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牙体成形术期间牙科粉尘和气溶胶排放的分析:评估潜在的呼吸健康风险。

Analysis of dental dust and aerosol emissions during odontoplasty: assessing potential respiratory health risks.

作者信息

Clarysse Michèle, Bertier Pieter, Verpaele Steven, Madsen Anne Mette, Vlaminck Lieven

机构信息

Department of Surgery, Anaesthesia and Orthopaedics of Large Animals, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820, Merelbeke, Gent, Belgium.

Belgian Center for Occupational Hygiene (BeCOH), Brusselsesteenweg 46, 3000, Leuven, Belgium.

出版信息

Ann Work Expo Health. 2025 Aug 1;69(7):752-764. doi: 10.1093/annweh/wxaf033.

Abstract

Equine dental disorders, such as sharp enamel points and focal overgrowths, are common in horses and are often treated with motorized dental grinding tools. These tools, while effective, produce dust and aerosols that may pose health risks to veterinarians and nearby individuals. This study aimed to assess the health risks associated with dental dust and aerosols generated during equine odontoplasty. Using a realistic setup, air concentrations of inhalable and respirable dust, crystalline silica, and airborne microorganisms and endotoxins were measured in 12 groups of horses undergoing odontoplasty with and without water-cooling. Results indicated that dust emission significantly increases during odontoplasty, but the concentrations of inhalable and respirable dust remained below occupational exposure limits. However, airborne microorganisms, including potential pathogenic fungal species and bacteria such as the methicillin-resistant bacterium Staphylococcus aureus, were detected as well as elevated endotoxin levels, suggesting an occupational health risk. Therefore, protective measures, such as wearing FFP3 masks, gloves, and glasses, are recommended during equine odontoplasty.

摘要

马的牙齿疾病,如尖锐的釉质尖和局部增生,在马匹中很常见,通常使用电动牙科研磨工具进行治疗。这些工具虽然有效,但会产生灰尘和气溶胶,可能对兽医和附近人员构成健康风险。本研究旨在评估马牙整形术中产生的牙科灰尘和气溶胶相关的健康风险。使用逼真的设置,在12组接受有或无水冷却牙整形术的马匹中,测量了可吸入和可呼吸灰尘、结晶二氧化硅、空气传播微生物和内毒素的空气浓度。结果表明,牙整形术期间灰尘排放量显著增加,但可吸入和可呼吸灰尘的浓度仍低于职业接触限值。然而,检测到了空气传播微生物,包括潜在致病真菌种类和细菌,如耐甲氧西林细菌金黄色葡萄球菌,以及内毒素水平升高,表明存在职业健康风险。因此,建议在马牙整形术期间采取防护措施,如佩戴FFP3口罩、手套和眼镜。

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