Evidence map›Paper›PMID 35440351›Full record

ArticleInfection control and hospital epidemiology2022

Comparison of aerosol mitigation strategies and aerosol persistence in dental environments.

Shruti Choudhary, Michael J Durkin, Daniel C Stoeckel, Heidi M Steinkamp, Martin H Thornhill, Peter B Lockhart, Hilary M Babcock, Jennie H Kwon, Stephen Y Liang, Pratim Biswas

Open access · greenAbstract read
In one paragraph

Article in Infection control and hospital epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
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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

10 authors at 4 institutions in 2 countries.

Shruti ChoudharyAerosol and Air Quality Research Laboratory, Department of Chemical, Environmental and Material Engineering, University of Miami, Miami, Florida, United States.ORCID 0000-0003-1271-5823
Michael J DurkinDivision of Infectious Disease, Washington University School of Medicine, St. Louis, Missouri, United States.ORCID 0000-0003-4652-7089
Daniel C StoeckelSt. Louis University Center for Advanced Dental Education, St. Louis University, St. Louis, Missouri, United States.
Heidi M SteinkampSt. Louis University Center for Advanced Dental Education, St. Louis University, St. Louis, Missouri, United States.
Martin H ThornhillThe School of Clinical Dentistry, The University of Sheffield, Sheffield, United Kingdom.
Peter B LockhartDepartment of Oral Medicine, Carolinas Medical Center, Atrium Health, North Carolina, United States.ORCID 0000-0003-3293-3430
Hilary M BabcockDivision of Infectious Disease, Washington University School of Medicine, St. Louis, Missouri, United States.ORCID 0000-0001-9015-8378
Jennie H KwonDivision of Infectious Disease, Washington University School of Medicine, St. Louis, Missouri, United States.ORCID 0000-0002-7824-6276
Stephen Y LiangDivision of Infectious Disease, Washington University School of Medicine, St. Louis, Missouri, United States.ORCID 0000-0002-4652-2272
Pratim BiswasAerosol and Air Quality Research Laboratory, Department of Chemical, Environmental and Material Engineering, University of Miami, Miami, Florida, United States.
Washington University in St. Louis · USCarolinas Medical Center · USSaint Louis University · USUniversity of Miami · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
The National Dental PBRN - Administrative CoreU19DE028717 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GILBERT, GREGG H · 2019 to 2025
$23.5M
Using Implementation Science and Informatics to Develop and Pilot Test Antibiotic Stewardship Clinical Decision SupportK23DE029514 · NIDCR · WASHINGTON UNIVERSITY · PI DURKIN, MICHAEL JOSEPH · 2021 to 2025
$632k
NCATS NIH HHS UL1 TR002345NIDCR NIH HHS K23 DE029514NIDCR NIH HHS U19 DE028717
6 · The paper itself

Abstract

objectiveTo determine the impact of various aerosol mitigation interventions and to establish duration of aerosol persistence in a variety of dental clinic configurations.

methodsWe performed aerosol measurement studies in endodontic, orthodontic, periodontic, pediatric, and general dentistry clinics. We used an optical aerosol spectrometer and wearable particulate matter sensors to measure real-time aerosol concentration from the vantage point of the dentist during routine care in a variety of clinic configurations (eg, open bay, single room, partitioned operatories). We compared the impact of aerosol mitigation strategies (eg, ventilation and high-volume evacuation (HVE), and prevalence of particulate matter) in the dental clinic environment before, during, and after high-speed drilling, slow-speed drilling, and ultrasonic scaling procedures.

resultsConical and ISOVAC HVE were superior to standard-tip evacuation for aerosol-generating procedures. When aerosols were detected in the environment, they were rapidly dispersed within minutes of completing the aerosol-generating procedure. Few aerosols were detected in dental clinics, regardless of configuration, when conical and ISOVAC HVE were used.

conclusionsDentists should consider using conical or ISOVAC HVE rather than standard-tip evacuators to reduce aerosols generated during routine clinical practice. Furthermore, when such effective aerosol mitigation strategies are employed, dentists need not leave dental chairs fallow between patients because aerosols are rapidly dispersed.

Indexed as

Particulate MatterAerosolsChildHumansAerosolsParticulate Matter

Identifiers

PMID35440351
PMCPMC10822722
OpenAlexW4226325507

What OpenQuestion holds

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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.