Editor's note: Dr.
James Hanley is associate dean for clinical affairs and interim chair of
periodontology at Tufts University School of Dental Medicine.
It is disheartening and alarming to learn
that as many as 7,000 patients are at risk of serious, life-threatening
infections because of dentist W. Scott Harrington's alleged failure to
follow "standard infection control guidelines" at his practice in a
Tulsa, Oklahoma, suburb.
Around the country, people are asking: Are U.S. oral health services safe?
The short answer is: Yes.
But, patients should always check to make sure that their dental
provider adheres to the strictest safety guidelines.
The allegations leveled
against Harrington are deeply troubling, and it is terrible that his
many patients must now worry they might have been exposed to hepatitis
and HIV because of his alleged failure to implement even the most basic
infection control guidelines. As the leader of his oral health care
team, it was his responsibility to ensure the safety of the patients who
trusted him with their care.
Dental patients tested for hepatitis, HIV exposure
Considering that there
are 175,000 practicing dentists in the United States, it would be easy
to argue that Harrington is an outlier and statistically insignificant.
However, one outlier is one too many, and the lives he might have put at
risk are anything but insignificant.
But generally, dental care in the United States is among the best in the world.
Along with the privilege
and tremendous rewards of being a health care professional comes the
awesome responsibility of providing the highest quality of care
possible. Dental practices, as with any medical practice, must make sure
that safety is a priority.
As we approach the
graduation season, dental schools in the United States will welcome more
than 4,000 new colleagues to our profession. All schools are held to
the standards promulgated by the Commission on Dental Accreditation that
address patient safety. Training in and implementation of patient
safety protocols is an important component of any dental school
education.
Upon graduation, the
dental education community certifies that new dentists are competent to
independently provide oral health care. They should be able to put into
practice the knowledge, skills and experiences they have gained.
The very basics of
infection control are not complicated to understand or implement. The
Centers for Disease Control and Prevention has issued a very clear and
practical document that most practitioners utilize to develop protocols
in their practices. In addition, the Organization of Safety, Asepsis and
Prevention is a wonderful resource for information and training.
All states require that
licensed dentists participate in continuing education to maintain that
license to practice. Many states, such as Massachusetts, require a
portion of this continuing education to be focused on infection control.
Dental schools,
organized groups such as the American Dental Association, licensing
boards and other dental organizations have made patient safety a
priority during the past 25 years. In the array of health care
providers, dentists have an admirable record of providing high-quality
care in a safe environment.
Patients should feel
confident that their care will be provided in a safe environment and
that there is infinitesimal risk of transmission of disease. However, as
one seeks any health care services, patients must ask questions about
the provider, his or her staff, facility, training and compliance with
infection control guidelines.
Any capable and qualified dentist would welcome such questions.
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