Article: Volume 47 Number 6 Page 485 - June 2020

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  Dent Update 2020; 47: 485-493

COVID-19:  Suggestions for Non-Aerosol or Reduced-Aerosol Restorative Dentistry (for as Long as is Necessary)

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Abstract: The advent of coronavirus and the associated disease COVID-19 has led to the closure of dental practices in the UK and, indeed, in many parts of the world. In order to get dental practices operating again, it is suggested that it is necessary to adopt a new way of working. Principal among concerns has been the potential carriage of droplets (from an infected patient) into the aerosols resulting from the use of the turbine handpiece and from ultrasonic and sonic scalers, and other instruments used in restorative dentistry (current terminology being Aerosol Generating Procedures [AGPs]). It is therefore the aim of this paper to review restorative techniques and suggest those which are appropriate to aerosol-free, or reduced-aerosol restorative dentistry.

Clinical relevance: With anxieties regarding aerosol generating procedures abounding, it may be helpful to review procedures which either reduce or avoid these AGPs.

Author notes: FJ Trevor Burke, DDS, MSc, MDS, MGDS, FDS(RCS Edin), FDS RCS(Eng), FFGDP(UK), FADM, Professor of Primary Dental Care, University of Birmingham School of Dentistry, 5 Mill Pool Way, Birmingham B5 7EG, Louis Mackenzie, BDS, General Dental Practitioner, Birmingham, Clinical Lecturer, University of Birmingham School of Dentistry and Head Dental Officer, Denplan, Winchester and Peter Sands, MSc, BDS, LDS, MFGDP, General Dental Practitioner, Abingdon, and Part-Time Lecturer, University of Birmingham, School of Dentistry, 5 Mill Pool Way, Birmingham B5 7EG, UK.

Objective: To review procedures that minimize or do not require aerosol use.

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