Evaluating dental aerosol and splatter in an open plan clinic environment: implications for the COVID-19 pandemic

Author:

Holliday RichardORCID,Allison James R,Currie Charlotte,Edwards David,Bowes Charlotte,Pickering Kimberley,Reay Sarah,Durham Justin,Lumb Joanna,Rostami Nadia,Coulter Jamie,Nile Christopher,Jakubovics Nicholas StephenORCID

Abstract

Aim: To identify splatter and aerosol distribution resulting from dental aerosol generating procedures (AGPs) in the open plan clinic environment. A secondary aim is to explore the detailed time course of aerosol settling after an AGP. Methodology: Dental procedures were undertaken on a dental mannequin. Fluorescein dye was placed into the irrigation system of the high-speed air turbine handpiece for the first experimental design, and in the second, fluorescein dye was entered into the mannequin's mouth via artificial salivary ducts. Filter papers were placed at set distances around the open plan clinic environment to collect aerosol and splatter under various mitigating conditions including ventilation and aspiration flow rate. An 8-metre diameter rig was set up to investigate the effect of fallow time. Filter papers were analysed using imaging software and spectrofluorometric analysis. Results: The distribution of fluorescein contamination varied widely across the open plan clinic depending on the experimental conditions. Unmitigated (i.e. no suction) procedures have the potential to deposit contamination at large distances. Medium volume dental suction (159 L/min air) reduced contamination in the AGP bay by 53%, and in adjacent and distant bays/walkways by 81-83%. Low volume suction (40 L/min air) gave similar reductions. Cross-ventilation reduced contamination in adjacent and distant bays/walkways by 80-89%. In the most realistic model (dye in mouth with medium volume suction) the samples in distant bays (≥5 m head-to-head chair distance) either gave zero readings or very low readings (< 0.0016% of the fluorescein introduced into the system during the procedure). Almost all (99.99%) of the splatter detected was retained within the AGP bay/walkway. Time course experiments showed that after 10 minutes, very little additional contaminated aerosol settled. Conclusions: The cross-infection risk from conducting AGPs in an open plan clinic environment appears small, particularly when bays are ≥ 5 m apart. There is a major dilution effect from the instrument water spray and a substantial protective effect from using dental suction. The majority of aerosol settles in the first 10 minutes indicating that environmental cleaning may be appropriate after this time.

Publisher

Center for Open Science

Cited by 5 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3