Saturday, March 21, 2020

Infection Control




Dear Patient,

We want to take another opportunity to update you on the precautions we have always taken at our office to ensure your health and ours.  

Dentistry has always been greatly invested in infection control procedures and sterilization. We continue to employ the most up-to-date procedures at Apex Dental Group to stay safe. As a team, we continue to monitor ourselves and our family for symptoms of the Coronavirus. We are all healthy and we are here to assist you with dental emergencies.

What can you do as a patient during this time? 
  • Keep monitoring yourself at home for fever, dry cough, chest discomfort or shortness of breath.
  • Call for medical help if needed. 
  • Wipe handles, doorknobs and anything you come in contact with on a frequent basis. 
  • Use a Clorox bleach solution to disinfect surfaces. Use this where you can to conserve disinfectant wipes and sanitizer. 
  • Wash your hands for 20 seconds.  Use hand sanitizer as needed – save for when you go out.
When you must go out for groceries and medicine, practice social distancing, keeping as much distance from others. Be mindful of anything you touch. 

Be sure to take care of yourself during this time. Stress and anxiety can reduce the immune system so don’t forget to exercise, eat well and get a good night’s sleep. You can try something new such as cooking a new recipe or take long walks and enjoy the fresh air. Whatever you and your family choose, keeping up with your habits of flossing and staying in tune with your oral health helps us all. 

Dr. Kitzmiller remains available to treat dental emergencies as needed. We continue to monitor the Coronavirus situation and observe CDC, ADA and NC Dental Society recommendations.  As new information becomes available to us, we will keep all of our patients informed.

Don’t forget to like us on Facebook @ApexDentalGroupNC and our website and Instagram

Websites for learning more open in a new window:

www.mouthhealthy.org/en/az-topics/i/infection-control

Center for Disease Control and prevention

American Dental Association

www.clorox.com/how-to/laundry-basics/

www.apexdentalgroup.com

Wednesday, March 18, 2020

Apex Dental Group Open for Emergency Dental Cases Only



March 17, 2020

Dear Patient,

Due to the ever-changing state of the Corona Virus, we want to keep you informed regarding precautions that are currently taking place within the dental community. Your health and the health of our families is our prime concern.

The American Dental Association and the State Board of Dental Examiners has recommended a postponement of all non-emergency dental appointments beginning today, March 17, 2020.  Therefore, we have closed the office for all elective procedures.  Because things are constantly changing, we will be updating our blog, website, and email blast to keep you informed. Patients have been cancelled thorough March 31. Any appointment after that date, we will contact you as needed.

Emergencies will be seen on a case by case basis.  Please contact the office and follow the prompts.  Here are some links to help keep you informed: (these open in a new window)


COVID-19 Situation Web Page
NC Department of Public Health Website
American Dental Association (ADA)
Wake County Schools Alert
Kitzy’s Corner Blog
Apex Dental Group Website


We care greatly about our patients and team members’ health and safety.  We ask for your understanding during this unprecedented event.  Please do your part in social distancing and utilize best hygiene practices to help improve this situation as quickly as possible.

Sincerely,
Dr. John S. Kitzmiller III, DDS

Apex Dental Group
919-362-1341

Monday, March 16, 2020

Keeping Patients Informed - Coronavirus Facts & Our Plan



Dear Patients,

I understand everyone’s concern over the virus. The group that has the greatest risk are 60 and up, and we need to protect them by our ability to protect ourselves. See the chart below on the latest data. This virus is more contagious than the flu and the risks for contracting it can be reduced by the same protocol that we currently use for the flu.

What we can do for our patients is to inform them of steps that they can take to combat the virus and for that matter, the flu. 59,041 people died from the flu / pneumonia, and in 2018 and 55,593 died from the flu / pneumonia. As of today, 50 people have died from the coronavirus. My point being is that we should be taking precautions every day and especially during flu season.

Source:
Mortality rates from:
https://www.cdc.gov/nchs/pressroom/sosmap/flu_pneumonia_mortality/flu_pneumonia.htm.


Infection control and standard precautions that we always employ are excellent deterrents to COVD-19 and every other virus.  In addition to the routine steps we take, we are being even more vigilant of all the areas in the office.  Surfaces in the reception area, front desk area, consultation area and restroom(s) which would normally be cleaned and disinfected daily, are now being disinfected throughout the day.  Hand sanitizer is readily available in our all areas of the practice for your use.

Symptoms:
  1. Fever (77–98%)
  2. Cough (46%–82%)
  3. Myalgia or fatigue (11–52%)
  4. Shortness of breath (3-31%)
  5. Less commonly reported symptoms: sore throat, headache

Risk factors:
  1. Elderly (60+)
  2. Chronic medical conditions
  3. 10.5% for those with cardiovascular disease
  4. 7% for diabetes
  5. 6% each for chronic respiratory disease, hypertension, and cancer

Source:
Statistics from:
https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-guidance-management-patients.html



My personal plan as a dentist:

  1. Take temp morning and evening because high fever is a hallmark sign.
  2. Monitor myself for a dry cough – Not sinus congestion and postnasal congestion. Allergy season is upon us.
  3. If I have myalgia or fatigue that is unexplained.
  4. Hand washing as much as possible.
  5. Use hand sanitizer when hand washing is not available.
  6. No handshaking or personal contact (touching) with others to keep a greater social distance.
  7. Disinfecting all surfaces that I or others touch with an appropriate cleaner. Phones, remotes etc.
  8. When in public touch as little as possible. Use elbows and other body parts to open doors etc.
  9. I will not be attending large public events such as hockey. ☹ It has been suspended. Group sports from Apex have been postponed as a result
  10. I will be shopping for items that are needed, exercising as much as possible, eating a well-balanced diet, and continuing my daily life as much as possible.
  11. If I develop any symptoms, I will call my Physician to see the best way to be tested. You may not have the coronavirus and could contract it by going to the hospital. It may be the flu or something else.
  12. If I have the coronavirus, I will isolate myself for 2 weeks at my home from my community and my family.

How to Protect Yourself

Check out the information in this link:
https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2

There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19).
The best way to prevent illness is to avoid being exposed to this virus.
The virus is thought to spread mainly from person-to-person.
  • Between people who are in close contact with one another (within about 6 feet).
  • Through respiratory droplets produced when an infected person coughs or sneezes. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs. 
Older adults and people who have severe underlying chronic medical conditions like heart or lung disease or diabetes seem to be at higher risk for developing more serious complications from COVID-19 illness. Please consult with your health care provider about additional steps you may be able to take to protect yourself. 

Many people have few or no detectable symptoms. Therefore, we should use the universal precautions as outlined above. This is what the medical & dental communities do on a daily basis. You never know who is sick or not.

Coronavirus Age Group Impact

Use this interactive link. It’s pretty helpful to understand what to do and look for: https://www.cdc.gov/coronavirus/2019-ncov/index.html


Take steps to protect yourself


Clean your hands often

 

Wash hands with soap and water

  • Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
  • If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
  • Avoid touching your eyes, nose, and mouth with unwashed hands.

Avoid close contact 

 

Isolation in home

Take steps to protect others 

 

Stay home if you’re sick 

 

person in bed, sick

Cover coughs and sneezes 

 

person sneezing into tissue
  • Cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow.
  • Throw used tissues in the trash.
  • Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not readily available, clean your hands with a hand sanitizer that contains at least 60% alcohol.

Wear a face mask if you are sick

 

person wearing face mask

  • If you are sick:
    You should wear a face mask when you are around other people (e.g., sharing a room or vehicle) and before you enter a healthcare provider’s office. If you are not able to wear a face mask (for example, because it causes trouble breathing), then you should do your best to cover your coughs and sneezes, and people who are caring for you should wear a face mask if they enter your room. Learn what to do if you are sick.
  • If you are NOT sick:
    You do not need to wear a face mask unless you are caring for someone who is sick (and they are not able to wear a face mask). Face masks may be in short supply and they should be saved for caregivers.

 

Clean and disinfect 

 

spray bottle of cleaning solution

  • If surfaces are dirty, clean them: Use detergent or soap and water prior to disinfection.

To disinfect:

Most common EPA-registered household disinfectants will work. Use disinfectants appropriate for the surface.
Options include:
  • Diluting your household bleach.
To make a bleach solution, mix:
5 tablespoons (1/3 cup) bleach per gallon of water
OR
4 teaspoons bleach per quart of water
Follow manufacturer’s instructions for application and proper ventilation. Check to ensure the product is not past its expiration date. Never mix household bleach with ammonia or any other cleanser. Unexpired household bleach will be effective against coronaviruses when properly diluted.
  • Alcohol solutions. Ensure solution has at least 70% alcohol.
  • Other common EPA-registered household disinfectants:
    Products with EPA-approved emerging viral pathogens (PDF) claims are expected to be effective against COVID-19 based on data for harder to kill viruses. Follow the manufacturer’s instructions for all cleaning and disinfection products (e.g., concentration, application method and contact time, etc.).