Tuberculosis: A Growing Concern for Dentistry?

Faecher, Randy S.; Thomas, John E.; Bender, Bradley S.

doi:10.14219/jada.archive.1993.0003

Cited by 16 publications

(10 citation statements)

References 27 publications

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“…Similarly, self-reported questionnaires are subject to participants' reporting biases. Considering the nature of the (3)(4)(5)(6)(17)(18)(19)(20)30) have attempted to define the risk of infection for dental personnel. It has been suggested that members of the dental team have a higher risk than the general population of contracting infections and sustaining physical or chemical damages.…”

Section: Discussionmentioning

confidence: 99%

“…DHCWs' risk of infection by bloodborne pathogens and respiratory viruses (1)(2)(3)(4)(5)(6)(7), and infectious transmission during dental procedures de-pends on many factors (8). The source of infection may be a patient or a member of the dental team who is suffering from, or is a carrier of an infectious disease.…”

mentioning

confidence: 99%

“…Universal infection control procedures are highly recommended and have become the standard of care in the United States because carriers of infectious diseases cannot always be identified (14). Dentists, dental hygienists, assistants, laboratory technicians, secretarial staff, and cleaning staff are all at risk from cross mfection (15,16), and several studies (3)(4)(5)(17)(18)(19) have found that the dental team is at higher risk of contracting infections than the general population.…”

mentioning

confidence: 99%

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Hepatitis B Prevalence and Infection Control Among Dental Health Care Workers in a Community in South Korea

Song

Choi²,

Lang³

et al. 1999

J Public Health Dent

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Hepatitis B Prevalence and Infection Control Among Dental Health Care Workers in a Community in South Korea

Song

Choi²,

Lang³

et al. 1999

J Public Health Dent

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“…Aerosols produced from different dental procedures carrying bacteria, other microorganisms, or toxic chemicals may impact air quality in dental offices (Faecher et al 1993;Bentley et al 1994). There are also studies that indicate that dental procedures produce large amounts of aerosols regardless of the type of scaler and power level used (Harrel et al 1998).…”

Section: Introductionmentioning

confidence: 99%

Measurement of particle concentrations in a dental office

Sotiriou

Ferguson

Davey

et al. 2007

Environ Monit Assess

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Particles in a dental office can be generated by a number of instruments, such as air-turbine handpieces, low-speed handpieces, ultrasonic scalers, bicarbonate polishers, polishing cups, as well as drilling and air sprays inside the oral cavity. This study examined the generation of particles during dental drilling and measured particle size, mass, and trace elements. The air sampling techniques included both continuous and integrated methods. The following particle continuous measurements were taken every minute: (1) size-selective particle number concentration (Climet); (2) total particle number concentration (PTRAK), and; (3) particle mass concentration (DustTrak). Integrated particle samples were collected for about 5 h on each of five sampling days, using a PM(2.5) sampler (ChemComb) for elemental/organic carbon analysis, and a PM(10) sampler (Harvard Impactor) for mass and elemental analyses. There was strong evidence that these procedures result in particle concentrations above background. The dental procedures produced number concentrations of relatively small particles (<0.5 microm) that were much higher than concentrations produced for the relatively larger particles (>0.5 microm). Also, these dental procedures caused significant elevation above background of certain trace elements (measured by X-ray fluorescence) but did not cause any elevation of elemental carbon (measured by thermal optical reflectance). Dental drilling procedures aerosolize saliva and products of drilling, producing particles small enough to penetrate deep into the lungs. The potential health impacts of the exposure of dental personnel to such particles need to be evaluated. Increased ventilation and personal breathing protection could be used to minimize harmful effects.

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“…The operatory air should be vented to the outside (i.e., not recirculated). [ 21 ] For infection control, elective dental treatment should be differed until sputum culture and all the tests like enzyme-linked immunosorbent assay (ELISA) and polymerase chain reaction (PCR) are negative. [ 22 ]…”

Section: Introductionmentioning

confidence: 99%

Primary tuberculous gingival enlargement - A rare clinical entity: Case report and brief review of the literature

Jan

Khan

Bhat

et al. 2014

J Indian Soc Periodontol

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Tuberculosis (TB) is a chronic specific granulomatous disease and a major cause of death in developing countries. The clinical presentation of TB lesions of the oral cavity varies widely and can manifest as ulcerations, diffuse inflammatory lesions, granulomas and fissures. Oral lesions generally appear secondary to primary TB infection elsewhere, although primary infection of the oral mucosa by Mycobacterium tuberculosis has also been described. We hereby report a case of primary TB of the gingiva manifesting as gingival enlargement. Diagnosis was based on histopathological examination, complete blood count, X-ray chest and immunological investigations with detection of antibodies against M. tuberculosis. Anti-tuberculous therapy was carried out for over 6 months and was followed by surgical excision of the residual enlargement under local anesthesia. After 1-year follow-up, there was no recurrence of the disease. This case report emphasizes the need for dentists to include TB in the differential diagnosis of various types of gingival enlargements.

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Tuberculosis: A Growing Concern for Dentistry?

Cited by 16 publications

References 27 publications

Hepatitis B Prevalence and Infection Control Among Dental Health Care Workers in a Community in South Korea

Hepatitis B Prevalence and Infection Control Among Dental Health Care Workers in a Community in South Korea

Measurement of particle concentrations in a dental office

Primary tuberculous gingival enlargement - A rare clinical entity: Case report and brief review of the literature

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