scholarly journals Clinico-statistical study regarding prevention of infections in dental offices by impressions decontamination

2016 ◽  
Vol 11 (1) ◽  
pp. 58-64
Author(s):  
Viorel Ştefan PERIEANU ◽  
◽  
Mădălina PERIEANU ◽  
Mădălina MALIŢA ◽  
Mihai BURLIBAŞA ◽  
...  

Objective. The purpose of the study is to evaluate the knowledge and universal application of decontamination methods of impressions in dental practices. Material and method. The study involved 131 persons (dentists and dental students at Faculty of Dental Medicine). All the participants completed a questionnaire regarding the knowledge of transmission risk and rates of infections agents through dental impressions and the importance of different methods of decontamination. Results. Most of the subjects (93.89%) are aware of classical safe standard to achieve infection control in dental office. The youngest ones are well instructed in dental school. Most of the participants concluded that ere is a risk of transmission of infectious agents through different devices (impressions, prosthetic components) are sent out of the practice. Still only 35.11% of the respondents use a decontamination process of impressions. Among these (46 subjects), only 25 of them follow a well-conducted decontamination protocol. Many of the subjects consider that the infections risk of dental devices is minor and the decontamination procedure only makes the technological process more difficult. Conclusions. Dental practitioners consider that there is a minor risk of person-to-person transmission of infectious through dental devices. Doctors and technicians as well do not use a multi-step process of decontamination, because it makes the workflow more difficult.

2020 ◽  
Vol 33 (2) ◽  
pp. 102-105
Author(s):  
Joanna Bialowska ◽  
Witold Bojar ◽  
Tomasz Zareba ◽  
Stefan Tyski ◽  
Barbara Tymczyna-Borowicz

AbstractCross-infection involves the transmission of microorganisms through secretions, bodily fluids and excreta, as well as undisinfected surfaces and medical equipment. In the dental office, diseases are transmitted via various routes, e.g. from patient to dentist or other member of dental team, from doctor or dental team member to patient, from patient to another patient, from dental office to community and from community to patient. The study was conducted to evaluate the effectiveness of infection control in dental practices based on the qualitative and quantitative assessment of microbiological contaminants detected on the surface of filling material packaging used in dental offices. The material for research were 9 packages containing dental materials during their use in 3 dental settings. The packages were placed in sterile flasks and rinsed to wash microorganisms from the surfaces. The washes were filtered through membrane filters and cultured under proper aerobic and anaerobic conditions, and at elevated CO2 concentration. Microbial growth on TIO and TSB media was observed. The contamination of most samples remained low as indicated by the growth from one to a maximum of five colonies on TSA. The contamination remained at the level of 10-50 CFU/package, i.e. <100 CFU/single package. The tests evaluating the contamination of dental package surfaces with aerobic bacteria confirmed high hygiene standards observed in dental offices from which the packages were brought.


2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Ali Kazemian ◽  
Mahsa Fayyazi ◽  
Shahrzad Shafiee

Abstract Background Decision making when patients ask a dentist for fee reduction is a real ethical dilemma at dental settings. The aim of this study was to evaluate how dental students and tutors think about their position for, or against fee reduction at dental offices. Method It was a questionnaire-based survey, which examined the ethical attitudes of students and tutors of an Iranian Dental School. The questionnaire included a vignette about an ethical dilemma at a dental office. Different ethical approaches, i.e. duty-based, virtue-oriented and consequentialist arguments, for or against fee reduction at dental office were suggested. Respondents were asked to rank those ethical options. Data was entered and analyzed in SPSS 16.0. Result 121 dental students and thirty-six faculty members (dental specialists) participated in this study. It revealed that a majority of dental students and tutors (68%) are in favor of charging patients less, when facing an imagined request at dental office, using either virtue-oriented (54%) or consequentialist (14%) argument for fee reduction. The difference between rankings of four options was statistically significant, while no statistically significant difference exists neither between male and female respondents, nor students and tutors. Conclusion This case study provides a basis for fruitful discussions in ethics courses for dental students. Our study suggests that financial issues should be considered as a part of ethical training within the dental student's curriculum.


2012 ◽  
Vol 17 (1) ◽  
pp. e181-e188
Author(s):  
R. E. Sonneveld ◽  
W. G. Brands ◽  
E. M. Bronkhorst ◽  
J. V. M. Welie ◽  
G. J. Truin

2020 ◽  
Author(s):  
Ali Kazemian ◽  
Mahsa Fayyazi ◽  
Shahrzad Shafiee

Abstract Background: Decision making when patients ask a dentist for fee reduction is a real ethical dilemma at dental settings. The aim of this study was to evaluate how dental students and tutors think about their position for, or against fee reduction at dental offices. Method: It was a questionnaire-based survey, which examined the ethical attitudes of students and tutors of an Iranian Dental School. The questionnaire included a vignette about an ethical dilemma at a dental office. Different ethical approaches, i.e. duty-based, virtue-oriented and consequentialist arguments, for or against fee reduction at dental office were suggested. Respondents were asked to rank those ethical options. Data was entered and analyzed in SPSS 16.0.Result: 121 dental students and thirty-six faculty members (dental specialists) participated in this study. It revealed that a majority of dental students and tutors (68%) are in favor of charging patients less, when facing an imagined request at dental office, using either virtue-oriented (54%) or consequentialist (14%) argument for fee reduction. The difference between rankings of four options was statistically significant, while no statistically significant difference exists neither between male and female respondents, nor students and tutors. Conclusion: This case study provides a basis for fruitful discussions in ethics courses for dental students. Our study suggests that financial issues should be considered as a part of ethical training within the dental student's curriculum.


2020 ◽  
Vol 1 (1) ◽  
pp. 1-11
Author(s):  
Barbara Brent ◽  
Amy Sullivan ◽  
Angelia Garner

Implementation of electronic health records by the Health Information Technology for Economic and Clinical Health has led to the implementation of electronic dental records in dental offices. The study was conducted to determine the state of implementation and usage of electronic dental records by the private general and pediatric dental practices in Mississippi as well as reasons why the dental practices are not moving forward with the advanced technology. A survey consisting of six research questions was emailed via SurveyMonkey to 712 private general and pediatric dental practices in Mississippi with an invitation to participate in the study: 116 responded (16% response rate) and 104 consented to participate (89.66%). The data collection process transpired over a six-week period (September 18 – October 29, 2017). Results of the survey indicated dental practices in Mississippi using electronic dental records were 46.07%, electronic dental records with paper records were 42.70%, and only paper records were 11.24%. Dissemination of the study results among medical and dental practitioners may raise awareness and thus encourage more dentists to embrace EDRs. The response rate was affected by the number of dental practices that chose not to participate or did not open the survey email as well as the number of emails that were undeliverable. A second limitation was the lack of certainty of collecting all email addresses through the collection method. Third, there was no certainty that the person who responded knew the correct answers.


2019 ◽  
Author(s):  
Ali Kazemian ◽  
Mahsa Fayyazi ◽  
Shahrzad Shafiee

Abstract Background: Many dental procedures seem to be too expensive for many people. Responding to the requests of patients for fee reduction could be considered a common ethical issue of dental practice. The aim of this study was to evaluate dental students and tutors’ ethical attitude towards fee reduction at dental offices. Method: Our study was a questionnaire-based survey, which examined the ethical attitudes of students and tutors of an Iranian Dental School. The questionnaire included a vignette about an ethical dilemma at a dental office. Different ethical approaches, i.e. duty-based, virtue-oriented and consequentialist arguments, for or against fee reduction at dental office were suggested. Respondents were asked to rank those ethical options. Data was entered and analyzed in SPSS 16.0. 121 dental students and 36 faculty members (dental specialists) participated in this study. Result: Our findings revealed that the majority of dental students and tutors (68%) are in favor of making a reduction when facing an imagined request at dental office, using either virtue-oriented (54%) or consequentialist (14%) arguments. The difference between rankings of four options was statistically significant, while no statistically significant difference exists neither between male and female respondents, nor students and tutors. Conclusion: This case study provides a basis for fruitful discussions in ethics courses for dental students. Our study suggests that financial issues should be considered as a part of ethical training in the dental students’ curriculum.


2020 ◽  
Author(s):  
Ali Kazemian ◽  
Mahsa Fayyazi ◽  
Shahrzad Shafiee

Abstract Objective: The aim of this study was to evaluate how dental students and tutors think about their position for, or against fee reduction at dental offices. Method: It was a questionnaire-based survey, which examined the ethical attitudes of students and tutors of an Iranian Dental School. The questionnaire included a vignette about an ethical dilemma at a dental office. Different ethical approaches, i.e. duty-based, virtue-oriented and consequentialist arguments, for or against fee reduction at dental office were suggested. Respondents were asked to rank those ethical options. Data was entered and analyzed in SPSS 16.0. Result: 121 dental students and thirty-six faculty members (dental specialists) participated in this study. It revealed that a majority of dental students and tutors (68%) are in favor of charging patients less, when facing an imagined request at dental office, using either virtue-oriented (54%) or consequentialist (14%) argument for fee reduction. The difference between rankings of four options was statistically significant, while no statistically significant difference exists neither between male and female respondents, nor students and tutors. Conclusion: This case study provides a basis for fruitful discussions in ethics courses for dental students. Our study suggests that financial issues should be considered as a part of ethical training within the dental student's curriculum.


2020 ◽  
Author(s):  
Ali Kazemian ◽  
Mahsa Fayyazi ◽  
Shahrzad Shafiee

Abstract ObjectiveThe aim of this study was to evaluate how dental students and tutors think about their position for, or against fee reduction at dental offices. Method: It was a questionnaire-based survey, which examined the ethical attitudes of students and tutors of an Iranian Dental School. The questionnaire included a vignette about an ethical dilemma at a dental office. Different ethical approaches, i.e. duty-based, virtue-oriented and consequentialist arguments, for or against fee reduction at dental office were suggested. Respondents were asked to rank those ethical options. Data was entered and analyzed in SPSS 16.0. Result: 121 dental students and thirty-six faculty members (dental specialists) participated in this study. It revealed that a majority of dental students and tutors (68%) are in favor of charging patients less, when facing an imagined request at dental office, using either virtue-oriented (54%) or consequentialist (14%) argument for fee reduction. The difference between rankings of four options was statistically significant, while no statistically significant difference exists neither between male and female respondents, nor students and tutors. Conclusion: This case study provides a basis for fruitful discussions in ethics courses for dental students. Our study suggests that financial issues should be considered as a part of ethical training within the dental student's curriculum.


2020 ◽  
Vol 9 (1) ◽  
pp. 31-36
Author(s):  
Punam Basnet Dixit ◽  
Siddharth Dixit ◽  
Sirjana Dahal ◽  
Prakash Poudel ◽  
Siddharth Ghimire ◽  
...  

Background: Dental practitioners of Nepal have been using amalgam for years for restoration, but the concern for mercury related health issues and inventions in metallurgy science have recently led to its decreased use.  Objectives: To assess the knowledge, attitude and practice of students, interns and dentists to the use of dental amalgam in a dental institution of Kathmandu, Nepal. Methodology: A cross-sectional study was conducted in a dental institution of Kathmandu among 192 Dental students, interns, dental officers and dental specialists selected by census sampling method. Self-administered questionnaire consisting of 16 questions related to amalgam war, its use and safety was used. Data collected were analyzed using Statistical Package for Social Sciences version 20. Frequency and percentage were calculated for each response according to different professional levels.  Results: Most of the respondents including all the dental officers did not use amalgam frequently for restoration (141, 73.44%). Mercury toxicity was their major concern that restricted amalgam use (60, 31.25%). Most of them, (135, 70.31%) agreed on stopping the use of amalgam. They were comfortable to use composite resin as an alternative to amalgam (185, 96.35%). Majority (123, 64.06%) considered amalgam to be an unsafe material and were bothered about the environmental issues of mercury in the dental office (152, 79.16%). Conclusion: This study concludes that amalgam was less frequently used for restoration due to the increasing concerns of mercury toxicity. Further studies on safety of other materials that can replace amalgam with long term follow up are necessary before they are considered as a definitive alternative for amalgam.


2021 ◽  
Vol 2 ◽  
Author(s):  
Darya Dabiri ◽  
Samuel Richard Conti ◽  
Niloufar Sadoughi Pour ◽  
Andrew Chong ◽  
Shaahin Dadjoo ◽  
...  

The COVID-19 pandemic pushed dental health officials around the world to reassess and adjust their existing healthcare practices. As studies on controlled COVID-19 transmission remain challenging, this review focuses on particles that can carry the virus and relevant approaches to mitigate the risk of pathogen transmission in dental offices. This review gives an overview of particles generated in clinical settings and how size influences their distribution, concentration, and generation route. A wide array of pertinent particle characterization and counting methods are reviewed, along with their working range, reliability, and limitations. This is followed by a focus on the effectiveness of personal protective equipment (PPE) and face shields in protecting patients and dentists from aerosols. Direct studies on severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are still limited, but the literature supports the use of masks as an important and effective non-pharmaceutical preventive measure that could reduce the risk of contracting a respiratory infection by up to 20%. In addition to discussing about PPE used by most dental care professionals, this review describes other ways by which dental offices can protect patients and dental office personnel, which includes modification of the existing room design, dental equipment, and heating, ventilation, and air conditioning (HVAC) system. More affordable modifications include positioning a high-efficiency particulate air (HEPA) unit within proximity of the patient's chair or using ultraviolet germicidal irradiation in conjunction with ventilation. Additionally, portable fans could be used to direct airflow in one direction, first through the staff working areas and then through the patient treatment areas, which could decrease the number of airborne particles in dental offices. This review concludes that there is a need for greater awareness amongst dental practitioners about the relationship between particle dynamics and clinical dentistry, and additional research is needed to fill the broad gaps of knowledge in this field.


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