PCOMS COVID-19 update: Position on AGP in Oral Surgical Procedures

May 27, 2020

Surgical procedures in the oral cavity will expose the clinicians to body fluids including blood and saliva regardless of aerosol production brought about by mechanical instruments.

Current evidence show high concentration of the virus (SARS-CoV-2) in the oropharynx and nose. Significant viral load of the virus is also seen in saliva. Because of the clinician’s proximity to these areas during oral surgical procedures, the risk of disease transmission for COVID-19 is high during their performance.

The PCOMS, in the context of the COVID-19 transmission during oral surgical procedures, does not distinguish the risk of potential transmission whether droplet nuclei is produced or not.

The PCOMS highly recommends, the use of an appropriate level of PPE and other precautionary measure consistent with risk assessment.

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