Minimizing the aerosol-generating procedures in orthodontics in the era of a pandemic: Current evidence on the reduction of hazardous effects for the treatment team and patients.

摘要: The purpose of this critical review is to list the sources aerosol production during orthodontic standard procedure, analyze constituent components and their dependency on modes grinding, presence water type bur, suggest a method minimize quantity detrimental characteristics particles comprising solid matter aerosol. Minimization water-spray syringe utilization for rinsing suggested bonding related procedures, while temporal conditions as represented by seasonal epidemics should be considered decision intervention scheme provided preprocedural mouth rinse, in an attempt reduce load aerosolized pathogens. In normal conditions, chlorhexidine 0.2%, preferably under elevated temperature state prioritized reducing bacterial counts. oxidation vulnerable viruses within community, substitute strategies might use povidone iodine 0.2%-1%, or hydrogen peroxide 1%. After debonding, extensive material well aligner attachment clean-up, involve carbide tungsten burs cooling cutting efficiency enhancement, duration restriction reduction nanoparticles. respect, selection malocclusions eligible treatment reconsidered future perspectives may entail careful more restricted grips. For limited clean-up such grinding minimal amounts adhesive remnants, individualized bracket debonding course treatment, hand-instruments remnant removal represent effective strategy. Efforts rotary instrumentation settings also lead way solutions. Measures self-protection team never neglected. Dressing gowns facemasks with filter protection layers, appropriate ventilation fresh air flow operating room comprise significant links overall picture practice management. Risk management considerations constant, but updated new applications come into play, being grounded best available evidence.