OFFICE POLICIES FOR EMERGENCY CARE AND TREATMENT DURING COVID-19
WE WILL CONTINUE TO EVALUATE AND TREAT EMERGENCY PATIENTS.
ALL ELECTIVE DENTAL TREATMENT WILL BE POSTPONED UNTIL FURTHER CDC AND DHHS
GUIDELINES SUPPORT RESUMING THESE SERVICES.
Many States and Dental Associations are recommending or mandating that
dentists discontinue all elective treatment for at least 2 weeks. Texas has
not recommended or mandated this yet. As President of the San Antonio
Academy of General Dentistry and as a Board Member of the Texas
Academy of General Dentistry, how to proceed has been a topic of much
discussion and debate for many weeks. I am proud to state that all topics
have focused on what is best for the community. The challenge has been
making recommendations for thousands of Texas dentists without clear
protocols on the role of providing dental care as it relates to this disease.
There are many reasons why this recommendation is being suggested:
• Dentist and Hygienist are two of the highest risk job categories with
regard to the transmission of CoVid-19.
• Aerosols produced during dental treatments utilizing ultrasonic
scalers, air polishers, and high speed hand pieces can carry the
virus in the air.
• PPE used by dentists and hospitals is going to be in short supply as
more people infected with CoVid-19 require medical treatment.
• The medical system is going to be burdened beyond what it can
handle with patients. If dentists are available to handle
dental emergencies, the load of these patients can be removed from
the ER enabling them to better handle the patient load during this
Not everyone agrees. Many oﬃces will choose to disregard the
recommendations or mandates of our governing bodies, and for them it is
business as usual. It is my opinion, with the information that we currently
have, oﬃces choosing to continue practicing as normal are not basing their
decision on what is in the best interest of their families, their team members,
their patients, or the community at large.
One of the main tenants of our practice has always been to put the needs of
our patient's and staff first. For those who have been with us for a few
years, you know our treatment recommendations have always been based
on your needs first. You know that if you came in for treatment with a cold
or high blood pressure, we sent you home or to your physician. With that
standard in mind, I am choosing to temporarily discontinue all elective care.
Keeping with our pledge to be there for you, we will continue to
provide emergency based dental care.
This decision begs the question, “What is considered elective care?" In other
words, what will we do, and what will we not do? In general, if you are having pain,
swelling, discomfort or infection. Call us.
If you don't know if you have an emergency, call us and let's figure it out.
Please bear in mind that all decisions should also consider risk factors associated
with demographics more susceptible to CoVid-19, such as elderly patients or those
that are immune-compromised. I fully realize that there will always be situations
where we will be required to make professional judgment calls regarding
the urgency of any procedure and the risks vs. benefits to the patient of
proceeding with treatment or delaying it until a later date.
At Chandler Dental Center our aim is to make a positive impact towards the health of our community
and keep you safe, informed and updated on the Coronavirus (Co-Vid-19).
This is a rapidly evolving situation and information will be updated as it becomes available.
We will continue to follow the guidelines of CDC, Dept. of Health and Human Services as well as recommendations from the Texas State Board of Dental Examiners.
Thanks for your calmness and kindness!
Dr. Bryce Chandler
Chandler Dental Center 210-633-0057