Percutaneous Exposure Incidents in Dentistry

An interesting article titled “Percutaneous exposure incidents: a review of practice and awareness of current protocols at a Dental Faculty” written by Siddiqi et al. appears in Oral Surgery in 2017 (vol. 10, e80-e87). The article discusses accidental exposure to blood-borne pathogens at the dental office. In the past the possibility of this occurring has been discussed on this site see for example the posts More Dental Patients Warned of Potential HIV and Hepatitis Exposure in Pennsylvania and Infection Control Lapse in Hawaii at VA Dental Clinic. Sharps and needlestick injuries are sources of infections with blood-borne pathogens (such as Hepatitis B, Hepatitis C, and HIV) in dentistry and are referred to broadly as a percutaneous exposure incident. The authors state: “The intimate nature of the patient-dentist environment, the presence of blood and saliva, the routine use of sharp instruments, … Read more

Dental Needle Could be Replaced

I find this study to be quite interesting as I have had anesthesia delivered directly in my nose before in an attempt to prevent my constant 24/7 headache. New evidence has emerged that a common local anesthetic, when administered to the nose as nose drops or a nasal spray, travels through the main nerve in the face and collects in high concentrations in the jaw, teeth, and structures of the mouth. William H. Frey II and colleagues found that drugs administered to the nose travel along nerves and go directly to the brain, although I really don’t think this finding is novel. One of those nerves is the trigeminal nerve, which brings feelings to the face, nose and mouth. Until now scientists never paid much attention to intranasal drugs passing the nerve in the nose and how it might reach … Read more