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Jak zadbać o siebie podczas epidemii COVID-19

 Nasze 2 gabinety dentystyczne Royal Dental Care Norridge i Schaumburg  są otwarte podczas epidemii COVID-19 w nagłych problemach dentystycznych od godziny 9-5pm w ciagu tygodnia, sobota 9-3. Zadzwoń na 847-885-7645.

Royal Dental Care

Dr. Piotr Troyan, Dr. Agnes Kucharska and Team

The Centers for Disease Control and Prevention updated the total number of COVID-19 cases on March 19-th, 2020 and it equals to: 10,442.

COVID-19 (“coronavirus disease 2019”), is the new virus that was first detected in Wuhan, China on December 31-st, 2019. At first, the doctors were unable to identify the causative agent and based on the symptoms that affected people were experiencing, they classified it as pneumonia.

COVID-19- is the respiratory illness that is very contagious and spreads quickly around the globe. Individuals that are immunocompromised and over 50 years of old are at the most significant risk. No vaccine from it is currently available, so the best way to avoid getting the virus is isolation and maintenance of proper infection control.

Cascella M, Rajnik M, Cuomo A, et al. Features, Evaluation and Treatment Coronavirus (COVID-19) [Updated 2020 Mar 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK554776/

(ada.org)

(nlm.nih.gov)

Etiology:

Coronavirus has a crown-like shape under a microscope due to presence of protein spikes on the surface. It has four subcategories: alpha, beta, delta and gamma. COVID-19 belongs to the beta category and has a round shape and often varies in its form. Coronavirus enters human cells through the receptor of Angiotensin converting enzyme 2 (ACE2). This enzyme plays a role in regulation of heart and kidneys function as well as fertility. Viral proteins act as the “key” that unlocks the human cell through the “lock”, which is an enzyme receptor.

The origin of COVID-19 is not entirely understood but it is thought to be evolved from coronavirus strain found in bats. The first cases of the disease were linked to direct exposure at seafood markets in Wuhan, China, suggesting animal-to-human transmission. The following cases could be transmitted human-to-human.

Cascella M, Rajnik M, Cuomo A, et al. Features, Evaluation and Treatment Coronavirus (COVID-19) [Updated 2020 Mar 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK554776/

Maginnis MS. Virus-Receptor Interactions: The Key to Cellular Invasion. J Mol Biol. 2018;430(17):2590–2611. doi:10.1016/j.jmb.2018.06.024: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6083867/

https://www.acc.org/latest-in-cardiology/articles/2020/03/17/08/59/hfsa-acc-aha-statement-addresses-concerns-re-using-raas-antagonists-in-covid-19
https://www.ncbi.nlm.nih.gov/gene/59272?report=full_report
https://www.ncbi.nlm.nih.gov/pubmed/29924965

Dentists are in one of the highest risk categories for virus transmission and contraction via aerosolization of fluids. Providing only emergency dental care during this time period will allow the dentist to alleviate the transmission of virus. 

(ada.org)

Coronavirus, aka COVID-19

Symptoms of COVID-19:

  • Fever
  • Dry cough
  • Shortness of breath

Illness may range from mild symptoms to severe illness and death. Symptoms may appear 2-14 days following initial exposure.

COVID-19 is spread through person-to-person contact, as well as through respiratory droplets, including coughing, sneezing as well as speaking – which is why “social distancing” is so important. The CDC recommends social distancing of 6 ft or more. It is suggested that people with no symptoms could transmit the virus as well.

(cdc.gov)

Contraction of COVID-19

  • The new virus is very contagious and spread quickly through the world, the outbreak was declared by the World Health Organization on January 30th, 2020 as a Public Health Emergency of International Concern because it spread to 18 countries through human-to-human transmission.
  • How the disease spreads
    • Person-to-person through respiratory droplets (community spread)
      • Closer than 6ft contact
      • Coughing
    • Contaminated surface
      • These droplets can land on the mouth or nose of nearby people who will possibly inhale it into their lungs
      • Droplets can land on hands of person who will touch their nose or mouth
https://www.ncbi.nlm.nih.gov/books/NBK554776/

Risk of Severe Illness:

Early information out of China, where COVID-19 first started, shows that some people are at higher risk of getting very sick from this illness. This includes:

  •  Older adults, with risk increasing by age.
  •  People of any age who have serious chronic medical conditions such as:

-Heart disease

-Diabetes

-Lung disease or asthma

-Weakened immune system 

-Chemotherapy and/or radiation for cancer (currently or in recent past)

(cdc.gov)

How about children?

Information about COVID-19 in children is somewhat limited, but the information that is available suggests that healthy children generally have mild symptoms

*small percentage of children have been reported to have more severe illness

To protect those at higher risk, it’s important that everyone practices healthy hygiene behaviors.

https://www.ada.org/en/publications/ada-news/2020-archive/march/ada-recommending-dentists-postpone-elective-procedures

As we all know, there are multiple ways to protect yourself and to lower risk of contracting the virus. 

First and foremost – practice GOOD HYGIENE.

  • WASH YOUR HANDS for at least 20 seconds. Use alcohol-based sanitizer (over 60%) if soap and water are not available
  • AVOID touching eyes, nose and mouth with unwashed hands
  • Cover your mouth while coughing/sneezing with a tissue, discard tissue in trash; cough/sneeze into elbow crease if tissues not available 
  • AVOID close contact with others, AGAIN – social distancing or 6 ft or more.
  • Stay home if you feel sick
  •  Disinfect frequently touched surfaces

(cdc.gov)

The American Dental Association STRONGLY urges dentists to postpone any elective and non-urgent dental procedures.

Dentists should use their professional judgment when determining a patient’s need for urgent or emergency care.

What treatment falls under a “dental emergency”? 

  • Severe pain
  • Abscess (infection)
  • Uncontrolled bleeding
  • Restoration of extensive dental decay/cavities causing pain
  • Tooth fracture resulting in pain or causing soft tissue trauma 
  •  Pericoronitis or third-molar pain 
  • Surgical post-operative osteitis, dry socket dressing changes 
  • Denture adjustments when function is impaired
  • Trauma to facial bones
  • Final crown/bridge cementation IF temporary restoration is lost, causing pain/gum irritation
  • Intra-oral or extra-oral swelling warranting infection

(ada.org)

NON-URGENT dental procedures (which should be postponed) include: 

  • Routine dental cleanings and preventative therapy
  • Initial examinations, including radiographs
  • Orthodontic procedures
  •  Extractions of asymptomatic teeth
  • Aesthetic procedures
  • Restorative dentistry including treatment of asymptomatic decay/caries

(ada.org)

What can, or should be expected from your dental care provider if you are being seen for an emergency appointment?

  • Over the phone pre-screening prior to emergency dental appointment 
  • Questions regarding any recent travels and current health 
  • You may be asked to wait in your car until dental provider is ready to begin treatment
  • You may be asked to measure your body temperature prior to arrival at the appointment (at home) 
  • Asking patients to wash hands prior to entering operator room
  • Pre-procedural rinse with 1% hydrogen peroxide solution should be used prior to beginning any procedure

What changes can patients expect if the office does re-open for non-emergency/routine treatment?

  • Selective polishing will be implemented based on level of necessity (polishing is an elective procedure/cosmetic purposes only)/discretion of clinician 
  • Use of cavitron/ultrasonic water instrument WILL be limited
  • Patients that present with cold/flu symptoms may be asked to defer treatment and seek attention of medical provider 

Personal Protective Equipment used in the Dental Office

  • Mask
  • Eyewear
  • Face shield – now implemented
  • Jackets – protective clothing
  • Gloves
https://www.cdc.gov/oralhealth/pdfs_and_other_files/BESC3-PPE-508.pdf

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