Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-25T08:09:37.812Z Has data issue: false hasContentIssue false

Occupational Blood Exposures in Dentistry: A Decade in Review

Published online by Cambridge University Press:  02 January 2015

Jennifer L. Cleveland*
Affiliation:
Division of Oral Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Chamblee, Georgia
Barbara F. Gooch
Affiliation:
Division of Oral Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Chamblee, Georgia
Stuart A. Lockwood
Affiliation:
Division of Oral Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Chamblee, Georgia
*
Cleveland, DDS, MPH, Division of Oral Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy, MS F-10, Chamblee, GA 30341

Abstract

This review summarizes data from self-reported and observational studies describing the nature, frequency, and circumstances of occupational blood exposures among US dental workers between 1986 and 1995. These studies suggest that, among US dentists, percutaneous injuries have declined steadily over the 10-year period. Data also suggest that, in 1995, most dental workers (dentists, hygienists, assistants, and oral surgeons) experienced approximately three injuries per year. Work practices (eg, using an instrument instead of fingers to retract tissue), safer instrumentation or design (eg, self-sheathing needles, changes in dental-unit design), and continued worker education may reduce occupational blood exposures in dentistry further.

Type
Review
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Klein, RS, Phelan, JA, Freeman, K, et al. Low occupational risk of human immunodeficiency virus infection among dental professionals. N Engl J Med 1988;318:8690.CrossRefGoogle ScholarPubMed
2. Siew, C, Chang, S, Gruninger, S, Verrusio, C, Neidle, E. Self-reported percutaneous injuries in dentists: implications for HBV, HIV transmission risk. JADA 1992;123:3744.Google ScholarPubMed
3. Gonzalez, CD, Pruhs, RJ, Sampson, E. Clinical occupational bloodborne exposure in a dental school. J Dent Educ 1994;58:217220.CrossRefGoogle Scholar
4. Cottone, JA, Dillard, RL, Dove, SB. Frequency of percutaneous injuries in dental care provider. J Dent Educ 1992;56:96. Abstract 14.Google Scholar
5. Wisnom, C, DePaola, L, Overhoster, CD, Lee, R. A five-year study of parenteral exposures in dental health care workers. Fifth National Forum on AIDS, Hepatitis, and Other Bloodborne Diseases; Atlanta, GA; 1993. Abstract P163.Google Scholar
6. Siew, C, Gruninger, SE, Miaw, C, Neidle, EA. Percutaneous injuries in practicing dentists. JADA 1995;126:12271234.Google Scholar
7. Cleveland, JL, Lockwood, SA, Gooch, BF, Chamberland, ME, the Dental Cooperative Study Group. Percutaneous injuries during dental procedures: an observational study. JADA 1995;126:745751.Google ScholarPubMed
8. Malvitz, DM, Siew, C, Cleveland, JL, Gruninger, SE. Hepatitis B exposure and vaccination among dental hygienists and dental assistants. Journal of American Dental Hygiene 1995;69:275. Abstract.Google Scholar
9. Gooch, BF, Siew, C, Cleveland, JL, Gruninger, S, Lockwood, SA. Occupational exposures reported by oral surgeons-United States, 1992. J Dent Res 1995;74:22. Abstract 85.Google Scholar
10. Carlton, JE, Dodson, TB, Cleveland, JL, Lockwood, SA. Percutaneous injuries during oral and maxillofacial surgery. J Oral Maxillofac Surg. 1997;55:553556.CrossRefGoogle ScholarPubMed
11. Gooch, BF, Cardo, DM, Marcus, R, et al. Percutaneous exposures to HIV-infected blood among dental workers enrolled in the CDC needlestick study. JADA 1995;126:12371242.Google ScholarPubMed
12. Tokars, JI, Bell, DM, Culver, DH, et al. Percutaneous injuries during surgical procedures. JAMA 1992;267:28992904.Google Scholar
13. Panlilio, AL, Foy, DR, Edwards, JR, et al. Blood contacts during surgical procedures. JAMA 1991;265:15331537.Google Scholar
14. Gerberding, JL, Littell, C, Tarkington, A, Brown, A, Schecter, WP. Risk of exposure of surgical personnel to patients' blood during surgery at San Francisco General Hospital. N Engl J Med 1990;322:17881793.CrossRefGoogle ScholarPubMed
15. Nash, KD. How infection control procedures are affecting dental practice today. J Am Dent Assoc 1992;123:67.CrossRefGoogle ScholarPubMed
16. Beekmann, SE, Henderson, DK. Managing occupational risks in the dental office: HIV and the dental professional. JADA 1994;125:847852.Google ScholarPubMed
17. Hazelcorn, HM, Bloom, BE, Jovanovic, BD. Infection control in the dental office: has anything changed? JADA 1996;127:786790.Google Scholar
18. Centers for Disease Control. Update: Universal Precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in healthcare settings. MMWR 1988;37:377.Google Scholar
19. Centers for Disease Control and Prevention. Recommended infection-control practices for dentistry, 1993. MMWR 1993; 41(RR-8).Google Scholar
20. Moseley, JW, Edwards, VM, Casey, G, Redeker, AG, White, E. Hepatitis B virus infection in dentists. N Engl J Med 1975; 293:729.CrossRefGoogle Scholar