Video on Faulty Fixed Partial Denture Removal in COVID 19 Positive Patient


Welcome to the Faculty of Dental Sciences, SGT University. We are committed to serving the nation during the time of this Pandemic As per guidelines issued by CDC all patients in today’s time will be considered COVID 19 positive and carrier. Following the Guidelines on Clinical Management of COVID–19 of Ministry of Health & Family Welfare, Government of India a Standard Operating Procedure has been developed in the Department to deal with Prosthodontic emergencies such as Faulty Fixed Partial Denture removal.

Procedural Details

A patient who walks in with pain in a tooth supporting a Fixed Partial Denture will be treated at Level 3 of Faculty of Dental Sciences.

The patient will be given a surgical mask and directed to a separate area or an isolation room. Adequate room ventilation is ensured. The patient is asked to perform hand hygiene using sanitizer with 70% alcohol. A pre-procedural mouth rinses with Betadine for 15 seconds at least is a must to reduce the bio-load.

Prosthodontists attending to the emergency will be donning a PPE (triple layer surgical mask, eye protection, gloves, and gown) with an N-95 mask to carry out the procedure.

First, the Prosthodontist tries to remove the crown with crown remover. If unsuccessful the crown is cut with the help of an air rotor in a closed chamber. The chamber has been designed at SGT University especially for the aerosol producing procedure and is called Dental COVID Chamber. Superior quality high vacuum the suction will be used with all aerosol-generating procedures.

Post the procedure, the attendant (donning a 70 GSM PPE kit) will thoroughly clean the chair and all surfaces that may have had contact with the patient or aerosolized particles with surface disinfectant. The PPE is then disposed off carefully with all precautions. Our operatory is fumigated with quaternary ammonium compound every day, to ensure that all low contact areas are disinfected.

Handpieces, burs, diagnostic instruments, etc., are stringently autoclaved, in sealed pouches.

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