COVID-19 Resource Links

Please see summaries and links that have been recently added to the AAOMS COVID-19 Resources. See also links to the infections control webinar and Telehealth page.

PPE RESOURCES

HampMED
Hamp Bailey
https://hampmed.com/
404-254-0718

Pro Med Sales
Rod Uribe
https://www.omssupply.com/
678-714-5341

Gem Supply (disinfectant and cleaning supplies)
gemsupply.net

Gown Laundry Service
Due to the shortage of gowns, ImageFirst has started servicing the dental profession and are offering 4 different options for your practice.

Dental Program Offerings (pdf)


AIRFLOW and FILTRATION

Recent HVAC engineer discussion of proper filtration.

To evaluate your current airflow and filtration system at your office, contact Plumbing, Heating and Cooling of GA President, Martin Hoover, Empire Heating and Air, Mobile 404-379-3088 | Office 404-294-0900 | www.empirehvac.com


OTHER RESOURCES

The Health Care Group – publisher of some AAOMS practice management publications – has teamed up with Health Care Law Associates to develop a summary of significant COVID-19 legal developments related to OMS practices. COVID-19 Resource for OMS Practice Owners, Associates and Managers (pdf) is being offered at no cost to AAOMS members. The guide covers mandated paid time off, paycheck protection program under the CARES Act, benefit plans relief and the CMS accelerated and advance payments program.


The SBA Webinars are now available:


The Infection Control Webinar also remains active:


Updated Telehealth Resources At-a-Glance

  • With the COVID-19 outbreak, CMS and states are working to eliminate barriers to telehealth use – including telephone or “virtual” evaluations and/or treatment advice – to help patients access care remotely and reduce the strain on hospitals and clinics. AAOMS has assembled a new webpage – Telehealth Resources – with details and links that will be updated when new information becomes available. In addition, AAOMS published AAOMS White Paper: Telehealth and Remote Treatment in January (pdf).

IMPORTANT GBOD Clarification

IMPORTANT MESSAGE FROM THE BOARD

May 1, 2020

Following an Emergency Conference Call on May 1, 2020, the Board issues the following statement. On April 23, 2020, Governor Kemp signed an Executive Order (04.23.20.02) which stated that dental practices and clinics which continue in-person operation shall adhere to:

  1. Critical Infrastructure guidelines,
  2. American Dental Association’s (ADA) Interim Guidance for Minimizing Risk of COVID-19 Transmission, and
  3. ADA Interim Mask and Face Shield guidelines.

This Executive Order also suspended any “previous Executive Order or rule which would prevent dental practices and clinics from providing the full scope of their services.” This suspension applies to Executive Order 04.20.20.01 which required practitioners to follow CDC guidelines and, by implication, the Board’s Unprofessional Conduct rule 150-8-.01(a), which mandated adherence to those same CDC guidelines.

Please note the following:

  1. The Board will not sanction any licensee returning to full practice provided he/she adheres to the above listed guidelines;
  2. The Board is not authorized to make determination regarding your individual legal liability or insurance liability;
  3. All determinations regarding staffing and individual patient care rest solely with the individual practitioner; and
  4. Any complaints received during this time will be processed in accordance with Board policies and procedures.

Georgia Board of Dentistry Update

Whereas the executive order of Governor Kemp dated 4-23-20 states that “any previous order or rule which would prevent dental practices and clinics from providing full scope of their services subject to adhering to ADA Interim Guidance for Minimizing Risk of Covid-19 Transmission” was suspended.

The Board of Dentistry hereby clarifies their position that provided dentists and dental providers follow these ADA interim guidance and CDC guidelines for infection control and PPE they may resume elective treatment for patients in Georgia.

ADA Interim Guidance for Minimizing Risk of COVID-19 Transmission (pdf)

COVID-19 Resources for OMS Practices

Please see summaries and links that have been recently added to the AAOMS COVID-19 Resources. See also links to the infections control webinar and Telehealth page.


The Health Care Group – publisher of some AAOMS practice management publications – has teamed up with Health Care Law Associates to develop a summary of significant COVID-19 legal developments related to OMS practices. COVID-19 Resource for OMS Practice Owners, Associates and Managers (pdf) is being offered at no cost to AAOMS members. The guide covers mandated paid time off, paycheck protection program under the CARES Act, benefit plans relief and the CMS accelerated and advance payments program.


The SBA Webinars are now available:


The Infection Control Webinar also remains active:


Updated Telehealth Resources At-a-Glance

  • With the COVID-19 outbreak, CMS and states are working to eliminate barriers to telehealth use – including telephone or “virtual” evaluations and/or treatment advice – to help patients access care remotely and reduce the strain on hospitals and clinics. AAOMS has assembled a new webpage – Telehealth Resources – with details and links that will be updated when new information becomes available. In addition, AAOMS published AAOMS White Paper: Telehealth and Remote Treatment in January (pdf).

Suppliers with Masks/PPE items

Please contact the following suppliers if you need N-95 masks and other PPE:

HampMed

https://hampmed.com
404-254-0718


Pro Med Sales

Rob Uribe
https://www.omssupply.com

678-714-5341


Gem Supply
COVID 19 Disinfectant and cleaning supplies, latex gloves (please note available qty.) and toilet paper
https://catalog.gemsupply.net

This Florida-based company will drop ship supplies directly to your address.

GBOD Issues Statement on Communicable Diseases

The Georgia Board of Dentistry would like to remind all practitioners that per Rule 150-8-.01(a), “failing to conform to current recommendations of the Centers for Disease Control and Prevention (C.D.C.) for preventing transmission of Human Immunodeficiency Virus, Hepatitis B Virus, and all other communicable diseases to patients…” is considered unprofessional conduct and may result in disciplinary action being taken against his/her license. This includes guidelines related to the current COVID-19 pandemic. The Board has previously urged all practitioners to closely monitor and abide by CDC and Department of Public Health guidelines. If the Board is notified that any practitioner is failing to conform to the current CDC guidelines, that practitioner will be contacted by the Board and may face disciplinary action.

While the Board is not authorized to limit or close practices, if you would like to submit a complaint against a specific practitioner for failing to abide by CDC guidelines, please use the Board’s online complaint form. Any action the Board may choose to take will be against the practitioner’s license and will not result in any form of office closure.

Small Business Administration Clarifies Rule with ADA

Hello, My Fellow Dentists:

Many of you have asked, and we have an answer: Dentists indeed are eligible for both the Economic Injury Disaster Loans (EIDL) and Paycheck Protection Program (PPP) loans offered by the Small Business Administration (SBA).

Late last week the Small Business Administration issued an interim rule that lacked clarity regarding the ability of small business entities, including many dental practices, to apply for and utilize both the EIDL and PPP loans.

ADA staff immediately reached out to SBA and the Department of Treasury, as well as our friends on Capitol Hill, to express our concerns. Since we did not receive a satisfactory response from SBA and Treasury, we then sent out a call to action through our grassroots system requesting that our dentist members contact Treasury and SBA to voice our concerns. Those messages were also sent to our Congressional representatives, many of whom called ADA staff personally to express support for our efforts.

Thank you to those who heeded that call to action. I greatly appreciate you taking the time to do that.

As a result of these efforts, we are happy to report that our ADA Washington Office received a call this morning from the Small Business Administration indicating that eligible entities can apply for and receive both the EIDL loan and PPP loan regardless of when the entity received their EIDL loan dollars. We expect written confirmation to follow.

For those of you who responded so quickly by sending an email to your Congressional representatives, you may click here to send them a note of thanks for taking our weekend request into consideration.

Through our collective efforts, we were able to achieve the best outcome for our profession. Please know that the ADA will continue to advocate for our dentist members and their patients so that we can get through these tough times.

Stay well,

Chad P. Gehani, DDS
President

GSOMS Forum 3/25/20: Meeting Notes

GSOMS Forum Zoom Meeting Notes
March 25, 2020
7:30 pm

1. Checking in on OMS’s Throughout the State
2. AAOMS Guidelines Regarding PPE and Procedures

Glen Maron/OMSNIC: Legal office staff liability with homemade materials
Virus stays in the air 3-5 hours. Fumigating offices? Room Clean up. Emory if you have aired particles, room needs to be down 1-3 hours and the cleaned. The length of time to be down depends on the function of the air exchange rate in your room. Engineer to help you determine the air exchange in your office.

Share documents from California – Guide to Aerosol Transmissible Diseases

  • Suggests: N95, with mask over the mask and then face shield. You have to be careful how you take your mask off. Bottom first, then the top. Dawning and Doffing process for your gowns.
  • Clearing the room, cleaning it between patients, limiting the staffing.
  • ½ percent Peroxide rinse 60 secs.
  • Asymptomatic person just as contagious? YES, Serum testing will hopefully be out very soon.
  • HVAC systems: particles can circulate in the system? 17 days virus on surfaces. Jeff Schultz will investigate.

3) Update from GA Board of Dentistry – Glenn Maron

Teleconsult Ruling for Remote Consultations
Rule change on telemedicine is within the law. Dentistry did not allowed us to use telehealth. Passed by the Board of Dentisty, Telemedicine emergent, urgent and consultations. Treatment planning. Expiration date is April 15th or if the crisis ends sooner and reevaluate if crisis is still going. If you have a medical license you can do it also. Documentation for consult required for billing. Procedures have to follow. HHS Parameters that are currently there. Link on Board of Dentistry from Glen to send to members. OMNSNIC says we do have coverage.


See Teleconsults doc. attached for link/more details.

4) Update from HOSPITALS

Steve Roser: Emory
Noon today: 1,247 in GA 334 in Hospital. 30 deaths.

Emory: Flu, 450 PUI 225, 128 Positive, ICU 5 we have capacity for ICU: Surge is coming redeployment of resource. Other procedures being done are a fraction of what we do. Time sensitive patients; would be harmed by delay. Evaluate by team based on supplies. Supply chain and personnel attention. Residents are off and weekly doing telemedicine activities.

Alice Coker: WellStar

Kennestone has the most in WellStar HCS. Preparing for the surge. Elective cases are way down. 90 PUI, 25-30 COVID Positive. ER visits are down. All ENT and OMFS procedures have to be done with PAPR equipment.

5) When do we get back to our patients and regular visits? What’s our new normal? Gov. Kemp, GA will go back to earlier than later. Won’t shut things down if he doesn’t have. Will follow President’s recommendations. In GA, certain areas affected than others.

Are we putting our staff in harm’s way? Evaluate Urgent vs. Emergent: Is the patient going to get worse in the next 90 days?

Thanks for participating,

Amy Kuhmichel
GSOMS President

GSOMS endorses the AAOMS recommendations and protocols for COVID19

This is  a critical public safety crisis.  Please consider for the safety of yourself, family and community, it is imperative that we delay/reschedule elective procedures.  

*Asymptomatic patients requesting removal of disease-free teeth with no risk of impairment of the patient’s condition or pending treatment should defer treatment to a later date.*

Stay safe and well, 

Amy Kuhmichel, DMD


AAOMS has carefully assessed the most recent developments in the COVID-19 pandemic, multiple state mandates and the recent ADA policy statement. With an emphasis on patient, staff, and oral and maxillofacial surgeon safety, AAOMS offers guidance for OMS practices by providing the following recommendations:

  • Using all available patient information, current CDC Guidelines and best practitioner judgment, the OMS should – after conducting extensive discussions with patients and family members (i.e., parent or guardian) – determine if the surgical need for each patient is essential and immediate.
  • Emergency and urgent care should be provided in an environment appropriate to the patient’s condition.
  • Patients testing positive for COVID-19 or displaying symptoms of COVID-19 who have acute oral and maxillofacial infections, active oral and maxillofacial disease, oral and maxillofacial injuries or are in acute pain requiring immediate treatment should receive care in facilities where all appropriate PPE, including N-95 masks, are available.
  • Patients with conditions in which a delay in surgical treatment could result in impairment of their condition or impairment of pending treatment (e.g., impairment of the restoration of diseased tooth when another tooth that is indicated for removal prevents access to the diseased tooth) should be treated in a timely manner.
  • Asymptomatic patients requesting removal of disease-free teeth with no risk of impairment of the patient’s condition or pending treatment should defer treatment to a later date.
  • As testing for COVID-19 becomes more readily available, and effective medications and vaccines are developed, guidelines for the management and treatment of patients will change. Until then, social distancing and effective infection control are especially essential components of the care we provide. In the short term (over the next 2 to 3 weeks), procedures that are determined by the oral and maxillofacial surgeon to be completely elective should be deferred.

This is an evolving and constantly changing situation. Please remember: these are recommendations and not mandates and ultimately the decision of the treatment of patients still rests with the individual practitioner. Our No. 1 goal as always is to provide safe and effective treatments for our patients.

We appreciate your patience and support as we all navigate this time of uncertainty together. AAOMS and our staff stand ready to assist in whatever lies ahead.

Victor L. Nannini, DDS, FACS

AAOMS President 

 

EXTRACTED; Unmasking Rampant Antisemitism in America’s Higher Education

Dr. Perry Brickman, GSOMS Past President, founder of our GSOMS Educational Trust and recipient of our John Freihaut Lifetime Achievement Award, is the author of Extracted, a fascinating book that describes the antisemitism he and many other Jewish students experienced at Emory University’s Dental School and the Atlanta Southern Dental College in the 1950’s and early 60’s. Also a part of the “racial quota” scheme was ADA’s Council on Dental Education (CODE).

Perry’s story is compelling in many ways but his relentless pursuit of the truth stands out throughout the tightly written text. Do yourself a favor and read this book. You will be proud of Perry, ashamed of the leadership at Emory during that critical time in dental education but pleased with the end result of reconciliation and forgiveness.