Abstract: Background: One of the challenges that face effective dental and oral surgical treatment is reducing transmission of infectious diseases. Methods: This study assessed the challenges and the changes in management of patients in private dental clinics in Egypt in view of rapid spread of SARS-CoVID 19. Sex private dental clinics in Egypt were enrolled in this study. Changes in the management protocols were recorded and evaluated. Data were collected about the changes in clinic policies and in infection control practices. Results: The modifications in patient management and the number and types of treatment approaches either surgical or non-surgical for dental and oral conditions were recorded and evaluated. The most commonly followed guidelines were wearing gloves followed by wearing masks and using disposable products. Remote consultations and shortage of personal protective equipment were recorded by all clinics. Management approaches included conservative endodontic management for periapical lesions and fistulae. Aerosols and minor surgical interventions could not be avoided in many cases. Conclusion: Dental personnel should be more aware and more prepared for any pandemic spread. Management modifications and strict precautions should be followed.Conservative approaches were effective and could be considered during pandemic spread.