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. 2020 Jul 10;126(1):41–50. doi: 10.1016/j.prosdent.2020.06.004

Table 2.

General clinical operation principles after outbreak

Stages Soft-Opening Stage Transition Stage Normal Stage
Time period after clinic resumption First 2 wk Third week Fourth week and after
Patient classification No classifications
All patients were treated with same clinical protocol
High-risk level patient: confirmed or suspected COVID-19 symptoms or contact history
Ordinary patient: patients with no suspected COVID-19 symptoms and contact history
Low-risk level patient: patients with no suspected COVID-19 symptoms and contact history and provided the negative nucleic acid test result within last 14 d
Same as transition stage
Clinical operation Two operatories in 2 separate clinical bays with the principle of “one dentist-one dental assistant-one patient-in-one operatory” 50% Clinical operatories open
Divided clinics into ordinary patient and low-risk patient bay areas
All clinical operatories were available
Divided clinics into ordinary patient and low-risk patient bay areas
PPE Enhanced grade 2 protection during first week (disposable hazmat suit required)
Grade 2 protection can be used during second week
Grade 2 protection Grade 2 protection
Treatment recommendations
  • 1.

    Limited patient numbers

  • 2.

    No aerosols-generating procedures

  • 1.

    Gradually increased the numbers of patients.

  • 2.

    Any aerosols-generating procedures involved with high-speed handpieces, ultrasonic instruments, and air-water syringes were allowed only for low-risk patients.

  • 3.

    Only emergency treatments were provided to the high-risk level patient in special isolated rooms with grade 3 protection in a centralized location within the facility.

  • 1.

    Resumed full clinical capacity.

  • 2.

    Resumed full range of prosthodontics and implant treatment for both low-risk and ordinary patients.

  • 3.

    Only emergency treatments were provided to the high-risk level patient in special isolated rooms with grade 3 protection in a centralized location within the facility.

PPE, personal protective equipment

PPE grades information is provided in Table 1