Colgate Oral Health Network
COVID-19: Insights, Interim Recommendations and Infection Control
Fiona Collins Noel Kelsch Shannon Mills
Fiona Collins BDS, MBA, MA, FPFA, Noel Kelsch RDH, RDHAP, MS, Shannon Mills DDS

This podcast will discuss the origins of the SARS-COV-2 virus causing the COVID-19 pandemic. This will be followed by a review of the virus, its transmission routes, infectivity, symptoms, risk factors and the current status of this pandemic.

Learning objectives

After completing this podcast, listeners should be able to:

  1. Review the origins of SARS-COV-2 and human=to-human transmission routes
  2. List and describe symptoms of COVID-19 and individual at greater risk of severe COVID-19 disease. 

References

Fiona Collins

Fiona Collins BDS, MBA, MA, FPFA

This podcast will discuss Dental Office Restrictions, Emergency and Urgent Care and Elective vs non-elective procedures, etc. (ADA info included), as well as the screening and handling of patients at the current time during the COVID-19 pandemic.

Learning objectives

After completing this podcast, listeners should be able to:

  1. Review interim guidance on emergency care and office restrictions.
  2. Describe methods to screen patients and what this screening should entail during the current pandemic.

References

Fiona Collins

Fiona Collins BDS, MBA, MA, FPFA

This podcast will discuss challenges in the dental and dental hygiene educational setting and how these challenges are being met.

Learning objectives

After completing this podcast, listeners should be able to:

  1. Describe the challenges currently facing dental and dental hygiene schools, staff and students.
  2. Review examples of methods that have been and may be implemented to meet current challenges associated with the COVID-19 pandemic.

References

Fiona Collins

Fiona Collins BDS, MBA, MA, FPFA

Noel Kelsch

Noel Kelsch RDH, RDHAP, MS

This podcast will discuss recommended hand hygiene and personal protective equipment (PPE) in dental offices during the COVID-19 pandemic.

Learning objectives

After completing this podcast, listeners should be able to:

  1. Review the methods recommended for hand hygiene
  2. List and describe the selection and use of PPE for dental healthcare personnel for the treatment of patients during the COVID-19 pandemic.

References

Fiona Collins

Fiona Collins BDS, MBA, MA, FPFA

This podcast will discuss the recommended procedures and products recommended for the management of clinical contact surface for the dental office during the COVID-19 pandemic. In addition, instrument reprocessing will briefly be addressed.

Learning objectives

After completing this podcast, listeners should be able to:

  1. Review the routes of transmission of microorganisms whereby clinical contact surfaces become contaminated.
  2. List and describe the steps in the management of clinical contact surfaces. 

References

  • Al Maghlouth A, Al Yousef Y, Al-Bagieh NH. Qualitative and quantitative analysis of microbial aerosols in selected areas within the College of Dentistry, King Saud University. Quintessence Int. 2007 May;38(5):e222-8.
  • American Dental Association. Interim Guidance for Minimizing Risk of COVID-19 Transmission. Available at: https://www.ada.org/~/media/CPS/Files/COVID/ADA_COVID_Int_Guidance_Treat_Pts.pdf
  • Association for the Advancement of Medical Instrumentation. ANSI/AAMI ST79-2017. Comprehensive guide to steam sterilization and sterility assurance in health care facilities.  Arlington, VA.
  • CDC. Coronavirus Disease 2019 (COVID-19). Dental Settings. Available at: https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html
  • CDC. Guidelines for infection control in dental health-care settings—2003. MMWR 2003;52(RR- 17):1-66.
  • CDC. Summary of Infection Prevention Practices in Dental Settings. Basic Expectations for Safe Care. Available at:  https://www.cdc.gov/oralhealth/infectioncontrol/pdf/safe-care2.pdf
  • Environmental Protection Agency. List N: Disinfectants for Use Against SARS-CoV-2. Available at: https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2
  • Grenier D. Quantitative Analysis of Bacterial Aerosols in Two Different Dental Clinic Environments. Appl Env Microbiol. 1995;61(8):3165-3168.
  • Prospero E, Savini S, Annino I. Microbial aerosol contamination of dental healthcare workers’ faces and other surfaces in dental practice. Infect Control Hosp Epidemiol. 2003 Feb;24(2):139-41.
  • van Doremalen N, Bushmaker T, Morris DH, et al. Aerosol and surface stability of SARS-CoV-2 as compared with SARS-CoV-1. N Engl J Med. 2020. Available at https://www.nejm.org/doi/full/10.1056/NEJMc2004973
Fiona Collins

Fiona Collins BDS, MBA, MA, FPFA

This podcast will discuss the contamination and routine management of dental unit waterlines. This will be followed by a discussion on what to do when offices reopen after being restricted due to the COVID-19 pandemic.

Learning objectives

After completing this podcast, listeners should be able to:

  1. Review the contamination of dental unit waterline water and its historical perspective.
  2. Describe methods by which the dental unit waterlines in closed and open systems may be monitored and maintained, including when reopening after restricted practice associated with COVID-19.

References

  • CDC. Coronavirus Disease 2019 (COVID-19). Dental Settings. Available at: https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html
  • CDC. Guidelines for infection control in dental health-care settings—2003. MMWR 2003;52(RR- 17):1-66.
  • CDC. Notes from the Field: Mycobacterium abscessus Infections Among Patients of a Pediatric Dentistry Practice — Georgia, 2015. MMWR 2016;65(13):355-356.
  • CDC. Summary of Infection Prevention Practices in Dental Settings. Basic Expectations for Safe Care. Available at: https://www.cdc.gov/oralhealth/infectioncontrol/pdf/safe-care2.pdf
  • Mills S. The dental unit waterline controversy: defusing the myths, defining the solutions. J Am Dent Assoc. 2000;131:1427-1441.
  • O’Donnell MJ et al. Management of dental unit waterline biofilms in the 21st century. Future Microbiol. (2011) 6(10), 1209-1226.
  • OSAP. Dental Unit Waterline White Paper. Available at: www.osap.org.
  • OSHA Review. The DUWL Outbreak in Orange County. Available at: https://oshareview.com/2019/10/the-duwl-outbreak-in-orange-county/
  • Porteous N, Sun Y, Schoolfield J. Evaluation of 3 dental unit waterline contamination testing methods. Gen Dent. 2015 Jan-Feb;63(1):41-7.
  • Prospero E, Savini S, Annino I: Microbial aerosol contamination of dental healthcare workers’ faces and other surfaces in dental practice.
  • Ricci, ML, Fontana, S, Pinci, F, et al. Pneumonia associated with a dental unit waterline. The Lancet. 2012;379(9816):684.
Fiona Collins

Fiona Collins BDS, MBA, MA, FPFA

Shannon Mills

Shannon Mills DDS

This podcast will discuss origins of dental fear, including due to COVID-19. This is followed by a discussion on ways to try to alleviate patient fear associated with COVID-19 and the dental office.

Learning objectives

After completing this podcast, listeners should be able to:

  1. Review causes of fear among patients
  2. List and describe methods to help reduce patient fear in the midst of the COVID-19 pandemic. 

References

Fiona Collins

Fiona Collins BDS, MBA, MA, FPFA

Noel Kelsch

Noel Kelsch RDH, RDHAP, MS

This podcast will discuss the ADA Return to Work Interim Guidance Toolkit in the context of the anticipated re-opening of dental offices for normal care, which will vary by State and location. Recommendations and actions will be discussed.

Learning objectives

After completing this podcast, listeners should be able to:

  1. Review content provided in the Return to Work Interim Guidance Toolkit discussed in the podcast.
  2. List and describe specific recommendations on pre-screening and screening of patients, and infection control procedures.

References

Fiona Collins

Fiona Collins BDS, MBA, MA, FPFA

Fiona Collins

Fiona Collins BDS, MBA, MA, FPFA

More courses with Fiona Collins

Dr. Fiona Collins is a published author, editor, consultant, and presenter. Her topics focus on infection control; risk assessment, prevention and management of oral diseases and conditions; OSHA; and, dental materials. Fiona has presented nationally and internationally, and as a faculty member at OSAP Boot Camps. She works as a consultant for Dental Advisor, and is the CE editor for Dental Learning. Dr. Collins is the ADA representative to the Association for the Advancement of Medical Instrumentation (AAMI), a member of ADA Standards working groups, OSAP, and a Fellow of the Pierre Fauchard Academy.

Noel Kelsch

Noel Kelsch RDH, RDHAP, MS

More courses with Noel Kelsch

Noel Brandon-Kelsch is an international speaker, writer, Registered Dental Hygienist in Alternative Practice and Director of Cabrillo College Dental Hygiene Program. She is passionate about oral health and has the uncanny ability to motivate and enlighten audiences through her unique humor and cutting edge information. She takes tough subject matter and presents it in such an interesting way that it becomes thought provoking even to those not involved in her industry. She is the infection control columnist for RDH magazine, a syndicated newspaper columnist and has been published in many books and magazines. She has brought the message of oral health to media networks from Disney Radio to ESPN. Noel’s research on infection control and cross contamination continues to enlighten dental professionals and protect patients. Noel has reached out to underserved populations and taken her message and methods of prevention of oral diseases to the street. Her clinical research on the impact of Methamphetamine Abuse on the oral cavity and treatment protocols have changed lives. Noel has received many national awards including: Top 25 Women in Dentistry 2014, Who’s Who in Infection Control 2014, Colgate Bright Smiles Bright Futures, RDH Magazine Sun Star Butler Award of Distinction, USA magazine Make a Difference Day Award, President’s Service Award, Foster Parent of the Year, Hu-Friedy Master Clinician Award and as if that isn’t enough: she is also a five time winner of the Castroville Artichoke cook off! Noel is a Past President of the California Dental Hygienist’s Association and the California Dental Hygiene Board.

Shannon Mills

Shannon Mills DDS

More courses with Shannon Mills

Dr. Shannon E. Mills, is an independent healthcare consultant and lecturer based in Concord New Hampshire. Dr. Mills graduated from Baylor College of Dentistry in 1977 and was commissioned as a Dental Officer in the United States Air Force. He completed a two-year general dentistry residency at Wilford Hall USAF Medical Center in 1983. During his Air Force career, he served in the US and overseas and gained broad experience in dental education, research, technical evaluation, medical logistics, and healthcare policy. He retired from the USAF in 2007 and worked in academia and the dental benefits industry until his retirement in 2018.

He is internationally recognized as an expert in dental infection control and safety with an emphasis on dental unit water quality. He has authored or co-authored numerous scientific papers in peer-reviewed journals on this and other topics. He was a member of the Advisory Group that prepared the Centers for Disease Control and Prevention Guidelines for Infection Control in Dental Healthcare Settings—2003. Dr. Mills served as editor of the Organization for Safety Asepsis and Prevention Dental Waterline White Paper and Recommendations published in 2018.

Language: EnglishC.E. credits: 2Start date: April 29, 2020Expiration date: April 29, 2023