The Incidence of Dental Needs During Isolated Missions Compared to Non-isolated Missions: A Systematic Review and Implications for Future Prevention Strategies

Lloro,; Luaces, Lozano-de; Lloro, I; Manzanares, María Cristina

doi:10.1093/milmed/usy364

Cited by 10 publications

(16 citation statements)

References 32 publications

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“…15 This can be achieved either at a macro level increasing ventilation or at the source of contamination by applying an aerosol suction device, like the OBF, which was initially developed for astronauts in space. In the absence of gravity, particles of saliva or blood containing pathogens are released into the environment 16,17 as also reported in patients in isolated missions 17 both probably due to reduced ventilation, as suggested by Zemouri et al, 7 which studied the analogous situation in dental clinics due to the indoor air quality. The perioral suction device named Oral BioFilter (OBF) consists in an ergonomic lip retractor that supports an extraoral suction device which connects to the dental chair's high-volume evacuator (HVE) suction system.…”

Section: Introductionmentioning

confidence: 79%

Perioral Aerosol Sequestration Suction Device Effectively Reduces Biological Cross-Contamination in Dental Procedures

et al. 2021

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Objective The infection risk during dental procedures is a common concern for dental professionals which has increased due to coronavirus (severe acute respiratory syndrome coronavirus 2) pandemic. The development of devices to specifically mitigate cross-contamination by droplet/splatter is crucial to stop infection transmission. The objective of this study is to assess the effectiveness of a perioral suction device (Oral BioFilter, OBF) to reduce biological contamination spread during dental procedures. Materials and Methods Forty patients were randomized 1:1 to a standard professional dental hygiene treatment with OBF and without. Adenosine triphosphate (ATP) bioluminescence assay was used to evaluate the spread of potential contaminants. The total number of relative light units (RLU) from key dental operatory locations: operator’s face-shield, back of the surgical operator’s-gloves, patient’s safety-goggles, and instrumental table were measured. Percentage contamination reductions between control and OBF were compared. Statistical Analysis Primary outcome, total RLU, was analyzed by comparing the means of logged data, using a two-sided two-sample t-test. Secondary outcomes as RLU of logged data for the different locations were analyzed in the same way. Proportion of patients from whom different locations reported events (clean, acceptable, and failure) were analyzed by using Fisher’s exact test. Results For the whole dental environment, RLUs reduction (<150 units) achieved with OBF was 98.4% (97.4–99%). By dental operatory location the reduction in RLUs was from 99.6%, on the operator face-shield, to 83% on instrumental table. The control group reported a very high percentage of failures, (>300) being 100% on the surfaces closer to the patient’s mouth and decreasing to 70% on instrumental table. In contrast, the higher failure percentage in the OBF group was found on the patient’s goggles (40%), while the operator face-shield showed an absence of contamination. Conclusion OBF device has shown efficient reduction of biological aerosol cross-contamination during dental procedures as proved by ATP-bioluminescence assay. Nevertheless, for maximum safety, its use must be combined with standard protective gear such as goggles, face shield, and surgical gloves.

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Section: Introductionmentioning

confidence: 79%

Perioral Aerosol Sequestration Suction Device Effectively Reduces Biological Cross-Contamination in Dental Procedures

et al. 2021

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“…In military groups, gingival-periodontal pathologies are one of the main causes of oral morbidity after dental caries, both in their own countries and in deployments abroad. [2][3][4] At this second geographical context, having good periodontal health in the operational areas is essential, as periodontal conditions may result in temporary discharge from duty, compromising the operability of military units. An example of this situation has been the necrotising periodontal disease 5 identified during the First World War as 'trench mouth or Vincent's stomatitis', which originated, among other factors, because of the stress to which the military personnel were subjected, which altered their immune response and predisposed them to this disease.…”

Section: Introductionmentioning

confidence: 99%

Epidemiological methods used in the periodontal health research in military personnel: a systematic review

García¹,

Plana

Cagiao³

et al. 2021

BMJ Mil Health

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IntroductionPeriodontal disease is a prevalent pathology in military personnel worldwide. The objective is to analyse the methodological features of periodontal health research performed in military personnel in their home countries.MethodsA PRISMA systematic review of literature was carried out in PubMed, EMBASE and Web of Science databases on military periodontal health studies. Study design type, language, publication date, year, country, size and sample selection, age, sex, military, diagnostic procedure, examiners, periodontal, gingival and oral hygiene index were extracted.ResultsEighty-eight out of 5355 studies found were selected, published between 1921 and 2020, with samples ranging from 52 to 16 869 individuals, generally not randomised, and consisting mainly of men with a mean age of 25 years. Predominant studies were cross-sectional descriptive studies, carried out in the Army, on American military personnel, and in the English language. Most of the studies used the WHO periodontal probe handled by two or more examiners. The Löe and Silness gingival index and the Silness and Löe plaque index were the most used indexes to assess gingival condition and oral hygiene, respectively. Community Periodontal Index of Treatment Needs was the most widely used periodontal index.ConclusionsResearch on periodontal health carried out in military populations from the 1920s to the present has been performed from an almost exclusively descriptive approach. Issues such as the characteristics and representativeness of the samples, the epidemiological design and the different gingival-periodontal indexes used may limit the comparability of the study results.

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“…Son muchos los estudios que analizan la prevalencia de emergencias dentales en situaciones de despliegue 138,139,143,144,150 .…”

Section: -Aptitud Militarunclassified

“…La importancia de la caries queda constatada como factor determinante en la aptitud del militar. La gran mayoría de autores que han estudiado las emergencias dentales durante despliegues, coinciden en que un elevado porcentaje éstas, se deben a esta patología 113,138,139,141,142 .…”

Section: Discusión Tesis Doctoralunclassified

“…BEL BLESA A. 2020 -253 -A pesar de que en nuestro estudio la patología eruptiva no ha sido muy prevalente, hay que decir que sí es responsable de un gran número de asistencias de urgencias en los despliegues 135,139,144,150 . Esta patología deja abierto el debate de si es conveniente o no, y con qué criterio, se deben o no extraer los cordales semierupcionados antes de un despliegue 147,181 .…”

Section: Discusión Tesis Doctoralunclassified

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Estado bucodental y necesidades de tratamiento de una población militar de la base Teniente Ruíz en Ceuta

Blesa¹

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Población objeto de estudio 4.-Selección de la muestra 4.1.-Criterios de inclusión /exclusión 5.-Ámbito de actuación 6.-Consideraciones éticas del estudio 7.-Recogida de datos 8.-Indicadores epidemiológicos estudiados 8.1.-Prevalencia de caries total de la muestra 8.2.-Índice CAOD y IR 8.3.-Índice Periodontal Comunitario (IPC) 8.4.-Pérdida de inserción 8.5.-Prevalencia de enfermedad periodontal total de la muestra 9.-Variables estudiadas 9.1.-Información General y Datos Sociodemográficos 9.2.-Hábitos 9.3.-Necesidad de prótesis 9.4.-Portador de prótesis 9.5.-Percepción del paciente sobre su salud bucal 9.6.-Percepción del examinador sobre la salud bucal del sujeto 9.7.-Patología de las mucosas 9.8.-Exploración articular 9.9.-Patología eruptiva 9.10.-Criterio de APTITUD militar y motivo 9.11.-Estado de la dentición y tratamiento necesario V-RESULTADOS 1.-Análisis de los resultados descriptivos de la muestra 2.-Resultados relacionados con hábitos higiénicos, tabaquismo y consumo de alcohol 2.1-Análisis de los resultados globales 2.1.1.-Hábitos higiénicos 2.1.2.-Tabaco PRESENTACIÓN TESIS DOCTORAL BEL BLESA A. -1 -La ciencia odontológica ha evolucionado durante estos últimos años alcanzando unos niveles que antaño sólo se imaginaban como "ciencia ficción". Cirugía guiada, flujo digital, estética inmediata, Smile Design, PRGF, ROG avanzada, … Todos estos avances no han hecho más que facilitar y mejorar la calidad de tratamiento de la población en general, sin embargo, a pesar de estos avances, nada se ha podido hacer aún o muy poco se ha avanzado en la erradicación de los dos grandes problemas que nos afectan, y que se destacan como las principales causas de pérdidas dentarias desde los inicios de la odontología: caries y enfermedad periodontal.Tales patologías, viejas conocidas nuestras, aún andan lejos de ser erradicadas pese a los grandes avances dentales del siglo XXI.La prevención frente a estas dos entidades se ha establecido como única arma eficaz disponible en la actualidad, sin embargo, la odontología preventiva no ha acompañado al resto de sus especialidades hermanas en esta evolución hacia el futuro. ¿Cuál es la causa?Cuando uno tiene tras de sí algunos años de ejercicio, se da cuenta de que los grandes avances en conservadora, cirugía, implantología, estética, ortodoncia y prótesis son más fáciles de implementar en el ejercicio diario, porque al único que hay que "convencer" es al odontólogo. Y, reconozcámoslo, a los odontólogos, en general, nos atrae mucho incorporar nuevas técnicas y nuevos "aparatitos" a nuestras consultas para facilitarnos el trabajo, ofrecer mejores tratamientos y, por qué no, incorporar nuevas estrategias de marketing tan necesarias hoy día debido a la plétora de profesionales que inundan el mercado sanitario actual. Estos avances pueden suponer la diferencia entre una clínica y otra.Con la odontología preventiva pasa una cosa bien diferente. No hay que convencer al profesional, hay que convencer al paciente, y eso es harina de otro costal.La odontología preventiva requiere de un esfu...

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The Incidence of Dental Needs During Isolated Missions Compared to Non-isolated Missions: A Systematic Review and Implications for Future Prevention Strategies

Cited by 10 publications

References 32 publications

Perioral Aerosol Sequestration Suction Device Effectively Reduces Biological Cross-Contamination in Dental Procedures

Perioral Aerosol Sequestration Suction Device Effectively Reduces Biological Cross-Contamination in Dental Procedures

Epidemiological methods used in the periodontal health research in military personnel: a systematic review

Estado bucodental y necesidades de tratamiento de una población militar de la base Teniente Ruíz en Ceuta

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