Int J Stomatol ›› 2020, Vol. 47 ›› Issue (3): 362-365.doi: 10.7518/gjkq.2020060

• Reviews • Previous Articles     Next Articles

The strategy to reduce the risk of novel coronavirus pneumonia transmission via aerosol in dental practice

Yi Jianru1,Luo Mengqi1,Yin Yijia1,Liu Zhiqing1,Liu Qian1,Shi Yongle1,Yang Zheng1,Liu Fan1,2(),Han Xianglong1   

  1. 1.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China;
    2.West China School of Nursing, Sichuan University, Chengdu 610041, China
  • Received:2020-02-23 Revised:2020-03-04 Online:2020-05-01 Published:2020-05-08
  • Contact: Fan Liu E-mail:438172005@qq.com
  • Supported by:
    SARS-CoV-2 Emergency Project of West China Hospital of Stomatology, Sichuan University(YJXM-nCov-2020-1)

Abstract:

The novel coronavirus pneumonia (COVID-19) has spread nation wide since its outbreak in December 2019. The long exposure to high concentration of aerosols in enclosed environment could increase the risk of COVID-19 infection. The aerosol generated by dental procedures is a risk factor of cross-infection. Managing the aerosol in dental office according to its properties would be beneficial for the prevention and control of cross-infection. Based on the currently available literatures, we summarized the methods to decrease the risks of aerosol transmission. This study could provide information and recommendations for the management of aerosols in dental practice.

Key words: novel coronavirus pneumonia, aerosol, dental treatment, infection control

CLC Number: 

  • R183

TrendMD: 
[1] 国家卫生健康委员会办公厅. 新型冠状病毒肺炎诊疗方案(试行第六版)[Z]. 北京: 国家卫生健康委员会办公厅, 2020.
General Office of the National Health Commission. The diagnosing and treatment protocol for COVID- 19 (the 6th trial edition)[Z]. Beijing: General Office of the National Health Commission, 2020.
[2] 中国疾病预防控制中心新型冠状病毒肺炎应急响应机制流行病学组. 新型冠状病毒肺炎流行病学特征分析[J]. 中华流行病学杂志, 2020,41(2):145-151.
The Novel Coronavirus Pneumonia Emergency Re-sponse Epidemiology Team, Chinsese Center for Disease Control and Prevention. The epidemiological characteristics of an outbreak of COVID-19 in China[J]. Chin J Epidemiol, 2020,41(2):145-151.
[3] Szymanska J . Dental bioaerosol as an occupational hazard in a dentisty’s workplace[J]. Ann Agric Environ Med, 2007,14(2):203-207.
pmid: 18247451
[4] Zemouri C, de Soet H, Crielaard W , et al. A scoping review on bio-aerosols in healthcare and the dental environment[J]. PLoS One, 2017,12(5):e0178007.
doi: 10.1371/journal.pone.0178007 pmid: 28531183
[5] Grenier D . Quantitative analysis of bacterial aerosols in two different dental clinic environments[J]. Appl Environ Microbiol, 1995,61(8):3165-3168.
pmid: 7487047
[6] Day CJ, Sandy JR, Ireland AJ . Aerosols and splatter in dentistry—a neglected menace[J]. Dent Update, 2006,33(10):601-602, 604-606.
doi: 10.12968/denu.2006.33.10.601 pmid: 17209534
[7] Sotiriou M, Ferguson SF, Davey M , et al. Measure-ment of particle concentrations in a dental office[J]. Environ Monit Assess, 2008,137(1/2/3):351-361.
[8] Marui VC, Souto MLS, Rovai ES , et al. Efficacy of preprocedural mouthrinses in the reduction of mic-roorganisms in aerosol: a systematic review[J]. J Am Dent Assoc, 2019,150(12): 1015.e1-1026.e1.
doi: 10.1016/j.adaj.2019.06.024 pmid: 31761015
[9] Harrel SK, Molinari J . Aerosols and splatter in den-tistry: a brief review of the literature and infection control implications[J]. J Am Dent Assoc, 2004,135(4):429-437.
doi: 10.14219/jada.archive.2004.0207 pmid: 15127864
[10] 李智勇, 孟柳燕 . 口腔诊疗中新型冠状病毒感染的控制[J]. 中华口腔医学杂志, 2020,55(4).
Li ZY, Meng LY . The prevention and control of a new coronavirus infection in department of stomatology[J]. Chin J Stomatol, 2020,55(4).
[11] Kariwa H, Fujii N, Takashima I . Inactivation of SARS coronavirus by means of povidone-iodine, physical conditions and chemical reagents[J]. Dermatology, 2006,212(Suppl 1):119-123.
doi: 10.1159/000089211 pmid: 16490989
[12] Veena HR, Mahantesha S, Joseph PA , et al. Disse-mination of aerosol and splatter during ultrasonic scaling: a pilot study[J]. J Infect Public Health, 2015,8(3):260-265.
doi: 10.1016/j.jiph.2014.11.004 pmid: 25564419
[13] Brickner PW, Vincent RL, First M , et al. The app-lication of ultraviolet germicidal irradiation to con-trol transmission of airborne disease: bioterrorism countermeasure[J]. Public Health Rep, 2003,118(2):99-114.
doi: 10.1093/phr/118.2.99 pmid: 12690064
[14] Leggat PA, Kedjarune U . Bacterial aerosols in the dental clinic: a review[J]. Int Dent J, 2001,51(1):39-44.
doi: 10.1002/j.1875-595x.2001.tb00816.x pmid: 11326448
[15] 张琪, 李子涵, 韩冰 , 等. 新型冠状病毒肺炎疫情期口腔医院防护标准(八)—喷溅治疗室的准备与处理[J/OL]. 实用口腔医学杂志, 2020. http://kns.cnki.net/kcms/detail/61.1062.R.20200304.1457.010.html.
Zhang Q, Li ZH, Han B , et al. Protection standard of stomatological hospitals during novel coronavirus infection epidemic stage: management for splash treatment clinic[J/OL]. J Pract Stomatol, 2020. http://kns.cnki.net/kcms/detail/61.1062.R.20200304.1457. 010.html.
[16] Wenzel RP, Edmond MB . Managing SARS amidst uncertainty[J]. N Engl J Med, 2003,348(20):1947-1948.
doi: 10.1056/NEJMp030072 pmid: 12748313
[1] Lin Jie,Liu Fan. Exploration on cleaning and disinfection mode of dental instruments based on multi-enzyme detergent control [J]. Int J Stomatol, 2022, 49(3): 324-327.
[2] Wang Luxuan,Hou Benxiang.. Effect of residual calcium hydroxide in root canal on root canal treatment [J]. Int J Stomatol, 2022, 49(3): 367-372.
[3] Zhao Jihong. Novel concepts of dental local anesthesia [J]. Int J Stomatol, 2021, 48(4): 373-379.
[4] Pan Jian,Cao Haotian,Liu Jiyuan,Wang Liao,Liu Xian,Liao Xuejuan. Occupational exposure risk factors and protection for dental health care workers from contagion [J]. Int J Stomatol, 2020, 47(3): 366-372.
[5] Bi Xiaoqin,Xiong Maojing,Chen Lixian,Bai Yuanyan,Tian Li,Yang Hui. Nursing prevention and control of the novel coronavirus pneumonia in oral and maxillofacial surgery [J]. Int J Stomatol, 2020, 47(2): 244-248.
[6] Yang Tengyu, Su Naichuan, Pan Jian, Zheng Liwei. Research progress on intraosseous local anesthesia in dental treatment [J]. Inter J Stomatol, 2014, 41(5): 559-562.
[7] Shu Xiangyun1, Lin Dongxiao1, Li Lili2, Chen Lixuan1, Jiang Ai1, Zhou Liwen1, Gao Yongbo1.. Detection and analysis of aerosols and droplets in the ultrasonic scaler [J]. Inter J Stomatol, 2012, 39(4): 449-452.
[8] Chen Jing, Wang Jing, Lai Wenli.. Application of cognitive behavioral therapy in the field of oral treatment [J]. Inter J Stomatol, 2011, 38(4): 488-491.
[9] ZHANG Xiao-huan, LING Jun-qi. Biofilm and infection control of dental unit water lines [J]. Inter J Stomatol, 2008, 35(5): 546-546~549.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[2] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[3] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[4] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[5] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[6] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[7] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 458 -460 .
[8] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 452 -454 .
[9] . [J]. Inter J Stomatol, 2008, 35(S1): .
[10] . [J]. Inter J Stomatol, 2008, 35(S1): .