Introduction : microbial bioload in dental aerosols
Aerosols, especially those created during dental procedures, have recently taken front and center stage in the news, driven by fears of transmission of SARS‐CoV‐2 virus. However, COVID‐19 is just the latest episode of a century‐long assault of the human race by zoonotic respiratory viruses, and a much longer assault by several respiratory bacterial pathogens; tuberculosis, and bacterial pneumonia, to name but a few. The proximity of the nasopharynx and lower respiratory tract to the oral cavity creates an open communication channel for movement of viruses and bacteria from these areas into the mouth. In this scenario, aerosol generating dental procedures on patients with infectious respiratory diseases become sources of contagion. In an immunocompetent individual, the risk of spread of infection by aerosolized particles is largely driven by the kinetics of the aerosol, presence of pathogen in the aerosol source, the type of pathogen, frequency of exposure, and the infectious dose.
As dental professionals, it behooves us to protect ourselves, our patients and our staff from occupationally acquired diseases. The purpose of this review, therefore, is to examine what is currently known regarding the physics of aerosol creation, the types of aerosols generated by dental procedures, the nature, quantity, and sources of microbiota in these aerosols and the probability of disease transmission from patients to dental healthcare workers.
Serial posts:
- Demystifying the mist: Sources of microbial bioload in dental aerosols
- Introduction : microbial bioload in dental aerosols
- The characteristics of aerosolized particle
- Methods to investigate aerosols
- The oral cavity as a reservoir for viruses in health and disease
- Aerosol generation during physiological activity
- The oral cavity as a host for respiratory bacterial pathogens
- Aerosol generating medical and dental procedures (AGMP & AGDP)
- Is saliva the primary source of pathogens in dental aerosols?
- Disease transmission to dental healthcare personnel & patients
- Summary & conclusions
- Aerosol generation during physiological activity