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Published on: April 29, 2014
Assessment of glove integrity across various dental specialties in a dental school setting
Mohammed Amjed Alsaegh1, Mohammed Farooq AlSiraj2, Ahmed Naji Alsadoon2
1Department of Oral and Craniofacial Health Sciences, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates.
Objectives:
This study aimed to evaluate the integrity of non-sterile, powder-free latex gloves used by dental students in various dental specialties.
Materials And Methods:
This cross-sectional study involved dental students from Ajman University who provided gloves during various dental specialty procedures. A total of 177 pairs of latex examination powder-free gloves were included and categorized as follows: 43 pairs (24.3%) were used in operative dentistry, 30 pairs (16.9%) in oral surgery, 28 pairs (15.8%) in endodontics, 24 pairs (13.6%) in periodontics, 21 pairs (11.9%) in pedodontics, 13 pairs (7.3%) in prosthodontics, and 18 pairs (10.2%) as control gloves. After use, glove integrity was assessed with a modified water leak test.
Results:
Perforations were identified in 72 cases (40.7%) of gloves, distributed as follows: 22 cases (51.2%) in operative dentistry, 12 cases (40.0%) in oral surgery, 11 cases (39.3%) in endodontics, 11 cases (45.8%) in periodontics, 10 cases (47.6%) in pedodontics, 5 cases (38.5%) in prosthodontics, and 1 case (5.5%) in the control group. There were no statistically significant differences in the loss of glove integrity among different dental specialty procedures (χ2 = 11.899, p = 0.064) or among different glove usage durations (χ2 = 1.732, p = 0.785). However, the location of perforations in the experimental groups was statistically significant (χ2 = 34.427, p < 0.001). The most common locations were the right thumb (n = 18; 13.7%) and the right index finger (n = 17; 13%), with no perforations in the left ring finger and only one perforation in the left little finger (n = 1, 0.08%). There was a statistically significant correlation between the anticipated and actual presence of defects (χ2 = 32.875, p < 0.001).
Conclusions:
The study found a high rate of glove perforations during dental procedures by undergraduate students, especially in the right thumb and index finger. To reduce cross-infection risks, strict protocols like double gloving, frequent glove changes, and covering wounds with plaster are recommended.
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