03/06/2020
The BBC report on Tuesday 2nd May about the re-introduction of dental services in Northern Ireland on Monday 8th June has been causing some confusion (to us as well as our patients).
Dental practices across Northern Ireland received a letter from the Chief Dental Officer only yesterday, setting out the several stages that we will have to go through as we start treating patients again.
We have only been given a date for the first stage, which will simply be a continuation of the current arrangements, except that some practices which have not been seeing patients under any circumstances, will be expected to start to provide some urgent treatments. Again, this is what we have been doing since the start of the current crisis, and will continue to do. In effect this means offering advice, issuing prescriptions, some simple temporary fillings (with no drilling) and simple (non-surgical) extractions. For emergency cases which require treatments which we are not yet allowed to provide, we will continue to refer patients to the Urgent Dental Clinics whenever appropriate.
The second stage, for which no date has yet been given, will allow us to do a few more non-aerosol generating treatments. Again this will mean no drilling, hygiene appointments, or any other treatments which generate a spray of any sort. We have been told that we will be given guidance on exactly which forms of treatment we will, or will not, be allowed to offer from that date, in due course. This may allow us to do non-urgent temporary dressings and some simple denture work, for example.
The third stage, when it is announced, will hopefully allow us to do some aerosol-generating procedures. This will allow us to return to something like a full range of treatments, but under fairly restrictive arrangements regarding cross-infection control, and patient numbers. This stage will also be dependent on the availability of personal protective equipment (PPE) of the type required to safeguard our staff and patients alike. Again, we have been told that we will receive further guidance on the exact details of this stage nearer the time.
We will try to keep our patients informed about the progress through these stages, but we are entirely bound by the rules handed down to us by the Chief Dental Officer. The progress from one stage to the next will be "guided by scientific and public health evidence".
I am sorry that this is all so complicated, but hopefully it throws a little bit more light onto what the state of affairs is as of today.
I would like to sincerely thank all our patients for their continuing patience and understanding, in what has turned into a much longer shutdown than I think any of us had anticipated several weeks ago.
Finally, any speculation that this whole process might be speeded up if Dominic Cummings gets a toothache is pure hearsay and I couldn't possibly comment.
Simon Gay