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Published on: Jul 09, 2020
2 minute read
By: Dr Rakesh Choudhary

COVID- 19 Tests – What Do You Need To Know?

COVID- 19 tests – What do you need to know?

Author: Dr. Rakesh Choudhary MBBS, MS, FRCS UK, FRCS Orth UK, MChOrth UK.

Dr. Choudhary is a practicing consultant surgeon in the UK.

So many of us think it is not their job to learn about COVID-19 tests and this should be left for the experts and governments to decide about these tests. But I strongly suggest the public must have a basic understanding of these tests which they may have to have themselves.

Basically there are two types of tests, one which can detect the virus in the body and the other one which tells if the person had the previous infection.

Virus test

The virus test detects an active infection. It detects the genetic material (RNA) of the virus during an active infection. It is also called a PCR (polymerase chain reaction) test or nucleic acid test and is sometimes inaccurately called an antigen test.

A swab is taken from deep in the back of your throat and deep in the nose. The swab should go deep up to 7-8 cm and is generally uncomfortable for the patient. Swabbing patients using the correct technique is paramount in ensuring an accurate result. By simply swabbing the inside of the nasal passage is not deep enough to verify that the virus is present.

What does virus testing tell you?

This test tells us if a patient is actively infected with the COVID-19 virus. Virus testing is used mainly for the diagnosis of COVID-19.

When should it be done?

The virus test works best during the first seven days of symptoms.

The coronavirus can be detected in swabs even before symptoms of illness first appear . This is why people can be infectious for a few days before the onset of symptoms, which usually appear about 5 days after the virus infects. Some people have no symptoms throughout their infection but are positive on the virus test and infectious to others. After a few days of illness, the concentration of the virus falls (as seen in swab samples) and the symptoms of the illness usually recede.

Accuracy of the test

In a person with COVID-19, the test is less likely to give a positive result late in the course of infection once the virus has been cleared by the immune system, or if an inadequate sample is taken from the nose or throat. There are concerns that the rate of ‘false negative’ test results could be as high as 30% and a significant number of people are wrongly being told they do not have the virus.

Antibody test

Antibody tests check your blood by looking for antibodies, which may tell you if you had a past infection with the virus that causes COVID-19. Antibodies are protein structures that are produced by the immune system in response to certain infections. The antibody can help fight off infections and can provide protection against getting that disease again (immunity). Antibodies are disease-specific. For example, measles antibodies will protect you from getting measles if you are exposed to it.

The antibody test detects the presence of antibodies as a marker of past infection. The antibody test (blood test) will only detect infections after the immune system has produced antibodies that recognize the virus. This happens approximately 7–10 days after symptoms develop.

Tests carried out a week after a patient develops symptoms will detect only 30% of people who had COVID-19 infection. Accuracy increases to 72% at two weeks and to 94% in the third week. Some people may take even longer to develop antibodies, and some people who are infected may not ever develop antibodies.

Interpretation of the antibody test is complex for non-medical people. Basically having antibodies to the virus that causes COVID-19 may provide protection from getting infected with the virus again. If it does, we do not know how much protection the antibodies may provide or how long this protection may last.

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National Dentist Day: Best Oral Hygiene Tips Shared by Experts

Every year, on March 6th, National Dentist Day is celebrated to recognize the invaluable contributions of dentists in maintaining our oral health. This special day also serves as a reminder of the importance of good oral hygiene habits. Whether you're looking to improve your daily dental routine or seeking expert advice, we’ve compiled the best oral hygiene tips shared by dentists to help you achieve a healthy and confident smile.

1. Brush Properly, Not Just Regularly

Brushing twice a day is essential, but how you brush matters just as much as how often. Experts recommend using a soft-bristled toothbrush and fluoride toothpaste. Follow these steps for effective brushing:

Use a gentle, circular motion rather than scrubbing.
Brush for at least two minutes twice a day.
Ensure you clean all tooth surfaces, including the back molars and gum line.

2. Flossing is Non-Negotiable

Flossing removes food particles and plaque from between your teeth where your toothbrush can’t reach. Dentists suggest flossing at least once a day to prevent cavities and gum disease. If traditional flossing is difficult, consider using:

Water flossers
Interdental brushes
Floss picks

3. Rinse with Mouthwash for Extra Protection

Using an antibacterial mouthwash helps reduce plaque, prevents bad breath, and protects against gum disease. Look for a fluoride-based or alcohol-free mouthwash, especially if you have sensitive gums.

Tip: Rinse for 30 seconds after brushing and flossing for best results.

4. Eat a Tooth-Friendly Diet

What you eat significantly impacts your oral health. Dentists recommend incorporating the following foods into your diet:

Dairy products (milk, cheese, yogurt) to strengthen enamel.
Crunchy fruits and vegetables (apples, carrots) to naturally clean teeth.
Nuts and seeds for essential minerals like calcium and phosphorus.
Green tea for its antibacterial properties.

Avoid excessive consumption of sugary snacks, acidic beverages, and sticky candies, which can erode enamel and lead to cavities.

5. Stay Hydrated and Limit Sugary Drinks

Drinking plenty of water helps wash away food particles and bacteria, keeping your mouth fresh and clean. Limit soda, sports drinks, and coffee, as they can stain teeth and contribute to decay.

Pro Tip: If you drink sugary or acidic beverages, use a straw to minimize direct contact with your teeth.

6. Replace Your Toothbrush Regularly

A worn-out toothbrush is ineffective at cleaning your teeth. Dentists recommend replacing your toothbrush every 3-4 months or sooner if the bristles are frayed. Using an electric toothbrush can also improve plaque removal.

7. Schedule Regular Dental Checkups

No matter how diligent your oral hygiene routine is, visiting your dentist every six months is crucial for professional cleanings and early detection of dental issues. Regular checkups can help prevent cavities, gum disease, and even serious health conditions linked to poor oral health.

8. Protect Your Teeth While Playing Sports

If you engage in contact sports, wearing a custom-fitted mouthguard can protect your teeth from injuries and fractures. This simple preventive measure can save you from costly dental treatments.

9. Avoid Smoking and Tobacco Products

Smoking and tobacco use are major contributors to gum disease, tooth loss, and oral cancer. If you’re looking for another reason to quit, your oral health is a great motivation. Talk to your dentist about resources to help you quit.

10. Teach Kids Good Oral Hygiene Habits Early

Children should learn proper oral hygiene habits from a young age. Encourage them to:

Brush their teeth with fluoride toothpaste.
Floss regularly.
Visit the dentist every six months.
Avoid excessive sweets and sugary drinks.

Setting a strong foundation for oral health can prevent future dental issues and ensure a lifetime of healthy smiles.

Conclusion

This National Dentist Day, take the opportunity to improve your oral care routine by following these expert tips. Good oral hygiene isn’t just about having a bright smile—it’s also essential for overall health and well-being. Show appreciation for your dentist by prioritizing your dental health and scheduling your next checkup.

For personalized dental care advice, consult a professional at SecondMedic, where expert guidance helps you maintain optimal oral health.