We would like to thank all of our patients for their patience and forbearance during the period of temporary practice closure and for their understanding and cooperation whilst we implement new measures at the practice.

We will of course be providing dental care to all of our patients in the safest possible environment. We greatly appreciate your assistance with any new or modified procedures at the practice.

Provisional timetable

Some of our dentalessence practices will re-open for patients who require essential emergency dental treatment towards the end of June and we will confirm a date closer to that time.

Currently these are the Worthing and Weybridge and Hayward’s Heath sites.

The appointments will be extended to other patient groups as the lockdown restrictions are eased further.

The dentalessence team will prepare the practices for reopening and will be practising our updated procedures before patients return to the practice. We will initially be seeing:

  • Patients with emergency problems or other dental problems that require urgent assessment and treatment

When the lockdown restrictions are further lifted we will be able to see:

  • Patients with treatment that was not completed prior to the lockdown
  • Patients who were due for routine examinations and hygienist visits during the period of closure
  • Patients who are due orthodontic / dental implant reviews.
dentist appointment

Patient communication before reopening

Currently all routine appointments already booked till the end of June will be cancelled. We will be seeing emergency patients and confirming appointments ahead of their scheduled time.

We will request that all patients who are attending the practice update their standard medical and dental history forms beforehand. These forms will now be in electronic format and we will no longer be using paper forms.

The assessment forms include a new section which will allow us to assess your level of risk for coronavirus infection before you attend the surgery.

New measures to reduce the risk of Covid19 transmission

Our normal cross-infection control protocols at dentalessence practices (against all previously known pathogens) are already woven into all clinical activity carried out at the practice.

It should be remembered that a dental practice is already a very clean environment compared to public areas and there is no evidence of COVID-19 transmission occurring in increased rates in dentists or their staff.

We have collectively evaluated all of the updated guidance and observed what measures have been put in place in other countries. We feel that the measures which are outlined in this policy will reduce risk to the minimum level at the practice.

Please be assured that all of our clinical staff will also be complying with our updated procedures to reduce the risk of cross infection in both directions.

attending the dental practice

Before attending at the practice

We will carry out a pre-attendance assessment via your completed Medical history/Assessment forms at least three days before your appointment and, if necessary, a follow-up telephone conversation to assess relative coronavirus infection risk. Our staff will contact you to remind you of this if we have not received your completed forms. If you have any difficulties with completing the forms we can help you with this over the phone. A dentist may also carry out a video consultation with you to assess your dental problem prior to your visit so that a treatment plan and cost estimate can be sent to you.

If we feel that you are at risk of having possibly been infected, even if you are asymptomatic, we will respectfully request for you to delay booking any appointments with us for at least 2 weeks to a month. If we do not receive the completed questionnaire in time and we are unable to contact you, we may need to cancel your appointment with immediate effect. You may be charged for the appointment if we are unable to fill it at short notice as per our normal terms and conditions.

We recommend that patients in the high-risk groups for developing complications from coronavirus delay non-essential dental treatment for as long as possible until the trend of the pandemic becomes clear. If you are in a high risk group and do require treatment we will schedule your appointment at the beginning of the day. To find out whether you are in a high or very high-risk group please see the gov.uk website.

dentalessence will be operating a “no cash” payment system going forward, and we will request that all payments are made online or over the phone for your appointment prior to you attending. This reduces the requirement for unnecessary contact or use of pin entries on card terminals at reception.

When travelling to the practice, we would recommend that you limit close contact with other members of the public as far as possible. The doors will be locked during this phase of return and we will meet all patients outside the building and bring them straight into the surgery. One adult is able to attend with a child; please do not bring additional family members with you unless they are happy to wait in the car or outside the building.

Arriving at the practice

When you attend the practice, we will welcome you, and ask for you to hang your coat or jacket near the entrance to the practice. Although the front door will remain locked, we cannot accept liability for personal items so please limit what you bring into the building.

We will take your temperature with a no-touch thermometer. If your temperature is above 37.8°C, you will be unable to enter the practice and will be asked to return home and self-isolate as per current government guidelines.

We intend to eliminate waiting inside the practice and at reception. Accordingly, appointments will be staggered so that patients do not arrive or leave at the same time as other patients as far as we are able to manage.

When using the restrooms, please do your best to ensure that you leave the facilities as you would expect to find them and wash your hand thoroughly. The restrooms will be regularly disinfected between patients .

If you are well, we will direct you straight to the surgery and request that you do the following before or during your appointment:

  • Use the hand sanitiser in the reception area or
  • Thoroughly wash your hands for 30 seconds with the antiseptic hand wash provided in the surgery.
  • We may ask you to use a Hydrogen Peroxide mouthwash before some dental treatments are provided.
  • Rubber dam or other barrier mechanisms will be used for more procedures than previously.

Practice procedures

The dentalessence team have spent time critically looking at every aspect of the practice with a view to removing all non-essential items that can potentially be the cause of infection.

You will find that the practice may appear to be quite bare when you attend.

There will be protective screens around the reception area. All clinical and common areas including door handles and surfaces will be regularly disinfected in addition to our normal surface cleaning protocols between patients.

The dentalessence team will be providing a buffer period between patients to allow additional time for additional decontamination procedures, allow for any treatment overruns and allow preparation time for the next patient so that they do not need to wait in the reception area.

This means there will be fewer appointments available on any given day. Where each of our dentists used to see 30 or so patients a day – it will now be close to a third of that…

All future appointments will be made and confirmed by email or telephone to limit your time spent at reception.

Dental procedures

All dental staff will be using personal protective equipment in line with current recommendations and evidence.

We apologise in advance for the necessary reduction in social interaction that this will necessitate.

Whilst our masks may make us appear impersonal and distant, please be assured we are still the same friendly team underneath it all!

Dental procedure

The science behind the PPE

We are especially mindful that many dental treatments are aerosol-generating procedures (AGP’s). It is difficult for us to carry out some dental procedures without generation of some level of aerosol. Aerosol suspended in the air is a theoretical source of infection which we obviously wish to keep to a minimum. Currently the dental literature suggests:

The use of our normal high-volume suction (the tube that the dental nurse hoovers around your mouth) reduces aerosol production by over 90%.

The use of dental rubber sheet where possible reduces bio aerosols by a further 30 to 90%

Our regular surgical facemasks filter approximately 60% of remaining airborne particles. FFP2 and FFP3 masks filter 94% and 99% respectively.

We therefore feel that our normal dental procedures can be carried out with minimal risk by the use of high-volume suction, rubber dam, surgical and FFP2 masks and, in aerosol generating procedures FFP3 masks as appropriate.

Unfortunately the financial impact of the coronavirus, will lead to some increase in our normal fees. The time taken to carry out treatment sessions may need to be extended which will be included into the fees for your procedure. This applies to private treatments.

Any NHS related treatments will currently require referral to the NHS emergency hubs until further notice.

Summary:

The vast majority of our patients are otherwise healthy without coronavirus infection and we are confident that we are able to provide dental care for these patients in as normal an environment as possible while bearing in mind our responsibilities to mitigate risks of infection spread as far as is practically possible.

This policy will be constantly reviewed and updated as necessitated by circumstances over time.

If you have any questions regarding this policy or about your dental care at dentalessence please do not hesitate to contact us on:

Worthing:
worthing@dentalessence.co.uk

Weybridge:
weybridge@dentalessence.co.uk

Haywards Heath:
newlandsdentalpractice@soegateway.com