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Aerosol-Generating Procedures and Simulated Cough in Dental Anesthesia
Brian ChanpongDDS, MSc,,
Michelle TangDDS, MSc,,
Alexander RosenczweigDMD,
Patrick LokDDS, and
Raymond TangMD, MSc
Article Category: Research Article
Volume/Issue: Volume 67: Issue 3
Online Publication Date: Jun 18, 2020
DOI: 10.2344/anpr-67-03-04
Page Range: 127 – 134

in pulmonary secretions. The virus spreads primarily by droplet and contact contamination and by aerosols during aerosol-generating procedures (AGPs). The close proximity and contact with these oropharyngeal structures put dental professionals at high risk. AGPs such as the use of high-speed handpieces, ultrasonic scalers, and air-water syringes increase the extent of exposure and risk of infection. In anesthesia-based dental practices, AGPs including intubation, extubation, manual ventilation, and tracheal suctioning further add to this risk. 2 In addition to

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Figure 1. ; Splatter captured during the use of an air-water syringe and continuous high-volume evacuation suction.
Brian Chanpong,
Michelle Tang,
Alexander Rosenczweig,
Patrick Lok, and
Raymond Tang
Figure 1. 
Figure 1. 

Splatter captured during the use of an air-water syringe and continuous high-volume evacuation suction.

Figure 2. ; Splatter on dentist after aerosol-generating procedures, with the majority evident on arms.
Brian Chanpong,
Michelle Tang,
Alexander Rosenczweig,
Patrick Lok, and
Raymond Tang
Figure 2. 
Figure 2. 

Splatter on dentist after aerosol-generating procedures, with the majority evident on arms.

Figure 3. ; Splatter on dental assistant after aerosol-generating procedures, with the majority evident on arms and legs.
Brian Chanpong,
Michelle Tang,
Alexander Rosenczweig,
Patrick Lok, and
Raymond Tang
Figure 3. 
Figure 3. 

Splatter on dental assistant after aerosol-generating procedures, with the majority evident on arms and legs.

Figure 4. ; Plume and splatter captured during the simulated cough.
Brian Chanpong,
Michelle Tang,
Alexander Rosenczweig,
Patrick Lok, and
Raymond Tang
Figure 4. 
Figure 4. 

Plume and splatter captured during the simulated cough.

Figure 5. ; Splatter on anesthesiologist after a simulated cough, covering head, face, body, arms, and legs.
Brian Chanpong,
Michelle Tang,
Alexander Rosenczweig,
Patrick Lok, and
Raymond Tang
Figure 5. 
Figure 5. 

Splatter on anesthesiologist after a simulated cough, covering head, face, body, arms, and legs.

A Review of Current Literature of Interest to the Office-Based Anesthesiologist
Mark A. SaxenDDS, PhD and
Daniel L. Orr IIDDS, MS (Anesth), PhD, JD, MD
Article Category: Review Article
Volume/Issue: Volume 68: Issue 1
Online Publication Date: Apr 07, 2021
DOI: 10.2344/anpr-68-01-11
Page Range: 63 – 65

Brown J, Gregson FKA, Shrimpton A, et al. A quantitative evaluation of aerosol generation during tracheal intubation and extubation. Anaesthesia . 2021;76(2):174–181. doi: 10.1111/anae.15292. PMID: 33022093; PMCID: PMC7675579. In response to the COVID-19 pandemic, guidance issued from the World Health Organization and the Centers for Disease Control and Prevention recommend minimizing aerosol generating procedures (AGPs) and adopting personal protective equipment and engineering

The COVID-19 Pandemic and Its Impact on Dentistry
Kyle J. KramerDDS, MS
Article Category: Editorial
Volume/Issue: Volume 67: Issue 2
Online Publication Date: Jul 06, 2020
DOI: 10.2344/anpr-67-02-14
Page Range: 65 – 66

“normal.” Some are predicting wholesale changes to the practice of dentistry, particularly due to the risks inherent with airborne viruses like SARS-CoV-2 and aerosol-generating procedures (AGPs). The use of additional protective measures (N95 masks, powered air-purifying respirators, face shields, etc) as the new standard is not only logical but also quite likely, at least for the foreseeable future. However, questions about the anticipated availability of required personal protective equipment (PPE) and the particulars for safely treating assumed asymptomatic carriers