COVID-19 Patient information

Updates from Principal Dental Surgeon, Dr Milisha Chotai.
Update 06 October 2020

 
We continue to operate for routine appointments as per National guidelines provided by the British Dental Association and the Chief Dental Officer. Our priority is the safety of our patients and team members. 

I am fortunate to work with an amazing team. We have together managed to alter our working hours to ensure that we can continue to provide excellent and safe dental care.

You will notice that our working hours have changed to allow us to work from multiple rooms. This means that it is not always possible to see both the dentist and the hygienist on the same day.

Many of our patients have complex medical histories, which is why we have decided to maintain a “no walk-in policy”.

We will also continue to escort you in and out of the premises to ensure that you do not interact with other patients.

The waiting room is open for one patient at a time. Two patients are allowed where more than a 2 meter distance can be maintained.

The restroom continue to be closed. Please ask for permission to use the restroom in the case of an emergency.

Advanced PPE, increased time between appointments and more rigorous disinfection protocols continue to be in place. We have also gone the extra mile by investing in IQ AIR. It is an advanced HEPA air filtration system for airborne particles and infection control. More information below. 

The HyperHEPA® filter of the IQAir Cleanroom models has been tested and classified in accordance with the world’s most stringent filter test norm for HEPA filters – European Norm EN 1822. The awarded “H13” classification means that the IQAir Cleanroom systems have an absolute minimum efficiency of 99.95%, even for the tiniest and most infectious particles known to mankind. The outstanding filtration efficiency of IQAir’s HyperHEPA filter for removal of microorganisms (such as spores, bacteria and viruses) has been tested and verified by the British Government’s Health Protection AgencyIn a British research study published in the Journal of Hospital Infection in April 2006, it was shown that the use of an IQAir Cleanroom system significantly reduced (by 75% to 93%) the environmental MRSA contamination within the patient rooms, thus reducing the risk of MRSA spreading and infecting other patients. 

In response to the SARS crisis, the Hong Kong Hospital Authority selected IQAir as the only mobile air filtration solution for SARS patient rooms to protect staff, visitors and patients. Over 150 hospitals, clinics and health-care centres in Hong Kong have been equipped with IQAir systems since 2003. IQAir systems are registered with the FDA (U.S. Food & Drug Administration) as a Class II Medical Device. The outstanding filtration efficiency of IQAir Cleanroom systems can be impressively demonstrated in real-life applications with the use of professional airborne particle counters (e.g. ParticleScan). These instruments objectively prove that IQAir Cleanroom systems actually remove all particles down to a size of 0.3 microns (i.e. 3 times smaller than Mycobacterium tuberculosis) with over 99.97% efficiency. Every IQAir Cleanroom Series air cleaning system is equipped with antimicrobial PreMaxTM and HyperHEPA® filter media for advanced infection control. The antimicrobial filter surface acts as a contact bactericide and thus provides an additional barrier against airborne microorganisms that are captured by the filter. The active component PHMB (polyhexamethylene biguanide) has been used successfully for more than four decades and is incorporated in a wide variety of disinfection products, such as liquid hard surface disinfectants, antimicrobial hand soaps, wound dressings and in disinfectants for medical device sterilisation. PHMB is active against a broad spectrum of microorganisms, including antibiotic resistant bacteria such as MRSA and VRE.

Guidelines for attending the practice

  • One of our trained team members will undertake a personalised risk assessment which includes COVID-19 specific questions as well as a temperature check.
  • You will be provided with hand gel. 
  • Pre-payments continue to be in place for hygiene appointments to minimise traffic in reception.
  • Bring a pen.
  • Avoid excessive clothing/bags when you attend for your appointment.
  • Please wear a mask when you enter the premises.
  • Please do not attend early for your appointment – we may not be able to offer indoor waiting.
  • Please forgive us if we can’t chat as normal – it can be quite demanding to hold a conversation whilst wearing the advanced PPE.

Failure to attend / Late attendance

We will always try to see you, however, sometimes it is not possible to complete treatment safely if you attend too late for your appointment. 

Reminders are a courtesy service. We have replaced the letter reminders with emails /sms. Please ensure that you keep a note of your appointment time and date. Not receiving a reminder is not a valid reason for not attending an appointment.

If unable to attend, please reschedule with more than 48 hours notice so that the appointment can be dedicated to other patients.

Late attendance/failure to attend appointments are charged to cover our overheads (Denplan & Private patients)

Examinations & Hygiene appointments £40

Treatments: 50% of treatment fees.

It is in my interest as much as yours that we continue to operate safely. I had three emergency call-outs during the lock-down and I believe that this is a great testimony on the importance of the preventative care that we believe in. I encourage that you keep your routine examinations and hygienist appointments to avoid the need for emergency care.

I am also pleased to let you know that we will continue to donate 1% of your examination fee towards clinical research for Parkinson’s disease. 

Finally, I would like to thank you for your patience and understanding. Our friendly reception team are available to answer any questions about our new protocols and we look forward to seeing you soon!

 

 

UPDATE 14/06/2020

We are open for routine appointments. We are following national guidance provided by the British Dental Association and the Chief Dental Officer to ensure the safety of our patients and team members. This includes more advanced PPE, more time for cleaning down between appointments and less patients in the practice at one time.

The overall evidence is that dental cross infection procedures are some of the best in the world. We are already used to working with stringent cross-infection protocols and have further added to these based on the current best practice guidelines.

We have made further amendments to the practice in order to reduce the number of people at the practice at one time.

  • Amended working hours to reduce the number of patients at the practice at one time.
  • Working from multiple rooms
  • Escorting you in and out of the practice
  • Pre-payments for hygiene visits and single treatment visits

Please note that due to the shift-work and limited number of staff at onetime, phone lines will remain closed for part of the days. You will still be able to leave a message and we will return your phone call before closing.

Opening hours

  • Monday 9AM – 7.30PM
  • Tuesday 9AM – 5PM
  • Wednesday 8AM-7.30PM
  • Thursday 9AM-6.30PM
  • Friday 9AM-5PM
  • Saturdays by appointment

Instructions for your appointment

Please do not attend your appointment if you or anyone in your household has one of the following of if you have been in contact with any confirmed COVID-19 positive patients:

  1. A new continuous cough/sore throat
  2. A high temperature
  3. Altered taste/smell

We are not accepting cash payments at this time, please ensure that you bring a card.

 

DENTAL HEALTH ADVISE

Some oral health tips to prevent dental treatment

  • Be careful when it comes to snacking; It takes 1 hour for the pH to stabilise in the mouth after eating, and so you will be at risk of dental decay for one hour following intake of any foods/drinks (except water). You can use a fluoride mouthwash after meals (please follow the instructions on the bottle) to shorten the 1 hour window.
  • Use a Waterpik after intake of foods. It is super easy to use and quick!
  • Use an electric toothbrush (I recommend Oral B). Studies show that they are more efficient than manual toothbrushes.
    Plaque is more prone to building up behind the lower front teeth. It helps to therefore brush twice on the inside of these teeth (once on the upper part of the teeth and once over the lower part of the teeth).
  • Sip on water regularly should you feel that your mouth is dry
  • Stress tends to build up around the shoulders and necks and sometimes this is due to tooth-grinding. Tooth-grinding/clenching can cause pain in the jaw, neck, and shoulders. It can also cause tooth wear and breakages. We usually would provide you with a customised soft bite guard if there is a sign of tooth wear. You can as an option during this time opt for ready-made night guards (available at boots). This will protect your teeth and hopefully help relieve your symptoms. How do you know if you are grinding/clenching? Your teeth should be slightly apart when you are not eating. People who grind/clench will not have a gap between the teeth when in a resting state.
  • If you find that you are like me (loves tea and coffee), you may during this time find that your teeth are staining/yellowing. Please refrain from using whitening toothpaste as this can cause damage to your enamel and also tends to make your teeth more sensitive. Over the counter whitening gels are not advisable as they can be damaging/not effective. You can discuss professional teeth-whitening with us or book a session for a fine stain removal polish with the hygienist (this is an add-on service to your regular hygiene appointment). I have tried it and highly recommend it!