Aerosols exposure and respiratory morbidity among dental health care Professionals of Lucknow

Authors

  • Syed Esam Mahmood King Khalid University, Abha, Kingdom of Saudi Arabia
  • Ausaf Ahmad Integral Institute of Medical Sciences and Research, Lucknow, Uttar Pradesh
  • Nadeem Ahmad Taibah University, Al-Madinah, Kingdom of Saudi Arabia
  • Khursheed Muzammil Khamis Mushait Campus, King Khalid University, Abha, Kingdom of Saudi Arabia
  • Mahesh Chander Integral Institute of Medical Sciences and Research, Lucknow, Uttar Pradesh
  • Shireen Siddiqui Integral Institute of Medical Sciences and Research, Lucknow, Uttar Pradesh

DOI:

https://doi.org/10.47203/IJCH.2019.v31i04.013

Keywords:

Aerosols, respiratory morbidities, dental professionals

Abstract

Introduction: Dentists use high-energy equipment, such as drills and scalers in the presence of bodily fluids such as blood and saliva, and dental plaque. This combined effect generates aerosols of oral micro-organisms, and blood. Objective: To determine the prevalence of respiratory morbidities and practices for protection against aerosols exposure at work place among dental health care professionals in District Lucknow. Methods: This cross-sectional study involved private dental practitioners registered with Indian Dental Association chosen by Simple Random Sampling. Dentists who gave consent and who were practicing for at least 1 year were included. Aerosol exposure and respiratory morbidity was assessed using a self-administered questionnaire. SPSS software version 16.0 was used for data analysis. Results: Total number of study participants were 0. Mean age in years of study subjects were 33.5 ±11.6. Their average years of involvement in clinical practice were 10.0 ±12.75. Majority of dental practitioners used hand scalers (70%) and power scalers (80%) on patients. A higher proportion changed their masks by the day (60%).  Majority used protective eye goggles (70%). Only 30% used high efficiency particulate room filters while 20% used humidifiers and air purification systems. One fifth of respondents usually had cough. Conclusion: Respiratory morbidity is associated with workplace generated aerosol among dental health professionals. Awareness regarding occupational exposure and implementation of preventive strategies is required to provide a safe working environment.

Downloads

Download data is not yet available.

Author Biography

Shireen Siddiqui, Integral Institute of Medical Sciences and Research, Lucknow, Uttar Pradesh

 

 

References

Petsonk EL Parker JE. Coal workers’ lung disease and silicosis. In: Fishman AP, ed. Fishman’s Pulmonary Disease and Disorders . New York: McGraw Hill, 2008; 974–980.

Miller R L. Characteristics of blood-containing aerosols generated by common powered dental equipment. Am Ind Hygiene Ass J 1995; 56: 670–676.

Hu SW, Lin YY, Wu TC, Hong CC, Chan CC, Lung SC. Workplace air quality and lung function among dental laboratory technicians. Am J Ind Med. 2006 Feb;49(2):85-92. doi: 10.1002/ajim.20249. PubMed PMID: 16362951.[PubMed].

Rom WN, Lockey JE, Lee JS, Kimball AC, Bang KM, Leaman H, et al. Pneumoconiosis and exposure of dental laboratory technicians. Am J Public Health. 1984;74:1252–7.

Choudat D. Occupational lung diseases among dental technicians. Tuber Lung Dis. 1994 Apr;75(2):99-104. doi: 10.1016/0962-8479(94)90037-X. Review. PubMed PMID: 8032061.t[PubMed].

Seldén AI, Persson B, Bornberger-Dankvardt SI, Winström LE, Bodin LS. Exposure to cobalt chromium dust and lung disorders in dental technicians. Thorax. 1995 Jul;50(7):769-72. doi: 10.1136/thx.50.7.769. PubMed PMID: 7570413; PubMed Central PMCID: PMC474651.[PubMed].

Rom WN, Lockey JE, Lee JS, Kimball AC, Bang KM, Leaman H, et al. Pneumoconiosis and exposure of dental laboratory technicians. Am J Public Health. 1984;74:1252–7.

Basu MK, Browne RM, Potts AJ, Harrington JM. A survey of aerosol-related symptoms in dental hygienists. J Soc Occup Med. 1988 Spring-Summer;38(1-2):23-5. doi: 10.1093/occmed/38.1-2.23. PubMed PMID: 3374107.[PubMed].

Gokul K,Abirami, Sundaram B. Occupational hazards among practicing dentists in Chennai- A Survey report. Int J Cur Res Rev. 2015; Vol 7 (24); 30--38

Tuengerthal S, Kronenberger H, Meyer-Sydow J, MorgenrothH, Riemann H, Schneider M. Radiological findings in chest X-rays examinations of dental technicians. ProceedingsSixthInternational Pneumoconiosis Conference; 1983; Bochum, Germany. Bochum: Publisher; 1983. p. 1201–10.

Dutil S, Meriaux A, de Latremoille MC, Lazure L, Barbeau J, Duchaine C, et al. Measurement ofAirborne bacteria and endotoxin generated during dental cleaning. J Occup Environ Hyg. 2009;6:121–30.

Checchi L, Montevecchi M, Moreschi A, Graziosi F, Taddei P, Violante FS, et al. Efficacy of three facemasks in preventing inhalation of airborne contaminants in dental practice. J Am Dent Assoc.2005;136:877–82.

Wayne EL. Central Limit Theorem. Boston University School of Public. 2016. [cited 15 June 2018] Available from: Healthhttp://sphweb.bumc.bu.edu/otlt/MPH-Modules /BS/BS704_ Probability /BS704_ Probability 12.html

Jacobsen N, Aasenden R, Hensten-Pettersen A. Occupational health complaints and adverse patient reactions as perceived by personnel in public dentistry. Community Dent Oral Epidemiol1991;19:155- 9.

Sinclair NA, Thomson WM. Prevalence of self-reported hand dermatoses in New Zealand dentists. N Z Dent J. 2004 Jun;100(2):38-41. PubMed PMID: 15346871.[PubMed].

Althomairy SA, Baseer MA, Assery M, Alsaffan AD. Knowledge and Attitude of Dental Health Professionals about Middle East Respiratory Syndrome in Saudi Arabia. J Int Soc Prev Community Dent. 2018 Mar-Apr;8(2):137-144. doi: 10.4103/jispcd.JISPCD_9_18. Epub 2018 Apr 24. PubMed PMID: 29780739; PubMed Central PMCID: PMC5946522.[PubMed].

Gokul K, Abirami, Sundaram B. Occupational hazards among practicing dentists in Chennai- A Survey Report.Int J Cur Res Rev .2015; 7(24):30-38.

Harrel SK, Barnes JB, Rivera-Hidalgo F. Aerosol and splatter contamination from the operative site during ultrasonic scaling. J Am Dent Assoc. 1998 Sep;129(9):1241-9. doi: 10.14219/jada.archive.1998.0421. PubMed PMID: 9766105.[PubMed]

Harrel SK, Molinari J. Aerosols and splatter in dentistry: a brief review of the literature and infection control implications. J Am Dent Assoc. 2004 Apr;135(4):429-37. doi: 10.14219/jada.archive.2004.0207. Review. PubMed PMID: 15127864.[PubMed].

Infection control recommendations for the dental office and the dental laboratory. ADA Council on Scientific Affairs and ADA Council on Dental Practice. J Am Dent Assoc. 1996 May;127(5):672-80. doi: 10.14219/jada.archive.1996.0280. PubMed PMID: 8642147.[PubMed].

Caroline L, Pankhurst, NW Johnson, Microbial contamination of dental unit waterlines: the scientific arguments, Int Dent J. 1998; 48(4): 359-368.

Eriksen P, Moscato PM, Franks JK, et. al. Optical hazard evalu¬ation of dental curing lights. Community Dent Oral Epidemiol. 1987 ; 15(4):197-201.

Palenik CJ. Eye protection in dental laboratories. J Dent Technol. 1997 Sep;14(7):22-6. PubMed PMID: 9524490.[PubMed].

Miller C. Make eye protection a priority to prevent contamination and injury. RDH. 1995 Oct;15(10):40-2. PubMed PMID: 9534471.[PubMed].

Farrier SL, Farrier JN, Gilmour AS. Eye safety in operative dentistry - a study in general dental practice. Br Dent J 2006;200:218- 23.

Scully C, Cawson RA, Griffiths MJ: Mortality and some aspects of morbidity: Ch.1. In: Occupational hazard to dental staff. British Medical Journal, London, 1990, p. 1-21.

American Conference of Governmental Industrial Hygienists. Threshold limit values for chemical substances and physical agents and biological exposure indices. Cincinnati, OH: American Conference of Governmental Industrial Hygienists; 2008. p. 146-55

Alsahafi AJ, Cheng AC. Knowledge, attitudes and behaviours of healthcare workers in the Kingdom of Saudi Arabia to MERS coronavirus and other emerging infectious diseases. Int J Environ Res PublicHealth. 2016;13 pii: E1214.

Harrel SK, Barnes JB, Rivera-Hidalgo F. Reduction of aerosols produced by ultrasonic scalers. J Periodontol. 1996 Jan;67(1):28-32. doi: 10.1902/jop.1996.67.1.28. PubMed PMID: 8676269.[PubMed].

Jacks ME. A laboratory comparison of evacuation devices on aerosol reduction. J Dent Hyg. 2002 Summer;76(3):202-6. Review. PubMed PMID: 12271865.[PubMed].

Klyn SL, Cummings DE, Richardson BW, Davis RD. Reduction of bacteria-containing spray produced during ultrasonic scaling. Gen Dent. 2001 Nov-Dec;49(6):648-52. PubMed PMID: 12024755.[PubMed].

Pankhurst CL, Johnson NW, Woods RG. Microbial contamination of dental unit waterlines: the scientific argument. Int Dent J. 1998 Aug;48(4):359-68. doi: 10.1111/j.1875-595x.1998.tb00697.x. PubMed PMID: 9779119.[PubMed].

Liaqat I, A.N. Sabri, "Effect of Biocides on Biofilm Bacteria from Dental Unit Water Lines: Current Microbiology, 56(6), 2008, 619–624.

Gupta DG, Mirta DD, KP DA, Dupta DA, Comparison of efficacy of pre-procedural mouth rinsing in reducing aerosol contamination produced by ultrasonic scaler: a pilot study J Periodontol. 2014 ;85(4):562-8.

Bhanu M, Deepali B, Infection control and prevention in dentistry, Int J of Dent Advancements, 3(3), 2011, 577-582.

Guida M, Galle, Environmental microbial contamination in dental scaling: a local experiment, Int Prev Med Hyg, 53(4), 2012 Dec, 207-212

Downloads

Published

2019-12-31

How to Cite

1.
Mahmood SE, Ahmad A, Ahmad N, Muzammil K, Chander M, Siddiqui S. Aerosols exposure and respiratory morbidity among dental health care Professionals of Lucknow. Indian J Community Health [Internet]. 2019 Dec. 31 [cited 2024 Mar. 29];31(4):499-505. Available from: https://iapsmupuk.org/journal/index.php/IJCH/article/view/1127

Issue

Section

Original Article

Most read articles by the same author(s)

1 2 > >>