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牙科操作中气溶胶的分散与控制研究。

Study of aerosol dispersion and control in dental practice.

机构信息

School of Mechanical Engineering, Guizhou University, Guiyang, Guizhou, China.

School of Medicine, Guizhou University, Guiyang, Guizhou, China.

出版信息

Clin Oral Investig. 2024 Jan 27;28(1):120. doi: 10.1007/s00784-024-05524-6.

Abstract

OBJECTIVES

In this study, we investigated the dispersion patterns of aerosols and droplets in dental clinics and developed a suction device to evaluate its effectiveness in reducing aerosols during dental procedures.

MATERIALS AND METHODS

Firstly, the continuous images of oral aerosols and droplets were photographed with a high-speed camera, and the trajectories of these particles were recognized and processed by Image J to determine key parameters affecting particle dispersion: diffusion velocity, distance, and angle. Secondly, based on the parameter data, the flow field of aerosol particles around the oral cavity was simulated using computational fluid dynamics (CFD), and the flow field under adsorption conditions was simulated to demonstrate the aerodynamic characteristics and capture efficiencies of the single-channel and three-channel adsorption ports at different pressures. Finally, according to the simulated data, a three-channel suction device was developed, and the capture efficiency of the device was tested by the fluorescein tracer method.

RESULTS

The dispersion experimental data showed that aerosol particles' maximum diffusion velocity, distance, and angle were 6.2 m/s, 0.55 m, and 130°, respectively. The simulated aerosol flow-field distribution was consistent with the aerosol dispersion patterns. The adsorption simulation results showed that the outlet flow rate of single-channel adsorption was 184.5 L/s at - 350 Pa, and the aerosol capture efficiency could reach 79.4%. At - 350 Pa and - 150 Pa, the outlet flow rate of three-channel adsorption was 228.9 L/s, and the capture efficiency was 99.23%. The adsorption experimental data showed that the capture efficiency of three-channel suction device was 97.71%.

CONCLUSIONS

A three-channel suction device was designed by simulations and experiments, which can capture most aerosols in the dental clinic and prevent them from spreading.

CLINICAL RELEVANCE

Using three-channel suction devices during oral treatment effectively reduces the spread of oral aerosols, which is essential to prevent the spread of epidemics and ensure the health and safety of patients and dental staff.

摘要

目的

本研究旨在调查牙科诊所中气溶胶和液滴的分散模式,并开发一种抽吸装置,以评估其在牙科操作过程中减少气溶胶的效果。

材料与方法

首先,使用高速摄像机连续拍摄口腔气溶胶和液滴的图像,然后使用 Image J 识别和处理这些颗粒的轨迹,以确定影响颗粒分散的关键参数:扩散速度、距离和角度。其次,根据参数数据,使用计算流体动力学(CFD)模拟口腔周围气溶胶颗粒的流场,并模拟吸附条件下的流场,以展示单通道和三通道吸附口在不同压力下的空气动力学特性和捕获效率。最后,根据模拟数据,开发了一种三通道抽吸装置,并通过荧光示踪剂法测试了该装置的捕获效率。

结果

分散实验数据表明,气溶胶颗粒的最大扩散速度、距离和角度分别为 6.2 m/s、0.55 m 和 130°。模拟的气溶胶流场分布与气溶胶的分散模式一致。吸附模拟结果表明,单通道吸附的出口流量在-350 Pa 时为 184.5 L/s,气溶胶捕获效率可达 79.4%。在-350 Pa 和-150 Pa 时,三通道吸附的出口流量为 228.9 L/s,捕获效率为 99.23%。吸附实验数据表明,三通道抽吸装置的捕获效率为 97.71%。

结论

通过模拟和实验设计了一种三通道抽吸装置,可捕获牙科诊所中大部分气溶胶,防止其扩散。

临床意义

在口腔治疗过程中使用三通道抽吸装置可有效减少口腔气溶胶的传播,对于防止疫情传播、保障患者和牙科医护人员的健康和安全至关重要。

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