Evidence map›Paper›PMID 34090684›Full record

ReviewInternational dental journal2022

A Review of Aerosol Generation Mitigation in International Dental Guidance.

Clare Robertson, Jan E Clarkson, Magaly Aceves-Martins, Craig R Ramsay, Derek Richards, Thibault Colloc, CoDER Working Group

Abstract readReview
In one paragraph

Review in International dental journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Oral Antiseptics against SARS-CoV-2: A Literature Review.International journal of environmental research and public health · 2022
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
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

7 authors.

Clare RobertsonHealth Services Research Unit, University of Aberdeen, Aberdeen, UK. Electronic address: c.robertson@abdn.ac.uk.
Jan E ClarksonSchool of Dentistry, University of Dundee, Dundee, UK.
Magaly Aceves-MartinsHealth Services Research Unit, University of Aberdeen, Aberdeen, UK.
Craig R RamsayHealth Services Research Unit, University of Aberdeen, Aberdeen, UK.
Derek RichardsSchool of Dentistry, University of Dundee, Dundee, UK.
Thibault CollocAberdeen Royal Infirmary, NHS Grampian, Aberdeen, UK.
CoDER Working Group

Funding

Chief Scientist Office HSRU1
6 · The paper itself

Abstract

introductionThe coronavirus disease 2019 (COVID-19) led to the worldwide closure of dental practices or reduction of dental services. By the end of April 2020, governments and professional organisations were publishing recommendations or guidance for the reopening/restructuring of dental services. The aim of this study was to assess how dental aerosol-generating procedures (AGPs) were defined in international dental guidelines, what mitigation processes were advised, and whether they were linked to COVID-19 epidemiology.

methodsElectronic searches of a broad range of databases, along with grey literature searches, without language restriction were conducted up to 13 July 2020. Recommendations for the use of face masks and fallow times with patients without COVID-19 were assessed against the deaths per 1 million population in the included countries and country income level using Pearson Chi-squared statistics.

resultsSixty-three guidance documents were included. Most (98%) indicated that AGPs can be performed with patients without COVID-19 with caveats, including advice to restrict AGPs where possible, with 21% only recommending AGPs for dental emergencies. Face masks were recommended by most documents (94%), with 91% also specifying the use of goggles or face shields. Fallow periods for patients without COVID-19 were mentioned in 48% of documents, ranging from 2 to 180 minutes. There were no significant differences in recommendations for face masks or fallow time in patients without COVID-19 by country death rate (P = .463 and P = .901) or World Bank status (P = .504 and P = .835). Most documents recommended procedural or environmental mitigations such as preprocedural mouthwash (82%) and general ventilation (52%). Few documents provided underpinning evidence for their recommendations.

conclusionsWhile the amount of high-quality direct evidence related to dentistry and COVID-19 remains limited, it is important to be explicit about the considered judgements for recommendations as well as generate new evidence to face this challenge.

Indexed as

COVID-19AerosolsHumansSARS-CoV-2AerosolsAerosol-generating proceduresCOVID-19DentalGuidelinesInternationalRapid review

Identifiers

PMID34090684
PMCPMC8172569

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.