Aerosols generation using Er,Cr:YSGG laser compared to rotary instruments in conservative dentistry: A preliminary study
| Autor: | Haitham Abdelkarim-Elafifi, Josep Arnabat-Domínguez, Marina Polonsky, Isabel Parada-Avendaño, Cristina Arnabat-Artés |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Molar
2019-20 coronavirus outbreak Làsers en odontologia Materials science Coronavirus disease 2019 (COVID-19) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Restauració dental Dentistry law.invention Operative Dentistry and Endodontics 03 medical and health sciences 0302 clinical medicine law 030212 general & internal medicine Restorative dentistry General Dentistry UNESCO:CIENCIAS MÉDICAS Aerosols Typodont business.industry SARS-CoV-2 Research 030206 dentistry Contamination Laser Dental Restoration Lasers in dentistry business |
| Zdroj: | Journal of Clinical and Experimental Dentistry Dipòsit Digital de la UB Universidad de Barcelona Abdelkarim-Elafifi, H., Arnabat-Artés, C., Parada-Avendaño, I., Polonsky, M., & Arnabat-Domínguez, J. (2021). Aerosols generation using Er,Cr:YSGG laser compared to rotary instruments in conservative dentistry: A preliminary study. Journal of clinical and experimental dentistry, 13(1), e30–e36. |
| ISSN: | 1989-5488 |
| Popis: | Background In restorative dentistry, the use of high-speed air turbine, which generates aerosols, can be associated with the transmission of airborne diseases. New laser technologies could be useful in reducing the amount of aerosols, but there is a lack of scientific research on this topic. Material and methods This is a descriptive study to analyze the amount of aerosols produced after class I cavity preparation using high-speed air turbine (group 1) and Er,Cr:YSGG laser with two different parameters (groups 2 and 3). Fluorescein dye was incorporated into the coolant reservoir in order to visualize the production of aerosols during each procedure. Tooth preparation was performed in a typodont with human lower molar tooth under rubber dam isolation. The procedure was carried out in a transparent plastic box to avoid aerosols dispersion. Sixteen grade I cellulose filter discs were distributed along the surfaces of the box. The area contaminated with aerosols in the filters was measured using ultraviolet illumination. Results In group 1, the contaminated surface area covered with fluorescein dye reached 77.3% (1349 cm2) of the total; in group 2 (laser with 80% water) we observed 7.3% (128 cm2) and in group 3 (laser with 40% water) it was 3.8% (68 cm2). The reduction in water parameter from 80% to 40% coincided with 48% reduction of the contaminated area on the filter discs. Focusing on the surfaces of the box, we noted that the mean contamination on the left side was more than on the right side in all three experimental groups. In group 1 using air turbine, we measured a mean of 102.6[±7.5 SD]cm2 on the left side, compared to 70.6[±32.3 SD]cm2 on the right side. In laser groups 2 and 3, a mean of 12.8[±14.9 SD]cm2 and 6.8 [±5.7SD]cm2, respectively, was described on the left surface versus 0 cm2 of surface contamination on the right surface. Conclusions The contaminated area during the procedure of class I cavity preparation, is reduced by 70% using Er,Cr:YSGG laser compared to high-speed turbine. A slightly higher contamination was observed between laser groups with 80% versus 40% water. The use of Er,Cr:YSGG laser in restorative dentistry can be a valid treatment alternative to reduce aerosols production compared to conventional high-speed rotary instruments. Key words:Er,Cr:YSGG laser, Aerosols, SARS-CoV-2, Rotary instruments, conservative dentistry. |
| Databáze: | OpenAIRE |
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