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Suggestions for Non-Aerosol or Reduced-Aerosol Restorative Dentistry (for as Long as is Necessary) FJ Trevor Burke Louis Mackenzie Peter Sands Dental Update 2024 47:6, 707-709.
The advent of coronavirus and the associated disease COVID-19 has led to the closure of dental practices in the UK and, indeed, in many parts of the world. In order to get dental practices operating again, it is suggested that it is necessary to adopt a new way of working. Principal among concerns has been the potential carriage of droplets (from an infected patient) into the aerosols resulting from the use of the turbine handpiece and from ultrasonic and sonic scalers, and other instruments used in restorative dentistry (current terminology being Aerosol Generating Procedures [AGPs]). It is therefore the aim of this paper to review restorative techniques and suggest those which are appropriate to aerosol-free, or reduced-aerosol restorative dentistry.
CPD/Clinical Relevance: With anxieties regarding aerosol generating procedures abounding, it may be helpful to review procedures which either reduce or avoid these AGPs.
Article
The advent of coronavirus and the associated disease COVID-19 has led to the closure of dental practices in the UK and, indeed, in many parts of the world. At the time of writing, dental practices in many countries have re-opened and, in some countries, practices did not close. The “green light” to re-open dental practices in the UK has therefore come later than in many places. In order to get dental practices operating again, the authors suggest that it is necessary to adopt a new way of working. Principal among concerns has been the potential carriage of infected droplets (from an infected patient) into the aerosols resulting from the use of the turbine handpiece and from ultrasonic scalers, and other instruments used in restorative dentistry (current terminology being Aerosol Generating Procedures [AGPs]). It may be of interest to note that the World Health Organization has produced a list of AGPs in healthcare and dentistry is not mentioned.
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