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Research ArticleResearch

Aerosols in Ultrasonic Instrumentation: Comparison of particle spread utilizing saliva ejectors versus high-volume evacuation

Gina M. Agostini-Walesch, Alexandra C. Pierre-Bez, Gina Marcelli-Munk, David S. Hancock, Qing Hong, Bradford Smith and John C. Mitchell
American Dental Hygienists' Association June 2021, 95 (3) 18-24;
Gina M. Agostini-Walesch
Clinical research coordinator, College of Dental Medicine, Midwestern University, Glendale, AZ, USA.
PhD
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Alexandra C. Pierre-Bez
Assistant professor, College of Dental Medicine, Midwestern University, Glendale, AZ, USA.
DMD
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Gina Marcelli-Munk
Dental hygienist at the Dental Institute-Glendale, College of Dental Medicine, Midwestern University, Glendale, AZ, USA.
RDH, BSDH
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David S. Hancock
Assistant professor, College of Dental Medicine, Midwestern University, Glendale, AZ, USA.
DDS
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Qing Hong
Laboratory manager, College of Dental Medicine, Midwestern University, Glendale, AZ, USA.
PhD
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Bradford Smith
Associate professor and dean, College of Dental Medicine, Midwestern University, Glendale, AZ, USA.
DDS
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John C. Mitchell
Professor and associate dean, College of Dental Medicine, Midwestern University, Glendale, AZ, USA.
PhD
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  • For correspondence: [email protected]
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    Figure 1.

    A quadrant system (not to scale) with concentric rings was used to photograph, organize and analyze the aerosol stain data. The zones consist of a series of nested concentric rings each situated with perimeters 3 inches apart (refer to Table I).

  • Figure 2.
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    Figure 2.

    Dental simulation unit showing the operator performing ultrasonic scaling on teeth # 6-11 using HVE.

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    Figure 3.

    Image series showing the reduction in detectable particle concentrations on the floor while ultrasonic scaling using a SE (left) and while using HVE (right).

    Each square represents a commensurate 3 x 3-inch section taken from the southern quadrant of the floor (4.5-7.5 inches from origin).

    Note: The curved outline of the operator’s shoe is visible in images reflecting SE use only, with evidence that the foot was moved part-way through the test.

    A: Raw image showing blue-stained particles

    B: Particles isolated after digital thresholding

    C: Particles identified and subsequently quantified for analysis.

  • Figure 4.
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    Figure 4.

    Particle count by quadrant. Saliva ejector (SE) (Red Orange) and High-volume evacuation (HVE) (Yellow orange).

    Differences in scale for particle count: SE: 0 – 30,000, HVE: 0 – 300.

Tables

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    Table I.

    Zone and zone distance from origin

    Table I.
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    Table II.

    Particle count by zone.

    Table II.
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American Dental Hygienists' Association: 95 (3)
American Dental Hygienists' Association
Vol. 95, Issue 3
June 2021
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Aerosols in Ultrasonic Instrumentation: Comparison of particle spread utilizing saliva ejectors versus high-volume evacuation
Gina M. Agostini-Walesch, Alexandra C. Pierre-Bez, Gina Marcelli-Munk, David S. Hancock, Qing Hong, Bradford Smith, John C. Mitchell
American Dental Hygienists' Association Jun 2021, 95 (3) 18-24;

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Aerosols in Ultrasonic Instrumentation: Comparison of particle spread utilizing saliva ejectors versus high-volume evacuation
Gina M. Agostini-Walesch, Alexandra C. Pierre-Bez, Gina Marcelli-Munk, David S. Hancock, Qing Hong, Bradford Smith, John C. Mitchell
American Dental Hygienists' Association Jun 2021, 95 (3) 18-24;
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Keywords

  • aerosols
  • ultrasonic scalers
  • ultrasonic instrumentation
  • high-volume evacuation
  • saliva ejectors
  • dental health care providers

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