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The Debate: What Are Aerosol-Generating Procedures in Dentistry? A Rapid Review

INTRODUCTION: This article aims to review the current national and international dental guidance produced during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic to identify the level of consensus on aerosol-generating dental procedures (AGDPs). The outcomes intend to encour...

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Autores principales: Virdi, M.K., Durman, K., Deacon, S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7961632/
https://www.ncbi.nlm.nih.gov/pubmed/33509030
http://dx.doi.org/10.1177/2380084421989946
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author Virdi, M.K.
Durman, K.
Deacon, S.
author_facet Virdi, M.K.
Durman, K.
Deacon, S.
author_sort Virdi, M.K.
collection PubMed
description INTRODUCTION: This article aims to review the current national and international dental guidance produced during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic to identify the level of consensus on aerosol-generating dental procedures (AGDPs). The outcomes intend to encourage increased collaboration with respect to dental guidelines in relation to the SARS-CoV-2 pandemic, as well as to improve decision making and safety for dental patients and staff. METHODS: This rapid review was conducted by 2 authors (MKV and KD), with the support of a third author (SD), to assess current guidelines related to dental AGDPs. This streamlined review approach allowed synthesis of data in an efficient manner in the rapidly evolving environment associated with the SARS-CoV-2 pandemic. RESULTS: The findings identified 1) a lack of consistency in reporting which procedures were deemed an AGDP; 2) that high-speed handpieces, air-water syringes, and mechanical scalers were consistently considered high-risk AGDPs; 3) a lack of consensus on the risk of coronavirus disease 2019 (COVID-19) transmission with the use of slow-speed handpieces; 4) a general agreement, when described, that rubber dam and high-volume evacuation can significantly reduce aerosol production; and 5) a lack of consistency in reporting whether procedures constitute a low, moderate, or high risk of COVID-19 transmission. The findings are discussed in relation to the guidance and future recommendations. CONCLUSION: It is recommended that future published guidance should indicate the risk stratification (low/moderate/high) of each procedure/exposure in a standardized international approach. KNOWLEDGE TRANSFER STATEMENT: The results of this rapid review can be used by clinicians to increase their awareness of international guidance on aerosol-generating procedures in dentistry. It will also encourage those publishing future guidance to provide an internationally standardized, risk-stratified approach to describing aerosol-generating procedures. Currently, it allows clinicians to consider aerosol-generating procedures as a risk spectrum.
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spelling pubmed-79616322021-03-30 The Debate: What Are Aerosol-Generating Procedures in Dentistry? A Rapid Review Virdi, M.K. Durman, K. Deacon, S. JDR Clin Trans Res Covid-19 INTRODUCTION: This article aims to review the current national and international dental guidance produced during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic to identify the level of consensus on aerosol-generating dental procedures (AGDPs). The outcomes intend to encourage increased collaboration with respect to dental guidelines in relation to the SARS-CoV-2 pandemic, as well as to improve decision making and safety for dental patients and staff. METHODS: This rapid review was conducted by 2 authors (MKV and KD), with the support of a third author (SD), to assess current guidelines related to dental AGDPs. This streamlined review approach allowed synthesis of data in an efficient manner in the rapidly evolving environment associated with the SARS-CoV-2 pandemic. RESULTS: The findings identified 1) a lack of consistency in reporting which procedures were deemed an AGDP; 2) that high-speed handpieces, air-water syringes, and mechanical scalers were consistently considered high-risk AGDPs; 3) a lack of consensus on the risk of coronavirus disease 2019 (COVID-19) transmission with the use of slow-speed handpieces; 4) a general agreement, when described, that rubber dam and high-volume evacuation can significantly reduce aerosol production; and 5) a lack of consistency in reporting whether procedures constitute a low, moderate, or high risk of COVID-19 transmission. The findings are discussed in relation to the guidance and future recommendations. CONCLUSION: It is recommended that future published guidance should indicate the risk stratification (low/moderate/high) of each procedure/exposure in a standardized international approach. KNOWLEDGE TRANSFER STATEMENT: The results of this rapid review can be used by clinicians to increase their awareness of international guidance on aerosol-generating procedures in dentistry. It will also encourage those publishing future guidance to provide an internationally standardized, risk-stratified approach to describing aerosol-generating procedures. Currently, it allows clinicians to consider aerosol-generating procedures as a risk spectrum. SAGE Publications 2021-01-29 2021-04 /pmc/articles/PMC7961632/ /pubmed/33509030 http://dx.doi.org/10.1177/2380084421989946 Text en © International & American Associations for Dental Research 2021 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Covid-19
Virdi, M.K.
Durman, K.
Deacon, S.
The Debate: What Are Aerosol-Generating Procedures in Dentistry? A Rapid Review
title The Debate: What Are Aerosol-Generating Procedures in Dentistry? A Rapid Review
title_full The Debate: What Are Aerosol-Generating Procedures in Dentistry? A Rapid Review
title_fullStr The Debate: What Are Aerosol-Generating Procedures in Dentistry? A Rapid Review
title_full_unstemmed The Debate: What Are Aerosol-Generating Procedures in Dentistry? A Rapid Review
title_short The Debate: What Are Aerosol-Generating Procedures in Dentistry? A Rapid Review
title_sort debate: what are aerosol-generating procedures in dentistry? a rapid review
topic Covid-19
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7961632/
https://www.ncbi.nlm.nih.gov/pubmed/33509030
http://dx.doi.org/10.1177/2380084421989946
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