Reduction of aerosol and droplet dispersions using intraoral and extraoral vacuums for dental treatments with face-up, diagonal and upright positions.

Purpose: The COVID-19 pandemic has affected lives and dental treatment. Aerosols and droplets generated during dental treatment present a risk of infection for dental care workers. However, detailed elucidation of the conditions under which those are generated has yet to be presented, and no clear c...

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Publicado en:BMC Oral Health Vol. 24; no. 1; pp. 1 - 11
Autores principales: Kajita, Tomonari, Kikuchi, Kenji, Morishima, Hiromitsu, Watanabe, Jun, Iwamatsu-Kobayashi, Yoko, Kanetaka, Hiroyasu, Yashiro, Wataru, Yamauchi, Kensuke, Egusa, Hiroshi
Formato: pictorial research tables/charts Journal Article
Publicado: BioMed Central 11/17/2024
Acceso en línea:Ver este registro en EBSCOhost
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        14726831
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      dt: 11/17/2024
      vid: 24
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      pub: BioMed Central
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        180931879
        180931879
        180931879
        10.1186/s12903-024-04911-5
        180931879
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        atl: Reduction of aerosol and droplet dispersions using intraoral and extraoral vacuums for dental treatments with face-up, diagonal and upright positions.
      aug:
        au:
          Kajita, Tomonari
          Kikuchi, Kenji
          Morishima, Hiromitsu
          Watanabe, Jun
          Iwamatsu-Kobayashi, Yoko
          Kanetaka, Hiroyasu
          Yashiro, Wataru
          Yamauchi, Kensuke
          Egusa, Hiroshi
        affil: https://ror.org/01dq60k83 Division of Oral and Maxillofacial Oncology and Surgical Sciences, Department of Disease Management Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Miyagi, Japan
      sug:
        subj:
          Aerosols
          Vacuum Utilization
          Dental Care Methods
          Body Positions
          Human
          COVID-19 Pandemic
          Infection Risk Factors
          Health Personnel
          Models, Anatomic
          Quantitative Studies
          Descriptive Statistics
          Risk Assessment
          Funding Source
      ab: Purpose: The COVID-19 pandemic has affected lives and dental treatment. Aerosols and droplets generated during dental treatment present a risk of infection for dental care workers. However, detailed elucidation of the conditions under which those are generated has yet to be presented, and no clear countermeasures for protection have been established. The present study aimed to clarify the process of generation of aerosol and droplets in dental treatment, as well as their dynamics for establishment of effective countermeasures and protection strategies. Methods: Images were obtained using a high-speed camera of aerosol and droplets generated during dental treatments performed on a mannequin. The effects of intraoral vacuum and extraoral vacuum to reduce those, as well as splash range with different body position were examined. Quantitative evaluations of aerosol and droplets were also performed using water-sensitive paper. Results: Aerosol and droplets quantities were significantly reduced by use of both intraoral and extraoral vacuums as compared to no vacuum in both image analysis and findings obtained with water-sensitive paper (p < 0.05). Additionally, the intensity of aerosol and droplets when using the intraoral and extraoral vacuum devices with a body position of 45 degrees was a significantly less as compared to the other settings (p < 0.001). Conclusions: The present study demonstrated the effectiveness of visualization of the aerosol and droplets generated by dental tools using a high-speed camera. Use of an extraoral vacuum resulted in a reduction of those generated during simulated dental treatment, and also contributed to diffusion prevention to protect the operator and assistant. Nevertheless, it is necessary to be careful because the use of extraoral vacuums may reverse the spread of aerosol and droplets depending on the position of patient.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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