Rapid Review of Aerosol Generating Procedures in Dentistry
Updated 25 January 2021
SDCEP has issued an update to Mitigation of Aerosol Generating Procedures in Dentistry – A Rapid Review within a new appendix and as a standalone document. At this time, the conclusions of the rapid review remain unchanged. Searching for new evidence will continue.
Mitigation of Aerosol Generating Procedures in Dentistry – A Rapid Review (PDF) – includes a new appendix
25 January 2021 Update (PDF) – a standalone version of the new appendix
SDCEP, with the support of Cochrane Oral Health, has conducted a rapid review of the evidence related to the mitigation of aerosol generating procedures in dentistry and the associated risk of transmission of SARS-CoV-2 (COVID-19).
It is important to stress that this document does not have the status of guidance. The aim of this rapid review was to identify and appraise the evidence related to several pre-determined key questions about AGPs in dentistry and to use a process of considered judgement of this evidence and other relevant factors to reach agreed positions that may be used to inform policy and clinical guidance.
To conduct this review, SDCEP convened a multidisciplinary Working Group comprising subject specialists from disciplines including particle physics, aerobiology and clinical virology, in addition to those performing multiple roles within dentistry. Representatives from all four of the devolved UK nations participated in the work of the Group.
The methodology used for the development of this guidance, including details of the scope, evidence search strategy, evidence appraisal and the considered judgement process can be found in the Rapid Review Methodology (PDF) document.
The agreed position statements presented in this document are based on the evidence available at the time of publication. In view of the constantly evolving COVID-19 situation, this is a living document and the Working Group will continue to assess new evidence to maintain currency of the document in the coming months.
Related relevant work carried out by others, includes:
NSS Technical Report on ventilation in dental surgeries
NHS National Services Scotland (NHS NSS) has published “SBAR Ventilation, water and environmental cleaning in dental surgeries relating to COVID-19“. The document examines the current evidence base for requirements for ventilation as a control strategy and the modeling of AGPs. NHS NSS state that it is not intended as specific formal guidance in itself, but to provide recommendations to help inform future policy and the development of guidance. This document had been produced by a short life working group led by Health Facilities Scotland that included representation from all four UK nations. SDCEP was not part of this group.
COVID-19 Dental Services Evidence Review (CoDER) Working Group rapid review of AGPs and their mitigation in international guidelines.
The CoDER group has now published a rapid review to assess how dental aerosol-generating procedures (AGPs) are defined in international dental guidelines and what mitigation procedures are recommended. Aerosol Generating Procedures and their Mitigation in International Dental Guidance Documents – A Rapid Review is available on the Cochrane Oral Health website.
SDCEP has contributed to the CoDER’s work, which is a multi-agency collaboration involving Cochrane Oral Health, the Universities of Aberdeen, Dundee and Manchester, NHS Greater Glasgow and Clyde and NHS Education for Scotland.