Please see attached the weblinks below and attached (doc and infographic) the Rapid Review of AGPs in dentistry carried out jointly by a range of organisations. The key messages have been listed below which highlight the range of different measures being adopted for dental practice internationally and the lack of evidence to support the majority of these. There are variations with respect to definitions of AGPs, choice of PPE and the fallow period, all of which have huge implications for dental practice.
Aerosol Generating Procedures and their Mitigation in International Guidance Documents
Key Messages
- This review reports on national recommendation for AGPs and their mitigation from 58 countries.
- There is a highly variable level of details provided across international resources.
- Just over half of the documents (56%) provide a definition of AGPs.
- 98% of countries state that AGPs can be provided for non-COVID patients.
- 94% of countries recommend the use of a face mask and goggles or a face shield for non-COVID patients.
- Surgical masks are advised by 21 countries (33%) for non-COVID patients while 44 countries (70%) recommend the use of FFP2/N95 masks and 12 countries (19%) recommend the use of FFP3 masks.
- 82% of documents recommend the use of a pre-procedural mouthwash for non- COVID patients.
- 48% of documents suggest a fallow period after the providing AGP treatment for non-COVID patients, with times ranging from 2 to 180 minutes.
- Most countries making recommendations for COVID patients advised the same mitigation as for non-COVID patients.
- There is a lack of evidence provided to support the majority of recommendations in the documents.
AGPs and their mitigation in International Guidelines