An assessment of the incidence of punctures in latex and non-latex dental examination gloves in routine clinical practice

Murray, C.; Burke, F.; McHugh, S.

doi:10.1038/sj.bdj.4800978a

Cited by 13 publications

(22 citation statements)

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“…Further research is required into this aspect of dental practice, given the finding in the Report of the Government Actuary that dentists retire prematurely due to ill health four times as frequently as medical practitioners at age 42 years. 16 It may be that the illnesses quoted in the questionnaire were primarily of a transient variety, and that the present study did not investigate more long-term illnesses such as coronary artery disease, stress and depression, musculoskeletal diseases and tumours.…”

Section: Equipment Usedmentioning

confidence: 99%

“…This could be due to the incidence of skin problems associated with glove wearing, skin sensitisation to latex among dental healthcare workers and patients or the recent availability of nitride glove types with good user acceptability. [15][16] The respondents appear to be a healthy group, with only a small number of days away from work per annum because of ill health. Further research is required into this aspect of dental practice, given the finding in the Report of the Government Actuary that dentists retire prematurely due to ill health four times as frequently as medical practitioners at age 42 years.…”

Section: Equipment Usedmentioning

confidence: 99%

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Contemporary dental practice in the UK: demographic data and practising arrangements

et al. 2005

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Objectives:To investigate, by questionnaire, various aspects of primary dental care provision in the North West of England and Scotland. Method: A questionnaire containing 79 questions was sent to 1,000 practitioners, selected at random, in the North West of England and Scotland. Non-responders were sent another questionnaire after a period of 4 weeks had elapsed. Results: Overall a response rate of 70% was achieved. The majority of practitioners were practice principals (65%), working in a group NHS practice (80%) located in a city or town centre (49%). On average 10-20 patients were treated each session with fewer patients treated per session under private arrangements. Many practitioners were found to lack hygienist support (44%) and to employ unqualified dental nurses (82%). Younger practitioners were more likely than senior colleagues to have access to up-to-date computers whilst 37% and 74% of respondents never used CAL programmes or magnification respectively. Contemporary cross-infection control standards were used by the majority of practitioners, although 3% of practitioners reported only autoclaving their handpiece once a day. Conclusions: The majority of practitioners, involved in this study, worked under National Health Service (NHS) regulations as principals in a group practice where the workload was greater than the private/independent sector. Contemporary cross-infection procedures were used routinely. In contrast computer-aided learning programmes and magnification were not used routinely. The practitioners in this study employed significant numbers of unqualified dental nurses.

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Section: Equipment Usedmentioning

confidence: 99%

Section: Equipment Usedmentioning

confidence: 99%

Contemporary dental practice in the UK: demographic data and practising arrangements

et al. 2005

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“…However, this may be less relevant in the dental surgery since clinically the fingers come most into contact with sharp instruments that may cause punctures. Murray et al 21 suggested that punctures in used dental examination gloves occurred principally in the upper portions of fingers and along the whole length of the thumb. The findings of the current study suggest that the index and middle finger regions were the most puncture resistant, however, as previously reported 6,[11][12][13] these regions, along with the thumb region, were assessed to be the most common location for punctures.…”

Section: Discussionmentioning

confidence: 99%

“…15 Nitrile gloves are formed from an emulsion in water often referred to as synthetic latex and are made of a synthetic co-polymer of acrylonitrile and butadiene. 21 Anecdotal evidence suggests that the flexibility, comfort and fit of nitrile gloves are inferior to latex. However, nitrile gloves are reported to offer better puncture resistance compared with latex gloves.…”

Section: Verifiable Cpd Papermentioning

confidence: 99%

Puncture resistance and stiffness of nitrile and latex dental examination gloves

2004

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ObjectiveThe aim of the current study was to assess the puncture resistance and stiffness of nitrile and latex dental examination gloves. Methods Puncture resistance was measured by employing an adapted version of ASTM F1342-91 using both a 316 stainless steel puncture probe (0.8 mm diameter) and a dental injection needle (0.45 mm diameter) interfaced to a tensile testing apparatus. Glove specimens (12 cm length, 1.5 cm breadth) were removed for modulus (M100) evaluation by assessing the force required to elongate the specimen to 100% of the original length. Glove samples were also aged to investigate whether puncture resistance and M100 values varied with aging at 70°C for 7 days in an air-circulating oven. Results The nitrile glove types were assessed to have significantly higher puncture resistance compared with the latex glove type when the steel puncture probe was the pentrometer when using the one way analysis of variance (ANOVA) at the 95% significance level. Interestingly the puncture resistance for the latex glove type was significantly higher (P < 0.001) when a dental injection needle was used as the pentrometer compared with the nitrile glove types. The M100 values were significantly higher for the nitrile glove types for which the stiffness increased when the gloves were aged (P < 0.001). Conclusions The higher stiffness values resulted in increased puncture resistance when the nitrile glove specimens were aged irrespective of the pentrometer type. However, the ability of latex to re-seal itself on puncture may be beneficial when considering the protection potential of each glove type against breaches in cross infection. For clinicians that have experienced an adverse reaction to natural latex gloves, the results of the current study indicate that nitrile gloves are available at reasonable cost and offer the clinician comparable resistance to puncture with latex gloves.

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“…913 Limited studies suggest that nitrile gloves have leakage rates close to those of latex gloves. [922][923][924][925] Although recent studies suggest that improvements have been made in the quality of gloves, 919 the laboratory and clinical studies cited above provide strong evidence that hands should still be decontaminated or washed after glove removal. 73,123,139,204,520,914 …”

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confidence: 99%

Hand Hygiene

Longtin¹,

Sax²,

Allegranzi³

et al. 2011

N Engl J Med

107

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An assessment of the incidence of punctures in latex and non-latex dental examination gloves in routine clinical practice

Cited by 13 publications

References 10 publications

Contemporary dental practice in the UK: demographic data and practising arrangements

Contemporary dental practice in the UK: demographic data and practising arrangements

Puncture resistance and stiffness of nitrile and latex dental examination gloves

Hand Hygiene

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