Concerns About Dental Visits for Seniors During COVID-19 - Internal Medicine

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Worried about seeing a doctor..?


Hello doctor, my elderly family member is experiencing tooth pain, and I would like to take them to the hospital to see a dentist.
However, due to the recent COVID-19 pandemic, I am concerned about the risk of exposing them to the virus.
Since dental visits require opening the mouth and masks cannot be worn, along with the presence of various dental instruments and potentially many people in the clinic, I am worried about whether it is safe to go.
Thank you for your help in addressing my concerns.

Xiao Lin, 30~39 year old female. Ask Date: 2020/04/21

Dr. Gao Jiankai reply Internal Medicine


Hello, thank you for your inquiry.
Currently, hospitals and clinics are paying attention to temperature measurements and medical history inquiries, and they are continuously promoting the importance of maintaining safe social distancing.
Therefore, I believe the situation is manageable.
If you are still concerned about the infection control measures at general clinics, I recommend considering a visit to the hospital based on the elderly person's condition.
I would like to remind you that wearing a mask, washing hands frequently, and avoiding touching the face are still the most important practices for infection prevention.
This message is from the Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, and we care about your well-being.

Reply Date: 2020/04/21

More Info


Visiting the dentist during the COVID-19 pandemic can indeed raise concerns, especially for vulnerable populations such as seniors. Your apprehensions about the risk of infection while seeking dental care for an elderly family member are completely valid. It is essential to balance the need for dental treatment with the potential risks associated with COVID-19.

Firstly, it is important to recognize that dental care is crucial, especially for seniors who may have existing dental issues that could worsen if left untreated. Dental pain, infections, or other oral health problems can lead to more severe health complications if not addressed promptly. Therefore, if your elderly relative is experiencing significant dental pain, it is advisable to seek professional help.

Regarding the risk of COVID-19 transmission in a dental setting, dental offices have implemented stringent infection control protocols to minimize the risk of spreading the virus. These measures typically include:
1. Enhanced Cleaning Protocols: Dental clinics are required to follow strict disinfection protocols between patients. This includes sanitizing all surfaces, dental chairs, and instruments used during procedures. Many clinics use hospital-grade disinfectants and follow guidelines set by health authorities.

2. Personal Protective Equipment (PPE): Dental professionals are trained to use appropriate PPE, including masks, face shields, gloves, and gowns, to protect themselves and their patients. This is especially important in the context of aerosol-generating procedures, which are common in dentistry.

3. Patient Screening: Most dental offices conduct pre-appointment screenings to assess patients for COVID-19 symptoms or exposure. This may include temperature checks and health questionnaires. Some offices may also require patients to wear masks until they are seated in the treatment area.

4. Limiting Patient Flow: To reduce crowding, many dental practices are scheduling fewer patients and spacing out appointments. This helps to minimize the number of people in the waiting area and allows for better social distancing.

5. Use of Mouth Rinses: Some dental offices may recommend or use antiseptic mouth rinses before procedures to reduce the viral load in the mouth, further decreasing the risk of transmission.

If you are still concerned about the risks, consider the following strategies:
- Schedule Early Appointments: Booking the first appointment of the day can help reduce exposure to other patients and allow for a cleaner environment.

- Inquire About Safety Protocols: Before your visit, call the dental office to ask about their specific COVID-19 safety measures. Knowing what to expect can help alleviate some anxiety.

- Consider Telehealth Options: If the dental issue is not urgent, some practices may offer telehealth consultations, allowing you to discuss concerns with a dentist without an in-person visit.

- Follow Preventive Measures: Encourage your elderly relative to practice good hygiene, such as handwashing, wearing a mask when possible, and maintaining social distance in public spaces.

In conclusion, while there are inherent risks associated with visiting a dental office during the pandemic, the measures in place are designed to protect both patients and staff. If dental care is needed, it is generally safe to proceed with the visit, especially if you take the necessary precautions and choose a reputable dental practice that prioritizes infection control. Always prioritize your loved one's health and comfort, and do not hesitate to seek care when necessary.

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