Dental News

Fluid Dynamics Proposes Reduction in Mask Efficiency During Cough Cycles

A recent study shows that the criteria employed for assessing face mask performance must be modified to take into account the reduction of efficiency during...

Dr. Rockson Samuel

Dr. Rockson Samuel

Founder & Chief Dentist · Indira Dental Clinic; DentalReach

2 min read139,537 views
  • fluid flow
  • professional education
  • mask leakage
  • cough dynamics
  • Preventive & Community Dentistry
  • dentistry
  • mask performance
  • droplet transmission
  • airborne infection control
  • Dental News
Contents

A recent study shows that the criteria employed for assessing face mask performance must be modified to take into account the reduction of efficiency during cough cycles. This new criteria proposes that the efficiency of masks can be more accurately calculated by taking into account the penetration dynamics. There is no doubt that the use of masks will reduce the airborne droplet transmission and will also protect the wearer from the droplets expelled from other subjects. This directly leads to limit in the spread of airborne infections.

Many droplets still spread around and away from the mask, cumulatively, during cough cycles, this is the main reason why social distancing plays a very important role to curb the pandemics such as COVID-19. This spread of droplets through masks is even more critical for healthcare workers who work in close proximity to patients, some of whom might be the carrier of the virus.

This study proved that a normal cough induces a turbulent flow that spreads about 70 cm from the subject. The N95 mask prevented air leakage more effectively than the surgical mask during coughing, but there was still significant side-way leakage.

Wearing a standard surgical mask blocks the forward jet of droplets but allows leakage around the top, bottom, and sides. The N95 mask reduces the droplet leakage around the mask edges during the cough but the pressure inside the mask increases during coughs and the turbulent jet is directed through the front. The current certification standards neglect the fluid flow dynamics effect and droplet leakage through the mask openings. They also ignore the fact that mask efficiency can deteriorate considerably over time due to saturation effects.

Recommendations and Conclusions

The fluid flow and cough dynamics significantly influence the droplet transmission and in turn the overall mask efficiency.

  • Without wearing a mask, droplets travel to about 70 cm
  • Wearing a mask, the bulk of droplets travel about half the distance
  • In both cases, there are still isolated droplets transmitted beyond 70 cm
  • After about ten cough cycles, efficiency of masks can drop ∼8% (in case of mild cough)
  • Mask to face fitting is important, an improper fit will further reduce its efficiency

Manufacturers and regulatory authorities should consider new criteria for assessing mask performance to account for the flow physics and cough dynamics.

Source: Fluid Dynamics

References

  1. [1]World Health Organization. Global Strategy and Action Plan on Oral Health 2023–2030 World Health Organization. 2024. Available at: source
  2. [2]FDI World Dental Federation. Vision 2030: Delivering Optimal Oral Health for All FDI World Dental Federation. 2021. Available at: source

Written by

Dr. Rockson Samuel

Dr. Rockson Samuel

Founder & Chief Dentist · Indira Dental Clinic; DentalReach

Dr. Rockson Samuel is a dental surgeon, healthcare content strategist, and Founder and Chief Dentist of Indira Dental Clinic in Vellore, Tamil Nadu. He provides comprehensive general and family dental care with professional interests in endodontics, implant dentistry, clear aligner therapy, digital dentistry, preventive care and patient education. A graduate of K.G.F. College of Dental Sciences and Hospital under Rajiv Gandhi University of Health Sciences, he also has formal training in management and digital marketing. As Community Leader at DentalReach, he contributes to dental publishing, professional education, international media partnerships and the development of evidence-informed resources for dentists.