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Professionelle Zahnreinigung
und
SARS-CoV-2

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Die Pandemie betrifft alle Bereiche des öffentlichen Lebens, auch den der zahnärztlichen Praxen. Zahnärztliches Personal war schon vor der Pandemie einem erhöhten Infektionsrisiko durch den geringen Abstand zur Mundhöhle des Patienten ausgesetzt. Der Hauptübertragungsweg erfolgt über die Tröpfcheninfektion.

Die Verwendung von Instrumenten, wie Luft-Wasser-Spritzen, Turbinen, Ultraschallgeräte oder Pulverstrahlgeräte, erzeugt Aerosole. Aerosole können sich aufgrund ihrer Größe von weniger als 50 µm weiter und länger in der Raumluft aufhalten. Viele Praxen bieten daher nur eine eingeschränkte professionelle Zahnreinigung an und verzichten auf Ultraschall- und/oder Pulverstrahlgeräte, um die Belastung in den Räumlichkeiten zu reduzieren.

In den Zahnärztlichen Mitteilungen (ZM 12/2020 Seite 24 – 26) wurde eine Praxis-Anwendungsbeobachtung unter realen Bedingungen durchgeführt, um die Kontamination während einer Pulverstrahlbehandlung zu messen. Im Ergebnis konnte durch den Einsatz von Mundspüllösungen und Absaugung keine erhöhte Kontamination nachgewiesen werden. Des weiteren sind Oberflächendesinfektion sowie die gründliche Aufbereitung der Instrumente wichtiger denn je in der Zahnarztpraxis.

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Auch die Bundeszahnärztekammer hat mit ihrer Mitteilung vom 14. Mai 2020 auf die bereits vor der Pandemie bestehenden Hygiene- und Infektionsschutzstandards hingewiesen. Bei jeder zahnärztlichen Behandlung werden bereits Mundschutz und Handschuhe getragen. Nach jedem Patienten erfolgt bereits eine gründliche Desinfektion der Flächen und Aufbereitung der Instrumente. Die Verwendung von Visieren wird gemäß Robert Koch Institut nicht empfohlen, da die Rückhaltewirkung ausgestoßener respiratorischer Flüssigkeitspartikel deutlich schlechter ist. Die Nutzung von Visieren in Kombination mit dem Mundschutz kann in Betracht gezogen werden.

Die Einhaltung von Abstandsregeln und entsprechenden Verhaltensweisen ist in Zahnarztpraxen durch entsprechendes Management und Terminorganisation zur Reduzierung der Patientenanzahl in der Praxis zu gewährleisten. Nach derzeitigen Erkenntnissen trugen zahnmedizinische Behandlungen weder beim Personal noch bei Patienten zu erhöhten Infektionen bei. Daher können Sie professionelle Zahnreinigungen weiterhin durch- und die Terminvergabe fortführen.

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