the Covid-19 Official Advice
Chief Dental Officer Advice regarding dental treatment summary:
All dental practices have been advised to cease all routine non-essential treatments and only provide urgent care. The definitions of urgent and emergency care are quite stringent in that it means that things normally considered urgent are excluded if they can wait.
Only urgent and emergency care should be provided dependent on initial triage and it is safe to do so for other patients and staff.
Update 25th March 2020 – All dental treatment including urgent and emergency treatment to cease in General practice environment. Practices are only to offer telephone advice and if necessary can prescribe antibiotics &/or pain relief as required. If this is insufficient to control the condition, patients can be referred to local treatment centre’s that are in the process of being set up for really urgent or emergency care as detailed below.
PLEASE NOTE – these centre’s do not yet exist and those that do, have very limited capacity. Please seek advice for urgent problems through the numbers on our Emergency Page.
Definitions of Routine care and Urgent or Emergency Care is as follows:
Routine care includes (that can be deferred and should not be seen):
- Mild or moderate pain: that is, pain not associated with an urgent care condition and that responds to pain-relief measures
- Minor dental trauma
- Post-extraction bleeding that the patient is able to control using self-help measures
- Loose or displaced crowns, bridges or veneers
- Fractured or loose-fitting dentures and other appliances
- Fractured posts
- Fractured, loose or displaced fillings
- Treatments normally associated with routine dental care
- Bleeding gums
Urgent care includes treatment for:
- Dental and soft-tissue infections without a systemic effect
- Severe dental and facial pain: that is, pain that cannot be controlled by the patient following self-help advice
- Fractured teeth or tooth with pulpal exposure
Dental emergencies include:
- Trauma including facial/oral laceration and/or dentoalveolar injuries, for example avulsion of a permanent tooth
- Oro-facial swelling that is significant and worsening
- Post-extraction bleeding that the patient is not able to control with local measures
- Dental conditions that have resulted in acute systemic illness or raised temperature as a result of dental infection
- Severe trismus
- Oro-dental conditions that are likely to exacerbate systemic medical conditions such as diabetes (that is lead to acute decompensation of medical conditions such as diabetes)