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Posted 9 May 2020

Inhalation Sedation and Aerosol Generating Procedures (AGP’s)

The delivery of urgent and emergency dental care in patients with high levels of anxiety, special care or paediatric patients during the COVID-19 pandemic may be facilitated using sedation. Current evidence indicates that inhalation sedation (IS), is an aerosol generating procedure and appropriate PPE should be worn to reflect this.

At the end of treatment, the IS machine and attachments should be cleaned in line with local infection control protocols, based upon national guidance.

Guidance from PHE, GDC and BDA should be followed. It should be remembered that this is a rapidly evolving situation and guidelines should be checked periodically.

SAAD recommends dental clinics providing urgent dental care produce Standard Operating Procedures (SOP) reflecting the type of sedation offered.

References:

https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control

GDC website link: COVID-19 guidance and standard operating procedure Urgent dental care systems in the context of coronavirus NHS

COVID-19 guidance and standard operating procedure: Urgent dental care systems in the context of coronavirus. VERSION 1, 15 APRIL 2020
NHS England and NHS Improvement

Recommendations for Special Care Dentistry during COVID-19 pandemic. Royal College of Surgeons of England www.rcseng.ac.uk/dental-faculties/fds/coronavirus/

Recommendations for Paediatric Dentistry during COVID-19 pandemic. Royal College of Surgeons of England www.rcseng.ac.uk/dental-faculties/fds/coronavirus/

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ABOUT SAAD

SAAD is at the forefront of postgraduate teaching of sedation techniques in dentistry. The Society runs courses for the whole dental team encouraging the safe provision of conscious sedation. Other activities include providing scientific seminars, giving expert advice to other bodies including the Department of Health and the General Dental Council; providing experts for guidelines and standards documents; giving expert evidence to the courts; promoting research in the field of pain and anxiety control and providing individual support and advice to members. Membership of the society is open to any registered dental or medical practitioner, dental nurse or dental therapist/hygienist.

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