{"id":16120,"date":"2020-06-08T14:22:40","date_gmt":"2020-06-08T19:22:40","guid":{"rendered":"https:\/\/www.aae.org\/specialty\/?p=16120"},"modified":"2020-09-11T11:41:53","modified_gmt":"2020-09-11T16:41:53","slug":"chesler","status":"publish","type":"post","link":"https:\/\/www.aae.org\/specialty\/chesler\/","title":{"rendered":"Reopening an Endodontic Practice: A Q&A with AAE Member Dr. Matthew Chesler"},"content":{"rendered":"

The AAE recently spoke with Dr. Matthew Chesler<\/a> of San Diego North Endodontics to learn more about operating an endodontic practice safely and effectively as states and communities across the country reopen.<\/p>\n

\"\"

From: San Diego North Endodontics
Facebook Page
“Here we go!” \u2014 with Matthew Chesler, Carmen Leon and Melody Bassett Seekins.<\/p><\/div>\n

Can you tell us about the steps you\u2019ve taken to protect yourself, your patients and staff?<\/strong><\/p>\n

It starts with the first contact over the phone where a set of screening questions are asked.\u00a0 Provided a patient responds in the negative to these questions, the appointment is made.\u00a0 When the patient arrives for their scheduled appointment, they are instructed to call us upon arrival.\u00a0 They are then given permission to enter the office, with a mask on. This way, we control the amount of people in the office at any given time.\u00a0 At this point, we have a table with hand sanitizer that is to be used upon entry. They will then approach the reception desk where the patient\u2019s temperature is taken with a contactless thermometer. The screening questions are repeated at this time as well. Walk-ins are discouraged at this time.\u00a0 We have also obtained two air purifying units from Surgically Clean Air as well as two UV-C lights for end of day disinfection for each operatory.<\/p>\n

What sort of PPE do you use? Do you provide anything for the patients to limit their exposure too?<\/strong><\/p>\n

We currently have two types of N95 masks, in addition to level 3 surgical masks. The N95\u2019s are worn during treatment appointments and the level 3\u2019s during consultations and follow-ups. We\u2019ve also added full head covers and gowns, both of which are reusable and are used for a single patient and then laundered. My assistants use full face shields as well. Patients are instructed to leave their personal masks on until treatment is started and to replaced them once treatment is completed.<\/p>\n

Can you tell us about your efforts to reduce staff or patient anxiety?<\/strong><\/p>\n

The most important conversation I have had was with my staff.\u00a0 I told them that until they feel comfortable, we would not open. Despite shortages, we were able to acquire enough of the appropriate PPE to protect all those involved. We review procedures on a daily basis to see where processes can be improved. Since this is an entirely new scenario, it\u2019s a constant work in progress. As for patients, there\u2019s an inherent anxiety for most people coming in for endodontic therapy. Although CDC instructions recommend entering the room in full PPE, I take a brief moment before I step into the operatory to introduce myself so the patient can see a face that isn\u2019t completely covered in PPE. At that point, I\u2019ll get into my PPE, enter the room and begin the pre-op consultation.<\/p>\n

Can you tell us\u00a0 about the ways you and your staff have promoted your practice and\/or increased awareness that you\u2019re open for treatments?<\/strong><\/p>\n

I have a staff member who is a social media expert. She has kept our followers in the loop from the time the lock-downs started. We\u2019ve also had numerous posts since we\u2019ve been back showing everyone how things are different, but safe, during this period. I have reached out to our referring doctors to let them know we\u2019re back as well.<\/p>\n

What advice do you have for your fellow endodontists who plan to resume normal business hours?<\/strong><\/p>\n

Make sure you take the time to establish a plan.\u00a0 The ADA put out a very useful \u201cReturn to Work\u201d toolkit that encompasses all aspects of running a practice. Make sure you have the right kind of PPE, and enough of it, to keep everyone safe. We\u2019ve extended our appointment times so that there\u2019s less crossover between patients coming in and out.\u00a0 We now see fewer patients than we did before, but that seems to be the case with our referrals as well.\u00a0 Know that the situation is fluid and check in with your staff often. Process improvement should be constantly employed to create the best environment for all those involved.<\/p>\n

Similarly, what advice would you like to give to your fellow endodontists who may not be open normal business hours or seeing patients only during emergencies?<\/strong><\/p>\n

Only proceed forward when you feel comfortable doing so. Feeling uncomfortable or ill-prepared will have an effect not only on you & your staff, but in the quality of treatment that is provided to your patients. Don\u2019t think of it as a light switch that is either \u201con\u201d or \u201coff\u201d, but rather a dimmer switch that can be increased with time.<\/p>\n

Have you utilized any COVID-19 relief packages passed by state or federal officials? If so, can you tell me about the process? How have the funds helped you?<\/strong><\/p>\n

We utilized both the PPP and the EIDL. The PPP was vitally important in getting back to work quickly by infusing needed cash into the practice, especially for payroll. Recently, the rules have changed and the time frame for usage of these funds has been extended to 24 weeks from 8 weeks, which is helpful.<\/p>\n

Is there anything else you\u2019d like endodontists and patients to know?<\/strong><\/p>\n

It\u2019s been said before, but we\u2019re all in this together. It\u2019s not limited to any single city or state.\u00a0 Establishing a plan for safety, and continual monitoring and adjustment of that plan, will help to ensure a transition back to full-time practice. Remember also to move at your own pace. If something feels uncomfortable, or you feel like you\u2019re missing steps, stop. For patients, know that we are doing everything we can to make you feel safe and comfortable, while still providing the highest level of endodontic care possible. It\u2019s a lot to juggle at any one time and we appreciate you working with us as we manage the way we deliver care in this new era.<\/p>\n","protected":false},"excerpt":{"rendered":"

The AAE recently spoke with Dr. Matthew Chesler of San Diego North Endodontics to learn more about operating an endodontic practice safely and effectively as states and communities across the country re-open.<\/p>\n","protected":false},"author":36,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"content-type":"","_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[291],"tags":[],"feature":[],"class_list":["post-16120","post","type-post","status-publish","format-standard","hentry","category-covid-19"],"yoast_head":"\nReopening an Endodontic Practice: A Q&A with AAE Member Dr. Matthew Chesler - 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