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Dental aerosol information


Dental aerosol from a dental hand piece

A dental aerosol is an aerosol that is produced from dental instrument, dental handpieces, three-way syringes, and other high-speed instruments. These aerosols may remain suspended in the clinical environment.[1] Dental aerosols can pose risks to the clinician, staff, and other patients. The heavier particles (e.g., >50 μm) contained within the aerosols are likely to remain suspended in the air for relatively short period and settle quickly onto surfaces, however, the lighter particles may remain suspended for longer periods and may travel some distance from the source.[2] These smaller particles are capable of becoming deposited in the lungs when inhaled and provide a route of diseases transmission.[3] Different dental instruments produce varying quantities of aerosol, and therefore are likely to pose differing risks of dispersing microbes from the mouth. Air turbine dental handpieces generally produce more aerosol, with electric micromotor handpieces producing less, although this depends on the configuration of water coolant used by the handpiece.[4][5]

Dental aerosol
Spatter and aerosols flushing out of dental hand piece
  1. ^ Chuang CY, Cheng HC, Yang S, Fang W, Hung PC, Chuang SY (2014). "Investigation of the spreading characteristics of bacterial aerosol contamination during dental scaling treatment". Journal of Dental Sciences. 9 (3): 294–296. doi:10.1016/j.jds.2014.06.002.
  2. ^ Holliday R, Allison JR, Currie CC, Edwards DC, Bowes C, Pickering K, et al. (February 2021). "Evaluating contaminated dental aerosol and splatter in an open plan clinic environment: Implications for the COVID-19 pandemic". Journal of Dentistry. 105: 103565. doi:10.1016/j.jdent.2020.103565. PMC 7787509. PMID 33359041.
  3. ^ Harrel SK, Molinari J (April 2004). "Aerosols and splatter in dentistry: a brief review of the literature and infection control implications". Journal of the American Dental Association. 135 (4): 429–37. doi:10.14219/jada.archive.2004.0207. PMC 7093851. PMID 15127864.
  4. ^ Allison JR, Edwards DC, Bowes C, Pickering K, Dowson C, Stone SJ, et al. (September 2021). "The effect of high-speed dental handpiece coolant delivery and design on aerosol and droplet production". Journal of Dentistry. 112: 103746. doi:10.1016/j.jdent.2021.103746. PMID 34265364. S2CID 235961737.
  5. ^ Vernon JJ, Black EV, Dennis T, Devine DA, Fletcher L, Wood DJ, Nattress BR (August 2021). "Dental Mitigation Strategies to Reduce Aerosolization of SARS-CoV-2". Journal of Dental Research. 100 (13): 1461–1467. doi:10.1177/00220345211032885. PMC 8649409. PMID 34338580. S2CID 236775223.

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