Dear ZenFamily,

Hope everyone is staying safe and having a productive week so far! Last week here at Zen we had a webinar on Friday 5/15 on “Understanding N95/KN95 Masks and 3 Ply Surgical Masks, Compliance For Dental Practices Including research/diagrams/test/in office test log forms”. Mary Govoni joined Tiger to answer questions on what products to start ordering asap, understanding the different masks types, compliance for dental offices, current market counterfeits and much more. Please find the full webinar here:

Notes and Links discussed during the webinar:
*Disclaimer: all information below is only suggested and not presented as scientific research nor acts as a guideline for dental practices. This is only expression of the research we’ve done for our members in the attempt to consolidate different ideas in one resource. Below information is assembled by Zen Team only and not related to opinions/recommendations of guest speakers on the webinar.

General Info on Mask and Identifying Counterfeit:

• ADA Tips to Avoid Counterfeit: https://success.ada.org/~/media/CPS/Files/COVID/ADA_TipsToAvoidCounterfeitMasks.pdf?utm_source=adaorg&utm_medium=adanews&utm_content=cv-counterfeitmask&utm_campaign=covid-19
• ADA Guide on Understanding different masks: https://success.ada.org/~/media/CPS/Files/COVID/ADA_COVID19_UnderstandingMasks.pdf?utm_source=adaorg&utm_medium=adanews
• ADA 1 CE Course on Respiratory Protection in the Era of COVID-19 (great resource): https://success.ada.org/en/practice-management/patients/digital-events/ada-and-osap-respiratory-protection-in-the-era-of-covid-19-webinar?utm_source=adaorg&utm_medium=adanews
• American Association of Occupational Health Nurses Online Course: Respiratory Protection Program Training and Resources (Free Certification) – Recommended to have at least 1 team member to be Certified: http://aaohn.org/p/cm/ld/fid=1138

Level 1/2/3 3 Ply Surgical Masks:

• Study on effectiveness of N95 vs Surgical Masks: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4868605/
• Level 3 Masks are recommended for use in Dental Practices: https://healthcentricadvisors.org/wp-content/uploads/2017/04/3_MaskEnomics_Poster_2012.pdf
• Research from Dental Advisors from 2014 (Trying to find something more recent, if you know of a resource, please add in comments). Face Masks, What to wear and when: https://www.dentaladvisor.com/pdf-download/?pdf_url=wp-content/uploads/2015/02/face-masks-what-to-wear-and-when.pdf
• Choose the right mask from Cardinal Health. Visual diagram of Understanding ASTM level of Protection: https://www.cardinalhealth.com/content/dam/corp/web/documents/whitepaper/Face%20Mask%20Selection%20Guide.pdf

N95 Respirators Resources:

• ADA Tip Sheet on identifying counterfeit N95 masks (as of May 7, 2020): https://www.ada.org/en/publications/ada-news/2020-archive/may/ada-tip-sheet-includes-cdc-guidance-on-identifying-counterfeit-n95-masks

• Fit Test Kit and Instructional Video (Product Available on Zen Resource Page): https://www.allegrosafety.com/product/saccharin-fit-test-kit/
• How to Perform a User Seal Check with an N95 Respirator (different from Fit Test):https://youtu.be/pGXiUyAoEd8

OSHA Compliance requirement (documented on ZenResource Page as of May 7, 2020):

1. Every Employee Must Complete – Respirator Medical Evaluation Questionnaire: https://www.osha.gov/Publications/OSHA3789info.pdf
2. Every Employee must complete Fit Test prior to using a Respirator. ReCertification is required 1/year. Safety Fit Test Record: https://www.allegrosafety.com/wp-content/uploads/2019/10/Respirator-Fit-Test-Record.pdf

List of Respirator Trusted-Source Information (From CDC Website):
https://www.cdc.gov/niosh/npptl/topics/respirators/disp_part/respsource3healthcare.html#e
NIOSH – Approved N95 Particulate Filtering Facepiece Respirators (Full List of Approved manufacturers): https://www.cdc.gov/niosh/npptl/topics/respirators/disp_part/N95list1.html
Surgical N95 Respirators Approved Manufacture List (Short):
https://www.cdc.gov/niosh/npptl/topics/respirators/disp_part/respsource3surgicaln95.html

KN95 Masks Resources:

• NIOSH International Assessment Results – Not NIOSH approved: https://www.cdc.gov/niosh/npptl/respirators/testing/NonNIOSHresults.html
• List of Approved Manufacturers (FDA Approved as of May 7, 2020): www.cdc.gov/niosh/npptl/topics/respirators/disp_part/respsource3surgicaln95.html

Steps to spot counterfeit products (these steps make assumption that documents provided are true in nature and have not been reprinted with logos of FDA/NIOSH and any other organizations):

1. The manufacturer from who the product is manufactured should have an FDA certificate on file with their name and the approved product
2. The manufacturer must be on the approved Chinese exporter list
3. There should be a testing report on file that they can send to show you they are a legitimate product
4. The distributor could or should have FDA Registration to be able to import these products. Always ask for FDA registration of the vendor who is exporting products.
5. FDA Database of Registration & Device Listing: https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfRL/rl.cfm

Reusable Gowns/Laundry Service and Washer/Dryer Installation:
Cost of reusable gowns is between $20-$30/gown. We will work on getting a source for a group order for the reusable gowns.
Cost of Pick Up and laundry service. First of all I would highly recommend to talk to your local Laundry Service provider and discuss how to work together. Prices that we found online are ranging from $.95 to $3 per pound, including pick up/drop off/folding.

The other option is Washer and dryer Hookup:
The cost of installation: https://www.thumbtack.com/p/washer-dryer-hookup-cost

Portable washer/dryer:
https://www.wayfair.com/GE-Appliances–Spacemaker%C2%AE-3.6-cu.-ft.-Portable-Dryer-DSKP333ECWW-L7322-K~GEAP1077.html?refid=GX350646125182-GEAP1077&device=c&ptid=753249148770&network=g&targetid=pla-753249148770&channel=GooglePLA&ireid=66097775&fdid=1817&gclid=EAIaIQobChMIr5rFq-O26QIVR5yzCh0z7ghOEAQYBCABEgJ67fD_BwE

Here are the details on the webinar coming up for the week of 5/18:

On Friday, 5/22, at 1pm CST, we invited Dr. Gina Dorfman, a dentist and fellow CEO of Yapi Dental and Julie Varney, CDA, RDA, COA, FAADOM, CDSO, CDSH, Mentor of Dental Assistants Rock to share their experiences, tips and advice on reopening your practice. Dr. Dorfman’s practice reopened on Monday, 5/18 and she will share with us how her office went through the reopening process and what their quarantine experience was like. Julie is in New York and her office has not reopened yet. They’ve done a lot to train their staff on new updates, performed a systems check and stocked up on PPEs. Dr. Dorfman will also talk about some protocols! Be ready to ask Julie and Dr. Dorfman lots of questions and feel free to share your reopening experience with fellow Zen offices! https://livewebinar.com/892-097-831