Aerosol Reduction In Dentistry: Minimizing Risk Of Covid 19

##plugins.themes.bootstrap3.article.main##

  •   Bhanu P. Lakhani

  •   Apoorva Sharma

  •   Varun Sanwalka

  •   Pulkit Lakhani

Abstract

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.


Keywords: AGPs, coronavirus, dentistry, ppe

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.

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.

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.

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.

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

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.

Roberge R. J. (2016). Face shields for infection control: A review. Journal of occupational and environmental hygiene, 13(4), 235–242.

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

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

Phin NF. Requirements and technical specifications of personal protective equipment (PPE) for the novel coronavirus (2019-ncov) in healthcare settings.

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.

COVID-19 guidance and standard operating procedure. NHS England. VERSION 1, 15 APRIL 2020

Souza RC, Costa PS, Costa LR. Dental Sedation Precautions and Recommendations during the COVID-19 Pandemic. Rev. Bras. Odontol. 2020;77:e1788.

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.

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.

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.

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).

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.

Marshall K. 'Dam it–it's easy!'–or is it?. British dental journal. 2017 Jun 9;222(11):839

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.

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.

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.

Nuvvula S, Mallineni SK. Silver Diamine Fluoride in Pediatric Dentistry. Journal of South Asian Association of Pediatric Dentistry. 2019 Jul;2(2):74.

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.

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.

Casamassimo PS, Townsend JA, Litch CS. Pediatric Dentistry During and After COVID-19. Pediatric Dentistry. 2020 Mar 15;42(2):87-90.

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.

Sisler ZS. PREPARATION GUIDES: 10 STEPS TO MAXIMIZE SUCCESS FOR VENEER PREPARATION. Journal of Cosmetic Dentistry. 2020 Jan 1;35(4)

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.

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.

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.

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.

Sinha A. Sterilization and Disinfection in Orthodontics: A Literature Review. Indian Journal of Public Health Research & Development. 2019 Nov 1;10(11).

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.

Khanna R. Providing dental care in the current COVID-19 crisis. Marshall Journal of Medicine. 2020;6(2):3.

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.

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.

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.

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.

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.

Downloads

Download data is not yet available.

##plugins.themes.bootstrap3.article.details##

How to Cite
Lakhani, B., Sharma, A., Sanwalka, V., & Lakhani, P. (2020). Aerosol Reduction In Dentistry: Minimizing Risk Of Covid 19. European Journal of Medical and Health Sciences, 2(3). https://doi.org/10.24018/ejmed.2020.2.3.294