Effects of mechanical ventilation and portable air cleaner on aerosol removal from dental treatment rooms
Journal of Dentistry, ISSN: 0300-5712, Vol: 105, Page: 103576
2021
- 50Citations
- 108Captures
- 1Mentions
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Metrics Details
- Citations50
- Citation Indexes48
- 48
- CrossRef29
- Policy Citations2
- Policy Citation2
- Captures108
- Readers108
- 108
- Mentions1
- News Mentions1
- News1
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Ventilation is critical to battling COVID
As dentists and other healthcare providers continue to navigate the COVID pandemic and the emerging variants, an easy-to-use tool is now available to help them conveniently and accurately assess the ventilation rates of their treatment and waiting rooms.
Article Description
To evaluate the mechanical ventilation rates of dental treatment rooms and assess the effectiveness of aerosol removal by mechanical ventilation and a portable air cleaner (PAC) with a high-efficiency particulate air (HEPA) filter. Volumetric airflow were measured to assess air change rate per hour by ventilation (ACH vent ). Equivalent ventilation provided by the PAC (ACH pac ) was calculated based on its clean air delivery rate. Concentrations of 0.3, 0.5 and 1.0 μm aerosol particles were measured in 10 dental treatment rooms with various ventilation rates at baseline, after 5-min of incense burn, and after 30-min of observation with and without the PAC or ventilation system in operation. Velocities of aerosol removal were assessed by concentration decay constants for the 0.3 μm particles with ventilation alone (K n ) and with ventilation and PAC (K n+pac ), and by times needed to reach 95 % and 100 % removal of accumulated aerosol particles. ACH vent varied from 3 to 45. K n and K n+pac were correlated with ACH vent (r = 0.90) and combined ACH total (r = 0.81), respectively. Accumulated aerosol particles could not be removed by ventilation alone within 30-min in rooms with ACH vent <15. PAC reduced aerosol accumulation and accelerated aerosol removal, and accumulated aerosols could be completely removed in 4 to 12-min by ventilation combined with PAC. Effectiveness of the PAC was especially prominent in rooms with poor ventilation. Added benefit of PAC in aerosol removal was inversely correlated with ACH vent. Aerosol accumulation may occur in dental treatment rooms with poor ventilation. Addition of PAC with a HEPA filter significantly reduced aerosol accumulation and accelerated aerosol removal. Addition of PAC with a HEPA filter improves aerosol removal in rooms with low ventilation rates.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S0300571220303237; http://dx.doi.org/10.1016/j.jdent.2020.103576; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85099261494&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/33388387; https://linkinghub.elsevier.com/retrieve/pii/S0300571220303237; https://dx.doi.org/10.1016/j.jdent.2020.103576
Elsevier BV
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