Dentaltown November 2013 - (Page 68)
personal health
feature
by Curt P. Hamann, MD
Many dental professionals believe that creating a "latex-free"
office should resolve staff and patient problems with potential
allergens. Unfortunately, this strategy eliminates only one type
of the many potential allergens to which dental practitioners are
exposed - the proteins found in natural rubber latex (NRL).
Other known allergens are plentiful in a dental practice.
Understanding potential avenues of exposure to these allergens and how exposure can be avoided can help minimize
unwanted complications in patients and adverse reactions in
dental workers, leading to a healthier, happier dental practice.
Type I Allergy to NRL
More than a dozen proteins have been identified in the latex
harvested from the rubber tree, Hevea brasiliensis, in a process
68
NOVEMBER 2013 » dentaltown.com
similar to tapping maple trees for syrup. These botanical proteins can induce Type I (immediate) allergic reactions in sensitized individuals. Symptoms of Type I hypersensitivity appear
within minutes to a few of hours of exposure and range from
uncomfortable (hives, itching, redness, rhinoconjunctivitis) to
life-threatening (vomiting, diarrhea, hypotension, tachycardia,
shock, anaphylaxis). The symptoms usually subside within hours
of removal of the allergen.
NRL sensitivity was recognized as a serious health hazard
after the introduction of Universal Precautions, which mandated gloves and other gear be worn by health-care workers to
protect them from exposure to pathogens during patient care. In
the 1990s the prevalence of Type I NRL protein allergies in
medical and dental personnel was reported to range between 12
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Table of Contents for the Digital Edition of Dentaltown November 2013
Dentaltown.com Highlights
Howard Speaks: Not Getting it Done? Hire a Consultant
Professional Courtesy: Painful Advertising
Continuing Education Update
Second Opinion: The Role of Teamwork in the Third Era of Medicine
Deprogrammed Open Bite Can Help with Veneers
Bruxism Worse with Splint
Corporate Profile: Burbank Dental Laboratory
Product Profile: Eaglesoft 17
Debunking the Social Stigma of Stress
The Personal Side of Stress
In Your Face: Facing the Realities of Stress in Dentistry
When Tragedy Strikes: How to Prepare for and Recover from a Natural Disaster
The Latex Problem: It’s More Complicated Than You Think
Why Dentists Require Specific Exercise
How Much Money Can You Make When You’re Dead?
Denture Stabilizations with Small-diameter Implants
You Should Know: CrownMen
Product Profile: Synergy
Product Profile: NuSmiles ZR
Continuing Education: The New Evolution of Chariside CAD/CAM Technology
Ad Index
In This Issue: Dry Brush Inside Bottom Teeth First
Perio Reports
Dentally Incorrect
101 Ways to Reduce Stress
Achieving Goal Congruency
Dentaltown November 2013
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