Predictors of quantitative microbiological analysis of spatter and aerosolization during scaling

Rev Med Chir Soc Med Nat Iasi. 2013 Apr-Jun;117(2):503-8.

Abstract

The aim of this study is to analyze the infection risk through spatter and aerosolization during scaling and to create a prediction model of the total number of hemolytic bacteria.

Material and methods: Air samples were collected prior to patient's arrival and spatter and aerosol samples were collected during scaling procedure in 80 patients of 4 different dental clinics. The dentists calculated DI, CI, DMFT. Only patients with CI > = 1 were included. The bacteriological results (CFU/m3) were correlated with clinical indicators. Patients were divided into 2 groups: one that rinse with sterile water and the other with chlohexidine mouth rinse 0.1%.

Results and conclusions: Medium size effect positive correlations were found between the number of decayed teeth and the total number of bacteria and the total number of hemolytic bacteria that grew on plate attached to the dentist's mask. The mean number of bacteria and the mean number of hemolytic bacteria that grew on plate attached to the dentist's mask were significantly lower in the group that rinse with chlorhexidine 0.1%, when compared to the group that rinsed with sterile water. When controlling for the total number of bacteria and the total number of hemolytic bacteria from air sampling, the total number of hemolytic bacteria that grew on the plate attached to the dentist's mask can be predicted by CI, group membership and DMFT score.

Publication types

  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Air Microbiology* / standards
  • Algorithms
  • Anti-Infective Agents, Local / administration & dosage
  • Chlorhexidine / administration & dosage*
  • DMF Index
  • Dental Offices
  • Dental Scaling* / instrumentation
  • Dental Scaling* / methods
  • Disinfectants / administration & dosage*
  • Female
  • Gram-Positive Bacterial Infections / prevention & control
  • Humans
  • Male
  • Middle Aged
  • Models, Statistical*
  • Mouthwashes / administration & dosage*
  • Periodontal Index
  • Predictive Value of Tests
  • Romania
  • Sensitivity and Specificity
  • Staphylococcus haemolyticus / isolation & purification*
  • Streptococcus pyogenes / isolation & purification*
  • Water / administration & dosage*

Substances

  • Anti-Infective Agents, Local
  • Disinfectants
  • Mouthwashes
  • Water
  • Chlorhexidine