Updated 3.27.2020 (4:41pm MST)
Below is the state by state statements made by dental associations regarding the need to limit or postpone dental care due to the spread of COVID-19. The team at ProEdge will make every effort to keep this updated as possible. Please consult with your state dental association directly to ensure up-to-date and accurate information.
THE AMERICAN DENTAL ASSOCIATION Recommendation:
March 16, 2020: "The American Dental Association (ADA) recognizes the unprecedented and extraordinary circumstances dentists and all health care professionals face related to growing concern about COVID-19. The ADA is deeply concerned for the health and well-being of the public and the dental team.
"In order for dentistry to do its part to mitigate the spread of COVID-19, the ADA recommends dentists nationwide postpone elective procedures for the next three weeks. Concentrating on emergency dental care will allow us to care for our emergency patients and alleviate the burden that dental emergencies would place on hospital emergency departments.
"As health care professionals, it is up to dentists to make well-informed decisions about their patients and practices. The ADA is committed to providing the latest information to the profession in a useful and timely manner.
"The ADA is continually evaluating and will update its recommendation on an ongoing basis as new information becomes available. Please visit ADA.org/virus for the latest information."
American Dental Association: What constitutes a dental emergency?
Centers for Disease Control Dental Recommendation:
March 27, 2020: "In order to protect staff and preserve personal protective equipment and patient care supplies, as well as expand available hospital capacity during the COVID-19 pandemic, the Centers for Disease Control and Prevention (CDC) recommends that dental facilities postpone elective procedures, surgeries, and non-urgent dental visits, and prioritize urgent and emergency visits and procedures now and for the coming several weeks."
ALABAMA: April 6
Alabama Dental Assocation: "Effective March 19, 2020, by order of Dr. Scott Harris, Alabama State Health Officer, all elective dental and medical procedures shall be delayed. This order supersedes all orders previously issued by the State Health Officer and Jefferson and Mobile County Health Officers. Prior to April 6, 2020, determination shall be made whether to extend this order.
ALASKA: April 20
Alaska Dental Society: "The State of Alaska has mandated dental offices close for elective procedures for one month starting March 20th. Dental offices are encouraged to provide emergency treatment during this time. For more information please follow the link below."
ARIZONA: April 6
Arizona State Board Dental Examiners’ COVID-19 Statement: "As the facts and situation around COVID-19 (Coronavirus) continue to evolve, the Arizona State Board of Dental Examiners is requesting the cooperation of all Arizona dental licensees and is issuing the following guidance below. This recommendation is being made after careful deliberation and in consultation with state and national public health experts, and in line with our mission to protect the public.
"The Arizona State Board of Dental Examiners supports the American Dental Association’s (“ADA”) recommendation(s). To quote the ADA, “As healthcare professionals, it is up to dentists to make well-informed decisions about their patients and practices.” As always, the Board hopes and urges its licensees to continue to be available as needed for essential and/or emergency care and services, but to take appropriate and enhanced precautionary measures for patient safety, as well as the safety of their staffs and themselves."
ARKANSAS: April 17
Arkansas State Dental Association: "The Secretary of Health, as of March 23, 2020, directs and mandates that all dental practitioners follow the recommendation of the Arkansas State Board of Dental Examiners and the American Dental Association that only urgent and emergent dental care take place, and that non-emergent dental care be suspended until April 17, 2020. This directive and mandate is subject to change as the COVID-19 pandemic progresses."
CALIFORNIA: Postpone Until further notice
The California Dental Association: "The California Dental Association strongly recommends that dentists practicing in California suspend all in-person dental care with the exception of emergency treatment, until further notice."
Prep your Waterlines for Postponed Care:
COLORADO: April 14
Colorado State Dental Association: "This afternoon, Gov. Polis signed an executive order temporarily suspending elective and non-essential surgeries and procedures to preserve important medical equipment, like personal protective equipment and ventilators, needed to combat COVID-19. The executive order is in effect from March 23 to April 14, with the exception of rural and critical access hospitals. This includes all voluntary or elective surgeries or procedures, whether medical, dental, or veterinary."
CONNECTICUT: April 22
Connecticut State Dental Association: "Resolved, that the CSDA Board of Governors strongly urges that Connecticut dentists cancel all elective procedures, and only provide emergency/urgent care as defined by the American Dental Association; be it further
"Resolved, that in support of Governor Lamont’s “Stay Safe, Stay Home” executive order effective 8:00 p.m. March 23, 2020, we are extending this strong recommendation to April 22, 2020, unless modified, extended or terminated by the Governor; be it further
"Resolved, that not complying with these recommendations may be considered a violation of the ADA’s Principles of Ethics & Code of Professional Conduct."
DELAWARE: April 6
Delaware State Dental Society: "It is strongly recommended that all Delaware dentists limit their practices to urgent/emergency care only until April 6, 2020."
District of Columbia: April 6
DC Department of Health: "The Surgeon General has advised a halt to all hospital elective procedures to ensure resources are available to treat patients with coronavirus (COVID‐19), while the Centers for Disease Control and Prevention (CDC) has recommendations for specific health care settings to minimize risk once there is community spread. In addition to halting all hospital elective procedures, the District of Columbia Department of Health (DC Health) is recommending that ALL elective medical procedures, non‐urgent hospital and outpatient visits, and non‐urgent dental procedures be postponed to preserve health care capacity as our community mitigation strategies work to flatten the epidemic curve."
FLORIDA: May 8
Florida Dental Association: "Governor Places Mandates on Dental Offices – All hospitals, ambulatory surgical centers, office surgery centers, dental, orthodontic and endodontic offices and other health care practitioners’ offices are directed to immediately cease performing elective services until May 8, 2020.
"Through issuance of Executive Order 20-72, Gov. Ron DeSantis has mandated the prohibition of any medically unnecessary, non-urgent or non-emergency procedure or surgery in the state of Florida. Dentists would still be required to see emergency patients. All non-essential elective medical and surgical procedures, including dental procedures, are included in order to conserve medical supplies and resources, preserve essential resources and control the potential spread of COVID-19."
GEORGIA: April 1
Georgia Dental Association: "The Georgia Dental Association (GDA) Board of Trustees advised dentists in Georgia on Tuesday to follow the recommendations provided by the Georgia Department of Public Health and the American Dental Association to postpone elective dental procedures amid growing concerns about COVID-19. Dentists are asked to postpone elective surgery through the end of March as recommended by the CDC and the President’s White House Coronavirus Task Force."
HAWAII: APRIL 6
Hawaii Dental Association: "Our HDA Board of Trustees has met, and encourages our members to heed [the ADA] recommendation. If you are treating emergencies, please be extremely careful to follow, if not exceed, all appropriate recommended infection control measures.
"At this point, this is a recommendation from the ADA and HDA, not a mandate. It is up to individual practices to determine whether to continue appointments beyond those that are emergencies or are medically necessary, based on your discretion and clinical judgement. At the time of this March 16th email, there are no mandatory restrictions specific to dentistry in Hawaii state. We will however, continue to monitor for any developments and recommendations, and will be sure to forward those onto you. Be sure you are reading all updates from both the ADA and HDA."
IDAHO: April 6
Idaho State Dental Association: "The ISDA Board of Trustees is issuing new and more definitive guidance to Idaho dentists following Governor Brad Little’s March 18 update on COVID 19. Governor Little is requesting that all Idahoans follow the recommendations of the President and the CDC guidelines. Accordingly the ISDA strongly urges all dental offices follow the ADA recommendations to postpone elective procedures beginning now until April 6, concentrating on emergency dental care."
ILLINOIS: April 8
Illinois State Dental Society: "Until further notice, ISDS recommends that dentists cease all in-person dental treatment except for dental emergencies. ISDS Revises Recommendation After Governor Issues “Shelter in Place” Order:
- Treat only patients requiring emergency dental procedures.
- Postpone elective dental treatment and procedures.
- Preserve personal protective equipment (PPE) for emergency dental situations. This action will also preserve the limited supply of PPE so it can be used for urgent and more complex medical care that will be needed in our healthcare system.
- Communicate the utmost importance of the health and safety of our patients, the dental team and our community in implementing these measures"
INDIANA: April 7
The Indiana Dental Association: "The IDA and ADA recommend that dentists postpone elective procedures for the next three weeks."
Iowa: April 16
Iowa Dental Association: "The proclamation for nonessential medical and dental services starts on March 27th at 5:00 p.m. and expires on April 16th at 11:59 p.m. If the proclamation expires as scheduled, this means routine patient care can resume on April 17th. There are some business closures in the proclamation that extend through April 7, 2020. Please note this is separate from the timeline for nonessential medical and dental services."
Kansas: March 31
Kansas Dental Association: "The Kansas Department of Health and Environment (KDHE) is issuing new recommendations to all practicing dental offices. All recommendations should be followed through March 30, 2020.
"As always, it is expected that dentists will continue to be available as needed for emergency care and services."
Kentucky: No Specific Date recommendation
We're in this together:
Louisiana: April 16
Louisiana State Department of Health: "The State of Louisiana, Department of Health ("LDH"), is committed to taking critical steps to ensure public health and safety; to prevent the spread of COVID-19, the State of Louisiana, Department of Health, is DIRECTING AND REQUIRING that all providers of dental services (including dentists and hygienists) in Louisiana adhere to the following provisions, restrictions, and limitations, EFFECTIVE IMMEDIATELY:
A: Dental Visits, Procedures and Surgeries,
A.1 The State of Louisiana, Department of Health, hereby prohibits all routine non-essential dental visits and all routine, non-essential dental procedures/surgeries in Louisiana for thirty (30) days from the date of this notice."
Maine: March 31
Maryland: April 6
"In light of the rapidly growing developments regarding official responses to the coronavirus (COVID-19), The Maryland State Dental Association recommends all dental practices voluntarily suspend all non-essential and non-urgent dental care for at least 3 weeks."
Massachusetts: April 6
Massachusetts Dental Society: "The MDS strongly recommends that dentists practicing in the Commonwealth close their offices from March 17 to April 6 to patients seeking elective and non-urgent care. As always, it is expected that dentists will continue to be available as needed for emergency management."
Michigan: April 13
Michigan Dental Association: "On Monday, March 23, Gov. Gretchen Whitmer instituted Executive Order No. 2020-21, which states that to suppress the spread of COVID-19, to prevent the state’s health care system from being overwhelmed, to allow time for the production of critical test kits, ventilators, and personal protective equipment, and to avoid needless deaths, it is reasonable and necessary to direct residents to remain at home or in their place of residence to the maximum extent feasible. This order takes effect on March 24, 2020, at 12:01 a.m., and continues through April 13, 2020.
"Today, March 20, Gov. Gretchen Whitmer released Executive Order 2020-17. This order bans all nonessential or elective dental procedures."
Minnesota: Postpone Until further notice
Minnesota Dental Association: "Beginning no later than March 23, 2020 at 5:00 pm, and continuing for the duration of the peacetime emergency declared in Executive Order 20-01 or until this Executive Order is rescinded, all non-essential or elective surgeries and procedures, including non-emergent or elective dental care, that utilize PPE or ventilators must be postponed indefinitely."
Mississippi: April 6
Mississippi Dental Association: "The American Dental Association (ADA), Centers for Disease Control and other health organizations have recommended that all dentists nationwide postpone elective procedures. The ADA recommends this practice for the next three weeks. The MDA supports the ADA recommendation."
Missouri: April 6
Missouri Dental Association: A statement was jointly issued March 23, by the Missouri Dental Board and Missouri Department of Health and Senior Services (DHSS) and has been sent to all dental licensees in the state (view email version). The statement supports CDC and ADA recommendations and notes, “Dentists are strongly encouraged to take the necessary steps to ensure the safety of their patients, staff and themselves by limiting opportunities for this virus to continue to spread.” Prior to this (March 17), DHSS issued some recommendations for dental practices in Missouri.
Montana: LINK TO ADA
Montana Dental Association: "As health care professionals, it is up to dentists to make well-informed decisions about their patients and practices. The MDA is committed to providing the latest information to the profession in a useful and timely manner.
"We encourage MDA members to review the recommendations from the ADA and Center for Disease Control for guidance on how to proceed under these challenging circumstances."
Nebraska: April 7
The Nebraska Dental Association: "March 25: Dear NDA Members, The NDA Board of Trustees voted today to extend the NDA BOT COVID-19 Statement March 16 recommendation to April 6, 2020, aligning with the current ADA recommendation.
"The NDA Board of Trustees realizes this is a fluid situation and will continue to aggressively monitor information from the ADA, CDC and the Nebraska Department of Health on a daily basis, until we are through this crisis. We are in uncharted waters. The uncertainty of this pandemic makes it impossible to predict at this time if or when the April 6th date will be extended."
Nevada: LINK TO ADA
Nevada Dental Association: "The NDA has developed recommendations consistent with guidance from the ADA, other state dental associations and the Nevada State Board of Dental Examiners (NSBDE)."
New Hampshire: April 6
New Hampshire Dental Society: "In order for dentistry to do its part to mitigate the spread of COVID-19, the ADA and NHDS recommends dentists nationwide postpone elective procedures for the next three weeks. Concentrating on emergency dental care will allow us to care for our emergency patients and alleviate the burden that dental emergencies would place on hospital emergency departments."
New Jersey: April 20
New Jersey Dental Association: "As part of the state’s effort to preserve the capacity of the health care system to respond to COVID-19, Governor Phil Murphy today signed Executive Order No. 109, directing the suspension of all elective surgeries and invasive procedures performed on adults that are scheduled to take place after 5:00 p.m. on Friday, March 27. The Governor’s Executive Order applies to all medical and dental operations that can be delayed without undue risk to the current or future health of the patient, as determined by the patient’s physician or dentist."
New Mexico: April 10
New Mexico Dental Association: "Governor Issues Restrictions Including Dental Care: Governor Lujan-Grisham issued an executive order on March 23 restricting businesses in the state to “essential” services beginning at 8:00 AM on Tuesday, March 24, and will apply at least through April 10. This was accompanied by a DOH order which provided more details. Dental facilities while providing care for emergencies are consider essential by the order. Although that is not further defined by the Governor’s order the Board of Dental Health Care will utilize the American Dental Association guidance for both dentists and patients on what constitutes an emergency."
New York: Postpone until further notice
New York State Dental Association: "Governor Cuomo's most recent executive order changes the recommendation that dental offices only respond to emergency services to a NYS mandate. As of this Sunday, March 22, you will be in violation if you are treating anything other than emergencies in your office, and can be subject to a fine."
North Carolina: Link to the ADA
North Carolina State Dental Association: "While the NC State Board of Dental Examiners and the ADA have issued recommendations regarding patient care, there is no mandate at this time. As health care professionals, it is up to dentists to use professional judgment and make well-informed decisions about your patients and practices."
Prep your Waterlines for Postponed Care:
North Dakota: April 4
North Dakota Board of Dental Examiners: "The North Dakota Board of Dental Examiners encourages dental practitioners within the state, to discontinue providing routine, non-essential, and elective procedures through effective March 19, 2020, at the end of the business day, through April 4, 2020."
Ohio: POstpone Until further notice
Oklahoma: April 6
Oklahoma Dental Board: "The ODA Board of Trustees took a unanimous vote to recommend that dental offices in Oklahoma postpone any non-emergent care for three weeks."
Oregon: June 15
Pennsylvania: Until further notice
Pennsylvania Department of Health: "March 26, 2020: With the Governor’s authorization as conferred in the Proclamation of Disaster Emergency issued on March 6, 2020, effective immediately the Pennsylvania Department of Health (DOH) directs facilities to cease all dental treatment except urgent and emergency procedures within the provided guidelines below until further notice. We ask providers who will need to close due to this notice to remain available to speak to patients and triage calls for dental emergencies."
Rhode Island Dental Association: "Since our last communication, the ADA and RI Department of Health have recommended postponing elective procedures. A copy of the ADA letter is below. The RIDA is in support of the ADA’s recommendation to postpone elective procedures."
South Carolina: March 30
South Carolina Dental Association: "The SCDA Board of Governors met earlier today and after much deliberation have made the decision to recommend to dentists across the state to suspend all but urgent and emergency care in all dental offices for 14 days."
South Dakota: LINK TO ADA
South Dakota Dental Board: "At this time, the CDC is asking us to delay all routine dentistry. As members of the State Board of Dentistry, we are asking you to look very hard at these recommendations and understand the magnitude of our decisions, weighing fully the risks and benefits of continued practice. We strongly believe that it is our social responsibility to do what we can to ‘flatten the curve’, and while we are painfully aware of the financial implications of this, we feel that it is imperative that we prioritize what is ethically appropriate. Doing our part to reduce exposure to the virus could potentially curb long term sequelae in the months to come. The State Board of Dentistry continues to support the recommendations put forward by the CDC, and will continue to communicate new information to you as soon as it becomes available to the Board."
South Dakota Dental Association: "Absent governmental directives (federal, state, county, or municipal), it is up to each individual dentist to exercise their professional judgement in deciding what additional precautions should be implemented and whether or how to continue dental office operations. Practice are encouraged to exceed standard infection control procedures and implement policies to minimize patients’ time and possible contact in the waiting rooms."
Tennessee: April 13
State of Tennessee Executive Order: "WHEREAS, the American Dental Association and the Tennessee Dental Association recommend that dental providers and patients contribute to reducing the spread of COVID-19 by suspending non-essential services like hygiene visits and cosmetic and elective procedures for a minimum of three (3) weeks;
"NOW THEREFORE, I, Bill Lee, Governor of the State of Tennessee, by virtue of the power and authority vested in me by the Tennessee Constitution and other applicable law, in light of the continuing state of emergency to facilitate the response to COVID-19, do hereby order the following statewide: 1. Dental service providers in the State of Tennessee, including but not limited to dentists, pediatric dentists, orthodontists, oral surgeons, periodontists, prosthodontists, and endodontists, shall not perform any non-emergency dental or oral procedures. Non-emergency dental or oral procedures include hygiene visits, cosmetic procedures, and other elective procedures. Emergency procedures for patients with acute dental or oral needs may still be performed, including treatment for pain, swelling, trauma, or an abscess."
Texas: April 21
The Texas Dental Association: "The Texas Dental Association (TDA) is aware that dentists have questions about Governor Gregg Abbott’s new executive order from March 22, 2020 at 3:00 PM. TDA confirmed with Governor Abbott that the executive order applies to dentists. As it pertains to dentistry, Governor Abbott’s order requires dentists to delay until midnight April 21, 2020,… “all surgeries and procedures that are not immediately medically necessary to preserve a patient’s life or avoid adverse medical consequences.”
Utah: April 25
Utah Dental Association: "To ensure the safety of our patients, communities and dental team members, UDA recommends following the measures outlined by the ADA announcement on March 16th and the CDC recommendations (see links below) postponing elective treatment and concentrating on only urgent (or emergent) dental care."
KSLTV: "Gov. Gary Herbert on Tuesday announced Utah will begin restricting non-urgent medical procedures in an effort to preserve personal protective equipment for the treatment of COVID-19. The restrictions will begin Wednesday and will include elective medical, dental and veterinary procedures, according to a statement from the Office of the Governor. It will remain in place until April 25."
Vermont: Link to ADA
Virginia: April 6
Virginia Dental Association: "The Virginia Dental Association (VDA) Board of Directors unanimously voted today to support the American Dental Association (ADA) recommendation to postpone elective procedures until April 6, 2020."
Washington: May 18
Washington State Dental Association: On March 19, Gov. Jay Inslee announced new restrictions on non-urgent medical and dental procedures so the state can make sure Washington health care workers have enough protective equipment to wear as they work the front lines of the COVID-19 pandemic.The order applies to any non-urgent procedure that requires medical professionals to wear personal protective equipment."
West Virginia: April 2
West Virginia's News: "Following in the footsteps of the ADA’s recommendation for patients and dentists to cancel elective procedures, the West Virginia Board of Dentistry told its members on Wednesday to limit appointments to “essential and emergent dental procedures only” until April 2."
Wisconsin: April 24
Wisconsin Dental Association: "Healthcare workers, including dentists and members of the dental team, are considered “essential” under the state “Safer at Home” order in place until Friday, April 24. The order is NOT a mandate to close dental offices – dental professionals remain available to provide emergency care to the public. That said, the order does supersede previously issued ADA and WDA recommended timelines for suspending non-emergency procedures. Wisconsin dental offices should continue limiting services to emergency treatment through April 24, unless the order is rescinded or changed. Read the order."
Wyoming: April 6
Wyoming Dental Association: "This is consistent with the recommendation and guidance we received from the American Dental Association (ADA), asking dentists to forgo “elective” dental procedures for the next few weeks and focus on emergency dental care. The ADA is relying on all the best science and fact-based information from the Centers for Disease Control and Prevention (CDC) to make recommendations. As of today, 45 state dental societies, us included, have issued statements to their membership in support of and recommending that we follow the ADA guidelines."
We're in this together: