Aerosol Reduction In Dentistry: Minimizing Risk Of Covid 19
Article Main Content
— Introduction: The challenging times of COVID 19 pandemic pose a greater risk to dental professionals and patients. Since the worldwide outbreak, dental offices have been advised to disrupt regular functioning.
Aim and Objective: This article aims to discuss measures of infection prevention and control, special procedural recommendations to minimize disease transmission while reducing aerosol generation, surface disinfection and careful waste management to assist dental offices to limit the risk of COVID 19.
Conclusion: Adhering to the principles of infection control and non-aerosol generating practices in dental office could help control disease transmission, keeping the dental professionals and the patients safe.
References
-
Harrel SK, Molinari J. Aerosols and splatter in dentistry: a brief review of the literature and infection control implications. The Journal of the American Dental Association. 2004 Apr 1;135(4):429-37.
DOI |
Google Scholar
1
-
Kobza J, Pastuszka JS, Brągoszewska E. Do exposures to aerosols pose a risk to dental professionals?. Occupational Medicine. 2018 Sep 13;68(7):454-8.
DOI |
Google Scholar
2
-
Wynants L, Van Calster B, Bonten MM, Collins GS, Debray TP, De Vos M, Haller MC, Heinze G, Moons KG, Riley RD, Schuit E. Prediction models for diagnosis and prognosis of covid-19 infection: systematic review and critical appraisal. BMJ. 2020 Apr 7;369.
DOI |
Google Scholar
3
-
Liu L, Wei Q, Alvarez X, Wang H, Du Y, Zhu H, Jiang H, Zhou J, Lam P, Zhang L, Lackner A. Epithelial cells lining salivary gland ducts are early target cells of severe acute respiratory syndrome coronavirus infection in the upper respiratory tracts of rhesus macaques. Journal of virology. 2011 Apr 15;85(8):4025-30.
DOI |
Google Scholar
4
-
World Health Organization Coronavirus disease (COVID-19) technical guidance: Infection prevention and control / WASH. Avaialable at https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/infection-prevention-and-control Last accessed on 16 May 2020
Google Scholar
5
-
Verbeek JH, Rajamaki B, Ijaz S, Sauni R, Toomey E, Blackwood B, Tikka C, Ruotsalainen JH, Kilinc Balci FS. Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff. Cochrane Database of Systematic Reviews 2020, Issue 4.
DOI |
Google Scholar
6
-
Roberge R. J. (2016). Face shields for infection control: A review. Journal of occupational and environmental hygiene, 13(4), 235–242.
DOI |
Google Scholar
7
-
NIOSH[2020] Christopher Coffey, Maryann M. D’Alessandro, Jaclyn Krah Cichowicz. Respiratory Protection During Outbreaks: Respirators versus Surgical Masks. NIOSH Science Blog. April 9, 2020
Google Scholar
8
-
CDC. NIOSH-Approved Particulate Filtering Facepiece Respirators. Available at https://www.cdc.gov/niosh/npptl/topics/respirators/disp_part/default.html. Last accessed on 16 May 2020
Google Scholar
9
-
Phin NF. Requirements and technical specifications of personal protective equipment (PPE) for the novel coronavirus (2019-ncov) in healthcare settings.
Google Scholar
10
-
Sureshram T, Rajasekar S, Vadodaria K. Guidelines on Personal Protective Wearables Used For Protection Against Highly Infectious Diseases Such as Ebola, Sars and Avian Flu. International journal on textile engineering and processes. 2016 Apr:38.
Google Scholar
11
-
COVID-19 guidance and standard operating procedure. NHS England. VERSION 1, 15 APRIL 2020
Google Scholar
12
-
Souza RC, Costa PS, Costa LR. Dental Sedation Precautions and Recommendations during the COVID-19 Pandemic. Rev. Bras. Odontol. 2020;77:e1788.
Google Scholar
13
-
Waghmare SV. Comparative Evaluation of Colony Forming Unit Count on Aerobic Culture of Aerosol Collected Following Pre-Procedural Rinses of Either 0.2% Chlorhexidine Gluconate or 1% Stabilized Chlorine Dioxide During Ultrasonic Scaling: A Clinical and Microbiological Study. Journal of Contemporary Dentistry. 2018 May;8(2):70-6.
DOI |
Google Scholar
14
-
Mani SS, Srikanthan S, Selvaraj B, Menaka V, Diwakar MK. Effectiveness of 0.2% chlorhex plus and 0.1% turmix as preprocedural mouthrinses on aerosol contamination produced by ultrasonic scalers: An interventional study. Journal of Dental Research and Review. 2020 Jan 1;7(1):5.
Google Scholar
15
-
Joshi AA, Padhye AM, Gupta HS. Efficacy of Two Pre-Procedural Rinses at Two Different Temperatures in Reducing Aerosol Contamination Produced During Ultrasonic Scaling in a Dental Set-up-A Microbiological Study. Journal of the International Academy of Periodontology. 2017 Oct;19(4):138-44.
Google Scholar
16
-
Mathur N, Tyagi S, Dwivedi V, Narang A, Tyagi P, Nath KS. DENTAL CONSIDERATIONS AMIDST COVID-19 SCARE. International Journal of Medical and Biomedical Studies. 2020 Mar 25;4(3).
DOI |
Google Scholar
17
-
Ather A, Patel B, Ruparel NB, Diogenes A, Hargreaves KM. Coronavirus Disease 19 (COVID-19): Implications for clinical dental care. Journal of endodontics. 2020 Apr 6.
DOI |
Google Scholar
18
-
Marshall K. 'Dam it–it's easy!'–or is it?. British dental journal. 2017 Jun 9;222(11):839
DOI |
Google Scholar
19
-
Al-Amad SH, Awad MA, Edher FM, Shahramian K, Omran TA. The effect of rubber dam on atmospheric bacterial aerosols during restorative dentistry. Journal of infection and public health. 2017 Mar 1;10(2):195-200.
DOI |
Google Scholar
20
-
Bussadori SK, Godoy CH, Alfaya TA, Fernandes KP, Mesquita-Ferrari RA and Motta LJ. Chemo-mechanical caries removal with Papacarie: case series with 84 reports and 12 months of follow-up. J Contemp Dent Pract, 15: 250-3, 2014.
DOI |
Google Scholar
21
-
Hafez MA, Elkateb M, El Shabrawy S, Mahmoud A, El Meligy O. Microleakage Evaluation of Composite Restorations Following Papain-Based Chemo-Mechanical Caries Removal in Primary Teeth. J Clin Pediatr Dent 2017;41(1):53-61.
DOI |
Google Scholar
22
-
Nuvvula S, Mallineni SK. Silver Diamine Fluoride in Pediatric Dentistry. Journal of South Asian Association of Pediatric Dentistry. 2019 Jul;2(2):74.
DOI |
Google Scholar
23
-
Heck K, Frasheri I, Diegritz C, Manhart J, Hickel R, Fotiadou C. Six-year results of a randomized controlled clinical trial of two glass ionomer cements in class II cavities. Journal of Dentistry. 2020 Apr 17:103333.
DOI |
Google Scholar
24
-
Patil AM, Deshpande S, Ratnakar P, Patil V, Surabhi R, Reza KM. To evaluate the fracture resistance of four core buildup materials: Amalgam, resin composite/dual cure, resin-modified glass ionomer, and SureFil packable composite restorative material under universal testing machine. International Journal of Oral Care and Research. 2020 Jan 1;8(1):5.
Google Scholar
25
-
Casamassimo PS, Townsend JA, Litch CS. Pediatric Dentistry During and After COVID-19. Pediatric Dentistry. 2020 Mar 15;42(2):87-90.
Google Scholar
26
-
Chandy PE, Nasir MU, Srinivasan S, Klass D, Nicolaou S, Babu SB. Interventional radiology and COVID-19: evidence-based measures to limit transmission. Diagn Interv Radiol. 2020 Mar 31.
DOI |
Google Scholar
27
-
Sisler ZS. PREPARATION GUIDES: 10 STEPS TO MAXIMIZE SUCCESS FOR VENEER PREPARATION. Journal of Cosmetic Dentistry. 2020 Jan 1;35(4)
Google Scholar
28
-
Winkler J, Gkantidis N. Trueness and precision of intraoral scanners in the maxillary dental arch: An in vivo analysis. Scientific reports. 2020 Jan 24;10(1):1-1.
DOI |
Google Scholar
29
-
Kampf G, Todt D, Pfaender S, Steinmann E. Persistence of coronaviruses on inanimate surfaces and its inactivation with biocidal agents. Journal of Hospital Infection. 2020 Feb 6.
DOI |
Google Scholar
30
-
Chidambaranathan AS, Balasubramanium M. Comprehensive review and comparison of the disinfection techniques currently available in the literature. Journal of Prosthodontics. 2019 Feb;28(2):e849-56.
DOI |
Google Scholar
31
-
Zimmermann M, Nkenke E. Approaches to the management of patients in oral and maxillofacial surgery during COVID-19 pandemic. Journal of Cranio-Maxillofacial Surgery. 2020 Apr 4.
DOI |
Google Scholar
32
-
Sinha A. Sterilization and Disinfection in Orthodontics: A Literature Review. Indian Journal of Public Health Research & Development. 2019 Nov 1;10(11).
DOI |
Google Scholar
33
-
Avasth A. High Volume Evacuator (HVE) in reducing aerosol-an exploration worth by clinicians. J Dent Health Oral Disord The. 2018;9(3):165-6.
DOI |
Google Scholar
34
-
Khanna R. Providing dental care in the current COVID-19 crisis. Marshall Journal of Medicine. 2020;6(2):3.
DOI |
Google Scholar
35
-
Beswick AJ, Farrant J, Makison C, Gawn J, Frost G, Crook B, Pride J. Comparison of multiple systems for laboratory whole room fumigation. Applied Biosafety. 2011 Sep;16(3):139-57.
DOI |
Google Scholar
36
-
Bali R, Sharma P, Nagrath S, Gupta P. Microbial isolations from maxillofacial operation theatre and its correlation to fumigation in a teaching hospital in India. J Maxillofac Oral Surg. 2014;13(2):128–132. doi:10.1007/s12663-012-0458-3.
DOI |
Google Scholar
37
-
Kümin D, Albert MG, Weber B, Summermatter K. The hitchhiker’s guide to hydrogen peroxide fumigation, part 1: introduction to hydrogen peroxide fumigation. Applied Biosafety. 2020:1535676020921007.
DOI |
Google Scholar
38
-
Misra V, Bhardwaj A, Bhardwaj S, Misra S. Novel COVID-19–Origin, Emerging Challenges, Recent Trends, Transmission Routes and Control-A Review. Journal of Contemporary Orthodontics. 2020 Jan;4(1):55-6.
Google Scholar
39
-
Castellano Realpe OJ, Gutiérrez JC, Sierra DA, Pazmiño Martínez LA, Prado Palacios YY, Echeverría G, de Waard JH. Dental Unit Waterlines in Quito and Caracas contaminated with Nontuberculous Mycobacteria: A potential health risk in dental practice. International Journal of Environmental Research and Public Health. 2020 Jan;17(7):2348.
DOI |
Google Scholar
40