Resources and Support
U.S. Food & Drug Administration (FDA)
The U.S. Food and Drug Administration (FDA) is a federal agency within the Department of Health and Human Services (HHS) responsible for protecting and promoting public health by regulating and supervising food safety, dietary supplements, prescription and over-the-counter medications, vaccines, biopharmaceuticals, medical devices, blood transfusions, radiation-emitting devices, veterinary products, and cosmetics. The U.S. Food and Drug Administration (FDA) does not have a specific division or agency solely dedicated to dentistry. However, the FDA regulates dental products and devices as part of its broader oversight of medical devices and healthcare products. The FDA regulates dental materials, dental instruments, dental equipment, dental implants, dental prosthetics. The FDA establishes and enforces regulatory requirements for dental products to ensure their safety, efficacy, and quality. Dental manufacturers must comply with FDA regulations, including pre-market clearance or approval requirements, quality system regulations, and post-market surveillance obligations.
Centers for Disease Control and Prevention (CDC)
The Centers for Disease Control and Prevention (CDC) is a leading national public health institute in the United States, headquartered in Atlanta, Georgia. Established in 1946, the CDC is a federal agency under the Department of Health and Human Services (HHS) responsible for protecting public health and safety by preventing and controlling the spread of diseases, injuries, and other health threats. The Centers for Disease Control and Prevention (CDC) does not have a specific division or agency exclusively dedicated to dentistry. However, the CDC provides guidance and resources related to oral health and dental care through various programs and initiatives within its broader scope of public health activities. The CDC's Division of Oral Health (DOH) is primarily responsible for promoting oral health and preventing oral diseases at the population level. The DOH works to improve access to preventive dental services, promote community water fluoridation, and implement strategies to reduce disparities in oral health outcomes among different population groups.
- https://www.cdc.gov/
- https://www.cdc.gov/oralhealth/data-tools/index.htm
- https://www.cdc.gov/oralhealth/communications_resources/index.html
- https://www.cdc.gov/oralhealth/infectioncontrol/index.html
- https://www.cdc.gov/oralhealth/infectioncontrol/training-resources.html
- https://www.cdc.gov/oralhealth/infectioncontrol/summary-infection-prevention-pr…
- https://www.cdc.gov/oralhealth/publications/index.htm
Organization for Safety, Asepsis and Prevention (OSAP)
The Organization for Safety, Asepsis, and Prevention (OSAP) is a nonprofit association dedicated to promoting infection control and patient safety in dentistry. Founded in 1984, OSAP serves as a global leader in advancing best practices and standards for infection prevention and control in dental settings. OSAP plays a critical role in promoting a culture of safety and infection prevention in dentistry through education, advocacy, research, and collaboration. By empowering dental professionals with knowledge, resources, and support, OSAP contributes to enhancing the quality of dental care, protecting patients and healthcare workers, and reducing the risk of healthcare-associated infections.
The Joint Commission (TJC)
The Joint Commission is an independent, nonprofit organization that accredits and certifies healthcare organizations and programs in the United States. Founded in 1951, the Joint Commission's mission is to improve healthcare quality and patient safety by evaluating and accrediting healthcare organizations based on rigorous standards and performance measures. Healthcare organizations accredited by the Joint Commission include hospitals, ambulatory care centers, behavioral health facilities, nursing homes, home health agencies, and clinical laboratories. The accreditation process involves a comprehensive evaluation of the organization's compliance with standards related to patient care, clinical processes, safety protocols, leadership, and governance. The Joint Commission also provides education, training, and consulting services to help healthcare organizations improve their quality and safety performance. It collaborates with healthcare professionals, policymakers, and stakeholders to develop evidence-based guidelines, standards, and best practices for healthcare delivery.
- https://www.jointcommission.org/
- https://www.jointcommission.org/our-priorities/health-care-equity/accreditation…
- https://www.jointcommission.org/our-priorities/health-care-equity/certification…
- https://www.jointcommission.org/resources/patient-safety-topics/infection-preve…
- https://www.jointcommission.org/resources/patient-safety-topics/
Frequent Asked Questions
Dental Aerosolization
How far do dental aerosols travel?
The distance dental aerosols can travel depends on various factors such as the type of dental procedure being performed, the force of the aerosol-generating instruments, the ventilation in the dental operatory, and environmental conditions like humidity and airflow. In general, dental aerosols can travel relatively short distances within the immediate vicinity of the patient's mouth, typically within a radius of about 3 to 6 feet (approximately 1 to 2 meters). However, under certain circumstances, aerosols may travel farther distances, especially if there is inadequate ventilation or if high-speed handpieces, air water syringes, or ultrasonic scalers are used. Additionally, smaller aerosolized particles may remain suspended in the air for longer periods and can potentially travel greater distances, particularly in enclosed spaces with poor airflow. Proper infection control measures, including the use of personal protective equipment, high-volume evacuation, and enhanced ventilation, can help mitigate the spread of dental aerosols and reduce the risk of transmission of infectious agents.
How long do dental aerosols stay in the air?
The duration dental aerosols remain suspended in the air can vary depending on factors such as particle size, airflow, humidity, and ventilation in the dental operatory. Generally, larger aerosolized droplets generated during dental procedures tend to settle more quickly due to gravity, typically within a few seconds to minutes after being expelled. However, smaller aerosolized particles, especially those less than 5 micrometers in diameter, can remain suspended in the air for longer periods, ranging from several minutes to hours, depending on environmental conditions. Factors such as air circulation, ventilation systems, and room size play a significant role in determining how long dental aerosols linger in the air. Adequate ventilation and air exchange rates can help disperse and remove aerosols more quickly, reducing the time they remain airborne. In contrast, poor ventilation or confined spaces with stagnant air may prolong the suspension of aerosolized particles.
What are contaminated dental aerosols?
Contaminated aerosols are aerosolized particles that carry infectious agents or contaminants, such as bacteria, viruses, fungi, or other microorganisms. In a dental setting, contaminated aerosols can be generated during various dental procedures that involve the use of high-speed instruments, air-water syringes, ultrasonic scalers, and other devices. These aerosols can contain saliva, blood, dental plaque, and other biological materials from the patient's oral cavity, as well as microorganisms that may be present in the dental unit waterlines or on dental instruments. Contaminated aerosols pose a risk of transmission of infectious diseases, both to patients and dental healthcare personnel. If aerosols containing viable pathogens are inhaled or come into contact with mucous membranes or broken skin, they can potentially cause infection or disease. Additionally, contaminated aerosols can settle on surfaces in the dental operatory, leading to environmental contamination and the potential for indirect transmission of infectious agents through contact with contaminated surfaces.
What are dental aerosols?
Dental aerosols are tiny droplets or particles of saliva, blood, water, microorganisms, and other debris that are generated during dental procedures. These aerosols can become airborne and spread throughout the dental operatory, potentially carrying infectious agents and contaminants. They are produced when dental instruments such as high-speed/low-speed handpieces, ultrasonic scalers, and air water syringes generate high-speed sprays or mists during use. Dental aerosols are a significant concern for infection control in dental settings, as they can contribute to the transmission of infectious diseases and pose a risk to both patients and dental healthcare personnel.
What level should a dental facemask be for dental aerosol?
Dental face masks used in dental settings should meet at least the minimum requirements of ASTM (American Society for Testing and Materials) standards for medical face masks. ASTM has established three levels of protection for medical face masks based on their fluid resistance, bacterial filtration efficiency (BFE), and particle filtration efficiency (PFE). In dental settings where aerosols are generated during procedures, such as drilling, scaling, polishing or use of the air water syringe, it is advisable to use face masks with at least Level 2 or Level 3 protection to help minimize the risk of exposure to airborne contaminants. Additionally, masks with a snug fit, proper filtration efficiency, and comfortable design should be selected to ensure adequate protection and wearer compliance. It's essential for dental healthcare personnel to follow infection control guidelines and select appropriate personal protective equipment, including face masks, to help reduce the transmission of infectious diseases in the dental office.
