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Related Experiment Videos

Protective gloves in Swedish dentistry: use and side-effects.

K Wrangsjö1, L M Wallenhammar, U Ortengren

  • 1Occupational and Environmental Dermatology, Department of Medicine, Karolinska Institutet, Norrbacka, Karolinska Sjukhuset, 17176 Stockholm, Sweden.

The British Journal of Dermatology
|July 17, 2001
PubMed
Summary

Swedish dentists frequently experience glove intolerance, particularly those with hand eczema. IgE-mediated allergy to natural rubber latex (NRL) is linked to respiratory symptoms, not just skin irritation.

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Area of Science:

  • Occupational Health
  • Dermatology
  • Allergology

Background:

  • Routine glove use in dentistry increased significantly since the 1980s.
  • Prolonged glove use is linked to irritant and allergic reactions.

Purpose of the Study:

  • To assess glove use and intolerance reactions among Swedish dentists.
  • To determine the prevalence of IgE-mediated allergy to natural rubber latex (NRL) in dentists reporting glove-related itching.

Main Methods:

  • A postal questionnaire was sent to 3500 Swedish dentists, with 3083 responses (88% response rate).
  • 131 dentists reporting itching underwent clinical examination, skin prick testing (SPT), and serological testing (RAST) for IgE-mediated allergy.

Main Results:

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  • 23% of dentists reported glove intolerance reactions, more common in females (28%) and younger dentists.
  • Hand eczema significantly increased the risk of glove intolerance (54% vs. 20%).
  • Latex allergy was confirmed in 11% of dentists with reported itch; respiratory symptoms showed a stronger association with IgE-mediated NRL allergy.

    • Conclusions:

    • Swedish dentists demonstrate high compliance with glove use recommendations.
    • Preventive skin care programs are crucial due to frequent intolerance reactions, especially in dentists with hand eczema.
    • Screening for NRL sensitization should consider the stronger link between IgE-mediated allergy and respiratory symptoms compared to skin itching.