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In consideration of Oahu's current average vaccination rate, 7-day average case count, COVID hospitalizations, positivity rate, and the State of Hawaii's December 27, 2021 COVID updates, we will enter a revised Tier 1 of our COVID safety protocols effective December 29, 2021. Thank you for your understanding. We are excited for the progress we are seeing especially with the Holidays coming up!

Larger Tier 1 Protocol image here

 Accessible COVID tier protocols here

 

 

In consideration of Oahu's current average vaccination rate, 7-day average case count, COVID hospitalizations, positivity rate, and the State of Hawaii's November 3 COVID updates, we will enter Tier 2 of our COVID safety protocols effective November 3. Thank you for your understanding. We are excited for the progress we are seeing especially with the Holidays coming up!

Larger Tier 2 Protocol image here

 Accessible COVID tier protocols here

We sure miss social events, football games, and especially Disneyland, Vegas & Japan! We hope you and your families have found creative ways to discover joy while maintaining safety as well. In consideration for the Delta variant, we have created a Tiered safety system for our office. We are currently in Tier 1:

(It might be easier to see here)

ADA Accessible version of COVID Tier 1 Protocol here

UV sterilization seems to be a reliable method for protecting against pathogens such as COVID, so we looked into UV technology to help treat the air in our office. The challenge was finding a product that allows enough UV-microbe contact time to predictably inactivate microbes. 

Radic8 

This is a product designed to clean and purify air similar to other HEPA/UV air purifiers. However, we were excited by the vertical construction of the unit with 8 stacks of 2 UV lights each with tray construction between the UV lights designed to disturb and slow the pattern of airflow. The other units we evaluated didn't have a UV chamber we felt would allow enough UV-microbe contact time as the Radic8 technology. 

We have not received these units yet but we look forward to receiving them at about the same time construction on our office is complete in mid-October.

If you are searching for similar tech, we were also considering the Surgically Clean Air Cascade White unit but there are more logistical challenges with this unit. 

COVID can spread via aerosols and many dental procedures create aerosols. Existing techniques such as our high speed suction, mirror suction tips, rubber dam and Isolite technology dramatically reduce the escape of aerosols, but we also added extraoral suction units for high risk procedures. 

Extraoral Suction Unit

While our existing techniques focus on suctioning in the mouth, these new suction units capture aerosols by serving as a suction unit outside the mouth. We spray disinfectant inside and let it run after each use as directed by the vendor. These units do not have a history of usage in dentistry and it is unclear what happens long term with the moisture being vacuumed into the units.  Without data from long-term usage or independent studies on these types of units, we primarily rely on our existing techniques to control aerosols during dental procedures, but do use these units as needed. The safest strategy is a good COVID screening process and reducing microbes prior to dental procedures by using hydrogen peroxide pre-rinses. 





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