TUGAS 1 EPIDEMIOLOGI

RESUME WEBINAR INTERNATIONAL CONFERENCE ON HANDLING NON-

COMMUNICABLE DISEASES
“ DENTAL CARE SERVICE IN ERA NEW NORMAL”

Summarized by Annisaa Sittatunnikmah (P1337425217053)

DIV Dental Therapist

PROLOGUE
From the webinar international conference on handling non-communicable diseases
on Wednesday 2nd September 2020 in cases of Dental Care Service in Era New Normal
which presented by Prof. DR. drg. Diyah Fatmasari, MDSc we could know that dental
care is important to do, so we can prevent dental and oral health problem because oral
diseases is a major public health problem globally and the most wide-spread non-
communicable disease that caused by several factor such as sugar, diet, behavior, and also
bad habit. We also know that oral and dental health is an integral part of body health, that the
mouth is the main entrance of bacteria and viruses into the body so people should care about
their oral hygiene because it’s affect to their body health.

SUMMARY
Indonesia is now facing a new era normal due to covid-19 pandemic, we all have to
comply with covid-19 prevention protocols. Not only as a citizen but also as a dental health
worker such as dentist, dental therapist and also dental hygiene who have direct contact
patient espesially to their oral, we have a high probability of being exposed to covid-19. This
means dental health workers as a victims that should prevent it with knowing about dental
care service in era new normal also apply it in their clinical pactice.
Here, what we got from the webinar about dental care in era new normal :
A. Preparation For Dental Care
1. Changed of practice fasilities by added facilities to reduce dental aerosol.
Aerosol suction and exhouse van is needed, also changed room setting for
clinical area
2. Use sandard operating procedure for health workers and admitting
patients. Workers safety use lavel 3 personal protective equiopment
 3. Do clinical practice if only for patient by appointment, limited number of
patienrs and for emergency dental cases.
4. Standartd operating procedure patient care for precautions by fill the
informed consent, prelimenary check include body temperature, traveling
history, contact with patients covid history.
B. Dental Clinical Facilities
Requirements that must be carried out regarding management in the dentist's
office:
1. Zoning settings.
2. Signage arrangement (sign / groove).
3. Patient volume adjustment.
4. Air flow regulation must be achieved at least 12 ACH with clean air
position enter from behind the operator and assistant (back to the patient's
head) and the direction of the outflow of air is placed below,
approximately 20 cm from the floor.
5. Using HVE dental suction (with the exhaust stream attached to the dental
unit), make sure the HVE suction strength exceeds 100 cfm and funnel
shape effective suction.
6. Use of rubber dam.
7. Use of a wall separator at the consultation table.
Additional facilities as a conditional recommendation require related attention
management in the dentist's office:
1. Use of portable HVE.
2. Use of UV-C lamps
C. S.O.P Health Workers
1. The type of APD depends on the main duties and functions (main tasks
and functions) :
a. Level 1: assistant in the waiting room
b. Level 2: janitor
c. Level 3: dentist and assistant in the dental unit room
2. Donning APD is a technique to put on or use ADP
3. Doffing APD is a technique to remove APD.
4. All stages of donning and doffing should be installed on the walls of the
APD donning and doffing room.
 5. The technique of removing APD is very important for health workers to
understand because when removing APD, there is a high risk of infection
from the microorganisms attached to the APD. 
APD donning step :
a. surgical scrub clothes
b. Wash hands
c. Head cover
d. Masks
e. Inner gloves
f. Disposable gown / hazmat suit
g. Outer gloves
h. Glasses or face shield
i. Fasten the hazmat suit
j. Boot or shoe cover
6. APD doffing stages (always wash your hands using 70% alcohol between
each stage)
a. Outer gloves
b. Shoes with shoe covers or boots
c. Disposable gown / hazmat suit
d. Glasses or face shield
e. Masks
f. Head cover
g. Inner gloves If there is no special room for removing APD, then
APD and gloves are removed in the dental unit room. Meanwhile,
removing the face shield / goggle / face shield and mask is done
outside the dental unit room.
D. S.O.P Admitting Patient
1. Check body temperature
2. Traveling history
3. Selected case
4. Minlimal aerosol
5. Quick dental care
E. S.O.P Patients Care
What health workers should do before treath a patients are :
1. Check body temperature
2. Their travering history
3. Contact with covid patient history
What health workers should remember are :
1. Do clinical practice if only for patient by appointment, limited number of
patienrs and for emergency dental cases.
 2. All patients are suspect to be OTG so health workers should be aware
3. Room and instrument sterilization after patients changed
4. When patient have cough, give oral medicine
5. Prefer to rapid test or swab
F. Informed Consent
Standartd operating procedure patient care for precautions by fill the informed
consent. Compulsary for dental cre with risk such as extraction, filling and
scalling.

CONCLUSION
Dental care is important to do, so we can prevent dental and oral health problem
because oral diseases is a major public health problem globally and the most wide-spread
non-communicable disease that caused by several factor such as sugar, diet, behavior, and
also bad habit. We also know that oral and dental health is an integral part of body health,
that the mouth is the main entrance of bacteria and viruses into the body so people should
care about their oral hygiene because it’s affect to their body health.
Indonesia is now facing a new era normal due to covid-19 pandemic, we all have to
comply with covid-19 prevention protocols. dental health workers as a victims that should
prevent it with knowing about dental care service in era new normal also apply it in their
clinical pactice.