PubMed · 8908913
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L H Meskin. 1996. Facing up to phobia.. https://doi.org/10.14219/jada.archive.1996.0041
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AIM: The aim of this study was to compare the incidence of glove perforation when double gloved or single gloved during the routine treatment of HIV-positive patients. In addition, a glove perforation indication system based on a double gloving technique was assessed. DESIGN: Prospective, randomised and open study of glove perforation. METHODS: 138 consecutive HIV-positive patients underwent routine dental treatment by senior dental staff and dental hygienists in a teaching hospital. Staff wore either single gloves (Regent Biogel D or standard surgical gloves) or double gloves (Regent 'Reveal' perforation indication system or standard surgical gloves). A subjective assessment of glove comfort, sensitivity and ease of donning was made using a visual analogue scale. RESULTS: The incidence of glove perforation/procedure was low, 2.9%. There were no skin penetrating injuries, visible exposure to body fluids or unnoticed perforations. Double gloving was subjectively less comfortable and sensitive than single gloving (P < 0.0001). The glove perforation indication system did not increase the detection of intra-operative perforations. CONCLUSIONS: There is unlikely to be any significant benefit from the use of a double gloving technique or perforation indication system during the routine dental treatment of HIV-positive patients.
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Hypoglycaemic attacks in patients with insulin-treated diabetes are unpleasant and inconvenient at best, but may constitute a medical emergency at their most severe. This article provides the dental practitioner with an insight into the physiological processes which occur during such attacks, with clues to the recognition of the signs of impending hypoglycaemia. Steps which may be taken to avoid hypoglycaemia with the various forms of treatment are then considered against a background of their suitability for use in dental practice.