EUROMEDICA 

Hanover

6-7  Juni 2008

Advanced methods of diagnosis,
treatment and prophylactics

European Academy of Natural Sciences, Hanover

European Scientific Society, Hanover

Russian Academy of Natural Sciences, Moscow

A.R. Madigulov
K.K. Toguzbayeva
A.A. Belonog
G.N. Alibekova
A.A. Lukashev
M. Shakimov
L.B.Sejduanova
SANITARY AND HYGIENIC ASSESSMENT OF SOME PARAMETERS OF THE PROFESSIONAL ENVIRONMENT AT DENTAL FACILITIES
Occupational Hygiene Department, Kazakh National Medical University named after S.D.Asfendijarov, Almaty, Kazakhstan

Studying of hygiene of the working environment of medical staff in general, and staff of dental facilities in particular till now has been done insufficiently. If medical professions used to consider safe from industrial exposure, now it is evident that doctors are subjects to about 500 various harmful factors.

Somewhat separate in this context are dental doctors and dental technicians. If exposure to noise among other medical professions is not a significant factor, it truly is for dental staff. High-speed drills and turbines have been employed in dentistry for almost fifty years. Their application eliminates painful sensations in the patient at manipulations, accelerates grinding and other processing of a tooth and reduces manual strain in the dentist. At the same time air or water cooling, promotes dispersion in air of an aerosol from an oral cavity of the patient, which quite often contains a pathogenic microflora. It called upon a discussion on preliminary hygienic processing of oral cavity aimed at eliminating the source of infection. Pathogenic flora from a mouth of the patient, ultimately infects dental premises. This question has not been properly highlighted.

Operating dental equipment, in particular, the high-speed turbines, accelerating momentum rotations up to 200-400 thousand revolutions a minute reaches the maximal energy of a sound -equal to frequency of 8000 hertz.

The incidence of hearing pathologies among dental staff workers there is an open question. Some researchers deny the role of noise in etimology of hearing problems among dentists, other quote the data on occurrence of left-hand relative deafness in dentists working on turbines. In regard to vibration as a harmful factor there is still no evidence.

The combined action of materials and the preparations used in dental surgery as a hazardous factor is also open to rigorous experimental and epidemiological researches.

Thus, hygiene of working conditions in dentistry presents an actual problem.