scholarly journals Effectiveness of Extra Oral Vacuum Aspirator During Dental Treatment in COVID -19 Pandemic

2020 ◽  
Vol 3 (2) ◽  
pp. 47-50
Author(s):  
Anjana Maharjan ◽  
Sarita Joshi ◽  
Shyam Kaji Maharjan

As COVID 19 pandemic has rapidly became a public health crisis of global concern, dental office is also affected.  Due to the unique characteristics of dental office i.e., generating high volume of aerosol during the dental procedures, both dental health care professionals as well as the patients have increased risk of cross infection. Various devices like extra oral vacuum aspirator, high volume evacuator, and high efficiency particulate air filter and ultraviolent chambers in conjunction with personal protective equipment are used to reduce aerosols produced in dentistry. The objective of this review is to explore the effectiveness of extra oral vacuum aspirator to decrease number of airborne pathogens, such as the SARS- CoV-2 virus during the dental procedure.

Materials ◽  
2020 ◽  
Vol 13 (22) ◽  
pp. 5109
Author(s):  
Jacek Matys ◽  
Kinga Grzech-Leśniak

Standard dental procedures, when using a water coolant and rotary instruments, generate aerosols with a significantly higher number of various dangerous pathogens (viruses, bacteria, and fungi). Reducing the amount of aerosols to a minimum is mandatory, especially during the new coronavirus disease, COVID-19. The study aimed to evaluate the amount of aerosol generated during standard dental procedures such as caries removal (using dental bur on a high and low-speed handpiece and Er:YAG laser), ultrasonic scaling, and tooth polishing (using silicon rubber on low-speed handpiece) combined with various suction systems. The airborne aerosols containing particles in a range of 0.3–10.0 μm were measured using the PC200 laser particle counter (Trotec GmbH, Schwerin, Germany) at three following sites, manikin, operator, and assistant mouth, respectively. The following suction systems were used to remove aerosols: saliva ejector, high volume evacuator, saliva ejector with extraoral vacuum, high volume evacuator with extraoral vacuum, Zirc® evacuator (Mr.Thirsty One-Step®), and two customized high volume evacuators (white and black). The study results showed that caries removal with a high-speed handpiece and saliva ejector generates the highest amount of spray particles at each measured site. The aerosol measurement at the manikin mouth showed the highest particle amount during caries removal with the low and high-speed handpiece. The results for the new high volume evacuator (black) and the Zirc® evacuator showed the lowest increase in aerosol level during caries removal with a high-speed handpiece. The Er:YAG laser used for caries removal produced the lowest aerosol amount at the manikin mouth level compared to conventional dental handpieces. Furthermore, ultrasonic scaling caused a minimal aerosol rise in terms of the caries removal with bur. The Er:YAG laser and the new wider high volume evacuators improved significantly suction efficiency during dental treatment. The use of new suction systems and the Er:YAG laser allows for the improvement of biological safety in the dental office, which is especially crucial during the COVID-19 pandemic.


2015 ◽  
Vol 25 (1) ◽  
pp. 66-71
Author(s):  
Rūta Žaliūnienė ◽  
Jolanta Aleksejūnienė ◽  
Vilma Brukienė ◽  
Vytautė Pečiulienė

Patients with haemophilia often face difficulties in accessing primary dental care: they are at increased risk of spontaneous gum bleeding and significant bleeding from invasive dental procedures. Other of the known barriers is lack of confidence in the ability of dentists to manage patients with haemophilia. The aim of this study was to examine the dental health and its determinants in Lithuanian children with haemophilia and to compare these findings to the general population. Materials and methods. Two study groups were formed: a group of cases, children with haemophilia aged between 4-17 years and a group of controls, randomly selected healthy subjects matched for gender, age and place of residense. The Quantitative Plaque Percent Index (P% index), caries related microflora, stimulated salivary flow rate and buffer capacity, dmf(t), DMF(t) scores were calculated and analyzed. Dietary habits, frequency of tooth brushing, educational and economic level of the parents and type of haemophilia were determined by a questionnaire. Results. Data were collected from 57 children among which 27 were children with haemophilia and 30 healthy controls. Children with haemophilia had lower overall caries experience and less unmet dental treatment needs in deciduous dentitions as compared to their healthy counterparts, but were no differences between the study groups in permanent dentitions. Higher bacteriological counts were found in controls than in study group. Healthy children were from higher socio-economic status families than children with haemophilia. Conclusions. Better dental health was observed in children with haemophilia in deciduos teeth as compared to healthy children. In permanent dentitions overall caries experience and unmet dental treatment needs did not differ between cases and controls.


2018 ◽  
Vol 8 (2) ◽  
pp. 161-167
Author(s):  
E. Stanulewicz ◽  
E. Dąbrowska ◽  
K. Olszański ◽  
K. Borowski ◽  
K. Rosłan

Modern dentistry aims to limit the unpleasant feeling of pain, associated with dental procedures during treatment in the dental office. There are many ways to reduce pain during dental procedures. Endodontic treatment, necessary in irreversible pulpitis, should be completed during one visit. Removal of the inflamed pulp from cavity and root canals is often accompanied by pain. The study aimed to introduce, based on literature, methods of relieving anxiety and pain accompanying dental treatment procedures, including endodontic treatment, as well as the description of applied measures. According to the modern literature, this research compares methodology and results of the anesthetic and anxiety treatment in the dental office, especially in endodontic treatment.


2020 ◽  
Vol 9 (7) ◽  
pp. e494974426
Author(s):  
Caio Vinicius Gonçalves Roman-Torres ◽  
Marcelo de Melo Quintela

The rampant spread of SARS-CoV-2 worldwide increases the likelihood that dental health care professionals will treat this subset of the patient population. Due to the characteristics of the profession and the virus, two situations deserve attention: the disinfection of surfaces that can be contaminated during dental treatment and the presence of the virus in the oral cavity and the countless possibilities of microbial interaction with microorganisms in the oral cavity. The objective of this review was to point out, the current stage of the discussion on dental biosafety involving professionals, the work team and patients, some measures can and should be taken against the spread of SARS-CoV-2. Disinfection of surfaces has always been paramount and the protocol to prevent the spread of SARS-CoV-2 seems to be established. SARS-CoV-2 is vulnerable to oxidation, it is recommended to use a mouth rinse containing oxidizing agents. Dentists are among the professionals who are most at risk of COVID-19 infection, and they must have extra attention during this period, biosafety measures must be reinforced and patients must be motivated to maintain a strict oral hygiene routine so that there is no accumulation of biofilm and this may somehow interfere with your systemic condition.


2020 ◽  
Vol 3 (2) ◽  
pp. 18-23
Author(s):  
Ramona Vlad ◽  
Oana Elena Stoica ◽  
Alexandra Mihaela Stoica ◽  
Monica Monea

AbstractChildren`s dental anxiety is responsible for increasing dental health problems, as patients avoid seeking treatment. The aim of our study was to evaluate the level of dental anxiety and its correlation with dental health status in a group of children aged between 6-9 years.Material and Methods. Our study included 56 children: first, they completed a questionnaire and then the decay-missing-filled teeth index was measured (DMFT).Results. From a total of 59 children, 29 children had dental anxiety (51.78%) and the prevalence of caries was 69%. The mean and SD for the DMFT index was 1.76+/- 1.54 (2.04 +/- 1.98 for boys and 1.69 +/- 1.72 for girls, with p= 0.0391, p<0.05).In conclusion, the level of dental anxiety can be reduced by frequent visits to the dental office. A favorable personal experience might help children increasing their confidence for dental treatment. There was a significant negative association between the value of filled teeth and the level of child's anxiety.


Author(s):  
Suhael Ahmed ◽  
Khaled Saad Hamad Alotaibi ◽  
Fatima Abdullah Binyahya ◽  
Ibrahim Abduljalil Albaijan ◽  
Nasser Ahmed Alfaleh ◽  
...  

Aim: The purpose of our research was to assess the knowledge and awareness regarding infection control practice against coronavirus infection in various dental clinics in Saudi Arabia. Methodology: A descriptive survey was conducted amongst 200 dentists. The study was conceptualised in riyadh elm university, Riyadh, Kingdom of Saudi Arabia and inlcuded dentists from various dental clinics across kingdom of saudi arabia in the month of november,2020.  A questionnaire consisting of 12 questions was distributed, based upon knowledge of COVID-19, transmission as well as prevention strategies that can be implemented in dental clinics for stopping the chain of outbreak of this pandemic. The data was analyzed with the help of descriptive statistics using SPSS 25 software. Results: 71% of study participants felt the need for using N-95 masks routinely during patient treatment. An astounding number of participants (92%), believed that there have been significant changes in infection control after COVID-19 pandemic. 65% of participants believed that High volume evacuators (HVE) suction devices, as well as High efficiency articulate air (HEPA) filters, need to be used to control aerosol spread so as to prevent COVID-19 infection. Conclusion: Dentists in Saudi Arabia showed satisfactory knowledge and positive attitude towards COVID-19. Improving dentists’ level of knowledge could be achieved through increasing their accessibility to materials provided by dental health care authorities, which specifies the best and safest approaches for dealing with patients during and after the outbreak.


Coronaviruses ◽  
2020 ◽  
Vol 01 ◽  
Author(s):  
Caio Vinicius G. Roman-Torres ◽  
Marcelo de Melo Quintela

Background: The rampant spread of SARS-CoV-2 worldwide increases the likelihood that dental health care professionals will treat this subset of the patient population. Due to the characteristics of the profession and the virus, two situations deserve attention: the disinfection of surfaces that can be contaminated during dental treatment and the presence of the virus in the oral cavity and the countless possibilities of microbial interaction with microorganisms in the oral cavity. Objective: The objective of this review was to point out, the current stage of the discussion on dental biosafety involving professionals, the work team and patients. Methods: The following databases were consulted: MEDLINE (National Library of Medicine, USA - NLM), Lilacs, Scielo, Embase, Web of Science and Google Academic with the keywords COVID-19 and dental practice, dentistry, oral conditions, mouthrinses. Results: Disinfection of surfaces has always been paramount and the protocol to prevent the spread of SARS-CoV-2 seems to be established. SARS-CoV-2 is vulnerable to oxidation, it is recommended to use a mouth rinse containing oxidizing agents. Conclusions: Dentists are among the professionals who are most at risk of Covid-19 infection, and they must have extra attention during this period, biosafety measures must be reinforced and patients must be motivated to maintain a strict oral hygiene routine so that there is no accumulation of biofilm and this may somehow interfere with your systemic condition.


Author(s):  
Mithra N. Hegde

Coronavirus disease 2019 (covid-19) is the most recent HCID (highly contagious infectious diseases) pandemic to hit the world. The respiratory disease (sars-cov-2) has been shown to spread from symptomatic patients through droplets and aerosols. Because of the closed environment and the use of high and low-speed handpieces, ultrasonic scalers, infection spreads even more easily in a dental setting. During these times, our priority should be inward to protect ourselves as well as the patients who need medical attention. Various methods for controlling infection transmission from aerosol-generating dental procedures are recommended to accomplish this. In light of the effect of oral health on the seriousness of the Covid 19 pandemic, and to protect ourselves financially during this pandemic it is critical to explain patients that we dentists are using the most up-to-date approaches to keep them safe by reducing the risk of them contracting the virus from the dental office in order to maximise the number of outpatients. And it is important to treat every patient as a Covid -19 infected person and take the appropriate precautions to ensure our safety while rendering dental treatment.


2016 ◽  
Vol 38 (2) ◽  
pp. 154-161 ◽  
Author(s):  
Feng-Chen Kao ◽  
Yao-Chun Hsu ◽  
Wen-Hui Chen ◽  
Jiun-Nong Lin ◽  
Ying-Ying Lo ◽  
...  

OBJECTIVESWe aimed to clarify whether invasive dental treatment is associated with increased risk of prosthetic joint infection (PJI) and whether prophylactic antibiotics may lower the infection risk remain unclear.DESIGNRetrospective cohort study.PARTICIPANTSAll Taiwanese residents (N=255,568) who underwent total knee or hip arthroplasty between January 1, 1997, and November 30, 2009, were screened.METHODSThe dental cohort consisted of 57,066 patients who received dental treatment and were individually matched 1:1 with the nondental cohort by age, sex, propensity score, and index date. The dental cohort was further divided by the use or nonuse of prophylactic antibiotics. The antibiotic and nonantibiotic subcohorts comprised 6,513 matched pairs.RESULTSPJI occurred in 328 patients (0.57%) in the dental subcohort and 348 patients (0.61%) in the nondental subcohort, with no between-cohort difference in the 1-year cumulative incidence (0.6% in both, P=.3). Multivariate-adjusted Cox regression revealed no association between dental procedures and PJI. Furthermore, PJI occurred in 13 patients (0.2%) in the antibiotic subcohort and 12 patients (0.18%) in the nonantibiotic subcohorts (P=.8). Multivariate-adjusted analyses confirmed that there was no association between the incidence of PJI and prophylactic antibiotics.CONCLUSIONSThe risk of PJI is not increased following dental procedure in patients with hip or knee replacement and is unaffected by antibiotic prophylaxis.Infect Control Hosp Epidemiol. 2017;38:154–161


2012 ◽  
Vol 44 (1-2) ◽  
pp. 21-24 ◽  
Author(s):  
SS Rahman ◽  
M Faruque ◽  
MHA Khan ◽  
SA Hossain

Chronic obstructive pulmonary diseases have increased in prevalence and the rate of death of this chronic inflammatory disease of the airways has also risen despite recent advances in medical treatments. The dental health care professionals must be prepared to treat more medically compromised individuals. Because dental professionals operate at the origin of the upper airway and many dental procedures are deemed stressful, patients with chronic respiratory diseases are at special risk. This article will review the patho-physiology and discuss the recognition and management of dental patients with these diseases and provide an understanding on how to avoid precipitating factors that could initiate an acute episode in the dental care setting. The most important factor in preventing COPD is helping patients stop smoking.DOI: http://dx.doi.org/10.3329/bmjk.v44i1-2.10472Bang Med J (Khulna) 2011: 44(1&2) 21-24


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