Document Type : Original Article
Authors
Department of Oral and Maxillofacial Pathology, HP Government Dental College, Shimla, India
Abstract
Today, viral hepatitis has become a silent epidemic worldwide. It is the major cause of liver
cirrhosis and liver carcinoma. In a dental office, infections can be expedited through several
routes, including direct or indirect contact with blood, oral fluids, droplet splatter, aerosols,
etc. The aim of the present review is to increase the awareness among dental practitioners,
so as to reduce the burden of hepatitis in their community. Electronic databases like PubMed,
Medline, ProQuest, etc. were searched using the keywords hepatitis, dentist, liver disease,
and infection control. Manual search of various journals and books was also carried out. Only
highly relevant articles from English literature were considered for the present review. The
results revealed that the dentists were among the high-risk groups for hepatitis, and they have
little information on the factors associated with adherence to hepatitis B vaccination. A dentist
can play a major role in the prevention of hepatitis by considering each and every patient as a
potential carrier of hepatitis. Proper infection control, sterilization, and prophylactic vaccination
protocols should be followed in order to reduce the risk of hepatitis.
Keywords
and Science of Operative Dentistry; 5th ed. Netherlands: Elsevier
publication; 2010.
2. Krasteva A, Panov VE, Garova M, Velikova R, Kisselova A, Krastev Z.
Hepatitis B and C in dentistry. J IMAB 2008;14:38-40.
3. Smith AJ, Camerson SO, Bagg J, Kennedy D. Management of
needlestick injuries in general dental practice. Br Dent J 2001;23:12-5.
4. Alavian SM. Hepatitis C virus infection: Epidemiology, risk factors
and prevention strategies in public health in I.R. IRAN. Gastro Hepat
FBB. 2010;3:5-14.
5. Alavian SM, Fallahian F. Epidemiology of Hepatitis C in Iran and the
World. Shiraz E-Med J 2009;10:162-72.
6. Withers AJ. Hepatitis: A review of the disease and significance to
dentistry. J Periodontol 1980;51:162-6.
7. Hays PC, Simpson KJ, Garden OJ. Liver and Biliary tract diseases.
Davidson’s principles and practice of medicine. 9th ed. Netherland:
Elsevier publication; 2002.
8. Robins SL. Pathologic basis of disease pp 1004-1008. Philadelphia:
W.B. Saunders; 1974.
9. Houghton M. The long and winding road leading to identification
of the hepatitis C viruses. J Hepatol 2009;51:939-48.
10. Abeulhassan W. Hepatitis C virus Infection in 2012 and beyond.
South Afr J Epidemiol Infec 2012;27:93-7.
11. Janjua OS, Manzoor A. Frequency of Xerostomia in Patients
suffering from Hepatitis B and C. Pak Oral Dent J 2012;32:42-5.
12. Mealy BL, Klokkevold PR, Corgel JO. Periodontal treatment of
medically compromised patients. Carranza, s clinical periodontology.
10th ed. Netherloand: Elsevier Publication; 2010.
13. Reddy RS, Swapna LA, Ramesh T, Pradeep K. Knowledge, attitude
and practice in hepatitis B prevention among dental professionals
in India. Braz J Oral Sci 2011;10:241-5.
14. Samaranayake LP, Scully C, Dowell TB, Lamey PJ, MacFarlane TW, Matthews RW, et al. New data on the acceptance of the hepatitis
B vaccine by dental personnel in the United Kingdom. Br Dent J
1988;164:74-7.
15. Harrel SK, Barnes JB, Rivera-Hidalgo F. Aerosol and splatter
contamination from the operative site during ultrasonic scaling.
J Am Dent Assoc 1998;129:1241-9.
16. Coates E, Brennan D, Logan R, Goss A, Scopacasa B, Spencer AJ,
et al. Hepatitis C infection and associated oral health problems. Aust
Dent J 2000;45:108-14.
17. Alavian SM, Aalaei Andabili SH. More risk factors of hepatitis
C transmission should be considered in Pakistan. Int J Prev Med
2011;2:188-9.
18. Ammon A, Reichart PA, Pauli G, Petersen LR. Hepatitis B and C among
Berlin dental personnel: Incidence, risk factors, and effectiveness
of barrier prevention measures. Epidemiol Infect 2000;125:407-13.
19. Fry DE. Occupational blood-borne diseases in surgery. Am J Surg
2005;190:249-54.
20. Azodo CC, Ehizele AO, Uche I, Erhabor P. Hepatitis B Vaccination
Status Among Dental Surgeons in Nigeria. Ann Med Health Sci Res
2012;2:24-8.
21. Resende VL, Abreu MH, Paiva SM, Teixeira R, Pordeus IA. Concerns
regarding hepatitis B vaccination and post-vaccination test among
Brazilian dentists. Virol J 2010;7:154-63.
22. Van Damme P, Van Herck K. A review of the long-term protection after
hepatitis A and B vaccination. Travel Med Infect Dis 2007;5:79-84.
23. Cleveland JL, Cardo DM. Occupational exposures to human
immunodeficiency virus, hepatitis B virus, and hepatitis C virus: Risk,
prevention, and management. Dent Clin North Am 2003;47:681-96.
24. Updated U.S. Public health service guidelines for the management of
occupational exposures to HBV, HCV, and HIV and recommendations
for postexposure prophylaxis. MMWR Recomm Rep 2001;50:17-29.