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. 2013 Jul;5(2):138-45.
doi: 10.4103/0975-1475.119785.

Survey of responsible handling of local anesthetic in Indian dental operatory

Thavarajah Rooban  1 , Umadevi Krishnamohan Rao, Elizabeth Joshua, Kannan Ranganathan
Affiliations

Survey of responsible handling of local anesthetic in Indian dental operatory

Thavarajah Rooban et al. J Forensic Dent Sci. 2013 Jul.

Abstract

Background: Dental operatory requires handling of numerous toxic fluids such as denture acrylic monomer, alcohol and formalin for effective oral care delivery. The efficacy and responsible handling of such fluids has not been analyzed among Indian dentists and this study aims to address this lacunae.

Materials and methods: Closed ended questionnaire was distributed through email to Indian dentists in July 2012. After inclusion/exclusion criteria, 1484 practitioners constituted the study group with a response rate of 52%.

Statistics: SPSS(®) Version 17.0 (SPSS-IBM Inc., IL, USA) was used to carry out statistical analysis. Descriptive statistics were presented. Chi square test was used to identify the association between the parameters; P ≤ 0.05 was considered as statistically significant.

Results: Males (80.8%), undergraduates (78%), exclusive practitioners (81.2%), urban practitioners (68.5%) were the predominant respondents. Predominant of the respondents (97%) used local anesthetic (LA) from bottles. Eight percent have encountered instances of injecting formalin instead of LA in their settings. Safe disposal rules and regulations (P ≤ 0.05), opinion on injecting the other fluids instead of LA as a severe negligent act (P ≤ 0.05) were statistically significant between age groups. Educational status did not appear to influence the outcome. Only a third of the respondents were aware of the rules and regulations for safe disposal of empty LA bottles while 49.1% were not aware of them and willing to learn.

Discussion: The lacunae in responsible handling of toxic fluids need to be addressed to prevent inadvertent and negligence suits against dentists, highlighting the need through continuing dental education programmes.

Keywords: Formalin; injection; local anesthetics; responsible handling; safe disposal.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Graph 1
Graph 1
Number of dentists who regularly use empty local anesthetic bottles and educating the dental assistants about toxicity
See this image and copyright information in PMC

References

    1. Gouda M, Dabarakis N, Kafas P. Is allergy to local anesthetics in Dentistry Possible? Res J Biol Sci. 2009;4:899–904.
    1. Malamed SF. 5th ed. New Delhi: Elsiever; 2011. Handbook of Local anesthesia; pp. 330–1.
    1. Gupta DS, Srivastava S, Tandon PN, Jurel S, Sharma S, Singh S., Jr Formalin-induced iatrogenic cellulitis: A rare case of dental negligence. J Oral Maxillofac Surg. 2011;69:e525–7. - PubMed
    1. Arakeri G, Brennan PA. Inadvertent injection of formalin mistaken for local anesthetic agent: Report of a case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;113:581–2. - PubMed
    1. Kannabiran K. The clinical establishment (Registration and regulation) bill 2007: A brief review. Ind J Med Ethics. 2008;5:108–9. - PubMed

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