Efektivitas Alat Extraoral Suction Unit pada Layanan Kesehatan Gigi dan Mulut
Benidiktus Tulung Prayoga(1*), Agustinus Winarno(2), Margareta Rinastiti(3), Dian Permata Sari(4), Heribertus Dedy Kusuma Yulianto(5), Julita Hendrartini(6)
(1) Departemen Teknik Mesin Sekolah Vokasi Universitas Gadjah Mada, Indonesia
(2) Departemen Teknik Mesin Sekolah Vokasi Universitas Gadjah Mada, Indonesia
(3) Rumah Sakit Gigi dan Mulut Prof Soedomo Universitas Gadjah Mada, Indonesia & Fakultas Kedokteraan Gigi Universitas Gadjah Mada, Indonesia
(4) Rumah Sakit Gigi dan Mulut Prof Soedomo Universitas Gadjah Mada, Indonesia
(5) Rumah Sakit Gigi dan Mulut Prof Soedomo Universitas Gadjah Mada, Indonesia & Fakultas Kedokteraan Gigi Universitas Gadjah Mada, Indonesia
(6) Rumah Sakit Gigi dan Mulut Prof Soedomo Universitas Gadjah Mada, Indonesia
(*) Corresponding Author
Abstract
Latar Belakang: Petugas layanan kesehatan gigi dan mulut rentan terpapar infeksi berbagai penyakit dari pasien. Rongga mulut penuh dengan bakteri. Droplets dan aerosol dari cairan mulut pasien dapat menjadi media penularan penyakit. Extraoral suction unit (EOSU) dibutuhkan untuk membantu mengendalikan sebaran aerosol selama layanan kesehatan gigi.
Tujuan: Penelitian ini bertujuan untuk membandingkan unjuk kerja extra oral suction unit lokal dengan produk komersial sebagai pembanding.
Metode: Desain penelitian ini menggunakan metode deskriptif observasional dengan rancangan cross sectional. Sampel penelitian berupa alat penyedot aerosol hasil rancangan tim peneliti Universitas Gadjah Mada Merk D yang dibandingkan dengan dua produk komersial dari luar negeri Merk A dan B, satu alat produk dalam negeri Merk C. EOSU diuji di klinik gigi dengan prosedur serupa layanan sesungguhnya. Pengujian yang dilakukan adalah mengukur kapasitas hisap, tingkat kebisingan, sebaran aerosol dan angka kuman.
Hasil: Extraoral suction unit produk buatan luar negeri (Merk A) menunjukkan unjuk kerja yang paling baik karena sebaran aerosol di sekitar lokasi kerja paling sedikit. Produk Merk D mempunyai unjuk kerja di bawah produk Merk A namun masih lebih baik dibanding produk buatan luar negeri lainnya (Merk B) dan produk dalam negeri lain (Merk C)
Kesimpulan: Extraoral suction unit lokal mempunyai kapasitas serupa dengan produk komersial dan menjanjikan untuk diproduksi massal.
Keywords
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Abdullah, K., Aini, Z., Srijani, I., (2020), Rancang Bangun Low Cost Extra Oral Suction /OSIRIS (Oral Suction dokter Iskak), Prosiding Seminar Nasional Kesehatan, Politeknik Kesehatan Kementerian Kesehatan Surabaya, Surabaya: 28 Nopember 2020, pp.1-18 http://semnas.poltekkesdepkes-sby.ac.id/index.php/2020/article/view/338
Al-yaseen, W., Jones, R., McGregor, S., Wade, W., Gallagher, J., Harris, R., Johnson, I., Kc, S., Robertson, M. and Innes, N. (2022). Aerosol and splatter generation with rotary handpieces used in restorative and orthodontic dentistry: a systematic review, BDJ Open, 8(1), pp. 1–16. https://doi.org/10.1038/s41405-022-00118-4.
Amtha, R., Gunardi, I., Dewanto, I., Widyarman, A.S., Theodorea, C.F., (2020) Panduan Dokter Gigi Dalam Era New Normal, Monograph Press, [S.l.], 1 (1). https://doi.org/10.32793/monograph.v1i1.601
Barrett, B., McGovern, J., Catanzaro, W., Coble, S., Redden, D., Fouad, A.F., (2022). Clinical Efficacy of an Extraoral Dental Evacuation Device in Aerosol Elimination During Endodontic Access Preparation, Journal of Endodontics, 48(12), pp.1468-1475. https://doi.org/10.1016/j.joen.2022.09.007.
Baseer, M.A., Al Saffan, A. hman, AlMasoud, S.M., Dahy, W., Aldali, H.W., Walid Bachat, A., Walid Bachat, R. and AlMugeiren, O. (2021). Noise levels encountered in university dental clinics during different specialty treatments, Journal of Family Medicine and Primary Care, 10(8), pp. 2987–2992. https://doi.org/10.4103/jfmpc.jfmpc_966_20.
Demirkol, N., Karagozoglu, I. and Kocer, I.K. (2023). Efficiency of HEPA-filtered extra-oral suction unit on aerosols during prosthetic dental preparation: A pilot study, Clinical Oral Investigations, 27, pp. 1937–1944. https://doi.org/10.1007/s00784-022-04850-x.
Fujishiro, A., Asai, T., Saito, T. and Okuda, Y. (2023). Efficacy of an aerosol suction device Free-100 M in removing aerosols produced by coughing to minimize COVID-19 infection, Journal of Anesthesia, 37, pp. 196–200. https://doi.org/10.1007/s00540-022-03144-6.
Ge, Z., Yang, L., Xia, J., Fu, X. and Zhang, Y. (2020). Possible aerosol transmission of COVID-19 and special precautions in dentistry, Journal of Zhejiang University: Science B (Biomed & Biotechnol), 21(5), pp. 361–368. https://doi.org/10.1631/jzus.B2010010.
He, Z., Gao, Q., Henley, A., Der Khatchadourian, Z., Somerville, W., Wiseman, M., Mongeau, L. and Tamimi, F. (2022). Efficacy of aerosol reduction measures for dental aerosol generating procedures, Aerosol Science and Technology, 56(5), pp. 413–424. https://doi.org/10.1080/02786826.2022.2040729.
Holliday, R., Allison, J.R., Currie, C.C., Edwards, D.C., Bowes, C., Pickering, K., Reay, S., Durham, J., Lumb, J., Rostami, N., Coulter, J., Nile, C. and Jakubovics, N. (2021). Evaluating contaminated dental aerosol and splatter in an open plan clinic environment: Implications for the COVID-19 pandemic, Journal of Dentistry, 105(103565). https://doi.org/10.1016/j.jdent.2020.103565.
Horsophonphong, S., Chestsuttayangkul, Y., Surarit, R. and Lertsooksawat, W. (2021). Efficacy of extraoral suction devices in aerosol and splatter reduction during ultrasonic scaling: A laboratory investigation, Journal of Dental Research, Dental Clinics, Dental Prospects, 15(3), pp. 197–202. https://doi.org/10.34172/JODDD.2021.033.
Kementerian Kesehatan Republik Indonesia (2020) Buku Juknis Pelayanan Kesehatan di Klinik Pada Masa Adaptasi Kebiasaan Baru.
Liu, P. (2022). Computational Fluid Dynamics Optimization of an Extraoral Vacuum Aerosol Cup for Airborne Disease Control in Dental Offices, Aerosol Science and Engineering, 6(1), pp. 21–29. https://doi.org/10.1007/s41810-021-00121-6.
Matys, J. and Grzech-Leśniak, K. (2020). Dental aerosol as a hazard risk for dental workers, Materials, 13(22), pp. 1–13. https://doi.org/10.3390/ma13225109.
Peraturan Menteri Kesehatan Republik Indonesia (2016) ‘Standar Keselamatan dan Kesehatan Kerja Perkantoran Nomor 48 Tahun 2016’.
Polednik, B. (2014). Aerosol and bioaerosol particles in a dental office, Environmental Research, 134, pp. 405–409. https://doi.org/10.1016/j.envres.2014.06.027.
Sachwiver, B., Surya, L.S. and Elianora, D. (2019). Identifikasi Bakteri pada 3 Permukaan Dental Unit (Bowl Rinse, Dental Chair, Instrument Table) di RSGM Universitas Baiturrahmah Tahun 2018, B-Dent, Jurnal Kedokteran Gigi Universitas Baiturrahmah, 5(1), pp. 65–71. https://doi.org/10.33854/JBDjbd.140.
Senpuku, H., Fukumoto, M., Uchiyama, T., Taguchi, C., Suzuki, I. and Arikawa, K. (2021). Effects of extraoral suction on droplets and aerosols for infection control practices, Dentistry Journal, 9(7). https://doi.org/10.3390/dj9070080.
Shahdad, S., Hindocha, A., Patel, T., Cagney, N., Mueller, J.D., Koched, A., Seoudi, N., Morgan, C., Fleming, P.S. and Din, A.R. (2021). Fallow time determination in dentistry using aerosol measurement in mechanically and non-mechanically ventilated environments, British Dental Journal, ONLINE PUB (XX). https://doi.org/10.1038/s41415-021-3369-1.
Shahdad, S., Patel, T., Hindocha, A., Cagney, N., Mueller, J.D., Seoudi, N., Morgan, C. and Din, A. (2020) ‘The efficacy of an extraoral scavenging device on reduction of splatter contamination during dental aerosol generating procedures: an exploratory study, British Dental Journal https://doi.org/10.1038/s41415-020-2112-7.
Shang, M., Kong, Y., Yang, Z., Cheng, R., Zheng, X., Liu, Y. and Chen, T. (2023). Removal of virus aerosols by the combination of filtration and UV-C irradiation, Frontiers of Environmental Science and Engineering, 17(3). https://doi.org/10.1007/s11783-023-1627-y.
Siswantomo, D.F. and Triyono, B (2021), Perancangan Dental Extraoral Suction Untuk Mengurangi Resiko Penularan dan Penyebaran COVID-19 di Klinik Dokter Gigi, Prosiding The 12th Industrial Research Workshop and National Seminar, Bandung: 4-5 Agustus 2021, pp. 348-353 https://doi.org/10.35313/irwns.v12i0
Standar Nasional Indonesia (2004). SNI 16-7063-2004 Nilai Ambang Batas Iklim kerja (panas), kebisingan, getaran tangan-lengan dan radiasi sinar ultra ungu di tempat kerja’
Suwandi, T., Nursolihati, V., Sundjojo, M. and Widyarman, A.S. (2022). The Efficacy of High-Volume Evacuators and Extraoral Vacuum Aspirators in Reducing Aerosol and Droplet in Ultrasonic Scaling Procedures during the COVID-19 Pandemic, European Journal of Dentistry, 16(4), pp. 803–808: https://doi.org/10.1055/s-0041-1739448.
Veena, H.R., Mahantesha, S., Joseph, P.A., Patil, S.R. and Patil, S.H. (2015). Dissemination of aerosol and splatter during ultrasonic scaling: A pilot study, Journal of Infection and Public Health, 8(3), pp. 260–265. https://doi.org/10.1016/j.jiph.2014.11.004.
Yang, M., Chaghtai, A., Melendez, M., Hasson, H., Whitaker, E., Badi, M., Sperrazza, L., Godel, J., Yesilsoy, C., Tellez, M., Orrego, S., Montoya, C. and Ismail, A. (2021) Mitigating saliva aerosol contamination in a dental school clinic, BMC Oral Health, 21(1). https://doi.org/10.1186/s12903-021-01417-2.DOI: https://doi.org/10.22146/jkesvo.86573
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