Residents of nine counties in California are now under orders to shelter-in-place for three weeks to help curb the spread of the new coronavirus. The orders took effect the morning of March 17 in Alameda, Contra Costa, Marin, San Francisco, San Mateo, Santa Clara and Santa Cruz counties, which currently have the largest number of confirmed COVID-19 cases in the state.
Late afternoon Tuesday, Monterey and Sonoma counties became the latest counties to issue shelter-in-place orders. Sacramento and Yolo counties plus the city of Davis stopped short of issuing legal orders Tuesday but asked residents to “only leave their homes for essential purposes.”
Although dentists who reside in the nine counties are exempt from the order to self-isolate in their place of residence and are allowed by law to continue the practice of dentistry during the order’s enforcement, the California Dental Association urges California dentists to voluntarily suspend non-urgent or non-emergency dental care until at least March 29 per guidance the association issued March 15.
CDA’s guidance is intended to help “flatten the curve” of new coronavirus infections and is aligned with the most recent state and federal guidance, including Gov. Gavin Newsom’s recommendation that seniors age 65 and older and individuals with heart or lung disease self-isolate at home for 14 days. The governor on March 15 also strengthened social-distancing practices, asking night clubs in the state to close and restaurants and breweries to limit their service to delivery and take-out.
The ADA on March 16 issued guidance similar to CDA’s, calling on dentists nationwide to “postpone elective procedures in response to the spread of the coronavirus disease, COVID-19, across the country.”
Dentists throughout California, including the current nine counties under the shelter-in-place order, should proceed with providing dental treatment if:
Patients who have received recent treatment requiring the removal of sutures would also be considered appropriate for treatment.
CDA asks dentists to delay all other treatments until the COVID-19 crisis has eased.
If the current shelter-in-place order ends April 7, dentists in the nine counties will still want to assess the risks of returning to work and consider continued local, state and federal guidance. If public health officials see positive indications of slow disease spread and possible containment, the recommendations for social distancing may ease, as might the demand for face masks and other personal protective equipment needed for health care personnel who are responding to and treating COVID-19 patients.
Find CDA Practice Support FAQ on dental office closures, employee and sick leave and more at CDA’s regularly updated COVID-19 information center for dentists.
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