During this pandemic, the British Orthodontic Society would like to extend its support to all members and recommends strongly that the advice and recommendations of the Government, the NHS, and the Inspectorate Bodies are followed. This advice is changing on a daily basis and every practitioner needs to be familiar with recommendations in their area.
Review Coronavirus (COVID-19): UK government response here
We recommend you review the links to the up-to-date guidance for healthcare professionals
Northern Ireland: Here
View the Novel coronavirus (COVID-19) standard operating procedure produced on the 5th March 2020 by NHS England here
View the BDA Advice pages for Live Blog, FAQ’s here
This is an unprecedented time for healthcare delivery in the UK. The landscape is changing quickly and the advice from government sources and the dental authorities is being updated regularly.
The following are suggestions to assist you in your daily practice. We must emphasise again that the NHS in your area, and the government, will advise you of protocols that you must follow.
- It is important that each practitioner ensures they are up-to-date with all developments at all times and communicates this information to their staff, colleagues and patients regularly.
- Make sure Patient Information Posters are displayed so they can be seen before patients enter the premises. Messages can be delivered via text messages, your social media pages and at your practice including on the front door.
- The team should be updated daily on Travel Advice on gov.uk Prepare the team for a possible incident.
- Practices should remain open unless advised to close by their Health Protection Team. They will conduct the necessary risk assessments and advise you of what additional precautions to take. If this happens, the CQC should be notified.
- NHS practices with a Designated nhs.net account will get updates regarding for COVID-19 by the NHS. Appoint a COVID-19 lead to coordinate training and implementation of PHE guidance.
- Consider contacting all patients with upcoming appointments to discuss with them the status of their treatment and the need for them to attend the surgery.
- Consider asking those patients who need to come to the practice to only attend at the time of their appointment and to avoid bringing other siblings and relatives with them.
- Consider waiting outside the practice until their appointment can commence.
- Consider leaving the practice immediately after their appointment.
- Consider making follow up appointments once they have left the practice by phone.
- Consider making individual appointments longer to ensure there is adequate time for cleaning and management of waste.
- Decontamination – follow best practice protocols for infection prevention and control. If a suspected case has been in the practice, follow Section 4 of the Guidance from PHE.
- All staff should wear forms of PPE dependent on their proximity to the clinical area and avoid direct physical contact, including physical examination, and exposures to respiratory secretions.
- Each patient and their attendants should have their medical history checked before treatment is started and specifically questioned with respect to symptoms associated with COVID19 – Fever, Cough, Shortness of breath.
- Direct any patients who call the practice and meet the Case Definition to NHS 111
For Suspected Cases
- Identify potential cases as soon as possible before clinical care is started.
- Isolate the patient in a separate room, obtain specialist advice from NHS 111 and determine if the patient is at risk of COVID-19. Practices should designate and prepare a suitable space for patient isolation until NHS 111 can arrange safe transfer of the patient.
- Practice staff in contact with suspected cases do not need to self isolate unless advised by the Health Protection Team. The government has issued guidance on Self Isolation.
- Contract holders need to notify their local commissioning team of any contact with suspected cases with details of the incident and how it has been managed.
- If the practice has to be closed for cleaning, they should follow their business continuity arrangements.
What to do if a patient with suspected COVID-19 calls and genuinely needs emergency orthodontic treatment.
The patient should be told to call 111. This NHS team will triage and assess options for referral to a designated receiving unit for any COVID-19 urgent dental care cases.
What to do if a patient with confirmed COVID-19 calls and needs emergency orthodontic treatment?
The dental practice should call their Health Protection Team (England) who will advise the nearest hospital or specialty unit that the patient may be seen at.
Other health protection teams may be located at:
Clinical Governance Directorate
British Orthodontic Society
Teen wins national award for his story of life-changing treatment after losing his front teeth
Yusuf Anwer, 18yrs, from Croydon credits his orthodontist Dr Sadiq as transforming his life when others had given up.
Orthodontist wins prestigious award
A Consultant Orthodontist from University Hospitals of North Midlands NHS Trust was today awarded the prestigious Colyer Gold Medal from the Royal College of Surgeons (RCS) – the highest accolade available from the College.
BOS releases teledentistry guidance
Today (4 February): The British Orthodontic Society (BOS) has released its guidance on teledentistry and remote interactions in orthodontic care.
BOS joins European consensus: ‘DIY Orthodontics’ is hazardous for patients
The British Orthodontic Society is delighted to join a Europe wide consensus that sees 31 professional dental and orthodontic societies, associations, and institutions from 25 countries come together to endorse and fully support a Joint Declaration regarding the unacceptable and potentially unsafe remote treatment of malocclusions. This Declaration by EFOSA (European Federation of Orthodontic Specialists Associations) clearly states the basic requirements that must be met for any orthodontic treatment.
BOS welcomes report which aims to improve access and standards of care for patients in hospital dentistry
The Consultant Orthodontist Group (COG) of the British Orthodontic Society are delighted to support the publication of the GIRFT report into Hospital Dentistry. Recommendations in this new report aim to improve access and standards of care for patients, and knowledge of activity to the secondary care trusts and wider NHS.
CQC statement on DIY Orthodontics “provides clarity”
Today (1 July): The British Orthodontic Society (BOS) is delighted that the CQC have provided further clarity on the position of Direct to Consumer Orthodontic providers and the fact that they must be CQC registered.
Supporting the Diversity in Dentistry Action Group
The British Orthodontic Society are proud to be supporting the DDAG initiative.