Special Problems Related to Dental Offices and Dental School Clinical Facilities

  • Norman P. Willett


The practice of infection control by the dental profession in both dental offices and clinics has increased dramatically in the past three or four years. Although infection control in dentistry has been practiced to some extent, recent events have greatly accelerated awareness and compliance. These include:
  1. 1.

    The recognition that Hepatitis B is an occupational hazard for dental health care professionals.

  2. 2.

    The real and perceived risks of AIDS.

  3. 3.

    The establishment of guidelines and regulations by various governmental and professional agencies.



Infection Control Acquire Immune Deficiency Syndrome Dental Office Acquire Immune Deficiency Syndrome Patient High Speed Drill 
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  1. 1.
    M.L. Trumbell and D.J. Greiner, Homologous serum hepatitis: an occupational hazard to medical personnel, J. Am. Med. Assoc. 145:965–967 (1951).CrossRefGoogle Scholar
  2. 2.
    E.B. Byne, Viral hepatitis. An occupational hazard of medical personnel, J. Am. Med. Assoc. 195:362–364 (1966).CrossRefGoogle Scholar
  3. 3.
    J.W. Mosley, V. Edwards, G. Casey, A. Redeker and E. White, Hepatitis B infection in dentists, N. Eng. J. Med. 243:729–734 (1975).CrossRefGoogle Scholar
  4. 4.
    J.W. Mosley and E. White, Viral hepatitis as an occupational hazard of dentists, J. Am. Dent. Assoc. 90:992–997 (1975).PubMedGoogle Scholar
  5. 5.
    W.M. Goebel and G.L. Getnich, Hepatitis B virus infection in dental students: a two year evaluation, J. Oral Med. 34:33–36 (1979).PubMedGoogle Scholar
  6. 6.
    S.P. James and R.E. Samplener, Hepatitis B in the dental setting: dental hygienists, J. Md. State Dent. Assoc. 21:26 (1978).PubMedGoogle Scholar
  7. 7.
    E.R. Schiff, et al., VA cooperative study on hepatitis in dentistry, (Abstract) Hepatology 3:688 (1982).Google Scholar
  8. 8.
    J.L. Smith, J.E. Maynard, K.R. Baguist, I.L. Doto, H.M. Webster and M.J. Sheller, Comparative risk of hepatitis B among physicians and dentists, J. Inf. Dis. 133:705–706 (1976).CrossRefGoogle Scholar
  9. 9.
    J.A. Cottone and W. Goebel, Hepatitis B: the clinical detection of the chronic carrier dental patient and the effects of immunization via vaccine, Oral Surg. 56:449–454 (1983).PubMedCrossRefGoogle Scholar
  10. 10.
    R.E. Feldman and E.R. Schiff, Hepatitis in dental professionals, J. Am. Med. Assoc. 232:1228–1230 (1972).CrossRefGoogle Scholar
  11. 11.
    F.B. Hollinger, et al., Hepatitis B prevalence within a dental student population, J. Am. Dent. Assoc. 94:521–527 (1977).PubMedGoogle Scholar
  12. 12.
    R.B. Weil, et al., A hepatitis serosurvey of New York dentists, N.Y. State Dent. J. 43:587–590 (1977).PubMedGoogle Scholar
  13. 13.
    J. Cottone, Hepatitis B treatment and epidemiology in the dental profession, Proc. Natl. Conf. Infection Control, Centers for Disease Control, October 1986.Google Scholar
  14. 14.
    D. Rimland, et al., Hepatitis B outbreak attributed to an oral surgeon, New Eng. J. Med. 296:953–958 (1977).PubMedCrossRefGoogle Scholar
  15. 15.
    F.E. Shaw, C.L. Pearl, P.J. Coleman, S.C. Hadler and J.E. Maynard, Lethal outbreak of Hepatitis B in a dental practice, J. Am. Med. Assoc. 255:3260–3264 (1984).CrossRefGoogle Scholar
  16. 16.
    J. Groopman, S.Z. Salahudin, M.G. Sarngadharan, P. Markham, M. Gonda, A. Sliska and R.C. Gallo, HTLVIII in saliva of AIDS related complex and healthy homosexual men at risk for AIDS, Science 226:447–449 (1984).PubMedCrossRefGoogle Scholar
  17. 17.
    D. Ho, R. Byington, R. Schooley, T. Flynn, T. Rota and M.S. Hirsch, Infrequency of isolation of HTLVIII virus from saliva in AIDS, N. Eng. J. Med. 313:1606 (1985).CrossRefGoogle Scholar
  18. 18.
    D.W. Archibald, L. Zon, M.F. Groopman and M.F. Essex, Antibodies to human T-lymphotropic (virus type III) in saliva of acquired immunodeficiency syndrome (AIDS) patients and persons in risk for AIDS, Blood 67:831–834 (1986).PubMedGoogle Scholar
  19. 19.
    R.S. Klein, in: “Occupational Risk of HIV, Perspectives on Oral Manifestation of AIDS,” P. Robertson and J. Greenspan, ed., p. 12–27, PSG Publishing Co., Littleton, Mass. (1988).Google Scholar
  20. 20.
    R.S. Klein, J. Philan, K. Freeman, K. Schable, G. Friedland, N. Trieger and N. Steigbegel, Low occupational risk of human immunodeficiency virus infection among dental professionals, N. Eng. J. Med. 318:86–90 (1988).CrossRefGoogle Scholar
  21. 21.
    New York Daily News, Friday, June 5 1987.Google Scholar
  22. 22.
    Personal communication, Centers for Disease Control, Atlanta, Ga.Google Scholar
  23. 23.
    P. Fultz, H. McClure, H. Dougharty, A. Brodie, C. McGrath, B. Swenson and D. Francis, Vaginal transmission of human immunodeficiency virus (HIV) to a chimpanzee, J. Inf. Dis. 154:896–900 (1986).CrossRefGoogle Scholar
  24. 24.
    P. Fox, G. Wolff, C.K. Yek, J. Atkinson and B. Bann, Saliva inhibits HIV-1 infectivity, J. Am. Dent. Assoc. 116:635–637 (1988).PubMedGoogle Scholar
  25. 25.
    J.P. Manzella, J.H. McConville, M.A. Mengus, E.M. Swirkosz and M. Arens, An outbreak of herpes simplex virus type 1 gingivostomatis in a dental hygiene practice, J. Am. Med. Assoc. 252:2019–2022 (1984).CrossRefGoogle Scholar
  26. 26.
    P.G. Fotos, H.N. Westfall, I.S. Snyder, R.W. Miller and B.M. Mutchler, Prevalance of Legionella specific IgG and IgM antibody in a dental clinic population, J. Dent. Res. 64:1352–1355 (1985).Google Scholar
  27. 27.
    F.F. Reinthaler, F.F. Mascher and D. Stanza, Serologic examination for antibodies against Legionella species in dental personnel, J. Dent. Res. 67:942–943 (1988).PubMedCrossRefGoogle Scholar
  28. 28.
    J.A. Mayo, K.M. Oertleny and S.C. Anececo, Bacterial biofilm: contamination, source in air-water syringes, J. Dent. Res. 68(special issue):284 (1989).Google Scholar
  29. 29.
    M.V. Marlin, Significance of bacterial contaminants of dental unit water systems, Brit. Dent. J. 163:152 (1987).CrossRefGoogle Scholar
  30. 30.
    N.W. Feihn and K. Hemikson, Methods of disinfection of the water system of dental units by water chlorination, J. Dent. Res. 67:1499–1508 (1988).CrossRefGoogle Scholar
  31. 31.
    B. Gerbert, in: Dentistry and AIDS: An Educational Challenge, Perspectives on Oral Manifestations of AIDS, P. Robertson and J. Greenspan, ed., p. 185–198, PSG Publishing Co., Littleton, Mass. (1988).Google Scholar
  32. 32.
    B. Gerbert, V. Badner, B. Maguire, et al., Perceived personal risk: impact on dentists’ infection control behavior, Abst. J. Dent. Res. (special issue) 67:256 (1988).Google Scholar
  33. 33.
    K. Atchison, T. Dolan and H. Meetz, Have dentists assimilated information about AIDS, J. Dent. Ed. 51:668–672 (1987).Google Scholar

Copyright information

© Plenum Press, New York 1990

Authors and Affiliations

  • Norman P. Willett
    • 1
  1. 1.Department of Microbiology and ImmunologyTemple University Schools of Medicine and DentistryPhiladelphiaUSA

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