scholarly journals Effects of Extraoral Suction on Droplets and Aerosols for Infection Control Practices

2021 ◽  
Vol 9 (7) ◽  
pp. 80
Author(s):  
Hidenobu Senpuku ◽  
Masahiko Fukumoto ◽  
Toshikazu Uchiyama ◽  
Chieko Taguchi ◽  
Itaru Suzuki ◽  
...  

Dental professionals are at increased risk of being infected with airborne pathogens such as SARS-CoV-2 because they are often exposed to droplets/aerosols production during dental treatment. To scientifically clear the effects of extraoral and oral suctions on the droplets and aerosols produced by dental treatments using an ultrasonic scaler was analyzed. The adenosine triphosphate and bacteria in droplets and aerosols produced during simulated scaling were quantitatively observed by reactions with luciferin/luciferase and incubation in culture plates to grow bacteria, respectively. The protection against spreading droplets and aerosols by oral and extraoral suctions was recognized, and the areas were limited to the left and posterior sides of the dental chair head when a right-handed dentist and dental hygienist performed scaling. Extraoral suction is a very useful tool for reducing the infection risk of COVID-19 in dental care, but the effective area is limited depending on physical characteristics of dentist and dental hygienist.

Author(s):  
Bassel Tarakji ◽  
Mohammad Zakaria Nassani ◽  
Faisal Mehsen Alali ◽  
Anas B. Alsalhani ◽  
Nasser Raqe Alqhtani ◽  
...  

Dental professionals have a major role in the fight against the spread and transmission of COVID-19. This study aimed to evaluate awareness and practice of dentists in Saudi Arabia regarding COVID-19 and the utilization of infection control methods. A 24-item questionnaire was developed and distributed through social media to 627 dentists working in Saudi Arabia. 177 questionnaires were completed (28.2% response rate). Most dentists were aware about the transmission, incubation time and main clinical symptoms of COVID-19. Almost 83% of the respondents appreciate the risk of droplets, aerosols and airborne particles in transmission of COVID-19 in the dental clinic. Among the common practices of participants are measuring patient’s body temperature before undertaking a dental treatment (88.7%), cleaning the environmental surfaces at the dental clinic after each patient (91.5%) and restriction of dental treatment to emergency cases (82.5%). It seems that practicing dentists in Saudi Arabia are fairly aware about COVID-19. The practices of the surveyed dentists appear to be mostly consistent with the current guidelines and recommendations for infection control of COVID-19 in the dental clinic. Some drawbacks in knowledge and a number of inappropriate practices can be identified and require the attention of health authorities.


2020 ◽  
Vol 30 (6) ◽  
Author(s):  
Bassel Tarakji ◽  
Mohammad Zakaria Nassani ◽  
Faisal Mehsen Alali ◽  
Abdulwahab A. Abuderman

BACKGROUND፡ Coronavirus disease 2019 is an infectious disease caused by severe acute respiratory syndrome coronavirus 2. This study aimed to address the preventive procedures to protect healthcare workers at hospital to avoid COVID-19, and infection control procedures to protect dental professionals in dental office.METHODS: We conducted a search of published articles from PubMed, google scholar databases using key words such as COVID-19, healthcare worker, infection control, and dental practice. Relevant articles were identified and reviewed. Most published papers were clinical reports and case studies. We have selected some of the current published papers written in English in 2020.RESULTS: Infection control procedures to protect health workers at hospitals, and dental professionals at dental office were summurised and presented. Infection control procedures for healthcare workers at hospitals include Personal protective equipment, Korea filter (KF)94 respirator, goggles, face protector,disposable waterproof long-arm gown, and gloves, and others. Extra-protection procedures should be taken with old and vulnerable healthcare workers. Dental professionals should evaluate patients in advance before starting dental treatment. Aerosols generating procedures should be avoided and personal protective equipment should be used. Dental treatment should be restricted to emergency cases only.CONCLUSION: Old medical staff should be in safer distance to avoid infection, but young physicians and nurses should work at frontline as their immunity is better than their colleagues at old age. Screening patients and measurement of the body temperature are essential measures before dental treatment.


2021 ◽  
Vol 8 ◽  
Author(s):  
Asma Azzouzi ◽  
Saliha Chbicheb

Severe acute respiratory syndrome (SARS) caused by the SARS-CoV-2 virus was first reported in Wuhan, China, in December 2019 has rapidly spread worldwide at an unprecedented rate and has profound health and socioeconomic effects directly affecting all fields. From the onset of the pandemic, the authors realized the impending impact on the dental field. Dental professionals are uniquely exposed to environments with high levels of infection risk from aerosols and oral fluids. Dental treatment has become a challenge during the epidemic. However, the light of optimism has faded with the onset of vaccination. The purpose of this article is to provide guidance to dental surgeons on how to adapt their current practice during and after the COVID-19 pandemic with respect to consultation activity, surgical activity, and drug prescribing in oral surgery. Thus, an electronic search was performed from PubMed (MEDLINE), Scopus, Cochrane, Google Scholar and Sciencedirect databases. 35 articles were identified of which 24 were selected to compose this article. Within the limitations of this literature review, the presence of the virus is inevitable in oral surgery practice. Dentists must continue to provide care to their patients while monitoring the evolution of Covid-19.


2021 ◽  
pp. 61-63
Author(s):  
M. Kiranmayi ◽  
S. Srikanth Raju ◽  
E. Rajendra Reddy ◽  
Srujana M P ◽  
P. Snehitha ◽  
...  

Background: Dental practice has considerably changed in this COVID-19 era. Since the outbreak of COVID-19, worldwide healthcare systems & dental professionals have been severely challenged furthermore; paediatric dentists are at higher level as children act as carriers due to their innate immunity.The purpose of the study was to assess the Parental attitude towards their child's dental treatment during COVID-19 pandemic. Methods: A cross-sectional questionnaire-based survey which consisted of 16 self-prepared questions was conducted. A total of 100 parents of patients who visited hospital for various treatments have participated in this study. Results: Ninety percent of patients have heard about COVID-19 and they have chosen dental treatment is recommended in this scenario.About 83% of the patients were aware that television is the main source of information about COVID-19. Most of the patients (85%) were aware of the infection control measures to be followed by dentist and by themselves at their home.Regardless of gender and generation most of the people are aware about the present pandemic.Conclusion: Most of the parents of patients were aware about COVID-19 and infection control measures to be followed by paediatric dentists in the dental set-up, and also precautions to be taken by them at the home environment.Through this study it can be concluded that most of the parents were not apprehensive about undergoing dental treatment in this pandemic.


2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Leopoldo Lucio da Mata ◽  
Ana Maria Schroden Rodrigues da Cunha ◽  
Andrezza Morais Moronte

Patients with special health care needs (PSHCN) may have an increased risk of oral disease throughout the course of their life and require particular delivery of dental care due to their medical condition or limitations. The purpose is to report the dental management of a patient with Cornelia de Lange Syndrome (CdLS), which was classified as PSHCN due to physical, behavioural, cognitive, and emotional impairment. A 14-year-old female with a clinical diagnosis of CdLS and its common craniofacial features such as microcephaly, short neck, synophrys, arched eyebrows, downturned angle of the mouth, high arched palate, micrognathia, and microdontia was referred to the hospital where the dental treatment was performed under general anesthesia. Multiple tooth extraction, fillings, and coronary polishing were performed. During the follow-up, we observed that dental restorations were clinically satisfactory and there was an improvement in the patient’s behaviour during dental treatment. Managing and shaping behaviour of such patients are crucial to delivering quality dental care, as they require specialized care due to their behavioural and clinical conditions.


Author(s):  
Sanjeev B. Khanagar ◽  
Ali Al-Ehaideb ◽  
Satish Vishwanathaiah ◽  
Prabhadevi C. Maganur ◽  
Sachin Naik ◽  
...  

In recent times, numerous scientific articles have been published on the risks of exposure to infectious microorganisms in dental care settings. The main mode of transmission of such infectious organisms is primarily through bioaerosols generated during routine dental procedures which put both dental care providers and their patients at an increased risk of exposure. Other frequent modes of infection transmission often reported include cross contamination and inadequate adoption of infection control protocols. The main objective of this article is to highlight the findings of those studies that have reported on the routes and modes of transmission of infectious organisms in dental settings, to report possibilities of cross contamination in dental care settings, and also to report any breach in adherence to infection control protocols in dental care settings. We also intend to emphasize on standard infection control protocols and strategies that need to be considered in dental care settings during disease outbreaks like coronavirus disease (COVID-19).


2020 ◽  
Vol 49 (5) ◽  
pp. 312-319 ◽  
Author(s):  
Adrian H Shi ◽  
Weidi Guo ◽  
Chia Kiat Chng ◽  
Boon Hui Chan

Transmission of coronavirus disease 2019 (COVID-19)—caused by novel severe acute respiratory syndrome coronavirus 2—through aerosolised saliva and respiratory droplets is possible when aerosol-generating dental procedures are performed. Consequently, dental practitioners are at increased risk of being infected when treating COVID-19 patients. A comprehensive review of the current literature on precautions when providing dental care during the COVID-19 pandemic is discussed and recommendations for dental practitioners are made. Dental practitioners should actively keep themselves abreast of the guidelines published by both national and international authorities and adhere strictly to them. Ann Acad Med Singapore 2020;49:312–19 Keywords: Aerosol-generating procedures, Infection control, Infectious disease, Severe acute respiratory syndrome coronavirus, Transmission


2020 ◽  
Vol 8 (04) ◽  
pp. 47-52
Author(s):  
Dr. Thorikonda Sai Pravallika ◽  
Dr. Sheetal Akula ◽  
Dr. Kurnool Balaji ◽  
Dr. Maddela Jyothi ◽  
Dr. Jaidupally Ramvilas Reddy

AIM: This review provides an overview of the corona virus and to determine the precautionary recommendations to be taken by the Dental Professionals. BACKGROUND: Corona virus (COVID-19) in no time has captured the world’s attention and is declared as a pandemic by WHO. REVIEW RESULTS: Dental care settings inevitably carry the risk of infection due to the specificity of the procedures and effective preventive measures can help the spread of the infection. CONCLUSION: The outbreak of corona virus had already lead to huge number of deaths and its risk continues to remain high. Infection control measures are necessary to help control the situation. KEYWORDS: Corona virus, Pandemic, Dental considerations


2021 ◽  
Vol 9 (03) ◽  
pp. 395-400
Author(s):  
Palak Srivastava ◽  
Pranjan Mitra

The ongoing COVID19 pandemic has been a jarring blow to dental professionals as dental treatment requires close face-to-face encounters. To sustain the dental practice, Teledentistry is a cogent solution to continue providing dental care without adding to the risk of cross-infection via information technology. It is a necessary tool to obtain a balance between the safety of health care professionals still providing dental care to patients needing immediate intervention. The future of teledentistry is not limited to the pandemic its improvident to restrict the use of teledentistry when it has the potential to enhance the present dental health care delivery system.


2020 ◽  
Vol 18 (6) ◽  
pp. 475-479
Author(s):  
T. Shintani ◽  
T. Iwata ◽  
M. Okada ◽  
M. Nakaoka ◽  
N. Yamasaki ◽  
...  

Background: Dental professionals have so many opportunities to use injection needles and sharp instruments during dental treatment that they face an increased risk of needlestick injuries. This retrospective study reports the utilization and clinical outcomes of occupational post-exposure prophylaxis (PEP) with anti-retroviral agents after being potentially exposed to HIV at dental departments of Hiroshima University Hospital. Objective: This study reports the utilization and clinical outcomes of occupational post-exposure prophylaxis (PEP) with anti-retroviral agents after being potentially exposed to HIV at dental departments of Hiroshima University Hospital. Methods: Data on the clinical status of HIV-infected source patients and information on HIV-exposed dental professionals from 2007 to 2018 were collected. Results: Five dentists with an average experience of 5.6 years (1-15 years) were exposed. The averaged CD4-positive cell number and HIV-RNA load were 1176 (768-1898) / l and less than 20 copies/ml, respectively, in all the patients. Two of the five HIV exposed dentists received PEP. Three months after the exposures, all of their results were negative in HIV antibody/antigen tests. Conclusion: These data might support the concept of “undetectable equals untransmittable”, although HIV exposure in this study was not through sexual transmission.


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