PubMed · 8631439
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R P Levin. 1995. Increasing hygiene productivity.. https://pubmed.ncbi.nlm.nih.gov/8631439/
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BACKGROUND: Like other health care workers, dental professionals are at risk of developing allergic contact dermatitis, or ACD, after exposure to allergenic chemicals. Common allergens include antimicrobials, preservatives, rubber additives and methacrylates. CASE DESCRIPTION: The authors describe an orthodontic assistant with severe skin disease, whose symptoms included redness, cracking and bleeding that persisted for 10 years. The patient had previously received an incomplete diagnosis. After performing patch testing, assessing symptoms and evaluating the patient's medical history, the authors diagnosed ACD resulting from exposure to several dental allergens. The patient received appropriate treatment and counseling to better manage her allergies; this resulted in resolution of all symptoms and averted permanent occupational disability. CLINICAL IMPLICATIONS: Not all skin reactions are related to gloves or natural rubber latex. Dental professionals should be aware of common chemical allergens, symptoms of ACD and the appropriate treatment of occupational skin disease.
There has been much discussion about the impending legislation for compulsory registration of dental nurses. A questionnaire survey of Oxfordshire dental practices found that 60% (153/254) of dental nurses had no formal qualifications. Of these 49% (75/153) were already on a training course or planning to apply for one although those who achieve mediated entry may discontinue training. Overall, 40% (62/153) were planning to apply for mediated entry. Previous research indicates that there may be similarly high proportions of unqualified dental nurses throughout the UK. There are concerns that a rigid training programme and compulsory examinations will compound existing recruitment problems, and create a national shortfall of dental nurses. Proponents believe that formal training will better equip dental nurses to handle the demands of modern dental practice and bring them in line with other auxiliary health personnel. Training needs to be co-ordinated nationally to ensure adequate access and consistent standards. Dental nurses and practices should be consulted and supported throughout the implementation period.
This year's annual conference held at Belfast's Waterfront Hall proved a resounding success. The three-day conference focused on 'Quality Partnership'--the importance of the dentist/team partnership, keeping-up-to-date and ensuring patients are well informed.