Aerosol box for dentistry

Babu, B. Shoban; Gupta, Shipra; Sahni, Vikram N

doi:10.1038/s41415-020-1598-3

Cited by 8 publications

(9 citation statements)

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“…craniotomy, oral maxillofacial, colorectal surgery) [ 5 , 6 , [72] , [73] , [74] , [75] ]. Other uses included dental procedures [ 41 , 76 ], dermatological procedures [ 29 ], and regional anesthesia [ 9 , 77 ] (4%, n = 5/123).…”

Section: Resultsmentioning

confidence: 99%

Barrier enclosure use during aerosol-generating medical procedures: A scoping review

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Ben-Yakov

Choi

et al. 2021

The American Journal of Emergency Medicine

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Introduction Barrier enclosure devices were introduced to protect against infectious disease transmission during aerosol generating medical procedures (AGMP). Recent discussion in the medical community has led to new designs and adoption despite limited evidence. A scoping review was conducted to characterize devices being used and their performance. Methods We conducted a scoping review of formal databases (MEDLINE, Embase, Cochrane Database of Systematic Reviews, CENTRAL, Scopus), grey literature, and hand-searched relevant journals. Forward and reverse citation searching was completed on included articles. Article/full-text screening and data extraction was performed by two independent reviewers. Studies were categorized by publication type, device category, intended medical use, and outcomes (efficacy – ability to contain particles; efficiency – time to complete AGMP; and usability – user experience). Results Searches identified 6489 studies and 123 met criteria for inclusion (k = 0.81 title/abstract, k = 0.77 full-text). Most articles were published in 2020 (98%, n = 120) as letters/commentaries (58%, n = 71). Box systems represented 42% ( n = 52) of systems described, while plastic sheet systems accounted for 54% ( n = 66). The majority were used for airway management (67%, n = 83). Only half of articles described outcome measures (54%, n = 67); 82% ( n = 55) reporting efficacy, 39% ( n = 26) on usability, and 15% ( n = 10) on efficiency. Efficacy of devices in containing aerosols was limited and frequently dependent on use of suction devices. Conclusions While use of various barrier enclosure devices has become widespread during this pandemic, objective data of efficacy, efficiency, and usability is limited. Further controlled studies are required before adoption into routine clinical practice.

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Section: Resultsmentioning

confidence: 99%

Barrier enclosure use during aerosol-generating medical procedures: A scoping review

Price

Ben-Yakov

Choi

et al. 2021

The American Journal of Emergency Medicine

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“…[ 12 ] It is also suggested that these protective equipment should be applied during the dental procedure as well in order to reduce the spreading of respiratory droplets and airborne particles. [ 13 ] However, the effectiveness of barrier enclosure system in reduction of splatter and airborne particles during the dental procedure has never been studied. Therefore, this study aims to investigate the efficacy of dental barriers in aerosols and splatters reduction during an ultrasonic scaling.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Dental Barriers in Aerosols and Splatters Reduction During an Ultrasonic Scaling

Chestsuttayangkul

Lertsooksawat

Horsophonphong

2022

Journal of International Society of Preventive and Community Dentistry

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“…84-88 UV-C germicidal lamps within the HVAC system may have the benefit of continuous exposure to and purification of air, as they are hidden from sight and are thus not a risk. 89…”

Section: Engineering Controlsmentioning

confidence: 99%

An Emphasis on Engineering Controls and Administrative Controls in the Prevention and Control of COVID-19 in an Orthodontic Setting: Thinking Beyond Tomorrow

Prakash

Digumarthi

2021

J Indian Orthod Soc

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Introduction: Most of the initial focus in handling COVID-19 had been based on avoiding exposure by refraining from rendering most treatments other than those considered an emergency or urgent. Post-lockdown, with the resumption of most activities, there has been concern over the possibility of transmission scenarios if sufficient care is not taken. The control and prevention of the spread of infections when elimination of exposure is not possible is chiefly achieved through the judicious use of engineering controls and administrative controls in a clinical setting in addition to the standard protocols and transmission-based protocols. True safety lies in being one step ahead. There have been mentions of the possibility that COVID-19 could be opportunistic airborne in its spread, in addition to being spread via saliva, droplets, and contaminated surfaces or objects. Method: A literature search of PubMed, Google Scholar, Cochrane Library, and advisories released by such organizations as the World Health Organization (WHO), Centers for Disease Control and Prevention (CDC), Ministry of Health and Family Welfare (MOFHW), European Centre for Disease Prevention and Control (ECDC), Chinese Center for Disease Control and Prevention (China CDC), American Dental Association (ADA), Canadian Dental Association (CDA), French National Dentists Association, Dental Council of Belgium, National Health Service, England (NHS UK), National Health Service Scotland (NHS Scotland), and International Society for Infectious Diseases (ISID) was performed, with search parameters aimed at gathering information pertaining to infection control and cross infection control in dental settings as related to orthodontics. Result: There have been numerous articles and advisories published over the last 20 years, but the main focus has been on safe practices and to an extent on personal protective equipment, with relatively less emphasis on the need for respiratory protection by way of engineering controls and administrative controls. This review highlights the engineering and administrative controls that can be put into effect to make infection control and prevention much more effective. Conclusion: Any health care facility must be able to prevent, contain, and control infections with no risk of nosocomial infections. For this, an assumption has to be made that every individual in a health care setting is either at risk or a risk, depending on whether the person is infected or not. Meticulous attention to stringent policies of hygiene and infection control and prevention, coupled with suitable supporting engineering and administrative controls, is to be made a standard way of life in such facilities.

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Aerosol box for dentistry

Cited by 8 publications

References 0 publications

Barrier enclosure use during aerosol-generating medical procedures: A scoping review

Barrier enclosure use during aerosol-generating medical procedures: A scoping review

Efficacy of Dental Barriers in Aerosols and Splatters Reduction During an Ultrasonic Scaling

An Emphasis on Engineering Controls and Administrative Controls in the Prevention and Control of COVID-19 in an Orthodontic Setting: Thinking Beyond Tomorrow

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