Your Health

Is it now safe to visit the dentist?

W. Gifford-Jones MD & Diana Gifford-Jones

July 31, 2020

BY W. GIFFORD- JONES MD & DIANA GIFFORD-JONES

Visiting the dentist is rarely a high priority, even in the best of times. We can always find reasons for delay. But what level of coronavirus threat should justify more waiting? There is increasing concern that all these closures of “non-essential” healthcare service providers may, in some cases, be doing more harm than good.

There’s serious concern regarding delays in some cancer treatments. Heart attack victims have also been delayed in getting help until it is too late. However, it’s understandable that non-emergency dental care has been on hold. As time goes by though, we must heed the importance of a regular dental cleaning and check-up. Many will need more involved dental work.

So as dental offices reopen, how can you keep a safe distance when your dentist is drilling a tooth or doing a routine checkup? The dentist would have to be a magician to do any procedure while you’re wearing facial protection. Certainly, the dentist can don layers of protection. But are there any steps you can take to avoid the risks to you?

Michele Neuburger, a dental officer for the Centers for Disease Control and Prevention, Division of Oral Health, points out what we already know. It is impossible for dentists to use drills, ultrasonic scalers and air-water syringes without creating a visible spray.

This spray contains water, saliva, blood, and microorganisms. Large droplets in the spray can easily land on anyone in the room. The spray can also include small aerosolized droplets of coronavirus if the patient is infected with the virus.

The pertinent question is how long does a virus thrive in an operating area? This remains an unanswered question. But authorities believe that droplets carrying the coronavirus can last for three hours and can spread to dental staff or other patients unless stringent precautions are instituted in dental offices.

Working in a confined area makes it difficult to keep a sterile atmosphere. But the World Health Organization (WHO) reports that there have been no confirmed cases of coronavirus infection transmitted in a dental office.

So, what’s the answer for those who are concerned? Despite WHO reassurances, no dental office can guarantee safety, just as no surgeon who operates under very sterile conditions can guarantee a wound infection will not happen.

For the moment, we will all have to work together to ensure as safe an environment as possible. This means more temperature checks, more questionnaires, and getting used to the routine use of facial masks. While there’s no conclusive evidence that preprocedural mouth rinses reduce the transmission of viruses in dental settings, some dentists may ask patients to use an antimicrobial product. Research shows that this may reduce the viral load or oral microorganism in aerosols and spatter during dental procedures.

Remember, improving immunity is another way to fight off a threatening infection. Ensuring your natural defenses are at their strongest is a good strategy for everyday living during these COVID times. Loading up on vitamin C is a safe option. On a daily basis, add these supplements to a healthy diet and a good sleep: 1,000 milligrams (mg) taken three times a day, 3,000 international units of vitamin D, 400 mg of magnesium, 200 mg of zinc, and 100 micrograms of selenium.

Especially when visiting the dentist, make sure you are fueled up with these well-established natural components of a robust immune response.

And here’s a new one. Some dental offices are asking patients on arrival to remain in their car until the dentist is ready. After all, the longer you wait in a dental office the greater the chance of infection. Yes, we have entered a whole new world.

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Written By W. Gifford-Jones MD & Diana Gifford-Jones

Dr. W. Gifford-Jones, MD is a graduate of the University of Toronto and the Harvard Medical School. He trained in general surgery at Strong Memorial Hospital, University of Rochester, Montreal General Hospital, McGill University and in Gynecology at Harvard. His storied medical career began as a general practitioner, ship’s surgeon, and hotel doctor. For more than 40 years, he specialized in gynecology, devoting his practice to the formative issues of women’s health. In 1975, he launched his weekly medical column that has been published by national and local Canadian and U.S. newspapers. Today, the readership remains over seven million. His advice contains a solid dose of common sense and he never sits on the fence with controversial issues. He is the author of nine books including, “The Healthy Barmaid”, his autobiography “You’re Going To Do What?”, “What I Learned as a Medical Journalist”, and “90+ How I Got There!” Many years ago, he was successful in a fight to legalize heroin to help ease the pain of terminal cancer patients. His foundation at that time donated $500,000 to establish the Gifford-Jones Professorship in Pain Control and Palliative Care at the University of Toronto Medical School. At 93 years of age he rappelled from the top of Toronto’s City Hall (30 stories) to raise funds for children with a life-threatening disease through the Make-a-Wish Foundation. Diana Gifford-Jones, the daughter of W. Gifford-Jones, MD, Diana has extensive global experience in health and healthcare policy. Diana is Special Advisor with The Aga Khan University, which operates 2 quaternary care hospitals and numerous secondary hospitals, medical centres, pharmacies, and laboratories in South Asia and Africa. She worked for ten years in the Human Development sectors at the World Bank, including health policy and economics, nutrition, and population health. For over a decade at The Conference Board of Canada, she managed four health-related executive networks, including the Roundtable on Socio-Economic Determinants of Health, the Centre for Chronic Disease Prevention and Management, the Canadian Centre for Environmental Health, and the Centre for Health System Design and Management. Her master’s degree in public policy at Harvard University’s Kennedy School of Government included coursework at Harvard Medical School. She is also a graduate of Wellesley College. She has extensive experience with Canadian universities, including at Carleton University, where she was the Executive Director of the Global Academy. She lived and worked in Japan for four years and speaks Japanese fluently. Diana has the designation as a certified Chartered Director from The Directors College, a joint venture of The Conference Board of Canada and McMaster University. She has recently published a book on the natural health philosophy of W. Gifford-Jones, called No Nonsense Health – Naturally!

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