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Occupational Hazards in Dentistry
Occupational hazard can be defined as a risk to a person usually arising out of employment.
It can also refer to a work, material, substance, process, or situation that predisposes or
itself causes accidents or diseased a work place.
The practice of dentistry exposes dental professionals to a variety of work related hazards.
These includes:
• Working in a sanitary state
• Working at a high level of concentration for long hours
• Working with anxious patients
• Exposure to microbial aerosols generated by high speed rotary hand pieces.
• Exposure to various chemicals used in clinical dental practice
• Other hazards.
The major occupational hazards are:
• Biological health hazards
• Physical hazards
• Chemical hazards
• Musculoskeletal disorders and diseases of the PNS
• Mechanical hazards
• Psychosocial hazard
• Stress
• Legal hazards
• Other risk
1. Biological hazards
The dental environment is associated with a significant risk of exposure to various
microorganisms. Many infectious agents may be present in blood or saliva as a
consequence of bacteremia or vermeil associated with systemic infections.
• Dental patients and dental health care workers may be exposed to a variety of
microorganisms via blood or oral or respiratory secretion. It includes
• Cytomegalovirus,
• Hepatitis B virus (HBV),
• Hepatitis C virus (HCV),
• Her-pes simplex virus types 1 and 2,
• Human immunodeficiency virus (HIV),
• Mycobacterium tuberculosis,
• Staphylococci,
• Streptococci,
• and other viruses and bacteria especially those that infect the upper respiratory
tract.
Modes of transmission in dentistry
• HBV is transmitted both percutaneously and non-percutaneously.
• During treatment multiple opportunities exist for inadvertent
percutaneous wounds to the operator and staff.
• Non percutaneous transmission in the dental environment includes
transfer of infectious bodily secretions such as saliva, blood and
crevicular fluid.
• Dental practitioners are considered as a group with one of the highest
risk exposures to HBV.
2. Physical hazards
The dentist and the clinical staff are at risk of physical injuries during
many dental procedures. Sources of physical injury can include debris
from the oral cavity striking the eyes, cuts from sharp instruments, or
puncture wounds from needles or other sharp instruments. Such
injuries can result in the transmission of serious infectious disease to
the dental worker. It comprises:
Heat and cold
Light
Noise
Vibration
Ultraviolet radiation
Ionizing radiation
3. Chemical hazards
The chemical environment is one of the most rapidly expanding components of
the work environment because new chemicals and solutions are being introduced
regularly. Many biomaterials and auxiliary products used in dentistry are
chemically reactive. Hazardous chemical agents used in clinical dentistry include
mercury, powdered natural rubber latex (NRL),
• 3.1 Mercury
• Its use in dental amalgam has the potential for continuous occupational
exposure of a dental practitioner to mercurial vapor which can be absorbed via
the skin and lungs. The active component in the mercurial vapor has an affinity
for brain tissue.
• 3.2 Latex hypersensitivity
• Gloves and mask form an integral part of dentist’s protective equipment. Latex
gloves dusted with com starch powder are most often used. The gloves and the
mask form an efficient barrier against most pathogens; they also constitute a
very good barrier against viruses, provided they are intact.
• Chemical hazards act in three ways:
• Local action
• Inhalation
Gases, Dusts, and Metals and their compounds
• Ingestion.
4. Musculoskeletal disorders and diseases of PNS
• At work, the dentist assumes a strained posture both while standing and
sitting close to a patient, while providing care which causes an overstress of
the spine and limbs and the peripheral nervous system (PNS). This results in
back pain syndrome, neck discopathy, cervicocranial pains and carpel tunnel
syndrome.
5.Mechanical hazards
• The mechanical hazards in industry centre around machinery,
protruding moving parts and the like. About 10 percent of accidents
in industry are said to be due to mechanical causes. Though not
alarming it can be reduced or avoided by being careful while
operating, e.g. traumatic injuries due to projectiles carelessness while
using sharp instruments aeroters etc.
6. Psychosocial hazards
• The psychosocial hazards arise from the worker’s failure to adapt to
an alien psychosocial environment. Frustrations, lack of job
satisfaction, insecurity, emotional tension are some of the
psychosocial factors that undermine the physical and mental health of
the workers.
7. Legal hazards
• In every country there are relevant statutes and regulations which
apply to the practice of dentistry.to help assure a safe work
environment in dental treatment, the hazard awareness and
prevention of legal risks should be made known to all clinical workers
of the dental hospital/clinic.
8. Other risks
• Mild neuropathy among dental professionals has been shown to be
associated with high frequency vibrations from dental equipment’s,
particularly high and low speed hand pieces and ultrasonic scalers.
Prevention of occupational hazards
Education is one of the important strategies for the prevention of
occupational injuries and diseases. The role of one’s occupation as an
important factor in maintaining personal health needs to be constantly
emphasized so workers understand any possible negative health
implication of their jobs and how to minimize them
Concerning prevention, the international literature focuses mostly on infection
control and proper handling of potentially infected materials, owing to the high
profile of dentistry regarding transmission of infection. Barrier techniques
include gloves, masks, protective eye wear, high power suction and good
ventilation to reduce aerosols and vapor dangers. Hypoallergenic nonlatex gloves
are proposed to deal with latex allergy. Lead aprons, periodic maintenance of the
X-ray machine and radiation level sensors prevent radiation hazards.
Conclusion
Dental health workers are exposed to many occupational hazards ranging from
the threat of infectious disease, toxicity to chemicals routinely used in dentistry
and musculoskeletal disease consequential to poor working position. A
systematic approach to occupational hazards in the dental setting are:
• List all work related tasks and activities,
• Identify potential biological, chemical,
• Physical and psychological hazards associated with each task,
• Assess the risk of the hazards by considering the severity of consequences of
exposure, the probability that the exposure will occur and the frequency the
task is done,
• Implement the controls for each hazard,
• Evaluate the controls periodically to ensure they are effective.

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Occupational Hazards in Dentistry.pptx

  • 1. Occupational Hazards in Dentistry Occupational hazard can be defined as a risk to a person usually arising out of employment. It can also refer to a work, material, substance, process, or situation that predisposes or itself causes accidents or diseased a work place. The practice of dentistry exposes dental professionals to a variety of work related hazards. These includes: • Working in a sanitary state • Working at a high level of concentration for long hours • Working with anxious patients • Exposure to microbial aerosols generated by high speed rotary hand pieces. • Exposure to various chemicals used in clinical dental practice • Other hazards.
  • 2. The major occupational hazards are: • Biological health hazards • Physical hazards • Chemical hazards • Musculoskeletal disorders and diseases of the PNS • Mechanical hazards • Psychosocial hazard • Stress • Legal hazards • Other risk
  • 3. 1. Biological hazards The dental environment is associated with a significant risk of exposure to various microorganisms. Many infectious agents may be present in blood or saliva as a consequence of bacteremia or vermeil associated with systemic infections. • Dental patients and dental health care workers may be exposed to a variety of microorganisms via blood or oral or respiratory secretion. It includes • Cytomegalovirus, • Hepatitis B virus (HBV), • Hepatitis C virus (HCV), • Her-pes simplex virus types 1 and 2, • Human immunodeficiency virus (HIV), • Mycobacterium tuberculosis, • Staphylococci, • Streptococci, • and other viruses and bacteria especially those that infect the upper respiratory tract.
  • 4. Modes of transmission in dentistry • HBV is transmitted both percutaneously and non-percutaneously. • During treatment multiple opportunities exist for inadvertent percutaneous wounds to the operator and staff. • Non percutaneous transmission in the dental environment includes transfer of infectious bodily secretions such as saliva, blood and crevicular fluid. • Dental practitioners are considered as a group with one of the highest risk exposures to HBV.
  • 5. 2. Physical hazards The dentist and the clinical staff are at risk of physical injuries during many dental procedures. Sources of physical injury can include debris from the oral cavity striking the eyes, cuts from sharp instruments, or puncture wounds from needles or other sharp instruments. Such injuries can result in the transmission of serious infectious disease to the dental worker. It comprises: Heat and cold Light Noise Vibration Ultraviolet radiation Ionizing radiation
  • 6. 3. Chemical hazards The chemical environment is one of the most rapidly expanding components of the work environment because new chemicals and solutions are being introduced regularly. Many biomaterials and auxiliary products used in dentistry are chemically reactive. Hazardous chemical agents used in clinical dentistry include mercury, powdered natural rubber latex (NRL), • 3.1 Mercury • Its use in dental amalgam has the potential for continuous occupational exposure of a dental practitioner to mercurial vapor which can be absorbed via the skin and lungs. The active component in the mercurial vapor has an affinity for brain tissue. • 3.2 Latex hypersensitivity • Gloves and mask form an integral part of dentist’s protective equipment. Latex gloves dusted with com starch powder are most often used. The gloves and the mask form an efficient barrier against most pathogens; they also constitute a very good barrier against viruses, provided they are intact.
  • 7. • Chemical hazards act in three ways: • Local action • Inhalation Gases, Dusts, and Metals and their compounds • Ingestion. 4. Musculoskeletal disorders and diseases of PNS • At work, the dentist assumes a strained posture both while standing and sitting close to a patient, while providing care which causes an overstress of the spine and limbs and the peripheral nervous system (PNS). This results in back pain syndrome, neck discopathy, cervicocranial pains and carpel tunnel syndrome.
  • 8. 5.Mechanical hazards • The mechanical hazards in industry centre around machinery, protruding moving parts and the like. About 10 percent of accidents in industry are said to be due to mechanical causes. Though not alarming it can be reduced or avoided by being careful while operating, e.g. traumatic injuries due to projectiles carelessness while using sharp instruments aeroters etc. 6. Psychosocial hazards • The psychosocial hazards arise from the worker’s failure to adapt to an alien psychosocial environment. Frustrations, lack of job satisfaction, insecurity, emotional tension are some of the psychosocial factors that undermine the physical and mental health of the workers.
  • 9. 7. Legal hazards • In every country there are relevant statutes and regulations which apply to the practice of dentistry.to help assure a safe work environment in dental treatment, the hazard awareness and prevention of legal risks should be made known to all clinical workers of the dental hospital/clinic. 8. Other risks • Mild neuropathy among dental professionals has been shown to be associated with high frequency vibrations from dental equipment’s, particularly high and low speed hand pieces and ultrasonic scalers. Prevention of occupational hazards Education is one of the important strategies for the prevention of occupational injuries and diseases. The role of one’s occupation as an important factor in maintaining personal health needs to be constantly emphasized so workers understand any possible negative health implication of their jobs and how to minimize them
  • 10. Concerning prevention, the international literature focuses mostly on infection control and proper handling of potentially infected materials, owing to the high profile of dentistry regarding transmission of infection. Barrier techniques include gloves, masks, protective eye wear, high power suction and good ventilation to reduce aerosols and vapor dangers. Hypoallergenic nonlatex gloves are proposed to deal with latex allergy. Lead aprons, periodic maintenance of the X-ray machine and radiation level sensors prevent radiation hazards.
  • 11. Conclusion Dental health workers are exposed to many occupational hazards ranging from the threat of infectious disease, toxicity to chemicals routinely used in dentistry and musculoskeletal disease consequential to poor working position. A systematic approach to occupational hazards in the dental setting are: • List all work related tasks and activities, • Identify potential biological, chemical, • Physical and psychological hazards associated with each task, • Assess the risk of the hazards by considering the severity of consequences of exposure, the probability that the exposure will occur and the frequency the task is done, • Implement the controls for each hazard, • Evaluate the controls periodically to ensure they are effective.