Human exposure to infectious aerosols results in the transmission of diseases such as influenza, tuberculosis, and COVID-19. Most dental procedures generate a significant number of aerosolized particles, increasing transmission risk in dental settings. Since the generation of aerosols in dentistry is unavoidable, many clinics have started using intervention strategies such as area-filtration units and extraoral evacuation equipment, especially under the relatively recent constraints of the pandemic. However, the effectiveness of these devices in dental operatories has not been studied. Therefore, the ability of dental personnel to efficiently position and operate such instruments is also limited. To address these challenges, we utilized a real-time sensor network for assessment of aerosol dynamics during dental restoration and cleaning producers with and without intervention. The strategies tested during the procedures were (i) local area High-Efficiency Particle Air (HEPA) filters and (ii) Extra-Oral Suction Device (EOSD). The study was conducted at the University of Washington School of Dentistry using a network of 13 fixed sensors positioned within the operatory and one wearable sensor worn by the dental operator. The sensor network provides time and space-resolved particulate matter (PM) data. Three-dimensional (3D) visualization informed aerosol persistence in the operatory. It was found that area filters did not improve the overall aerosol concentration in dental offices in a significant way. A decrease in PM concentration by an average of 16% was observed when EOSD equipment was used during the procedures. The combination of real-time sensors and 3D visualization can provide dental personnel and facility managers with actionable feedback to effectively assess aerosol transmission in medical settings and develop evidence-based intervention strategies.
During the COVID-19 pandemic, reusable masks became ubiquitous; these masks were made from various fabrics without guidance from the research community or regulating agencies. Though reusable masks reduce the waste stream associated with disposable masks and promote the use of masks by the population, their efficacy in preventing the transmission of infectious agents has not been evaluated sufficiently. Among the unknowns is the effect of relative humidity (RH) on fabrics’ filtration efficiency (FE) and breathability. This study evaluates the FE and breathability of several readily accessible mask materials in an aerosol chamber. Sodium chloride aerosols were used as the challenge aerosol with aerodynamic particle diameter in the 0.5 to 2.5 µm range. To mimic the variability in RH in the environment and the exhaled-breath condition, the chamber was operated at RH of 30% to 70%. The face velocity was varied between 0.05 m/s and 0.19 m/s to simulate different breathing rates. The FE and pressure drop were used to determine the quality factor of the materials. Among the tested materials, the 3M P100 filter has the highest pressure drop of 140 Pa; the N95 mask and the 3M P100 have almost 100% FE for all sizes of particles and tested face velocities; the surgical mask has nearly 90% FE for all the particles and the lowest pressure drop among the certified materials, which ranks it the second to the N95 mask in the quality factor. Other material performance data are presented as a function of relative humidity and aerosol size. The quality factor for each material was compared against reference filtration media and surgical masks. Multiple layers of selected materials are also tested. While the additional layers improve FE, the pressure drop increases linearly. Additionally, the certified materials performed approximately three times better than the highest performing non-certified material.
Human exposure to infectious aerosols results a transmission of diseases, such as influenza, tuberculosis, and COVID-19. Most dental procedures generate a significant number of aerosolized particles, increasing transmission risk in dental settings. Since the generation of aerosols in dentistry is unavoidable, many clinics started using intervention strategies such as area-filtration units and extraoral evacuation equipment, especially under the relatively recent constraints of the pandemics. However, the effectiveness of these devices in dental operatories has not been studied. Therefore, the dental personnel's ability to position and operate such instruments efficiently is also limited. To address these challenges, we utilized a real-time sensor network for assessment of aerosol dynamics during dental restoration and cleaning producers with and without intervention. The strategies tested during the procedures were (i) local area high-efficiency particle air (HEPA) filters and (ii) extra-oral suction device (EOSD). The study was conducted at the University of Washington School of Dentistry using a network of thirteen fixed sensors positioned within the operatory and one wearable sensor worn by the dental operator. The sensor network provides time and space-resolved particulate matter (PM) data. Three-dimensional (3D) visualization informs aerosol persistence in the operatory. It was found that area filters did not improve the overall aerosol concentration in dental offices significantly. An average of 16% decrease in PM concentration was observed when EOSD equipment was used during the procedures. The combination of real-time sensors and 3D visualization can provide dental personnel and facility mangers with actionable feedback to effectively assess aerosol transmission in medical settings and develop evidence-based intervention strategies.
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