prevention of hepatitis in dentistry

1. IRAQI DENTAL
STUDENTS
ASSOCIATION
‫األسنان‬ ‫طب‬ ‫لطلبة‬ ‫العراقية‬ ‫الجمعية‬

2. HepatoSaver
Project

3. Definition :
Hepatitis
* Inflammation of the liver.
* liver reduced the ability to perform life
preserving function.

4. Causes of hepatitis :
• Viruses (commonly)
• Toxic substances (Alcohol, NSAIDs, Amiodarone).
• Autoimmune disease.
• * Another cause ?
•

9. Highest Risk:

10. HepatoSaver

21. Hepatitis C
• Mild symptoms
• Symptomatic: Malaise, nausea, vomiting, abdominal
discomfort, pale stools, dark urine and jaundice.
• Silent storm
• Chronicity: in 70 to 80% of the cases.

23. Hepatitis C

32. In the oral cavity :
• Vectors: Blood, Saliva, Crevicular fluid,
nasopharyngeal secretions.
• Higher concentrations of Hep B and HCV RNA are
found in the Gingival sulcus than in Saliva.

33. MANAGEMENT OF PTs WITH HEP B AND C IN
DENTAL OFFICE
• Considering cross infection control measures:
• Masks
• Gloves
• Barriers
• Correct sterilization protocols
• Disinfection of the surfaces
❖The Hep C virus can remain stable for over 5 days at room
temperature in the operatory field.

34. Accidental exposure :
• 1. Carefully washing the wound without rubbing for
several minutes with soap and water
• 2. Using a disinfectant (iodine solutions or chlorine
formulations) To reduce the number of viral units
• 3. Complete detailed medical and clinical history of
the patient

35. Immunization :
Hepatitis B Vaccination series – Recombivax HB 10 mcg
Energix – B 20 mcg At 0, 1 and 6 months.

36. TREATING A HEP+ive IN THE DENTAL OFFICE
• 1. Ensure a welcoming and Non judgmental approach!!
• 2. Detailed history and oral examination
• 3. Consultation with the patients physician.
• 4. Determining the possible existence of associated disorders (autoimmune,
diabetes.
• 5. Consultation, coagulation and blood profile incase of invasive procedure.
• 6. A stock up of local hemostatic agents, antifibrinolytic agents, platelets,
vitamin K, fresh plasma in the dental office, incase of elective procedure.
• 7. Antibiotic prophylaxis.

37. DRUGS TO AVOID!!
• TETRACYCLINES
• ERYTHROMYCIN
• AMINOGLYCOSIDES
• METRONIDAZOLE
• NSAIDS (should be used with care)

38. CONCLUSION
• Hepatitis is one of the main diseases of concern in the
dental office. These viruses can be transferred by a
single prick, therefore proper preventive measures
must be adopted and a strict protocol to prevent
transmission.

40. References
• National Scientific Director
• Muhammed Hassan Askar
• Vice scientific national director
• Ghasaq Ali Aziz
• World health organization (WHO)
• Dr D W Deshkar
• Himanshu Dev
• Gabby Hernandez