Covid-19 Resources

Patient Screening Forms

Kast Orthodontics COVID-19 Update #4 (April 30, 2020)

It is with great elation and some measured reservation that I can now announce our practice will re-open for care on May 1st. We hope this letter finds you and your family in good health. Our community has been through a lot over the last few months, and all of us are looking forward to resuming our normal habits and routines. While many things have changed, one thing has remained the same: our commitment to your safety.

Infection control has always been a top priority for our practice, and you may have seen this during your visits to our office. Our infection control processes are made so that when you receive care, it’s both safe and comfortable. We want to tell you about the infection control procedures we follow in our practice to keep patients and staff safe.

Our office follows infection control recommendations made by the American Dental Association (ADA), the U.S. Centers for Disease Control and Prevention (CDC) and the Occupational Safety and Health Administration (OSHA). We follow the activities of these agencies so that we are up to date on any new rulings or guidance that may be issued. We do this to make sure that our infection control procedures are current. We adhere to each agencies’ recommendations.

We expect there to be considerable changes over the next few months.  Initially, we will be overly cautious.  As time passes, our decision to relax or accelerate our safety protocols are expected to change appropriately to the changing circumstances.  Any changes will be based upon monitoring CDC, OSHA and Cuyahoga County statistics.

You may see some changes when it is time for your next appointment. We made these changes to help protect our patients and our staff. I have attached a summary of our Additional Safety Measures and a summary of our Interim Appointment Process. If you are on Facebook, we encourage you to follow our page.  It gives us an easy way to communicate and share resources with all our patients.  I also outline some strategies for Continuity of Care describing ways we can limit potential exposure.

We look forward to seeing you again and are happy to answer any questions you may have about the steps we take to keep you, and every patient, safe in our practice. We will be calling all unscheduled patients over the next two weeks. We have an abundance of patients to reschedule so we ask for your patience. If you do not hear from us within two weeks, please call our office. Thank you for being our patient. Please continue to refer your family and friends for treatment. We value your trust and loyalty and look forward to welcoming back our patients, neighbors and friends.

Kindest Regards,

Kast Orthodontics

Additional Safety Measures

(each is subject to change)

  • The office has been thoroughly cleaned and disinfected. Cleaning and disinfecting will be done throughout each day.
  • Each staff member is screened upon arrival with a process similar to patient screening.
  • Each person entering the office will require screening. Those with temperature or with signs and symptoms of the disease will be asked to reschedule.
  • The spacing of patients for social distancing.  The main clinic area will be limited to two patients and many patients will be seen in private rooms.
  • Each patient will have limited exposure to staff interaction.
  • We are limiting companions.  Ideally, each patient will enter the office on their own.  We request that only essential companions come through the office.
  • We will no longer offer magazines, children’s toys, and so forth since those items are difficult to clean and disinfect.
  • Our restrooms will have “closed” signs on them to mitigate areas of potential cross-contamination.
  • A plexiglass barrier has been installed at the reception desk and certain areas have been roped off.
  • Patients are encouraged to wash their hands prior to arriving at the office. Hand sanitizer will be available to patients throughout the office.
  • Patients are encouraged to brush PRIOR to arrival. Our brushing station will be temporarily closed to mitigate areas of potential cross-contamination.
  • Our parking lot will temporarily serve as our waiting room.  Verbal screening, check-in, and check-out procedures will be done over the phone.
  • We recommend and request that all persons entering the office wear a face mask out of respect for others.
  • All staff members will be wearing masks throughout the day.
  • We have elevated infection control exceeding the recommendations for proper PPE.
  • We have strategically scheduled appointments involving aerosols (starting bondings, removals and bracket repairs) on specific days.
  • We are limiting appointments and the number of people in the office at any given time to allow proper social distancing.  That might mean that you are offered fewer options for scheduling your appointment.
  • We will do our best to allow greater time between patients to reduce waiting times for you, as well as to reduce the number of patients in the office at any one time.

Interim Appointment Process

  1. Answer prescreening questions accurately and honestly during the scheduling process
  2. Cancel or reschedule if the patient or a family member has been sick or shows signs of illness
  3. Have patient brush his/her teeth prior to arrival
  4. Have patient wash his/her hands prior to arrival
  5. Have patient wear a mask or face covering if available
  6. Arrive in parking lot at or slightly before the scheduled time and call 440-878-3384 to check-in
  7. We will have a tele-check-in.  The check-in will involve screening questions and you will be asked to answer accurately and honestly from your car
  8. Once we are ready to seat the patient, the patient and any “essential” companion will be greeted at the front door.
  9. A health assessment of each patient entering will be done, including a temperature reading.  We are erroring toward the side of safety, so patients may be asked to reschedule if illness is suspected.
  10. Patients will then be taken directly to the treatment chair
  11. The assistant and Doctor will assess and make appropriate changes
  12. Facetime or other video or teleconferencing will be permitted and encouraged between the patient in the chair and the parent in the car
  13. The assistant will fill a summary form which includes additional office communications for the patient to take with them
  14. The patient will be escorted to the exit
  15. Before leaving the parking lot, parents are encouraged to call immediately to be checked out with our tele-checkout process.  This is the best time to ask any questions regarding the appointment


If you are on Facebook, we encourage you to follow our Facebook page, where we share pertinent information regarding Kast Orthodontics, orthodontics in general and other pertinent topics such as timely relevant articles on COVID-19.  We have found great need to communicate in times like this and are trying to do all we can.  We do our best to share very important healthcare information regarding the coronavirus from reliable sources such as the Center for Disease Control (CDC), the Ohio Department of Health (ODH), the American Dental Association (ADA), American Association of Orthodontists (AAO), etc.  We are also exploring the creation of some instructional videos.

Continuity of Care

At Kast Orthodontics, we use state-of-the-art archwires.  These archwires generate the force and energy to move teeth.  Many of the archwires have significant memory (nitinol super elastic wires).  These wires can continue to create tooth movement for greater than 12 weeks.  The reason for our typical intervals of 6 to 8 weeks has more to do with oral hygiene concern than efficiency.  Initially, during this elevated risk period, our appointment intervals may be lengthened slightly.  This will only be done if it does not impact the efficiency of care.

The elastic colored ties we use to hold wires in place can retain some plaque if not maintained well by the patient.  If appointment intervals are lengthened, we ask that our active patients stay extra vigilant with their brushing and flossing.  We also ask that patients avoid the hard and sticky foods that can damage the appliances and necessitate additional visits.  As of May 1, we are beginning to see our active patients.  Patients who require repair and replacement of loose brackets will be asked to do so on specific days.  These procedures will not be done at our routine visits as we have done in the past.  We will need to schedule re-bonding of brackets on specific days due to the aerosols created.  We will have extended hours through May to get everyone back on track.  We anticipate an abundance of issues due to the extended time between appointments.

Early Treatments

The early treatment group consists of children between the ages 7-10 years old.

Adolescent Treatment

Adolescent treatment is by far the most common age for treatment and in many situations the most ideal time for treatment.

Adult Treatment

There are many reasons for adult orthodontic treatment. Treatment can be comprehensive or limited to specific issues. Contact Us for more details.

Have an immediate emergency? We’re equipped to handle cases efficiently. Call at (440) 878-3384