Hospital's Dental Clinic Service Readiness in Facing Covid-19


  • Gladys Kurniawan Postgraduate Program in Hospital Management Faculty of Medicine, Brawijaya University
  • Lukman Hakim Postgraduate Program in Hospital Management Faculty of Medicine, Brawijaya University
  • Harun Al Rasyid Postgraduate Program in Hospital Management Faculty of Medicine, Brawijaya University
  • Thontowi Djauhari



Covid-19, dental clinic, hospital, readiness


This research was conducted to find the root of the problem and the solution to the inactivity of X Hospital Dental Clinic since the Covid-19 pandemic. The findings from the study are expected to be an input for the hospital to be able to immediately reopen Dental Clinic services. The research design used descriptive analysis of observation data, interviews, and literature study. The Fishbone Diagram combined with 5 WHYs is used to find the root of the problem. Determination of problem solutions using the CARL method (Capability, Accessibility, Readiness, and Leverage) through the Forum Group Discussion (FGD). The results showed that the root cause of the inactivity of X Hospital Dental Clinic since the Covid-19 pandemic was the unavailability of infrastructure in accordance with the minimum standards. Therefore, X Hospital needs to procure appropriate infrastructure and support the X Hospital Dental Clinic facilities in providing services during the Covid-19 pandemic. This procurement must be adjusted to the conditions of the space and environment around the Dental Clinic and the capabilities of the hospital. The proposed adjustment is a modification to the infrastructure that will be provided and the existing Dental Clinic facilities. The infrastructure that must be provided is related to air circulation, practice room management, and patient procedures.


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Wu YC, Chen CS, and Chan YJ. The Outbreak of COVID-19: An Overview. Journal of the Chinese Medical Association. 2020; 83(3): 217-220.

World Health Organization. Coronavirus Disease (COVID-19) Weekly Epidemiological Update. (Online) 2020. item/weekly-epidemiological-update---24-august-2020. [accessed on 4 October 2020].

Yamali FR and Putri RN. Dampak Covid-19 terhadap Ekonomi Indonesia. Ekonomis: Journal of Economics and Business. 2020; 4(2): 384-388.

Bidang Informasi Publik Satgas Covid-19 Kota Malang. Peta Persebaran Covid-19 di Kota Malang per 23 Agustus 2020. (Online) 2020. [accessed on 4 October 2020].

Farooq I and Ali S. COVID-19 Outbreak and Its Monetary Implications for Dental Practices, Hospitals and Healthcare Workers. Postgraduate Medical Journal. 2020; 96(1142): 791-792.

Alsaegh A, Belova E, Vasil'ev Y, et al. Covid-19 in Dental Settings: Novel Risk Assessment Approach. International Journal of Environmental Research and Public Health. 2021; 18(11): 1-10.

Amnesty International. Global: Amnesty Analysis Reveals Over 7,000 Health Workers Have Died from COVID-19. (Online) 2020. [accessed on 3 October 2021].

CNN Indonesia. Drg MPH Jadi Dokter Pertama Wafat Akibat Covid-19 di Sultra [Internet]. (Online) 2020. [accessed on 3 September 2020].

Kompas. Meninggal karena Covid-19, Erick Thohir: Kita Harus Instropeksi [Internet]. (Online) 2020. [accessed on 3 September 2020].

Oktavianti TI. Calls for govt action after 14 doctors die of COVID-19 in a week. (Online) 2020. [accessed on 4 November 2021].

Susanti IR, Hamzah A, Anggraeni SA, and Widyaningrum K. “ABED TANGI” As a Solution for Time Inaccuracy in Returning Medical Record at X Hospital. Jurnal Medicoeticolegal dan Manajemen Rumah Sakit. 2018; 7(1): 13-21.

Amtha R, Gunardi I, Dewanto I, Widyarman AS, and Theodorea CF. Panduan Dokter Gigi dalam Era New Normal. Monograph Press. 2020; 1(1): 1-111.

Devi S, Balu P, Muthu J, Karthikeyan I, and Ravindran SK. Recommendations for Dental Management during COVID-19 Pandemic. SBV Journal of Basic, Clinical and Applied Health Science. 2020; 3(2): 56–58.

Aldahlawi SA and Afifi IK. COVID-19 in Dental Practice: Transmission Risk, Infection Control Challenge, and Clinical Implications. The Open Dentistry Journal. 2020; 14(1): 348–354.

Checchi V, Bellini P, Bencivenni D, and Consolo U. COVID-19 Dentistry-Related Aspects: A Literature Overview. International Dental Journal. 2021; 71(1): 21-26.

Bazant MZ and Bush JWM. A Guideline to Limit Indoor Airborne Transmission of COVID-19. Proceedings of the National Academy of Sciences of United States of America. 2021; 118(17): 1-12.

Jayaweera M, Perera H, Gunawardana B, and Manatunge J. Transmission of COVID-19 Virus by Droplets and Aerosols: A Critical Review on the Unresolved Dichotomy. Environmental Research. 2020; 188: 1-19.

Jiang S, Huang L, Chen X, et al. Ventilation of Wards and Nosocomial Outbreak of Severe Acute Respiratory Syndrome among Healthcare Workers. Chinese Medical Journal. 2003; 116(9): 1293-1297.

Chen C, Bin Z, Dong L, An N, and Ouyang X. The Effectiveness of an Air Cleaner in Controlling Droplet/Aerosol Particle Dispersion Emitted from a Patient's Mouth in the Indoor Environment of Dental Clinics. Journal of The Royal Society Interface. 2010; 7(48): 1105–1118.

Han P, Li H, Walsh LJ, and Ivanovski S. Splatters and Aerosols Contamination in Dental Aerosol Generating Procedures. Applied Sciences. 2021; 11(4): 1–12.

Nulty A, Lefkaditis C, Zachrisson P, Van Tonder Q, and Yar R. A Clinical Study Measuring Dental Aerosols With and Without a High-Volume Extraction Device. British Dental Journal. 2020; 12: 1-8.

Al-Benna S. Negative Pressure Rooms and COVID-19. Journal of Perioperative Practice. 2021; 31(1-2): 18-23.

Plaza-Ruiz SP, Barbosa-Liz DM, and Agudelo-Suárez AA. Ventilation and Air-Conditioning Systems in Dental Clinics and COVID-19: How Much Do We Know? Journal of Clinical and Experimental Dentistry. 2021; 13(7): e692-700.

Fadaei A. Ventilation Systems and COVID-19 Spread: Evidence from a Systematic Review Study. European Journal of Sustainable Development Research. 2021; 5(2): 1-7.

Ding J, Yu CW, and Cao SJ. HVAC Systems for Environmental Control to Minimize the COVID-19 Infection. Indoor and Built Environment. 2020; 29(9): 1195–2101.

Malateaux G, Gamarra RES, and Dib LL. UV Irradiation as a Disinfection Method to Reduce Covid-19 Cross-Contamination in Dentistry: A Scoping Review. Online Journal of Dentistry & Oral Health. 2020; 3(1): 1-5.

Suprono MS, Won J, Savignano R, et al. A Clinical Investigation of Dental Evacuation Systems in Reducing Aerosols. The Journal of the American Dental Association. 2021; 152(6): 455–462.

Avasthi A. High Volume Evacuator (HVE) In Reducing Aerosol- an Exploration Worth by Clinicians. Journal of Dental Health, Oral Disorders & Therapy. 2018; 9(3): 165-166.

Coulthard P. The Oral Surgery Response to Coronavirus Disease (COVID-19). Keep Calm and Carry On? Oral Surgery. 2020; 13: 95-97.

OCDO: Office of Chief Dental Officer England. Standard Operating Procedure Transition to Recovery. (Online) 2021.

Gurzawska-Comis K, Becker K, Brunello G, Gurzawska A, and Schwarz F. Recommendations for Dental Care during COVID-19 Pandemic. Journal of Clinical Medicine. 2020; 9(6): 1–15.

College of General Dentistry and Faculty of General Dental Practice. FGDP (UK) and CGDent Update COVID-19 Guidance Synopsis. BDJ in Practice. 2020; 33(11): 1.

Alam CS. Pentingnya Penyusunan Standar Pelayanan di Masa Pandemi Covid 19. Jurnal Lingkar Widyaiswara. 2020; 7(2): 54-62.

Benzian H and Niederman R. A Dental Response to the COVID-19 Pandemic—Safer Aerosol-Free Emergent (SAFER) Dentistry. Frontiers in Medicine. 2020; 7: 1-6.

Machado RA, de Souza NL, Oliveira RM, Martelli Júnior H, and Bonan PRF. Social Media and Telemedicine for Oral Diagnosis and Counselling in the COVID-19 Era. Oral Oncology. 2020; 105: 1-3.

Shathur A, Reeves S, Sameja F, Patel V, and Jones A. Referrals to Urgent Dental Centres during the COVID-19 Pandemic: A Multi-Site Analysis Research Project. Primary Dental Journal. 2021; 10(1): 40–45.

Matys J, Grzech-Leśniak K, and Dominiak M. Disinfectants and Devices for Surface and Air Disinfection in Dental Offices. Journal of Stomatology. 2020; 73(4): 200-205.



2021-11-10 — Updated on 2022-07-15





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