Information and URGENT STEPS every Dental Practice needs to be following to SURVIVE AND HELP THEIR PATIENTS and Team during AND AFTER the Coronavirus Pandemic.

1. Finding New Normal - Navigating
Through Information Overload
May 8, 2020

2. Tricia Casasanta R.D.H
⬛ ⬛ Over 27 years of dental experience
⬛ Worked with single practitioners to
moderate size DSO’s
⬛ Focus on behavior change, fostering
tomorrow’s leaders, building teams and
implementation of business systems
⬛ In tune with the ever-changing needs of
the industry
CEO

3. Jessica Oleskie R.D.H
⬛ ⬛ Over 18 years of dental experience
⬛ Worked with single to moderate size
Practices
⬛ Create harmonic & collaborative office
culture between practice owners and team
members.
⬛ In tune with the ever-changing needs of
teams and management
Human Resource
Director

4. OVERALL GOAL….
Provide
PEACE OF MIND
GUIDANCE DURING UNPRECEDENTED TIMES

5. Housekeeping ….
CE Credits
Case Study - Markets
Many Changes Occurring Daily/LOt of Content
? Scheduling a 2nd Session

6. WE’RE HERE TO HELP GUIDE
DENTISTS….
We are an organization that is here to help out the private
practitioner cut through the noise and navigate through these
unprecedented times and overcome the adversities.
We are not giving any tax or legal advice. Laws & materials are
subject to change, we are not able to cover all details, and each state
may have different criteria. Clients and others should independently
confirm all information and work with their professional advisers to
identify recommendation that pertain to their unique situation.

7. WE’RE HERE TO HELP GUIDE
DENTISTS….
We encourage every dentist to follow state mandates, review and
adhere to the ADA and CDC guidelines and to use their best
judgment to serve and protect their patients and teams at this time

8. Objective
⬛ Updated info from CDC & ADA on requirements for
re-opening
⬛ Steps for Re-Opening
⬛ How to communicate with patient & teams concerns
effectively
⬛ Training Team Prior To Re-Opening
⬛ Addressing concerns surrounding Unemployment &
HR

9. Email: tcasasanta@spsolutionteam.com
Cell: 586.804.4491
Next Webinar: Wed May 13th @ 1PM
Title: Most dentists have lost well over $250,000 per practice
location due to covid. Find out STRATEGIES to assist in making up
the LOSSES
⬛ Rebuilding your team
⬛ Strategic Scheduling
⬛ How your hygiene department will play a role during & post covid
⬛ The new reality of Diagnosing & Case Acceptance
⬛ Leveraging the rented networks

10. Build Inventory

11. BUILDING INVENTORY - INFECTION
CONTROL
OSHA/CDC : Until more is known about how COVID-19 spreads, OSHA recommends using a
combination of standard precautions, contact precautions, airborne precautions, eye protection
⬛ Standard Precautions
Cdc.gov/infectioncontrol/basics/standard-precautions.html
⬛ Contact Precautions
Cdc.gov/infectioncontrol/basics/transmission-based-precations.html#anchor_1564057963
⬛ Airborn Precaustions
Cdc.gov/infectioncontrol/basics/transmission-based-precations.html#anchor_1564058235

12. 1. PPE 6. Touchless Disinfectant / Soap Dispensers
⬛ Surgical Gowns 7. Thermometer
⬛ Gloves 8. Plexiglass For Reception Desk [optional]
⬛ Mask / Safety Glasses /Face shield 9. Plastic Page Protector [ Laminating paper]
⬛ Head Bouffant [highly recommended] 10. Air Filtration Units [optional]
⬛ Foot Covering [optional] 11. UV lights [optional]
2. Chair Coverings
3. Universal Barrier Tape
4. Disinfectant Wipes [CaviWipes ]
BUILD INVENTORY- CHECKLIST

13. BUILD INVENTORY - THERMOMETER
⬛ Disposable Oral Thermometers – $ 75.00 for 100
⬛ Infrared Thermometers – $ 75 to $ 115

14. BUILD INVENTORY – HAND FREE DEVICES
⬛ Touchless Disinfectant / Soap Dispensers – $ 15
⬛ 10 Gallon Foot Trash Compactor– $ 100.00

15. BUILD INVENTORY – BARRIERS [OPTIONAL]
Dust Free PC 800-775-7611
Based out of Florida

16. BUILD INVENTORY – DISINFECTANTS
⬛ OSHA : Until more is known about how
COVID-19 spreads, OSHA recommends using a
combination of standard precautions, contact
precautions, airborne precautions, eye
protection
⬛ https://www.epa.gov/pesticide-
registration/list-n-disinfectants-
use-againstsars-cov-2

17. BUILD INVENTORY – FOOT COVERS
⬛ Optional
⬛ Dispenser & 100 plastic covers
Under $15 dollars
⬛ Alternative
1. HCW purchases non cloth shoes
Rubber shoes preferred
2. Changes into shoes @ beginning of shift
Changes out of shoes @ end of shift
Wash gloved -hands before and after
3. Spray down shoes with disinfectant or
Professional Lysol brand III disinfectant

18. BUILD INVENTORY – PPE
⬛ OSHA : PPE differs for the care of well patient care suspected
or confirmed COVID-19
*NIOSH-National Institute For Occupational Safety and Health
(See OSHA's PPE standards at 29 CFR 1910 Subpart I)

19. BUILD INVENTORY – PPE
Strategies For Optimizing The Supply of PPE
1. Washable Disposable Surgical Gowns
MWDental.com [Up to 50+ washes] or Wristband.com
⬛ *Single-blinded studies have demonstrated that laundry from isolation areas is no more heavily
contaminated with microorganisms than laundry from elsewhere in the hospital.1266 Therefore,
adherence to standard precautions when handling contaminated laundry in isolation areas and
minimizing agitation of the contaminated items are considered sufficient to prevent the dispersal
of potentially infectious aerosols.6
⬛ Contaminated fabrics can be transported in bags
⬛ Detergent used is not significant
⬛ Temperature during the laundering process is significant – 1350 F to 1450 F
⬛ Sort laundry prior to wash – potentially contaminated vs non contaminated
⬛ Gloves must be worn when handling soiled laundry
*https://www.cdc.gov/infectioncontrol/guidelines/environmental/background/laundry.html

20. BUILD INVENTORY – PPE
Strategies For Optimizing The Supply of PPE
2. Have 2 Surgical Gowns
⬛ DDS must change surgical gowns between aerosol patients
⬛ DDS can wear same surgical gown when conducting hygiene exams
⬛ Gowns are switched in the Donning and Doffing area
3. ⬛ADA provided list of manufactured PPE in compliance with and equivalent to
NIOSH approved N95 masks
4. ADA Interim Mask & Face Shield till supply inventory is achieved
⬛ N 95 Mask Ideal for HCP working with aerosols & change out between patients
Due to shortage - Hospitals are giving out 1 N95 per HCW to use for entire week
⬛ N 95 Masks can be preserved & used on multiple patients until compromised, if……
Cover N 95 with Level II or III mask + Face shield
⬛ Utilized NH95 - Cover KN 95 with Level II or III mask + Face shield
Front Desk
Clinician

21. BUILD INVENTORY – PPE
Strategies For Optimizing The Supply of PPE
5. ⬛CDC - [NH95,N99, N100 filtering facepiece, reusable elastomeric respirator, PAPR respirator
https://legionsafety.com/
- 7600-Series Respirator Full Face Mask 760008A - Premium, Elastomeric $239.99
- 3M 6000 Series Full Face Respirator with DIN Port - 6700DIN $229.99
6. Texas Tech University – Resterilization of used PPE
Suzanna Cisneros 806-743-7605
Currently testing a process that uses hydrogen peroxide vapor [HPV] to fumigate the PPE inside a
large chamber until the decontamination cycle is complete before it is moved to drying racks. The
HPV process, which also is being employed by a team from Duke University medical Center,
decontaminates the PPE without degrading it.

22. Aerosol Control

23. 1. Rubber Dam
2. Have patients rinse with Chlorohexidine or 1.5% Peroxide
3. Drysheild 888-DRY-0300
Dryssheild.com
⬛Improved isolation
⬛ Improved visibility
⬛ Better suctioning power
⬛ Reduction in aerosol
⬛ The autoclavable DryShield mouthpiece comes in 5 different sizes (X-Pedo, Pedo, S, M and L)
⬛ The mouthpiece is made of soft, flexible material with patient comfort as the number-one
priority
⬛ Innovative ergonomic design allow the dentist to focus on doing high-quality dentistry
⬛ Can lead to decreased chair-side time, shorter appointments and greater efficiency
⬛ Starter Kit - $900 [ incl. 4 of each – Pedo, Medium, Large Mouthpiece]
AEROSOL CONTROL ….

24. 4. Hygiene department can revert to only hand scaling vs using ultrasonics
Based on hygienist’s comfort & Knowledge level
5. A-flex HVE Arm Kit - $389
Aflexxassistarm.com
⬛ Can be used 2 ways
1. Extra-oral evacuator Funnel
2. Holds saliva ejector in place
⬛ Having an Extraoral Dental Suction System will provide additional
high-volume removal of droplets and aerosols associated with dental care
⬛ Designed to provide Ergonomics to the HCP
⬛ Assists to improve field vision
⬛ Show your team how concerned you are about their health
⬛ Show your patients how forward - thinking you are
6. Hygiene Assistant - To assist in holding the High Vac - If supplies are limited
]
AEROSOL CONTROL ….….

25. https://www.cdc.gov/infectioncontrol/guidelines/environmental/background/air.html
AEROSOL CONTROL - DCW HAVE BEEN EXPOSED TO THE
FOLLOWING FOR YEARS .….

26. ⬛ William Bryan Director of Homeland Security April 23, 2020 White House Briefing
⬛ The coronavirus named "SARS-CoV-2" is the cause of "COVID-19" in people
AEROSOL CONTROL ….….

27. AEROSOL CONTROL ….…
Spray Post Exposure
⬛Waiting/Clinic Room
⬛Hallway
⬛Bathrooms
⬛Shoes/Surgical gowns/Uniforms
⬛Car
⬛Clothes

28. 6. Have HVAC System[ Heating, Ventilation, and Air Conditioning System] inspected
for
efficiency
⬛ Maintain the indoor air temperature and humidity at comfortable levels for staff,
patients, and visitors
⬛ Control odors
⬛ Remove contaminated air
⬛ Facilitate air-handling requirements to protect susceptible staff and patients from
airborne health-care associated pathogens
⬛ Minimize the risk for transmission of airborne pathogens from infected patient
⬛ System centers on local exhaust ventilation, general ventilation and air cleaning
AEROSOL CONTROL ….….

29. 7. Air Purification- [Reduces dental orders and patient & team’s anxiety]
⬛ Removes dust and pollen that affects allergies from air, aerosols, biofilm etc
⬛ Kills germs and viruses that make people sick from air, aerosols, biofilm etc
⬛ Eliminates odors and VOCs that irritate people
⬛ Re-energizes stale indoor air to make breathing easier
⬛ Show your team how concerned you are about their health
⬛ Show your patients how forward - thinking you are
⬛ Increases energy and reduces the amount of sick days
AEROSOL CONTROL ….….

30. Surgically Clean Air Systems Filter
Call 877-440-7770
Email Info@SCAdental.com
Visit SCADental.com
⬛ Hepa-RX Particulates Filter
⬛ Carbon
⬛ Germicidal UV-C+
⬛ Hydroxyl Radical Reactivity Chamber
⬛ Revitalizing Negative ION Chamber
START BUILDING YOUR INVENTORY….

31. CASCADE
SCA600C + HEPA Base
⬛ Hepa-RX Particulates
Filter
⬛ Filters out Carbon
⬛ Germicidal UV-C+
⬛ Hydroxyl Radical
Reactivity Chamber

32. ⬛ 6 Stages of Filtration,
Sterilization & Re-
Energization
⬛ Large Capacity Airflow
⬛ Sound Dampening
Design
⬛ Smart Control Features

33. Prior To Re-Opening

34. ⬛ Build Inventory [ mask inventory should include patient in the count ]
⬛ Inspect & Upgrade HVAC System
⬛ Purchase Air Filter [optional]
⬛ Purchase & Install Plexiglass @ Front Desk [optional]
⬛ Clean entire office
⬛ Remove any item that cannot be sterilized, and touched by patients
-Mainly front desk area & tx rooms
-ALL toys, treasure chest, remote control, pens and paper [ decorations,
advertisements, brochures] etc…
⬛ Set up hand-sanitizing station available for patients upon entering and leaving
PRIOR TO RE-OPENING

35. ⬛ Prepare Donning & Doffing Area
⬛ Prepare the following documents
1. Covid 19 Daily Screening Log to be completed on each employee upon
arrival for their shift [ADA tool kit]
2. Patient Screening Form [ADA tool kit]
3.Welcome Back Letter/Email [ ADA tool kit]
Incorporate video on the check-in/check-out process & all of the
Visible CDC suggested updates made to the practice [optional]
4. Print/ Laminate instructions on proper placement & removal of PPE for
Donning and Doffing area [CDC]
5. Print/Laminate/Display @ front desk general recommendations for avoiding
the spread of COVID-19 for patients to see upon entering
PRIOR TO RE-OPENING

36. ⬛ Create PPT presentation to update team on post covid-19 office
protocols[optional]
1. Need to educate team on your energies in creating a safe environment
2. PPT should include training videos [ putting on & removing PPE]
⬛ Create Video For Patients [ optional]
– Walks them through their check-in/check out process
– Stress how the office has always followed CDC guidelines for infection
control & any additional upgrades made suggested by CDC
– Needs to be short and to the point – under 3 min
– Be friendly and upbeat
– Create email containing the video and questionnaire needing to be
completed
PRIOR TO RE-OPENING

37. ⬛ Schedule Management
1. Verify if there are any changes in the patients dental coverage
2. Stagger hygiene appointments by 15 min
3. Coordinate each RDH schedule allowing ...
90 minutes for recare appt if working out of 1 room
75 minutes for recare appt if working out of two rooms
* Please consider each RDH pace when scheduling
4. Coordinate each doctor’s schedule to allow 20 additional min
5. May increase work hours to accommodate patient’s needs - not untill
the re-engaging team step has been completed
PRIOR TO RE-OPENING

38. PRIOR TO RE-OPENING
⬛ Schedule Management - cont.
6. Confirm appointment 24 hours in advance with Patient - Try to communicate
directly with patients
1st - see how they & their family have been doing
- 2nd - Remind them they have an appointment
3rd - Address any concerns
4th - Share what the office has incorporated to its already stringent
Infection Control policy to protect team & patients even MORE.
5th -Address any paperwork /payment needed - explain how it is essential
for infection control [ in layman terms]
6th- Ask questions on the ADA patient screening form & save it

39. ⬛ Schedule Management
– Assess schedule after confirmation calls to identify # of team members to
bring back
⬛ Select Team Members for Re-Opening
– Concierge
– A Team
– B Team
– C Team
⬛ Marketing -Need to communicate to patients your practice is a safe
environment following all of the CDC & ADA guidelines as the hospitals do
PRIOR TO RE-OPENING

40. Establish New Protocols

41. ⬛ Inventory Control
⬛ Infection Control Protocol
⬛Proper PPE to wear / How to properly apply & remove
⬛Patient Confirmation Call Protocol
⬛ Scheduling Strategy for “Soft” open
30 days & 60 days after “Soft” opening
⬛ Patient Check-in & Check- out Protocol
⬛ Dismissing Patients Protocol
⬛ Communication - How to address patients concerns
ESTABLISH PROTOCOLS POST COVID-19

42. Train The Team

43. Training – Infection Control
The following are important for TRAINING on infection control:
⬛ What the office has incorporated into their Infection Control
1. Follows ALL of the Infection control guidelines provided by the CDC & ADA
utilize any data presented in the SPS PPT presentation to drive the point home
2. To protect the team
3. To protect patients
⬛ Procedures to follow when reporting to work
⬛ Procedures to follow before, during, after seeing patients and dismissing the patient
at the front desk
*Training must be interactive and should allow HCP to express any concerns and as leaders
you need to hear them out.
*Provide the team with any necessary tools, training, PPE they request [ within reason] to help them
feel safe.

44. Training – PPE Application and Removal
The following elements are essential for TRAINING on PPE :
⬛ How to safely don, adjust, use, and doff the specific PPE that the HCW will use
⬛ How to safely conduct routine clinical care
⬛ Limitations of the PPE (e.g., duration of use, degree of protection);
⬛ How to maintain PPE and appropriately dispose of it after use
Training must be interactive and should allow frontline HCP to practice donning,
adjusting, using, and doffing the specific PPE that the employee will use.
*Ensure that the trained employees understand the content of the training and can correctly
perform the required tasks.
*Ensure the trained employees can demonstrate how to properly don, use, and doff the same
type/model PPE and respirators that they will use when caring for a patient.

45. Training – Office Protocols Post Covid-19
The following elements are essential for TRAINING on office protocol :
⬛ Inventory Control
⬛ Infection Control Protocol
⬛ Proper PPE to wear / How to properly apply & remove
⬛ Patient Confirmation Call Protocol
⬛ Scheduling Strategy for “Soft” open
30 days & 60 days after “Soft” opening
⬛ Patient Check-in & Check- out Protocol
⬛ Dismissing Patients Protocol
⬛ Communication - How to address patients concerns
Training must be interactive and should allow HCP to express any concerns and as leaders
you need to hear them out.

46. Email: tcasasanta@spsolutionteam.com
Cell: 586.804.4491
⬛ If you have any questions from today’s webinar
⬛ You would like a PDF on Pre-Opening Checklist
⬛ You would like assistance in building your team
training for re-opening
⬛ You have any HR questions or concerns you would like
to address
* ADA & CDC Documents & Posters discussed in webinar
will be emailed to you