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CORONAVIRUS (COVID19) update from Englands House Dental Practice

PATIENT INFORMATION UPDATE

We hope you are continuing to stay safe and well during the pandemic.

As you may have seen in the news, the English Chief Dental Officer has announced that dental practices can open from Monday 8th June. As we have discussed with some of you over the last few weeks, there is a large amount of regulatory bureaucracy involved in running a dental practice. We have had to close for the safety of our patients and we are determined to dedicate our time to ensuring all patients will be looked after to the best standards.

As a precautionary measure in these unprecedented times, we have made an information booklet for patients to ensure a safe, organised and efficient return to dentistry. Routines will be slightly different to normal so please read the included information carefully. Our priority is to ensure patients and staff alike remain safe during all routine dental care.

We are now happy to be able to reopen the practice this week (10/06/20) for dental care.

As you will understand, the challenge with dentistry is that it is not possible to provide dental treatment and maintain social distancing. Before the Covid-19 pandemic, dental surgeries operated to the highest levels of infection control and decontamination, like any medical profession, we are used to working in an environment where there is the potential for exposure to viruses and bacteria. We do everything possible to reduce the risk to our team and to our patients. And we do it well! So, when you come back to see us we want you to have every confidence and more that we will do everything possible to make your visit as safe and comfortable as possible. This leaflet is designed to explain what we do already and highlight some of the things that are new or different so when you arrive for your next appointment with us, you do so with confidence.

It is likely that some treatments will be available before others as there are different PPE requirements for the various treatments we offer. We will keep you updated as the pandemic climate is constantly evolving. Currently we are in a level 4 lockdown. Initially, we will be prioritising appointments which we can treat with minimal aerosols required. Aerosols are made in dentistry with some of the equipment that we use. We will be triaging phone calls and making appointments accordingly. Once the climate comes out of Level 4 lockdown, we will reassess and update you with what treatment we can provide.

Please contact us if you have any concerns. Our dental team is more than happy to help answer any questions.

Stay Safe,

Englands House Dental

OUR CLEANING ROUTINE

Morning – Before our first patient of the day, the treatment room is aired properly and all surfaces are disinfected. All waterlines are flushed to remove the water that has been left overnight.

Throughout The Day – Before and after each patient exam or procedure, we clean and disinfect all surfaces, buttons and handles using disinfecting sprays or wipes. Protective plastic barriers may be applied to selected equipment such as the headrest on the dental chair and to some of the instruments attached to the chair. Suction hoses are cleaned and disinfected and all waterlines are flushed through after every patient, for a minimum of 20 seconds. For every patient appointment completely clean, disinfected or, if necessary sterilised instruments are used for the treatment. After the completion of the treatment, reusable instruments are removed to a dedicated reprocessing area to be cleaned, disinfected or sterilised.

Evening – All removable components of the dental chair are detached and disinfected or sterilised, while surfaces are disinfected using specifically approved disinfecting liquids. When the last appointment of the day is completed, all waterlines are once more flushed through, ready for the start of another day!

MAKING AN APPOINTMENT

A dentist will triage phone calls before reception will book you in for an appointment. Please phone to speak to the practice, we cannot allow people to walk into the practice under the current regulations unless they are booked in for an appointment.

Once you have been screened by a dentist then they will determine how soon we need to see you.

BEFORE YOUR APPOINTMENT

A dentist will be in contact by phone call a day before your appointment. We will ensure that your medical history is completed thoroughly. Please have any relevant medication names available so you can inform the dentist. It is your responsibility to provide us with all information to ensure we can assess and treat accordingly.

Additionally, we will ask some COVID-19 screening questions. If you are isolating due to track and trace/ shielding/ have any symptoms it is again your duty to inform us accordingly. If you are in a high risk category due to your medical history then we will discuss options for you.

Anyone with symptoms should self-isolate for 7 days from when their symptoms started.
Anyone who does not have symptoms should self-isolate for 14 days from when the first
person in your home started having symptoms. If you wish to get more advice please contact 111.

When attending an appointment you must come alone or, if required, with a carer or guardian. We strongly advise you use the bathroom before attending the practice.

You are advised to park as close to the practice as possible. If arriving by foot then please arrive on time. Before entering the building, you are advised to phone the practice on your arrival. Due to social distancing regulations, we will be unable to accommodate anyone to wait in reception.

On arrival you will be provided with a mask and asked to use hand sanitiser. We will then make a recording of your temperature.

DURING YOUR APPOINTMENT

Your dentist will verbally double check your medical history is unchanged before any treatment on the day of your appointment

We will ensure you understand all options for treatment and obtain consent for which option you wish to proceed with. We will be using enhance PPE during our appointments. These will include an enhanced face mask, a visor and eye protection.

You may be asked to rinse your mouth prior to commencement of treatment

We may place a rubber sheet in your mouth to reduce saliva and spray

PAYMENT

We are recommending a card payment system only in the current climate to reduce risk.

PPE

Cost of PPE (Personal Protective Equipment) varies by treatment from £4-£30

AFTER YOUR APPOINTMENT

We will again provide hand sanitiser for you to use.

If another appointment required we may ask to phone you later to book to optimise social distancing.

CONSENT
It is important that we ensure you consent to treatment that may be proposed by the dentist. During these times, treatment options may be more limited, as we are beginning with emergency treatments only. However, your dentist will ensure that any questions you have will be answered and they will always ensure there is enough information provided to you.

It is required that you provide the dental practice with a concise, up-to-date medical history as well as honestly answering the COVID-19 screening questions.

We are still in the middle of the pandemic and following all recommended guidelines to ensure safe dental care. However, it is important you understand that while all dental care carried out will be done as safely as possible, there is always a risk of getting COVID-19 compared to staying at home. This is why we are conducting phone call assessments and wearing the appropriate PPE to ensure risk is as low as we can achieve.

Additionally, due to the restrictions of treatment for safety, treatment options may be somewhat limited in comparison to before the pandemic. Your dentist will always ensure that you are fully aware of all available options at the time.
We are aiming to treat all of our patients experiencing pain in the practice. However, if we feel that a dental emergency would be better off to be treated in a hospital environment, we may advise you of this. As a healthcare provider, your health is what is highly important to us and we want to ensure you receive the correct and appropriate attention.

FAQ’s
Q. What is the triaging contact number?
It is 01372 459393
If you have symptoms of Covid19 and you have a dental emergency then please contact 111

Taking a highly professional, yet reassuringly personal approach to your dental care.

England’s House Dental Practice has been in Bookham for over twenty years but our characterful building has been around for far longer, making us a particularly charming venue for your dental care. Our tranquil setting helps to melt away any anxiety, allowing you to sit back and relax while you take advantage of our experience and expertise.

As well as providing a calming environment filled with advanced dentist equipment, we are also committed to delivering high-quality preventive care to help maintain your dental health. We believe a healthy mouth is vital to your well-being and help you achieve this by keeping a close professional eye on your teeth and tailoring treatment to suit your individual needs.

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