Dental Aerosols: The Infection Connection

By Kristin Baumann, RDH, BS, MPH, Michelle Boyce, RDH, BSDH, DHSc, Donna Catapano-Martinez, CDA, RDH, DHSc


Respiratory infections—both chronic and acute—contributed to 6 million deaths in 2016, and they are highly communicable.1–3 Many respiratory infections have been linked to the microbial inhabitants of the oral cavity.4–10 Dental procedures that use low- and high-speed handpieces, laser or electrosurgery units, ultrasonic scalers, air polishers, prophy angles, hand instrumentation, and air/water syringes can create bioaerosols and spatter.9,11 Ultrasonic scalers and high-speed handpieces produce more airborne contamination than any other instrument in dentistry.9,12,13 Inhalation of airborne particles and aerosols produced during dental procedures may cause adverse respiratory health effects and bidirectional disease transmission.8,9,11,12,14–24 While there are recommended mechanisms that minimize the risk of transmission, many may not be routinely practiced.9,12,17,19,21 Oral health professionals need to be aware of the invisible dangers in the operatory and reduce the risk of disease transmission before, during, and after patient care.

* References can be found in the original article via the link below.
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