New guidelines for hygiene procedures post-pandemic are emerging. The US CDC and the Ontario CDHO are essentially focusing on aerosol-generating procedures and addressing the possibilities for contamination between patients. The following guidance is provided by the CDC:
To clean and disinfect the dental operatory after a patient without suspected or confirmed COVID-19, wait 15 minutes after completion of clinical care and exit of each patient to begin to clean and disinfect room surfaces. (The CDHO has suggested a 3 hour interval between patients).
Avoid aerosol-generating procedures whenever possible. Avoid the use of dental handpieces and the air/water syringe. Use of ultrasonic scalers is not recommended.
Preprocedural mouth rinses (PPMR): There is no published evidence regarding the clinical effectiveness of PPMRs to reduce SARS-CoV-2 viral loads or to prevent transmission. Although COVID-19 was not studied, PPMRs with an antimicrobial product (chlorhexidine gluconate, essential oils, povidone-iodine or cetylpyridinium chloride) may reduce the level of oral microorganisms in aerosols and spatter generated during dental procedures.
Dental procedures and processes have entered a new world of fewer patients per hour, higher costs per patient, and a new business model.
Prevora, as the only proven and approved approach to managing dysbiotic plaque without aerosols and with excellent patient acceptance, adherence and outcomes, fits into this new business model.