Department of Oral and Maxillofacial Surgery, Center Hospital of the National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo 162-8655, Japan.
Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan.
Int J Environ Res Public Health. 2021 Oct 27;18(21):11279. doi: 10.3390/ijerph182111279.
The novel coronavirus pandemic has resulted in an urgent need to study the risk of infection from aerosols generated during dental care and to conduct a review of infection controls. However, existing studies on aerosol particles related to dental treatment have mainly evaluated only the scattering range. Few studies have been conducted on the specifics of the generation of aerosol particles in clinical settings, their mechanisms and patterns of distribution throughout open or enclosed spaces, the duration that they remain suspended in air, and the amount and size of particles present. To minimize the influence of background particles, laser lights, a high-sensitivity camera, and particle counters were used in a large super clean laboratory to investigate the dynamics of aerosols generated during the operation of dental micromotors. The results indicate that aerosols tend to scatter upward immediately after generation and then gradually disperse into the surroundings. Most of the particles are less than 5 µm in size (only a few are larger), and all particles are widely distributed over the long term. Our research clearly elucidates that aerosols produced in dental care are distributed over a wide area and remain suspended for a considerable time in dental clinics before settling.
新型冠状病毒疫情的爆发使得人们迫切需要研究牙科操作过程中气溶胶感染的风险,并对感染控制措施进行综述。然而,目前有关牙科治疗相关气溶胶颗粒的研究主要仅评估了散射范围。很少有研究针对临床环境中气溶胶颗粒的产生、其在开放或封闭空间中的分布机制和模式、在空气中悬浮的持续时间以及存在的颗粒数量和大小进行具体研究。为了最大程度地减少背景颗粒的影响,我们在一个大型超净实验室中使用激光灯、高灵敏度相机和粒子计数器来研究牙科微型电机操作过程中产生的气溶胶的动力学。结果表明,气溶胶在产生后会立即向上散射,然后逐渐扩散到周围环境中。大多数颗粒的直径小于 5 µm(只有少数较大),而且所有颗粒都在很长一段时间内广泛分布。我们的研究清楚地表明,牙科治疗中产生的气溶胶在整个牙科诊室内广泛分布,并在沉降之前会在空气中悬浮相当长的时间。