Evaluation of the risk of infection through exposure to aerosols and spatters in dentistry

Am J Infect Control. 2008 May;36(4):304-7. doi: 10.1016/j.ajic.2007.07.019.

Abstract

Background: Many dental procedures produce extensive aerosols and splatters that are routinely contaminated with microorganisms.

Methods: Air containing blood-bearing aerosols and surfaces contaminated by sedimenting blood particulate was sampled in 5 different dental cubicles. To assess contamination by blood particulate, the concentration of hemoglobin (Hb) in the air and on the sedimentation surfaces was determined.

Results: The mean concentration of Hb in the air aspirated in the 5 cubicles was 0.14 +/- 0.23 microg/m(3), corresponding to a blood volume of 8.7 x 10(-4) microL/m(3). Similarly, the mean concentration of blood particulate sedimented on surfaces was calculated and found to be 1.56 microL/m(2). In 80% of the cubicles monitored, 100% positivity to the Hb determination test was recorded in all of the surface samples.

Conclusions: The results obtained revealed contamination of both air and surfaces by blood particulate. Moreover, with the exception of those obtained in 1 cubicle, all of the samples of sedimenting particulate analyzed were positive for the presence of Hb.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aerosols / analysis*
  • Blood
  • Dental Clinics*
  • Dentistry*
  • Environmental Monitoring
  • Equipment Contamination*
  • Guideline Adherence
  • Hemoglobins / analysis*
  • Humans
  • Infection Control*
  • Infectious Disease Transmission, Patient-to-Professional / analysis
  • Italy
  • Occupational Exposure / analysis
  • Particulate Matter / analysis
  • Practice Guidelines as Topic
  • Risk Factors

Substances

  • Aerosols
  • Hemoglobins
  • Particulate Matter