Evidence map›Paper›PMID 35536440›Full record

ArticleClinical oral investigations2022

Influence of flow rate and different size of suction cannulas on splatter contamination in dentistry: results of an exploratory study with a high-volume evacuation system.

Christian Graetz, Viktor Hülsbeck, Paulina Düffert, Susanne Schorr, Martin Straßburger, Antje Geiken, Christof E Dörfer, Miriam Cyris

Open access · hybridAbstract read
In one paragraph

Article in Clinical oral investigations, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Observational
  4. 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

8 authors at 1 institution in 1 country.

Christian GraetzClinic of Conservative Dentistry and Periodontology, University Hospital of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3 (Haus B), 24105, Kiel, Germany. graetz@konspar.uni-kiel.de.ORCID http://orcid.org/0000-0002-8316-0565
Viktor HülsbeckClinic of Conservative Dentistry and Periodontology, University Hospital of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3 (Haus B), 24105, Kiel, Germany.
Paulina DüffertClinic of Conservative Dentistry and Periodontology, University Hospital of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3 (Haus B), 24105, Kiel, Germany.
Susanne SchorrClinic of Conservative Dentistry and Periodontology, University Hospital of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3 (Haus B), 24105, Kiel, Germany.
Martin StraßburgerClinic of Conservative Dentistry and Periodontology, University Hospital of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3 (Haus B), 24105, Kiel, Germany.
Antje GeikenClinic of Conservative Dentistry and Periodontology, University Hospital of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3 (Haus B), 24105, Kiel, Germany.
Christof E DörferClinic of Conservative Dentistry and Periodontology, University Hospital of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3 (Haus B), 24105, Kiel, Germany.
Miriam CyrisClinic of Conservative Dentistry and Periodontology, University Hospital of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3 (Haus B), 24105, Kiel, Germany.
University Hospital Schleswig-Holstein · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSOPs recommend high-volume evacuation (HVE) for aerosol-generating procedures (AGPs) in dentistry. Therefore, in the exploratory study, the area of splatter contamination (SCON in %) generated by high-speed tooth preparation (HSP) and air-polishing (APD) was measured when different suction cannulas of 6 mm diameter (saliva ejector (SAE)), 11 mm (HC11), or 16 mm (HC16) were utilized versus no-suction (NS). MATERIALS AND

methodsEighty tests were performed in a closed darkened room to measure SCON (1m circular around the manikin head (3.14 m

resultsIrrespective the AGP, SCON was higher for NS (median [25th; 75th percentiles]: 3.4% [2.6; 5.4]) versus high-flow suction (1.9% [1.5; 2.5]) (p=0.002). Low-flow suction (3.5% [2.6; 4.3]) versus NS resulted in slightly lower but not statistically significantly lower SCON (p=1.000) and was less effective than high-flow suction (p=0.003). Lowest contamination values were found with HC16 (1.9% [1.5; 2.5]; p≤0.002), whereat no significant differences were found for HC11 (2.4% [1.7; 3.1]) compared to SAE (p=0.385) or NS (p=0.316).

conclusionsWithin study's limitations, the lowest splatter contamination values resulted when HC16 were utilized by a high-flow rate of ≥250 l/min. CLINICAL RELEVANCE: It is strongly recommended to utilize an HVE with suction cannulas of 16mm diameter for a high-flow rate during all AGPs and afterwards also to disinfect all surface of patients or operators contacted.

Indexed as

CannulaDentistrySuctionTooth PreparationAerosolsFinlandHumansAerosolsAir-polishingExperimental setupSplatter contamination; SARS-CoV2Suction systemTooth preparation

Identifiers

PMID35536440
PMCPMC9088725
OpenAlexW4280506807

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Registered trials

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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.