COVID-19 Information Resources

COVID-19 Guidelines & Information 

 

April 1, 2020

ADA Resources for Dentists

Main Coronavirus Resource Page (ada.org/virusresources)

Main Coronavirus News Page (ada.org/virus)

Small Business Administration (SBA) loans for employers – Summary of Small Business Administration (SBA) loans available for employers in the wake of CARES Act, which include the new Paycheck Protection Loan and EIDL loans.

Dentists may need to reapply for Economic Injury Disaster Loans – ADA News article detailing why you may need to reapply for an EIDL Loan if you filed before March 29th

Financial Obligations to Staff During COVID-19

Dentist Employment Agreements: A Guide to Key Legal Provisions

The ADA has also offered several webinars regarding COVID-19 and the federal legislation surrounding this pandemic. They may also qualify for CE credits as well.

Renegotiating Payment Terms on Existing Contracts

Contract Obligations during COVID-19 and “Force Majeure”

ADA Foundation Assistance Fund

Small Business Assistance in Kentucky

The Kentucky Small Business Development Center (KSBDC) is offering help with contingency planning for small businesses. You can request a Zoom meeting or phone call here. On this same page, you can scroll down to register for their next webinar as well.

A checklist for your business in this financial crisis (KSBDC)

Steps you need to take to safeguard your business (KSBDC)

Information about the Small Business Administration’s Disaster Loan program (there is more information further down, but this page from KSBDC provides a good overview of the program and eligibility requirements)

Cost free coaching for your small business (KSBDC) 

Another nonprofit assisting small businesses is SCORE and they are also hosting webinars for business owners

Find support and resources in the Small Business of Kentucky Facebook group

Federal Information & Assistance for Small Businesses

The Small Business Administration's (SBA) Economic Injury Disaster Loan program provides small businesses with working capital loans of up to $2 million that can provide vital economic support to small businesses to help overcome the temporary loss of revenue they are experiencing. This is their main page for the SBA’s COVID-19 response.

The SBA also produced a Small Business Resource Guide for the state of Kentucky. This guide was produced last year before the current pandemic but may have information you are looking for inside.  On page 7 there are phone numbers for their local offices and staff; you can also find their Kentucky office website here

The IRS has extended the tax filing deadline to July 15th. Their Small Business/Self Employed resource page is here.

The Department of Labor (DOL) has released summary overviews of what the law will require of employers (and employees) for emergency paid sick leave and the Family Medical Leave Act (FMLA). Please keep in mind this information may be updated. 

Unemployment

Kentucky Career Center’s main Unemployment Insurance page has valuable information about the system and the process of applying for benefits. You should also look at their page KCC's What You Should Know About Unemployment Insurance which has been updated with COVID-19 information.

IMPORTANT NOTE: Please be aware of fake unemployment filing websites designed to steal your personal information or charge you a fee.

  • Make sure you are on a “.gov” site when filing an unemployment insurance claim.
  • Kentucky Career Center (KCC) services are free.
  • KCC will never charge a fee.
  • KCC will never ask for your SSN in an email.

Here’s a helpful document from KCC called 10 Tips for a Better Unemployment Insurance Experience.

Weekly Unemployment Benefits Calculator

Unemployment Insurance Rights and Responsibilities

KCC also has an FAQ page, but I will caution you that it doesn’t appear to have been updated since COVID-19 began, as it does not address the Waiting Week having been waived by Governor Beshear.

Here is the online Unemployment Insurance Claims System, where you can file a claim. Please read the entire page of directions and information before clicking through to the actual application. The Internet Claims System is available Monday through Friday, 7:00am – 7:00pm and Sunday, 10:00am – 9:00pm Eastern time. You can also claim benefits by phone.

Call your local Unemployment office for assistance (to avoid overwhelming the main phone line), although be prepared for a wait (and have a full charge on your phone) as they are experiencing unsurprisingly high call volumes at this time. Find your local office's phone number here. You can also email them if you prefer. Enhanced Unemployment Insurance Support brochure‚Äč

 

March 30, 2020

KDA Members: 

Below, please find the latest information from the ADA regarding loans available through the CARES Act. We expect to receive a fact sheet and decision point flow chart soon and will distribute these to members when they are received. We are told that, if you follow the process, the first $10K of loan proceeds will be deemed a grant and the remaining balance may be potentially forgiven if you properly transfer it to an SBA preferred lender. Please contact your accountant or attorney if you require tax or legal guidance regarding implications of these loans. But, remember the $10B set aside for these loans are available on a first-come, first-served basis.

 

We will continue updating our members on these and other important issues. Stay safe and healthy!

 

Rick Whitehouse, KDA Executive Director

 

 
ATTENTION KDA Members,
 
As of March 27, the Senate and House have passed the CARES Act and it was signed by the President.  There will be additional details issued in regulations and guidance over the coming weeks.
 
There are multiple Small Business Administration (SBA) loan options available for employers. There has been a lot of confusion about not being eligible for the new Paycheck Protection Loan of 7(a) if you already have an EIDL 7(b) loan; that is not correct, you can apply for both and have both, or possibly roll the 7(b) into the 7(a), but cannot use the proceeds for the same purpose.
 
Below is a quick recap of the loans affected by the CARES act:
 
Economic Injury Disaster Loan (EIDL) - Section 7(b) of SBA
  • We encourage you to apply for this ASAP.
  • It is ONLY available through the SBA website.  We encourage you to print a paper application using the link below and upload the application to avoid website traffic issues.
    • https://disasterloan.sba.gov/apply-for-disaster-loan/index.html
    • If you apply for this loan, you can request an emergency grant of up to $10,000 which the SBA must provide within 3 business days of grant request.  This grant will not have to be repaid even if you are not approved for the loan. If you apply for the loan before the grant is available, you will need to go back and request the grant but will not have to reapply. At this time, there is no guidance on how this is done, but we expect more information will be released.
    • Terms: 3.75% interest, up to 30-year repayment, 12 months no payments.
    • Credit score of applicant is the primary factor in approval. 
    • $10 billion is set aside for the grant program, and the grants are to be given out First Come First Served
    • The SBA will determine the amount of an EIDL Loan and the loan is available to pay for expenses that could have been met had the disaster not occurred, including payroll and other operating expenses.
    • For any loan made under this program, no personal guarantee will be required on loans up to $200,000. 
    • It is important that this loan is applied for BEFORE the section 7(a) loan discussed below if you wish to participate in both programs. 
    • If you receive EIDL money and you intend to also apply for the Payroll Protection money of 7(a), please consult with your tax advisor to develop an efficient plan for the use of the loan proceeds.
Paycheck Protection Loan - Section 7(a) of SBA
  • This loan is not currently available as of 3/28/20.
  • This loan will be provided by SBA approved banks.  We encourage you to contact your business banker for additional information.
  • Terms: 4% interest, up to 10-year repayment, 6 - 12 months no payments.
  • Loan proceeds are limited to 2.5x average monthly payroll costs (wages, health insurance, PTO, retirement benefits and state or local payroll taxes assessed on compensation of employees) not to include federal payroll taxes. This does not include 1099 subcontractors or Employee/Owner Compensation over $100,000.
  • Self-employed (1099) individuals are eligible for their own 7(a) loan and loan forgiveness. 
  • There will be an amount eligible for forgiveness - this amount must be calculated and cannot exceed the sum of the payroll costs, mortgage interest, rent and certain utility payments in the 8-week period following funding.  Loan Forgiveness is contingent on having 75% of the number of employees on payroll Feb 15, 2020 by June 30, 2020.
  • To seek forgiveness, documentation will be provided to the lender that includes the qualified expenses during the 8-week period subsequent to loan closing.
  • Our current understanding is the loan proceeds must be spent by June 30, 2020 even if the 8 weeks extends beyond that date. 
  • There is potential for refinancing your EIDL loan into the section 7(a) loan to also make it eligible for forgiveness.  Even if you are unable to refinance the EIDL into this loan, you are not prohibited from obtaining both loans.
There have been many questions on the timing of SBA funds and actions to be taken by employers.  Below is our hopeful timeline related to the Paycheck Protection Program, 7(a) loans:
  • CARES Act signed into law - March 27
  • Banks receive SBA guidance - By April 11
  • Initial loans processed and being funded - Early May
 
The ADA greatly appreciates its partnership with the Academy of Dental CPAs, which has allowed us to bring you the latest and best information available to make your practice decisions.

 

March 27, 2020

Interim Infection Prevention and Control Guidance for Dental Settings During the COVID-19 Response

https://www.cdc.gov/coronavirus/2019-ncov/hcp/dental-settings.html

 

March 26, 2020

COVID19 INFORMATION UPDATE: 

You may have read this today from ADA President Dr. Chad Gehani:

For the last few weeks, the American Dental Association has advocated on your behalf as federal lawmakers debate the best way to respond to the deepening economic crisis caused by the COVID-19 outbreak. Congress is finalizing legislation that could support dentists during these exceptional circumstances, and I'd like to provide an update.

Following many days of discussions, the Coronavirus Aid, Relief and Economic Security Act (H.R. 748) finally passed the Senate today. The bill now needs to be approved by the House and eventually signed by the president.

The bill-known as the CARES Act-is the third legislative package developed in response to the coronavirus pandemic following the successful passage of an emergency funding bill and the Families First Coronavirus Response Act (H.R. 6201, now Public Law 116-127).

This CARES Act contains many provisions which the ADA has advocated for on behalf of dentistry that could be of significant benefit to dentists, dentist owners, dental students and dental office employees.

The legislative process is not completed. But we wanted to provide you with some details of the bill so that you can plan accordingly. Of note is that regulatory guidance from federal agencies such as the Department of Labor, Department of Treasury, Department of Health and Human Services, and the Internal Revenue Service may be necessary to fully explain the value and impact that these provisions would have on dentists, students and employees. The ADA will provide that guidance when it is available.

While the bill contains numerous provisions of interest and value, below are those that we believe are most critical for dentists, students and employees:
  • There are a number of Small Business Administration (SBA) loans available to dentist owners. One loan, in particular, is the Economic Injury Disaster Loan (EIDL), which establishes an emergency grant to allow a dental practice that applies for an EIDL loan to receive an advance on that loan of no more than $10,000, which the SBA must distribute within three days. The money may be used to pay for employee sick leave (COVID-19-related), mortgage or rent, and other overhead expenses. The grants would be awarded on a first come first served basis until the $10 billion fund is exhausted, and applicants would not have to repay the $10,000 grant even if they are denied the loan. Click here to visit the SBA site and learn more about the EIDL loan and other SBA loans.
     
  • Employers may be eligible for a portion of their federal small business loans to be forgiven (tax-free) for amounts spent for certain payroll, sick leave, family leave and other overhead expenses between February 15 and June 6, 2020, as well as certain other debt obligations incurred prior to February 15, 2020.
     
  • The SBA will pay the principal, interest and any associated fees that are currently owed on certain SBA loans for a six-month period starting on the next payment due date. Loans that are already on deferment would include an additional six months of payment by the SBA beginning with the next payment.
     
  • The bill allows for a withdrawal of money from retirement funds (i.e., 401K, etc.) of up to $100,000 in 2020 without paying a penalty if the dentist, their spouse or dependent(s) are diagnosed with COVID-19, or experience adverse financial consequences as a result of being quarantined, furloughed, laid off or having work hours reduced due to the coronavirus pandemic.
     
  • Federal student loan borrowers would not be required to make a payment through September 30, 2020. During this time, no interest would accumulate on those federal loans (payment suspension applies only to loans held by the Department of Education, not private loans). Regardless, loan borrowers should call their lender to verify eligibility.
     
  • For dentist employees that receive assistance from their employers in paying off student loans, those dentist employees will not have to pay income tax on any payment assistance, up to $5,250, that they receive between enactment of this law and January 1, 2021.
     
  • Employers and self-employed individuals can defer payment of the employer share of the Social Security tax until December 31, 2020. The deferred amounts would be paid over the following two years, with half of the amount required to be paid by December 31, 2021, and the other half by December 31, 2022.
     
  • The bill provides for a one-time federal income tax rebate for eligible dentists and their employees in 2020. The rebate amount would be $1,200 for individual tax filers and $2,400 for those filing a joint return. The amount of the rebate will be reduced for single filers making more than $75,000 and joint filers earning in excess of $150,000. In addition, a rebate of $500 is available for each child.
     
  • Emergency unemployment compensation benefits are dramatically increased-by as much as $600 a week-should dental office employees be laid off. This is a supplement for state funded unemployment insurance, with the federal enhancement being funded for four months.
I urge you to talk to your accountant about these provisions and determine how you might benefit from utilizing them. That said, when the bill is signed into law, the ADA will provide a full and detailed account of all the provisions that affect dentistry.

We will keep you informed as news breaks on this legislation. These are challenging times, but the ADA will continue to be a resource on important issues for you, your practice, and the profession. This is uncharted territory for the entire dental community, but we will get through this together.
 
We encourage everyone to look into applying for SBA's EIDL loans referenced above. The ADA has offered us a tip to address concerns that the SBA website is working sporadically due to demands on the system. Here is the link to directly apply for these loans online: https://disasterloan.sba.gov/ 
 
There are more questions than answers at this point and the situation continues to change rapidly. This bill must still go back to the House and then on to the President for signature before becoming law. Only then will it go to the appropriate department and agencies to be implemented. An optimistic estimation would be late next week before we have information you can rely upon. But, help is on the way!
 
Richard A. Whitehouse
Executive Director
 
 

March 26, 2020

A list of helpful links for you...

ADA.org/virus

How to apply for unemployment benefits in Kentucky 

kycovid19.ky.gov

Directory of Local Health Departments 

Centers for Disease Control

OSHA

Kentucky Board of Dentistry 

Mouthhealthy.org

Coronavirus Frequently Asked Questions

Financial Obligations to Staff during COVID-19 

 

 

March 24, 2020

ADA develops guidance on dental emergency, nonemergency care

Recommendations part of dentists’ response over COVID-19 concerns 

https://www.ada.org/en/publications/ada-news/2020-archive/march/ada-develops-guidance-on-dental-emergency-nonemergency-care

 

March 24, 2020 

Update on Legislative Issues

Hello, Fellow Dentists:

As the global situation on COVID-19 continues to evolve, the American Dental Association is committed to guiding the dental community through these challenging times. We are looking out for you, particularly as federal lawmakers work on legislation that could make a big difference for our profession. 

The Senate continues to work on the 3rd coronavirus legislative package, the Coronavirus Aid, Relief and Economic Security Act, also known as the CARES Act. The bill contains a number of provisions of importance to dentists and their dental practices. Despite much back and forth, the ADA is confident that Congress will complete the package shortly. We will send out details on the final provisions once they are available.

You should know that our grassroots efforts over the last 48 hours regarding the CARES Act have been outstanding—117,462 dentists have sent 358,535 emails to Capitol Hill. There is no doubt that dentistry’s message has been received!
 
By way of update, as you know the 2nd coronavirus legislative package, H.R. 6201, the Families First Coronavirus Response Act, was signed into law on March 18. It included some provisions that could affect your dental practice—primarily those concerning emergency paid sick leave and family medical leave.
 
The Department of Labor (DOL) has released summary overviews of what the law will require of employers (and employees) for emergency paid sick leave and the Family Medical Leave Act (FMLA). Please keep in mind that we anticipate further guidance from the Department of Labor to clarify these provisions. Once we receive the additional guidance, we will send an update that may assist you with your business decisions. The summary outlines can be found here: 

As you read the DOL guidance (above), please keep in mind that the ADA is still awaiting a response from the Department of Labor on our request that dental offices as small businesses (50 or fewer employees) be exempt from the emergency sick leave and FMLA, which would alter the requirements and impact of these provisions.

We will update you immediately once we receive a response from the Department of Labor to our request. (Read the letter to the Department of Labor here.)

We know that these are uncertain times, and the ADA will continue to be a resource now and in the weeks and months to come. Count on us—we are working hard for you.

Stay well,

Chad P. Gehani, DDS
President

 

March 23, 2020 

CDC Recommendation: Postpone Non-Urgent Dental Procedures, Surgeries, and Visits  

 
Issued March 20, 2020
Dear Colleagues,

In order to protect staff and preserve personal protective equipment and patient care supplies, as well as expand available hospital capacity during the COVID-19 pandemic, the Centers for Disease Control and Prevention (CDC) recommends that dental facilities postpone elective procedures, surgeries, and non-urgent dental visits, and prioritize urgent and emergency visits and proceduresnow and for the coming several weeks. This aligns with the American Dental Association (ADA)’s March 16, 2020 recommendation that dentists nationwide postpone elective procedures, as well the Centers for Medicare and Medicaid Services (CMS)’s March 19, 2020 guidance that all non-essential dental exams and procedures be postponed until further notice.

For urgent clinical care of patients with known or suspected COVID-19, dental personnel and medical providers should work together to determine an appropriate facility for treatment and should follow the Interim  Infection Prevention and Control Recommendations for Patients with Confirmed Coronavirus Disease 2019 (COVID-19) or Persons Under Investigation for COVID-19 in Healthcare Settings. The urgency and need for a procedure are decisions based on clinical judgement and should be made on a case-by-case basis.

CDC’s Division of Oral Health is diligently working with CDC’s Emergency Operations Center to develop COVID-19 guidance for dental settings. This is an emerging, rapidly evolving situation and CDC will provide updated information, including interim infection control guidance for dental settings, as it becomes available.

CDC urges providers to be familiar with the information on CDC’s COVID-19 website. Specific information is available for  Healthcare Professionals, including a  Healthcare Professional Preparedness Checklist, instructions on  Evaluating and Reporting Persons Under Investigation (PUI), Healthcare Personnel with Potential Exposure Guidance , and What Healthcare Personnel Should Know. Dental healthcare personnel can also consider signing up for communications from CDC’s Health Alert Network, which is CDC’s primary method of sharing information about urgent public health incidents with healthcare providers.

The Division of Oral Health will communicate through partners as soon as guidance is available for the dental community. Thank you for all you are doing to keep our country safe and healthy.

Sincerely,
CDC Division of Oral Health

 

March 23, 2020 

Governor orders Kentucky's nonessential retail businesses to close Monday

Gov. Andy Beshear has taken another step to stop the spread of COVID-19.

During a Sunday press conference, Beshear issued an order that will close all non-essential businesses in Kentucky.

View the Story

View the Order

 

March 20, 2020 

Elective Dental Procedures Must be Postponed

On March 18, the Cabinet for Health and Family Services issued the following memo in response to the COVID-19 outbreak in Kentucky. It requires all healthcare providers, including dentists, to suspend elective procedures that will not result in harm to the patient. 
 
This directive replaces the governor's previous request to voluntarily postpone non-emergency medical procedures.
 
 
 

March 20, 2020 

Unemployment Insurance: How It Works And How To Apply
 
In recent days, many businesses have been temporarily closed in an effort to curb the spread of COVID19. As a result, many in Kentucky have already lost their income source, and many more will in the coming days.
Unemployment insurance is available for those who have lost their jobs to help ease the burden.

https://wfpl.org/unemployment-insurance-how-it-works-and-how-to-apply/

 

March 19, 2020 

American Dental Association COVID-19 Talking Points

  • The ADA is deeply concerned for the health and well-being of the public and the dental team.  
  • We know that dentists and all health care professionals are facing unprecedented and extraordinary circumstances related to COVID-19.

ADA statement

  • In order for dentistry to do its part to mitigate the spread of COVID-19, the ADA recommends dentists nationwide postpone elective procedures for the next three weeks.
  • Concentrating on emergency dental care will allow us to care for our emergency patients and alleviate the burden that dental emergencies would place on hospital emergency departments.
  • As health care professionals, it is up to dentists to make well-informed decisions about their patients and practices.
  • The ADA is continually evaluating the situation and our recommendation on an ongoing basis as new information becomes available.
  • We are working on resources to help dentists during this time, and continually updating information and Frequently Asked Questions at ADA.org/virus.

What is emergency vs. non-emergency care?

  • When in doubt, patients should contact their dental professional for an assessment of whether a dental procedure is an emergency. Dentists will use their professional judgment in determining need for care.
  • Dental care you can reschedule for another time:
    • Regular visits for exams, cleanings and x-rays
    • Regular visits for braces
    • Removal of teeth that aren’t painful
    • Treatment of cavities that aren’t painful
    • Tooth whitening and other cosmetic procedures
    • Emergency or Urgent Dental Care: Dental care that should be taken care by a dentist immediately
      • Bleeding that doesn’t stop
      • Painful swelling in or around your mouth
      • Pain in a tooth, teeth or jaw bone
      • Gum infection with pain or swelling
      • After surgery treatment (dressing change, stitch removal)
      • Broken or knocked out tooth
      • Denture adjustment for people receiving radiation or other treatment for cancer
      • Snipping or adjusting wire of braces that hurts your cheek or gums
      • Other dental treatment required prior to critical medical procedures
      • Removal of stitches from oral surgery

Advocacy

  • As Congress works on legislation in response to COVID-19, the ADA is working to ensure that those bills include provisions that are beneficial to dentists, particularly dental practice owners, and their patients.
  • Congress has developed three legislative packages in response to the coronavirus pandemic and the ADA is asking lawmakers to include provisions on how to assist dental practices and other small businesses facing economic burdens.
  • Families First Coronavirus Response Act passed Congress March 18 and will be signed into law. It focuses on short-term issues such as child and elderly nutrition programs, COVID-19 testing, unemployment benefits, and family medical and sick leave.
  • Congress is also working on a third legislative package related to COVID-19. It includes provisions on how to assist dental practices and other small businesses facing economic burdens to increase federal funding to provide immediate help to small businesses.

Small business assistance

  • Dentist owners care deeply about the welfare of their employees, the majority of private dental practices are small businesses with only 5-10 people on staff. (78% of dentists own their own practice per HPI.)
  • The leave requirements currently being negotiated in Congress may create an extreme hardship for these small businesses. It could cause a financial burden to dentist owners and other small businesses already facing economic turmoil as a result of COVID-19.   
  • The ADA is working to further alter these provisions so that the dentist owner has the flexibility to make the business decisions that they need to make under these difficult circumstances.
  • The Small Business Administration’s (SBA) Economic Injury Disaster Loan program provides small businesses with working capital loans of up to $2 million that can provide vital economic support to small businesses to help overcome the temporary loss of revenue they are experiencing.
  • Dentists need to contact the SBA disaster assistance customer service center at 1-800-659-2955 or email disastercustomerservice@sba.gov. To apply for the loans, visit DisasterLoan.SBA.gov.

 

March 19, 2020 

Answers for your members: ADA and OSAP holding COVID-19 webinar

We know you have a lot of questions right now about the COVID-19 outbreak and what it means for dental practices, staff, and patients. 

The ADA is releasing an on-demand webinar on Friday, March 20, with infection control experts from the Organization for Safety, Asepsis, and Prevention (OSAP) to provide the dental community with practical guidance and education as we all navigate the challenges that COVID-19 is presenting to our profession. (Once this is released, you will be able to watch at your leisure.)

Presenters Eve Cuny and Kathy Eklund will also be answering questions submitted by dentists and dental team members. 

Register online to receive an email with all the information from this on-demand webinar when it is available late Friday afternoon.

March 19, 2020

In a statement issued on March 16, the American Dental Association (ADA) called upon dentists nationwide to postpone elective dental procedures for three weeks in order for dentistry to do its part to mitigate the spread of COVID-19. Concentrating on emergency dental care only during this time period will allow dentists and their teams to care for emergency patients and alleviate the burden that dental emergencies would place on hospital emergency departments.

The ADA recognizes that state governments and state dental associations may be best positioned to recommend to the dentists in their regions the amount of time to keep their offices closed to all but emergency care. This is a fluid situation, and those closest to the issue may best understand the local challenges being faced.

The following should be helpful in determining what is considered “emergency” versus “non emergency.” This guidance may change as the COVID-19 pandemic progresses, and dentists should use their professional judgment in determining a patient’s need for urgent or emergency care.

1.  Dental emergency

Dental emergencies are potentially life threatening and require immediate treatment to stop ongoing tissue bleeding, alleviate severe pain or infection, and include: Uncontrolled bleeding Cellulitis or a diffuse soft tissue bacterial infection with intra-oral or extra-oral swelling that potentially compromise the patient’s airway Trauma involving facial bones, potentially compromising the patient’s airway

Urgent dental care focuses on the management of conditions that require immediate attention to relieve severe pain and/or risk of infection and to alleviate the burden on hospital emergency departments. These should be treated as minimally invasively as possible. 

  • Severe dental pain from pulpal inflammation 
  • Pericoronitis or third-molar pain 
  • Surgical post-operative osteitis, dry socket dressing changes 
  • Abscess, or localized bacterial infection resulting in localized pain and swelling. 
  • Tooth fracture resulting in pain or causing soft tissue trauma 
  • Dental trauma with avulsion/luxation 
  • Dental treatment required prior to critical medical procedures 
  • Final crown/bridge cementation if the temporary restoration is lost, broken or causing gingival irritation

Other urgent dental care

  • Extensive dental caries or defective restorations causing pain 
  • Manage with interim restorative techniques when possible (silver diamine fluoride, glass ionomers)
  • Suture removal 
  • Denture adjustment on radiation/oncology patients 
  • Denture adjustments or repairs when function impeded 
  • Replacing temporary filling on endo access openings in patients experiencing pain 
  • Snipping or adjustment of an orthodontic wire or appliances piercing or ulcerating the oral mucosa

2.  Dental non emergency procedures


Routine or non-urgent dental procedures include but are not limited to: 

  • Initial or periodic oral examinations and recall visits, including routine radiographs 
  • Routine dental cleaning and preventive therapies 
  • Orthodontic procedures other than those to address acute issues (e.g. pain, infection, trauma) 
  • Extraction of asymptomatic teeth 
  • Restorative dentistry including treatment of asymptomatic carious lesions 
  • Aesthetic dental procedures


The ADA is committed to providing the latest information to the profession in a useful and timely manner. Please visit ADA.org/virus for the latest information.

March 18, 2020

As we get through the next few weeks together, KDA will continue to work for members and the profession. One way we can serve the profession during these times is to continue to act as a resource for you and direct you to information for your practice and your patients. A good way to do that is to share information we receive from the ADA, the government and our partners. Today, I received information from Anthem Insurance which some of you may find helpful and informative. As we have with all information related to COVID-19, we are sharing this with every licensed dentist in Kentucky. This is not for marketing purposes, although Anthem is a partner of KDA. And you may choose to do what you will with the information. But, we will continue to share useful information like this on topics of importance to dentistry throughout this crisis.

Anthem 1 COVID-19 testing and care to support affiliated health plan members

Anthem 2 LHO COVID 19 Member Facts

Anthem 3 3-17-2020_ABS Coronavirus BE FAQs

Anthem 4 LHO email HealthLive Online

Anthem 5 member facts

Anthem 6 Press updates regarding COVID-19 testing and care to support affiliated health plan members

March 17, 2020

Over the last few days, throughout the Commonwealth and around the nation there has been a great deal of discussion about the Coronavirus (COVID-19), which recently became a worldwide pandemic. There has also been a good deal of misinformation and misunderstanding regarding what might happen in the coming weeks and how we will all be affected. There are no easy answers to the questions you face. Please know that regulators, policymakers and your patients are depending upon you to use your best professional judgment regarding these issues.

The Kentucky Dental Association serves member dentists and our mission is to help our members succeed and serve. Our leadership recognizes the ideal of service above self and so we have shared information related to this outbreak with all dentists in Kentucky. But, as a professional association, it is our belief that it would be inappropriate to dictate to you how to practice or whether to reschedule elective care or even develop a triage system to ensure an adequate inventory of limited supplies. Instead, we have been working with those individuals and offices charged with regulatory oversight and authority regarding matters of public health in order to represent the interests of the profession and provide clear and honest information upon which you can render your personal and professional judgment.

We have and will continue to inform you of what you need to know as providers when we have the information to share. Whenever possible, we are also here to provide suggestions, solutions, and strategies for you, your practice and your patients.

Here are the facts you need today...

The KDA Board members met last night on a conference call with members of the Kentucky Board of Dentistry to discuss issues related to attempts to mitigate the impact of COVID-19 upon healthcare providers and their patients.

Late yesterday, the Kentucky Board of Dentistry released the following statement:

On March 14, Gov. Andy Beshear announced that non-emergency medical procedures should cease until further notice. The Board of Dentistry has confirmed that he and Commissioner Steven Stack intended for dental procedures to be part of this request. In that light, the Kentucky Board of Dentistry is asking all health care providers (including dentists, dental specialists and hygienists) to reschedule all elective dental care which will not negatively affect the patient. This should begin as soon as possible and continue until advised otherwise by the Department for Public Health. 

Due to the nature of this respiratory illness, the Board highly encourages its licensees to utilize rubber dam or similar isolation whenever possible for patients that must be seen. These actions will not only protect our patients but you as a licensee, your employees and their families.

We understand the financial difficulties this decision may cause some of our providers and their staff. However, it is imperative that all health care providers in the state are on the same page in order to "flatten the curve" and beat this disease.

The KDA supports the position expressed by KBOD. KBOD has also expressed that this policy is not directive. It is a "request" and not intended to be an enforcement issue. But it is important to know that this action is important to "flatten the curve" in order to avoid the very real possibility of overtaxing our healthcare system and compromising our ability to care for those infected by the virus. In making this request, KBOD is relying upon your professional judgment and interpretation of what constitutes "elective dental care which will not negatively affect the patient."

Early yesterday evening, the American Dental Association released the following statement that reinforces the notion that the public can rely upon dentists to exercise professional judgment during this crisis:

ADA Calls Upon Dentists to Postpone Elective Procedures 

The American Dental Association (ADA) recognizes the unprecedented and extraordinary circumstances dentists and all health care professionals face related to growing concern about COVID-19. The ADA is deeply concerned for the health and well-being of the public and the dental team. 

In order for dentistry to do its part to mitigate the spread of COVID-19, the ADA recommends dentists nationwide postpone elective procedures for the next three weeks. Concentrating on emergency dental care will allow us to care for our emergency patients and alleviate the burden that dental emergencies would place on hospital emergency departments.

As health care professionals, it is up to dentists to make well-informed decisions about their patients and practices. The ADA is committed to providing the latest information to the profession in a useful and timely manner. 

The ADA is continually evaluating and will update its recommendation on an ongoing basis as new information becomes available. Please visit ADA.org/virus for the latest information.

We also know that this pandemic is affecting your practice in terms of supply chain, management and financial issues. It is important to contact your local public health department for some questions. We have already provided dentists with links to important information from the Center for Disease Control, the Food & Drug Administration, as well as ADA resources for other questions. To address questions related to maintaining your practice through this crisis, the ADA has provided the following information for guidance. It is a summary of the Economic Injury Disaster Loan Program that recently became law.

The SBA will work directly with state Governors to provide targeted, low-interest loans to small businesses and non-profits that have been severely impacted by the Coronavirus (COVID-19). The SBA's Economic Injury Disaster Loan program provides small businesses with working capital loans of up to $2 million that can provide vital economic support to small businesses to help overcome the temporary loss of revenue they are experiencing. 

  • Find more information on the SBA's Economic Injury Disaster Loans at: SBA.gov/Disaster.

Guidance for Businesses and Employers

The Centers for Disease Control and Prevention (CDC) offers the most up-to-date information on COVID-19. This interim guidance is based on what is currently known about the coronavirus disease 2019 (COVID-19). For updates from CDC, please see the following:

Disaster Assistance

The SBA provides low-interest disaster loans to help businesses and homeowners recover from declared disasters.  

https://www.sba.gov/funding-programs/disaster-assistance

Finally, the following link from the U.S. Chamber of Commerce may be of interest to you and is provided as a source of guidance.

https://www.uschamber.com/co/start/strategy/small-business-resources-for-surviving-coronavirus

Please ensure that KDA e-mail is not being routed to your spam or junk file and advise colleagues who tell you they haven't read anything from KDA to do the same. We will continue providing important information you need as we move through the coming weeks. We are the voice of organized dentistry and will continue to be a source of information you on issues affecting dentists and their patients throughout this crisis and beyond.

Richard Whitehouse

KDA Executive Director

 

March 16, 2020

3 16 20 - COVID-19 is now a worldwide pandemic and everything around us is changing very quickly. Decisions and advice are coming from many sources at the federal, state and local levels. These issues involve legitimate concerns related to public health, regulatory, clinical, business, supply chain, etc.
While the KDA does not have the legal authority to mandate to its members how they practice, we do recommend that all dentists in the state use common sense when treating patients and stay tuned to their local health departments, the CDC, the Kentucky Board of Dentistry, OSHA and their local city governments for guidance about patient health care, elective surgeries and non-emergent care. 
 
Our job is to disseminate information so that you may make informed and responsible decisions. Please use discretion and be responsible citizens for the sake of your patients, staff and families.
 
The KDA will continue to distribute information as it becomes available.
Rick Whitehouse, KDA Executive Director

March 13, 2020

We anticipate members will continue to have many questions in the coming weeks regarding COVID-19. It is now a world-wide pandemic and it seems like everything around us is changing very quickly. Decisions and advice are coming from many sources at the federal, state and local levels. These issues involve legitimate concerns related to public health, regulatory, clinical, business, supply chain, etc.

Here is an example of the kind of questions you can find answers to:

Should we close the practice if we run out of masks and our vendors and distributors have put caps on how much, and how often, we can get new shipments?

Answer:

Practices experiencing difficulty obtaining PPE may have to triage patients as a way to ensure that adequate PPE is available for patients whose appointments are most urgent. If your office is concerned about a potential or imminent shortage of PPE, CDC recommends you alert your state/local health department and local healthcare coalition, as they are best positioned to help facilities troubleshoot through temporary shortages. 

You can also report the shortage to the FDA at deviceshortages@fda.hhs.gov. CDC recommends that Dental Health Care Personnel (DHCP) concerned about healthcare supply for PPE regularly monitor Healthcare Supply of Personal Protective Equipment for updated guidance. They should also be familiar with the Interim Infection Prevention and Control Recommendations.

For answers to other questions you may have, please review the links below and continue to read email communication like KDA eXPRESS and Constant Contact. KDA will continue to provide you with sources of other relevant information through all available means of communication as this situation develops.

In the meantime, avoid crowds, keep washing your hands (for 20 seconds or more!) and stay safe!

Rick Whitehouse, KDA Executive Director

ADA COVID-19 Information - Frequently Asked Questions

ADA 2019 Novel Coronavirus (COVID-19) Information

CDC Coronavirus Disease 2019 (COVID-19) Situation Summary

KY Department of Public Health COVID-19 Information Page

OSHA's Guidance on Preparing Workplaces for COVID-19

CDC Strategies for Optimizing the Supply of N95 Respirators

KY Cabinet for Health & Family Services COVID-19 Hotline 

1-800-722-5725

 

If you need additional information you may contact Jenna Scott,

KDA Director of Membership Services

502-489-9121

jenna@kyda.org

UPDATED 3 13 20