Dentist-Patient Transmission, Occupational Exposure, Risk Reduction
Conditions
Keywords
aerosol, bioaerosol, dentistry, orthodontics, saliva, nose
Brief summary
The study examines 4 different methods to reduce dental bioaerosol spread in orthodontic procedures.
Detailed description
We aim to examine 4 different methods to reduce dental aerosol spread during orthodontic procedures. These methods are: 1) high-volume evacuator, 2) high-volume evacuator and saliva ejector 3) Local Exhaust System 4) disinfection with povidone-iodine nasal swabs and chlorhexidine mouthwash.
Interventions
Chlorhexidine mouth rinse which participants use for 20 seconds before procedure. Moreover, Povidone-Iodine nasal swabs are used to disinfect nostrils
High volume evacuator held by assistant to capture dental spray
High volume evacuator and saliva ejector held by assistant to capture dental spray
Local exhaust system hovers above patient head to capture dental spray
Sponsors
Study design
Masking description
Each participant and operator know the model which was assigned to them. The research assistant conducting the analysis is not able to identify the samples until analysis time.
Eligibility
Inclusion criteria
* Orthodontic debonding being performed * Acceptance to participate in the study and provide required saliva and nasal samples
Exclusion criteria
* Refusal to participate * Refusal to provide saliva/nasal swab samples * Allergy to Chlorhexidine gluconate * Allergy to Povidone-Iodine
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Particle concentration measurements across the 4 different types of interventions | During procedure | — |
| Mass concentration measurements across the 4 different types of interventions | During procedure | — |
| Bioaerosol measurement from the tracked sources | During procedure | Sources include patient, operator and assistant saliva and nasal secretions, preprocedural ambient air, dental unit waterline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bacterial contamination on the inside surface of the mask of operators and assistants | During procedure | Sources include patient, operator and assistant saliva and nasal secretions, preprocedural ambient air, dental unit waterline |
Countries
Canada