歯科用高速切削機器使用時に発生する微粒子の可視化実験による検討

DOI Web Site Web Site 参考文献28件
  • 丸岡 豊
    国立国際医療研究センター病院歯科・口腔外科 東京医科歯科大学大学院医歯学総合研究科顎口腔腫瘍外科学分野
  • 高鍋 雄亮
    国立国際医療研究センター病院歯科・口腔外科 東京医科大学口腔外科学分野
  • 近藤 順子
    国立国際医療研究センター病院歯科・口腔外科
  • 八木 翔太郎
    国立国際医療研究センター病院歯科・口腔外科
  • 近津 大地
    東京医科大学口腔外科学分野
  • 岡本 隆太
    新日本空調株式会社ソリューション事業部
  • 齊藤 正夫
    山梨大学大学院総合研究部・医学域

書誌事項

タイトル別名
  • A study both to measure and to visualize the scattering of fine particles generated during dental treatment
  • シカヨウ コウソク セッサク キキ シヨウジ ニ ハッセイ スル ビリュウシ ノ カシカ ジッケン ニ ヨル ケントウ

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<p>There is an urgent need to examine the risk of infection from aerosols generated during dental treatment and to review infection control. However, existing research on aerosol particles associated with dental treatment is by no means sufficient, and little research has been done on the details of aerosol particle generation in the clinical environment, the mechanisms, and patterns of distribution in open and closed spaces, the time they are suspended in the air, the amount and size of particles present. Therefore, to minimize the influence of background particles, laser beams, a high-sensitivity camera, and a particle counter were used in a large super-clean laboratory (SCL) to investigate the dynamics of aerosols generated during dental micromotor operation. The large number of aerosol particles generated by the use of the micro-engine rose rapidly within 30 seconds and were suspended in the room atmosphere. Within a 100 cm radius of the user, the scattering peaked at about 90 seconds. The particles were further diffused into the room with the passage of time, reaching a maximum at 210 seconds and gradually decreasing thereafter, confirming that the 4 x 4 m room had returned to equilibrium. The experiment was conducted under sealed conditions in the SCL without the use of any suction device inside or outside the oral cavity. Although the conditions did not faithfully reproduce the actual conditions in a dental clinic, we were able to obtain groundbreaking results that demonstrated for the first time the scattering of fine particles, eliminating various possible complications in the background. At present, our knowledge of the infectivity of COVID-19 from patients' oral cavity and saliva is still insufficient, and further studies and information are needed.</p>

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