Effectiveness of air cleaner on mitigating the transmission of respiratory disease in a dental clinic environment

Abstract

In dental clinics with an open floor plan, the risk of patient-to-patient transmission of respiratory disease is a concern. During dental procedures large amounts of bioaerosol are produced and patients cannot wear personal protective equipment. This paper examines how to effectively deploy air cleaner to reduce the infection risk in dental clinics with an open floor plan. Various locations of air cleaners at various clean air delivery rates (CADRs) were investigated. The dispersion of bioaerosol was studied through numerical simulations, and risk assessment was performed by a dose-response method. The findings indicated that dental patients downstream of the background ventilation have a higher infection risk than those to the left and right of an infected patient (i.e., the source). The lowest infection risks for the adjacent patients were found when the air cleaner was place opposite to the dentists, i.e., on the floor at low CADR levels of 2.2 m3/min or on the bench at CADR levels of 4.4 m3/min or greater. The results of this study indicated that air cleaner can mitigate the risk of patient-to-patient transmission of SARS-CoV-2 in dental clinics with an open floor plan. Background CADR levels determine the optimal placement of air cleaners.