Evidence map›Paper›PMID 33522677›Full record

ArticleJournal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]2021

Aerosol and spatter mitigation in dentistry: Analysis of the effectiveness of 13 setups.

John C Comisi, Theodore D Ravenel, Abigail Kelly, Sorin T Teich, Walter Renne

Open access · bronzeAbstract read
In one paragraph

Article in Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.], 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 17 citations in OpenAlex.

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  10. Characterization and mitigation of aerosols and spatters from ultrasonic scalers.Journal of the American Dental Association (1939) · 2021
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  12. Aerosol and spatter mitigation in dentistry: Analysis of the effectiveness of 13 setups.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

John C ComisiMedical University of South Carolina, James B. Edwards College of Dental Medicine, Charleston, South Carolina, USA.ORCID 0000-0003-4766-339X
Theodore D RavenelMedical University of South Carolina, James B. Edwards College of Dental Medicine, Charleston, South Carolina, USA.
Abigail KellyMedical University of South Carolina, James B. Edwards College of Dental Medicine, Charleston, South Carolina, USA.
Sorin T TeichMedical University of South Carolina, James B. Edwards College of Dental Medicine, Charleston, South Carolina, USA.
Walter RenneMedical University of South Carolina, James B. Edwards College of Dental Medicine, Charleston, South Carolina, USA.ORCID 0000-0003-2391-7148
Medical University of South Carolina · US

Funding

South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
NCATS NIH HHS UL1 TR001450South Carolina Clinical and Translational Research SCTR 2106.
6 · The paper itself

Abstract

objectivesThe current study aims to investigate the aerosol and spatter mitigation quality of 13 dry-field isolation methods in a simulated setup that replicates real-life work scenarios encountered in dental practices.

methodsA crown preparation on a manikin was performed on tooth number 30 and repeated five times for each setup to simulate a patient under care. Aerosol, environmental, and operator face shield spatter, and sound intensity was measured. Generalized linear mixed models were used, and posthoc pairwise comparisons were performed to compare least-squares means when appropriate using a Tukey adjustment.

resultsAll tested setups showed some environmental spatter formation; however, these were able to control most (and in some cases all) spatter on the operator face shield. All methods resulted in excellent aerosol mitigation when a second line of high-volume evacuation (HVE) was added to the device setup. However, in most setups, total sound levels exceeded 85 dB, posing a concern for prolonged noise exposure.

conclusionsThe Prototype device and four other tested setups with secondary HVE addition completely eliminated aerosol creation as tested. Spatter of the Face Shield was best eliminated using the Prototype device. CLINICAL SIGNIFICANCE: Within the limitations of this study, it can be concluded that the dental community has at its disposal equipment that can effectively mitigate aerosol and spatter.

Indexed as

DentistryAerosolsHumansAerosolsaerosol mitigationCOVID-19environmental spatterface shield spatterSARS-CoV-2total sound level (TSL)

Identifiers

PMID33522677
PMCPMC8014276
OpenAlexW3126715083

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.