The health and safety of our patients and the communities in which we operate is our top priority.

We understand and share the growing concerns related to the coronavirus (COVID-19) and we are closely following the Center for Disease Control (CDC) and the American Dental Association ( ADA) for updates and directives.

We already have very strict protocols when it comes to sanitation and cleanliness and follow all requirements with regularly used disinfectants that work to kill 99.9% of germs and virus, including all types of coronavirus.

As you all know, the cleanliness and sterilization of our offices are always the highest standard with or without the threat of a virus. All of our clinical team members have been trained on protocols that are currently above and

beyond ADA guidelines with regards to sanitation of the office before and after each patient. Your safety is our highest priority!

As things evolve, we are actively monitoring the situation and assessing risks, and are ready to implement immediate changes to ensure a high level of safety.

AT THIS TIME, WE WILL REMAIN OPEN DURING OUR NORMAL BUSINESS HOURS FOR MOST APPOINTMENTS, BUT PLEASE READ AND CONSIDER THE FOLLOWING:

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Patients

We kindly ask that if any patient or family member has been sick or in close proximity to someone sick/running a fever in the last 48 hours to please reschedule your appointment.

We kindly ask that if you have been outside of the United States recently and /or exhibit any signs and symptoms of the Corona Virus like fever, cough, runny nose please reschedule your appointment. We appreciate your cooperation as we ensure the safety of all of our patients.

We kindly ask that if any of our scheduled patients exhibit flu-­‐like signs and symptoms, or been in contact with anyone at risk, to please call our office and reschedule.

If you can answer yes to any of the following questions, please call 877-SMILE10 TO reschedule your appointment.

1. Are you having flu-­‐like symptoms such as cough, fever or shortness of breath?
2. In the last 21 days have you traveled to an area at high-­‐risk for COVID-19 transmission?
   (Italy, China, South Korea, etc.)
3. Have you been in close contact with anyone confirmed or being evaluated for COVID-19?

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We want to update you on the additional steps we will be taking to protect you:

What We are Doing

• Our staff is dedicated to your Health And Cleanliness
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  ‍We have added several procedures in addition to our already rigorous infection control procedures:
  All your instruments are cleaned and sterilized to 430 degrees for 20 plus minutes! Nobody living on those instruments!

• Thorough disinfection of all surfaces.
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  Our patient and common areas are being wiped down and disinfected multiple times during the day with extra focus on high touch areas such as counter tops, door handles, light switches, drawer handles, sinks, bathrooms etc using recommended anti-­bacterial and germicidal cleaners.

• We are introducing rigorous additional cleaning procedures, and are increasing the number of wipes, hand sanitizers, and other cleaning materials available at reception area and throughout our clinics for patients to use.
  (Sanitize - Encourage the use of approved, alcohol-based hand sanitizer by patients and their family members when entering and leaving the office. Sanitizer locations have been clearly marked and identified for easy use.)
  Upon entering and exiting, we ask that our patients use our hand-­sanitizer dispensers. We greatly appreciate your cooperation in this matter.

• We’re taking sensible steps to help protect our team of associates:
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  Preventative measures include:

1. Educating our people on signs and symptoms of the disease.
2. Continued use of disposable personal protective equipment (face masks, face shields, eye protection, gloves, long sleeves shirts/ gowns) as specified for orthodontic procedures.
3. Request frequent Hand­‐washing in the office by our staff, patients and their families.
4. Minimize operations that can produce droplets or aerosols. ( the use of saliva ejectors with low or high volume can reduce the production of droplets and aerosols).
5. Health Monitoring /Daily screening of our staff and patients to identify flu­‐like symptoms. To help keep yourself and others healthy, please avoid touching your eyes, nose, and mouth with unwashed hands.
   Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
   We request our staff, patients and their families who are sick to stay home.

• We are following guidance from the Centers for Disease Control and Prevention, as well as our local, state and federal governments, to minimize the spread and impact of the virus.
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  We are monitoring new developments, so that we can quickly adapt and continue to provide the care our patients need in our clinics!

Thank you in advance for your cooperation and help in keeping TenBrook Orthodontics a safe environment. We will keep you updated as we continue to assess things on a daily basis.