GUIDELINES FOR DENTAL EMERGENCIES DURING A PANDEMIC

Аннотация

Due to the complications of the pandemic, dental clinics are being transferred to an emergency care mode. Of course, this makes patients with acute pain nervous if they are not considered an emergency. In the meantime, we need to learn from the experience of foreign colleagues and carefully consider what constitutes an emergency in dentistry and how to provide treatment during a pandemic. This is based on the recommendations of the WHO, the Ministry of Health, the American Dental Association, and the guidelines for emergency admissions in pandemic conditions of the Royal College of Dental Surgeons of Ontario. Key words: Pandemic, quarantine, covid-2019, dentistry, emergency, emergency medical care. РУКОВОДСТВО ПО ОКАЗАНИЮ НЕОТЛОЖНОЙ СТОМАТОЛОГИЧЕСКОЙ ПОМОЩИ ВО ВРЕМЯ ПАНДЕМИИ Аннотация. Из-за осложнений пандемии стоматологические клиники переводятся в режим оказания неотложной помощи. Конечно, это нервирует пациентов с острой болью, если они не считаются неотложной ситуацией. В то же время нам необходимо перенять опыт зарубежных коллег и тщательно продумать, что является неотложной ситуацией в стоматологии и как оказывать помощь во время пандемии. Это основано на рекомендациях ВОЗ, Министерства здравоохранения, Американской стоматологической ассоциации и руководстве по оказанию неотложной помощи в условиях пандемии Королевского колледжа стоматологов Онтарио. Ключевые слова: пандемия, карантин, covid-2019, стоматология, неотложная помощь, экстренная медицинская помощь. The category of emergency medical care includes maxillofacial injuries requiring surgical treatment, maxillofacial inflammatory-infectious diseases, prolonged bleeding and pain that cannot be eliminated with over-the-counter medications. Materials and methods. Emergency procedures include: Severe toothache due to pulp inflammation. Pericoronitis or pain in the third molar. Postoperative ostitis. Abscess or localized bacterial infection, causing local pain and swelling. Teeth causing pain or damage to soft tissues 827 ResearchBib IF - 11.01, ISSN: 3030-3753, Valume 2 Issue 1 Tooth damage / dislocation. Optional procedures (not possible during quarantine): Primary or periodic examinations and repeat visits. X-rays. Teeth cleaning and other preventive procedures. Orthodontic procedures, in addition to procedures aimed at solving acute problems (e.g. pain, infection, trauma) Aesthetic dental procedures. The patient should be explained the seriousness of the situation. Patients are nervous, afraid and think about what will happen with the pain in their teeth. At this time, it is very important to calm them down. Therefore, many specialists are in regular contact with their patients. Doctors communicate by phone or video call, give advice and recommendations. In such a situation, remote communication becomes the main method of communication between the patient and the doctor. When the patient complains of pain, discomfort and asks to be seen in the clinic or at home, do not rush to make an appointment or go to his home. Ask in detail about the symptoms. Perhaps with pharmacological treatment of the problem it is possible to at least temporarily eliminate the unpleasant symptoms. A recent study published in the British Medical Journal showed that some emergencies can be treated with appropriate analgesics or antibiotics. If pharmacological treatment alone does not help, then consultation about admission is possible. The most important thing here is to strictly adhere to the sanitary standards and rules established by SanPiN. Contact with various patient body fluids, such as blood or saliva, is completely impossible. Each room should have bactericidal agents that sterilize the air. All staff use disposable personal protective equipment: masks, gloves. Anything that comes into contact with the patient is disposable or thermally sterilized in an autoclave. All reusable autoclavable instruments are packed in sealed Kraft bags, each of which must have a color indicator of sterility. Results. Before accepting the patient, do not forget to ask about the symptoms of the disease (sore throat, cough, fever, shortness of breath) by phone. As a rule, they are similar to the symptoms of ARVI, so you should not take risks. It is necessary to measure the temperature of all patients upon entering the clinic. If the body temperature exceeds 37, call an ambulance and do not accept the patient. In addition, many experts recommend replacing the turbine handpiece with hand tools, if possible. Or use them at low speeds. If the turbine handpiece must operate at high speeds, the doctor should increase precautions. That is, the procedure should be performed with gloves, a mask, eye protection, and protective clothing covering all areas of the skin. If your dental practice cannot provide the necessary precautions to receive patients during a pandemic, you should still first advise the emergency patient by telephone, and then contact the nearest dental or 828 ResearchBib IF - 1