Guide

for Dentists at call

center During Covid-19
Pandemic
Call Flowcharts

 HC Number

Phone
Number

Medical
History

Allergies History (Including

MedicaDons)

Reason for
the Call

Dental Problem associated with

PaDent only wants to ask about
Swallowing or Breathing
his Appointment
difficulDes

Yes Yes
send paDent to nearest For HDC paDents: direct the
emergency care center call to HMC call center 16060
For PHCC: Transfer call to 107

NO Ask for Type of Problem No

Ask About Type of Problem

 Dental Pain

ConDnous Pain IntermiWent or Triggered

Less than 7 on Pain Avoid trigger and OHI

scale More than 7 on pain
scale

Prescribe Pain killers

and OHI Prescribe opDmal pain killers and
ask the paDent to call aTer 2 days

PaDent Can Get MedicaDons

from PHCC Pharmacy
SDll no improvement or there is
increase in pain direct to Urgent
Dental Care

Note 1: When Directing Patient to Urgent Dental Care: Note 2: Patient can get medications from PHCC pharmacy

• For PHCC: Transfer call to 107

• For HDC patients Email Dr. Samir: sagwan@hamad.qa

 Bleeding

Gingival bleeding Post ExtracLon

Uncontrolled Less than 12 hours

Spontaneous and can be
No Pain & bleeding that is not More than 8 to 12
With severe Spontaneous hours post controlled with
conLnuous Pain improving by good Local measures and
Bleeding ExtracLon
OH nor local proper Post
measures extracLon
InstrucLons

Direct to Urgent OHI & Prescribe Direct to Urgent

Dental Care Mouth wash Direct to A&E Dental Care. re-emphasize on
proper post-
surgical
instrucLons and
educate the PaLent
not to remove the
blood clot

Note 1: When Directing Patient to Urgent Dental Care: Note 2: Patient can get medications from PHCC pharmacy

• For PHCC: Transfer call to 107

• For HDC patients Email Dr. Samir: sagwan@hamad.qa

 Trauma

Clients suffering head or facial

trauma will be directed to the Dental Trauma
nearest A&E immediately.

Bleeding (See Loose or Broken

Pain (See pain Chart) Avulsion
Bleeding Chart) filling/tooth

Instruct to replace
Give appropriate the tooth in the
dental advice and to socket or properly
wait unLl further preserve the tooth &
noLce to get a Direct PaLent to
dental appointment Urgent Dental Care
Provider

Note 1: When Directing Patient to Urgent Dental Care: Note 2: Patient can get medications from PHCC pharmacy

• For PHCC: Transfer call to 107

• For HDC patients Email Dr. Samir: sagwan@hamad.qa

 Swelling

Complicated Uncomplicated

Medically Unlocalized Localized

Compromized
PaLent OR
Systemic
involvement (e.g. Severe & Discharge: Exudate,
Prescribe ConLneous Pain blood, etc
enlarged lumph opLmum
nodes, fever, analgesics,
malaise, increasing AnLbioLcs & Prescribe
gradually in size) OHI. Ask The opLmum Yes No: Give OHI
OR Compromizing PaLent to call analgesics, and to wait
airway or a^er 2 days. If AnLbioLcs & unLl further
swallowing not Improved OHI. Ask The noLce to get a
Increasing in dental
direct to PaLent to call size: Prescribe
Urgent dental a^er 2 days. If appointment
AnLbioLcs &
care. not Improved Pain Killers
Send to A&E
direct to
Urgent dental
care. Not Increasing In Size Give OHI and
to wait unLl further noLce to get a
dental appointment

Note 1: When Directing Patient to Urgent Dental Care: Note 2: Patient can get medications from PHCC pharmacy

• For PHCC: Transfer call to 107

• For HDC patients Email Dr. Samir: sagwan@hamad.qa

 Oral Mucosal
UlceraDon

More Than 2 Less Than 2

weeks weeks

Preceded by Not Preceded by
Yes, Direct to vesicles vesicles
OMFS

Erosions with
Small size on lip white lines Primary ulcer
or skin; recurrent.
Dx: Herpes simple
Rx: Avoid touch Bilateral, Without Pain, Ask
+Topical acyclovir With Pain
Recurrent. Dx: Oral the paLent to call
lichen planus. a^er 7 days if not
Rx: Reassure, improved or
disappeared Direct Recurrent, Associated with
Big size on skin &/ Prescribe single or Appliance or
Chlorhexidine PaLent to OMFS
or mucosa; mulLple trauma (physical,
chronic. mouth wash, ask thermal, chemical)
the paLent to Call Dx: Aphthous
Dx: Vesiculo- a^er 7 days if no Dx: TraumaLc
bollous lesions. improvement Rx: Reassure,
Rx: Prescribe direct to OMFS OHI, Prescribe Rx: Remove trauma +
Chlorhexidine Chlorhexidine Prescribe Pain Killers &
Mouth wash,Ask mouth wash Chlorhexidine mouth wash.
the paLent to Call First Time, wearing denture, and pain killers Ask the paLent to call a^er 7
a^er 7 days if no Dx: Oral Candida or Denture StomaLLs Tx; days if not improved or
improvement Reassure, Prescribe topical NystaLn, ask the disappeared Direct PaLent to
direct to OMFS paLent to Call a^er 7 days if no improvement OMFS
direct to OMFS

Note 1: When Directing Patient to Urgent Dental Care: Note 2: Patient can get medications from PHCC pharmacy

• For PHCC: Transfer call to 107

• For Referring to OMFS Email Dr. Samir: sagwan@hamad.qa

 Picture Guide For Oral Ulcers

Herpes simplex Traumatic
Denture Stomatitis

Vesiculo-bollous Aphthous Oral Candida

Oral lichen planus