Evidence map›Paper›PMID 35677818›Full record

ArticleFrontiers in medicine2022

CHX and a Face Shield Cannot Prevent Contamination of Surgical Masks.

Madline P Gund, Jusef Naim, Matthias Hannig, Alexander Halfmann, Barbara Gärtner, Gabor Boros, Stefan Rupf

Open access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.2field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Risks and benefits of face masks in children.Frontiers in pediatrics · 2026
    Review
  3. Pathogens (Basel, Switzerland) · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
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 at 3 institutions in 1 country.

Madline P GundDepartment of Operative Dentistry, Periodontology and Preventive Dentistry, Saarland University, Homburg, Germany.
Jusef NaimDepartment of Operative Dentistry, Periodontology and Preventive Dentistry, Saarland University, Homburg, Germany.
Matthias HannigDepartment of Operative Dentistry, Periodontology and Preventive Dentistry, Saarland University, Homburg, Germany.
Alexander HalfmannInstitute of Medical Microbiology and Hygiene, Saarland University, Homburg, Germany.
Barbara GärtnerInstitute of Medical Microbiology and Hygiene, Saarland University, Homburg, Germany.
Gabor BorosOral Surgery Clinic, German Armed Forces Central Hospital, Koblenz, Germany.
Stefan RupfDepartment of Operative Dentistry, Periodontology and Preventive Dentistry, Saarland University, Homburg, Germany.
Saarland University · DEBundeswehrInstitute of Medical Microbiology and Hygiene · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Bacterial contamination on surgical masks puts a threat to medical staff and patients. The aim of the study was to investigate its contamination during dental treatments, wearing a face shield and performing a pre-procedural mouth rinsing with chlorhexidine (CHX). Methods: In this prospective, randomized study, 306 treatments were included, 141 single-tooth (restorations) and 165 total dentition treatments (preventive or periodontal supportive ultrasonic application). A total of three groups (each: Results: Chlorhexidine led to a statistically significant reduction of bacterial contamination of the surgical mask (mean: 24 CFU) in comparison with water (mean: 47 CFU) and non-rinsing (mean: 80 CFU). Furthermore, rinsing with water reduced CFU significantly in comparison with the non-rinsing group. There were no significant differences between single or total dentition treatments. Conclusion: A pre-procedural mouth rinse is useful to reduce the bacterial load of the surgical mask. However, contamination cannot be prevented completely, even by applying a face shield. In particular, during pandemic, it is important to consider that these additional protective measures are not able to completely avoid the transmission of pathogens bearing aerosols to the facial region. If antiseptic rinsing solutions are not available, rinsing with water is also useful.

Indexed as

aerosolschxCOVID-19dentistryface shieldinfection controlmicrobiologysurgical mask

Identifiers

PMID35677818
PMCPMC9167959
OpenAlexW4281288257

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.