Abstract
Introduction: Dental professionals are at the risk of exposure to wide varieties of microorganisms from blood and saliva of patients to airborne infection from microbial-laden aerosols and spatter created during laboratory procedures. Dental laboratories are usually disregarded when planning effective infection and exposure control measures. Contaminated impression may act as a vehicle for transmission of infectious agents.
Objective: The objective of this study was to assess the practice of dental technicians towards infection control and to evaluate practice of the same for dental impressions in commercial dental laboratories.
Methods: Self-administered standard questionnaire was distributed to 35 dental laboratories and 31 participated in the study. The answers were collected by the investigators themselves. The data obtained were computed and analysed to find the results.
Results: Among all dental laboratories, 21 (67.75%) ensure dental impression is disinfected in clinic. 18 (58.06%) wear gloves when receiving clinical items and 27 (87.10%) transfer the items in separate sealed plastic bag. Of all, 25 (80.64%) of the dental laboratories have separate receiving area for dental impression and 23 (74.19%) of the dental technicians continue to wear protective barriers (gloves, mask and apron) during work. In total, 29 (93.55%) of the dental laboratories confirmed, none of their technicians has ever attended any course or training in cross-infection control.
Conclusion: The practice of cross-infection control for dental impression in commercial dental laboratories is acceptable. There should be proper guidelines from the regulating body on the protocol of infection control and laboratory waste disposal.
References
Molinari JA. Infection Control in the Dental Laboratory. In: Cottoneās Practical Infection Control in Dentistry. 3rd ed. Baltimore, Md.: Lippincott William & Wilkins, 2010; p. 246-60.
Powell GL, Runnells RD, Saxon BA, Whisenant BK. The presence and identification of organisms transmitted to dental laboratories. J Prosthet Dent. 1990;64(2):235-7.
Infection control recommendations for the dental office and the dental laboratory. J Am Dent Assoc. 1996;127(5):672-80.
Blair FM, Wassell RW. A survey of the methods of disinfection of dental impressions used in dental hospitals in the United Kingdom. Br Dent J. 1996;180(10):369-75.
Sedky NA. Evaluation of practice of cross infection control for dental impressions among laboratory technicians and prosthodontists in KSA. Int J Infect Control. 2014;10(3):1-12.
Mutlu S, Porter SR, Scully C. Cross-infection control in dentistry. Istanbul, Turkey: Erofset; 1996.
Hemalatha R, Ganapathy D. Disinfection of dental impression- A current overview. J Pharm Sci Res. 2016;8(7):661-4.
Shrestha A. Viral Hepatitis in Nepal: Past, Present, and Future. Euroasian J Hepato-Gastroenterology. 2016; 6(1):59-61.
Broussard IM, Kahwaji CI. Universal Precautions [internet]. Updated 20. Treasure Island (FL): Stat Pearls Publishing. Jan 2020. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470223/
British Dental Association. Health Technical Memorandum 01-05: Decontamination in Primary Care Dental Practices. [internet]. London - Department of Health; 2013. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/170689/HTM_01-05_2013.pdf
Australian Dental Association. In: Guidelines for infection Control. 3rd ed [internet]. Sydney: ADA Inc, 2015. Available from: https://www.ada.org.au/Dental-Professionals/Publications/Infection-Control/Guidelines-for-Infection-Control/1ADA_GuidelinesforInfectionControl_3.aspx
Kohn WG, Collins AS, Cleveland JL, Harte JA, Eklund KJ, Malvitz DM; Centers for Disease Control and Prevention (CDC). MMWR Recomm Rep. 2003 Dec 19;52(RR-17):1-61.
Ministry of Health and Population, Government of Nepal. Infectious Disease Control Guideline. In: Epidemiology and Disease Control Division [internet]. Kathmandu: Department of Health Services; 2016. Available from: http://www.edcd.gov.np/resources/download/infectious-disease-control-guideline
Al-Mortadi N, Al-Khatib A, Alzoubi KH, Khabour OF. Disinfection of dental impressions: Knowledge and practice among dental technicians. Clin Cosmet Investig Dent. 2019; 11: 103-8.
Haralur SB, Al-Qahtani AS, Al-Qarni MM, Al-Homrany RM, Aboalkhair AE, Madalakote SS. The Dental Solid Waste Management in Different Categories of Dental Laboratories in Abha City, Saudi Arabia. Open Dent J. 2015;9:449-54.
Nepal Medical Council (NMC). Continuing Professional Development of NMC [internet]. Institute of Medicine, Kathmandu: NMC - CPD Committee; 2010. Available from: https://cpdnmc.org.np/
