Meet the Other Phone. Child-safe in minutes.

Meet the Other Phone.
Child-safe in minutes.

Buy now

Please or to access all these features

Covid

Mumsnet doesn't verify the qualifications of users. If you have medical concerns, please consult a healthcare professional.

Any dentists or recent patients - how risky is the dentist

76 replies

Bettydot · 10/01/2021 17:10

I’m wondering if anyone who works in a dental surgery or has visited the dentist can tell me if they are aware of many cases of of covid being caught at the dentist? I have an appointment this week to repair a broken tooth and I’m feeling really anxious about it due to the new strain. I know the dentists have lots of procedures in place as I visited recently and it felt very safe but at the same time the idea of spending half an hour in close contact with the dentist and dental nurse with my mouth wide open with cases rocketing and the new strain being so much more transmissible really worries me. The tooth isn’t currently causing me an issue but I know it could start to cause problems and is an infection risk so I’m trying to weigh things up.

Also anyone who works in a dental practice how often are staff currently tested and is it via lateral flow tests or swabs? I’m trying to put my mind at ease a bit. Thank you for everything all of you on the front line are doing.

OP posts:
RedRosie · 10/01/2021 20:58

I've been twice (once for an aerosol generating procedure) and it was fine. Dentists are experts in infection control. And my practice feels very safe indeed.

I did have an appt for this week (hygienist) but it is cancelled as she is self isolating. I'm happy to rearrange though.

TheAnswerIsCake · 10/01/2021 21:01

Dentistry is currently very safe.

Even before Covid, dentists in the UK had some of the highest standards of infection control and PPE in any industry, anywhere. We’re used to thorough cleaning, wearing full PPE and preventing infections. And those standards have only been ramped up since Covid.

The UK has placed some of the heaviest regulations in the world on dentists regarding PPE standards, fallow time (leaving rooms empty after treatment to allow virus to settle before deep cleaning) and air quality (we’ve had to have the “air changes” in treatment rooms certified in order to reduce that fallow time below an hour). We wear PPE all of the time (except when we are changing it for another set, or eating) and are adept at doing so because we’ve always done it. FFP3 masks or air powered respirator hoods are used for aerosol generating procedures (drilling etc) but the biggest risk here is from you to us (if you had the virus, drilling would create an aerosol of those virus particles from your oropharynx that we could breath in). FFP3 masks which have an “exhaust” valve should be covered by a surgical mask to protect you from anything breathed out by the dentist. In the NHS, all staff are tested with lateral flow twice weekly (I’m not sure about fully private practices - it will probably vary by practice). There are no known “outbreaks” linked to dental practices (i.e dentists giving it to patients) at present.

That said, if the tooth is not troubling you, it is entirely your decision whether to attend or delay. The risk of not having it dealt with is that a more serious problem could be brewing, or it may deteriorate before you go.

I’m clinically vulnerable and feel very safe working in the dental environment, coming in to close contact with 20 plus people per day.

C0NNIE · 10/01/2021 21:13

I have been to the dentist 4 times recently and it was exactly the same as what @Popfan and @TheAnswerIsCake said.

You are probably much safer getting treatment at the dentist than you are at Tesco doing your shopping or filling up your car.

Bettydot · 10/01/2021 21:19

@TheAnswerIsCake thank you so much for your really detailed response, that was exactly what I needed. You’ve reassured me so much by providing all the details of what protective measures are in place. I’m very conscious that I’m potentially a risk to the dental staff and I’m lucky that myself and all of my family are all able to stay at home so that’s exactly what we’ve been doing, all shopping etc has been delivered so I can help to protect those of you who are needing to work. The tooth is already in very poor condition it’s only because it’s a wisdom tooth that my dentist has left it this long and in an ideal world it would be removed but due to two previous problematic removals we’ve agreed that it will be repaired for now and removed at a later point when things settle down. I think there is a risk of it beginning to cause issues or needling to be removed rather than being able to be repaired if it’s left. I was really worrying and despite my concerns about the tooth I was considering delaying, your reply has really helped to put my mind at ease and give me the confidence to go thank you. Also a huge thank you to all of you who are continuing to work and look after everyone’s teeth.

OP posts:
Sandyjag · 10/01/2021 21:32

A family friend caught covid at dentist just before Xmas. Only one example but the risk is real. The dentist also failed to notify track and trace so it was passed on.

Bettydot · 10/01/2021 21:39

@Sandyjag thank you for sharing. I hope they are ok. How did they track it back to the dentist? Definitely always a risk no matter what precautions are put into place, this is what makes me nervous but I guess nothing but staying at home is risk free at the moment. It’s not a good time to need to go but I feel postponing could also cause further issues and I feel reassured hearing about the precautions that are being put into place.

OP posts:
Chel098 · 10/01/2021 21:40

@Sandyjag

A family friend caught covid at dentist just before Xmas. Only one example but the risk is real. The dentist also failed to notify track and trace so it was passed on.
Had they been shielding?
HIVpos · 10/01/2021 22:25

@NaToth

My dentist treats all patients as if they are HIV positive anyway. because not everyone who is HIV positive thinks to tell her, so I feel very safe.

I wouldn't delay dental treatment. Hanging on to my remaining teeth is important to me.

@NaToth people who are HIV+ don’t have to tell their dentist if they don’t wish to, plus the vast majority who know their status are virally suppressed. I did so out of respect a few years back and also just in case there was anything to keep a closer eye on.

As my dentist observed, there’s more infectious things out there that dentists could contract from patients but this isn’t an issue as they follow correct health and safety procedure. I should have reminded him of what he’d said when I was there last week for root canal as I bet he was never thinking of a pandemic as one of the “more infectious things” when he said that!

Anyway, I felt totally safe there, just a little chilly waiting outside before being let in and straight into the treatment room.

Angrymum22 · 10/01/2021 22:40

Interested to know how someone worked out they had caught Covid from a visit to the dentist. Not questioning it but with the level of infection control used a bit of feedback would be useful. Was it froma member of staff or another patient.
We rely on patients to be honest about their potential Covid status. Even before Covid I would refuse to see anyone who had a cold, not just to protect staff but trying to work on someone who is struggling to breathe or has a cough is not really fair to the patient.
It’s true we are treating everyone as if they have Covid. Some are really quite huffy when we follow them round disinfecting everything they touch. And we’ve had a lot moan about not being able to use the loo or take off their coats.
Our masks seriously dry out our airway so we have to keep the chat to a minimum. But we now have a plentiful supply so can change them between each patient.

Bettydot · 10/01/2021 22:53

@Angrymum22 I find it really reassuring to hear that you treat everyone as though they have covid. I was surprised when I last visited our dentist that they told me that lots of people had moaned about the procedures they had in place. They were really happy that I paid prior to our appointment and had both my children wear masks and change them for fresh ones as soon as they’d had their check up even though they are little and exempt.

OP posts:
ShanghaiDiva · 10/01/2021 23:01

I went last week:
Full PPE including darth Vader type mask as mentioned up thread
All felt very safe.

Angrymum22 · 10/01/2021 23:07

We do ask people to remove gloves because a lot are reusing them so may be transferring virus from other settings. They also don’t understand the principal behind glove wearing. There’s no point in wearing them if you continue to touch your mask with them, then touch everything else, then your face again. Years of glove wearing means that you keep them as far away from your own face as possible.
Wearing face visor is actually a more effective way of preventing you touching your face. Neither visor or mask protects you, they just reduce the risk of transferring the virus when you cough or sneeze.

PastelFlowerJelly · 10/01/2021 23:24

Very very low. There has not actually been an officially documented case of transmission in a dental setting. DH is a dentist and they were informed of this at a safety workshop in November. Of course this was before the new strain so things might be a bit different. There might be anecdotal exceptions like the PP above however the overall risk of catching covid is never zero regardless of where you are and who you interact with.

Interested to know how someone worked out they had caught Covid from a visit to the dentist.
Yeah this sounds similar to a recent thread where someone was convinced they caught it from the dentist without taking in account public transport, surface infections, private meet-ups etc. I think there's a cognitive bias since "going to the dentist" is a relatively unpleasant memory for most people and if you happen to get sick afterwards it's easy to pin it on that.

There is very little talking at the dentist and everyone is wearing PPE. DH has his assistants completely air out the room between every patient and all surfaces are disinfected. If you think about it, the actual number of patients going through a clinic per day (20-30) is far lower than the number of people that go through an average supermarket checkout within one hour. You might easily share a bus or tube with 25 people on any given day.

One of DH's assistants actually did a dental hygiene session on a covid+ patient before they knew it themselves. She was immediately sent to isolate but miraculously did not get infected.

However there HAS been quite a number of staff who were ill recently and all of them were infected privately. All of them were already in quarantine when they developed symptoms due to being a direct contact person with an infected household member so the risk to patients was basically zero. Especially in a medical setting, all assistants and dentists are acutely aware that you do not mess around. Nobody dares to go to work with a scratchy throat. This is different to other workplaces which are perceived safer but there's far more pressure to show up or lose your job.

Didkdt · 10/01/2021 23:34

I’m a shielder I went to the dentist the day before I was reshielded a couple of months ago I was terrified but it was necessary made worse by delaying because of Covid
I trust my dentist though and the staff
They were great they are limiting the amount of time an appointment can take for added safety
Patients appointments were spaced only one dentist swapped rooms full PPE no toilets for patients (they did make a point of saying) temperature and symptoms check before you went in plus all the measures outlined above.
I think you know your practice most are excellent. If you trust them then go

Bettydot · 10/01/2021 23:43

@PastelFlowerJelly thanks for your reply. That’s reassuring that there weren’t any officially documented cases of transmission in a dental setting, though I definitely feel more anxious with the new strain and such high cases.

Thanks @Didkdt I’m glad your appointment went well. I trust my dentist and although I was nervous when I last went, I felt very safe but was never the less relieved when I reached 14 days afterwards with no symptoms. I feel nervous about going in light of the new strain but have largely been reassured by this thread and my tooth needs sorting so I’m going to go.

OP posts:
ToHellinahandbasket · 10/01/2021 23:52

Don’t leave it OP. I did for the same reasons and ended up having an emergency extraction on Christmas Eve because I was in agony! I don’t think I would have cared what precautions they were taking at that point tbh I was in that much pain but they were VERY careful with full PPE, window open, one person in waiting room at a time and seats wiped down in between. Was very impressed. I was there a while as well as it was a tricky bugger of a tooth and felt completely safe.

ToHellinahandbasket · 10/01/2021 23:53

Also I went in the height of the new strain. In the south east where it is rife and it’s been over 14 days now without any symptoms touch wood if that helps to reassure you too

boxingdayclearout · 11/01/2021 00:01

Another dentist here. I think it's been mostly covered by others, but it's a really safe environment.
There are still no documented cases of Covid transmission from patient to dentist or vice versa in the UK to date.
That been said, like any workplace, those sitting too close to each other at lunchtime etc etc have the potential to transmit viruses. In our practice we have staggered lunch hours, and it's mandatory to wear masks etc and social distance in between procedures.
Another couple of points. Those concerned that in some cases windows arent open. Well I can't speak for everyone, but recently we invested heavily in a super doubler industrial sized extraction/ventilation system fit the practice, enabling 15 air changes per hour without the need to open a window. Just as well, as it's bloody freezing just now.

It's also important to note that dental practices have always been ahead of the game regarding PPE, well ahead of most other healthcare workers. It's always been standard to wear surgical masks, visors s d single use gloves way prior to this latest health crisis. Indeed the anti viral wipes commonplace in most workplaces? Dentists have been using them for years. We've borne the brunt of HIV, Hep C and CJD to name a few in the last thirty years or so, and have always treated each patient as if they are a carrier.
When we do Aerosol procedures, we now wear FFP3 masks, either disposable or reusable, something like a respirator/stealth mask etc. Someone above commented that these needed further protection by using a surgical mask on top of respirator. Most recent research has suggested that this is t advisable ( but each practice individual standard operating procedures might be slightly different). There is a suggestion that the extra mask inhibits wearer's breathing function. Plus it's been advised that if a visit is worn as well, that should be sufficient.
If a patient or staff member contracts Covid, and is in contact with a team member in a dental practice, they do not need to self isolate as long as full PPE was worn. So ( to pick up on a past post), it's not the case that track and trace need to investigate and send staff home to isolate. Each case is considered individually.
Fallow times are adhered to, following recent research by SDCEP and FGDP. With documented air changes greater than 10, only 10 minute fallow is required now, and this starts from the moment the dentist puts down the drill, so for instance, if a dentist then takes ten minutes to place a filling, technically the fallow time has ended by the time the filling is completed.
The surgery still needs to be scrubbed down. This includes cleaning every possible object within the surgery. It's very thorough. Takes two staff members ten minutes to complete.

I hope this helps to reassure.

Bettydot · 11/01/2021 00:02

@ToHellinahandbasket I’m glad you got it sorted. Tooth ache is the worst. I’ve decided I’m going to brave it and not delay. Fortunately our rates are currently below average, they are ever increasing but were much higher around the last lockdown. Though it’s the new strain that worries me most.

OP posts:
CrocodilesCry · 11/01/2021 00:21

Can anyone (dentist or patient) say if they have been charged or are charging a PPE fee?
I saw someone on here claiming to have been charged £95 by their dentist for PPE/cleaning on top of their bill which sounded excessive.
I need a tooth out so I'm curious.

Justa47 · 11/01/2021 01:18

@Bettydot

I had to go in December
They we great
Loads of precautions and seeing half the patients so oscillating rooms and airing them
Every using gel
Box to put coat in
Extremely secure

Daisysflowers · 11/01/2021 06:24

@Bettydot I have a lot of problems with my teeth and went nearly every week/2 weeks last year between July and November. Had treatments done etc. Was very safe the whole time. They all had ppe on and were very careful throughout each appointment. Temperature check on arrival as well as hand sanitiser on the way in and out.

My son has dentist this week for a check up, it’s still going ahead.

lljkk · 11/01/2021 11:31

£8 charge for PPE at checkup & £15 charge for PPE + extra cleaning/ventilation time if a filling.

Poor dentist said her fingers were frozen due to having window open while using computer to type notes.

Blobby10 · 11/01/2021 11:55

My OH is a dentist and says that due to the amount of PPE and procedures they have to go through, the biggest risk in his surgery to patients is hypothermia as they have to have the windows open . Last week they were working in temperatures of 6 degrees which is well below the permitted working temperature under Employment Law but in these 'terrible Covid time' seems acceptable.

Bettydot · 11/01/2021 12:16

@Blobby10 oooh that is cold, can’t be an easy environment to work in. I’ll wrap up warm! Can you clarify do all dentists wear a surgical mask too over an FPP3 mask when doing work to provide protection to the patient too as I know the FPP3s are valved masks. I know another poster had mentioned that her dentist hadn’t. Will be very happy once the appointment is done. A big thank you to your DH and everyone else who is working in a dental surgery.

OP posts: