6 Ways the Previous Pandemic Changed Dentistry

Dental Products ReportDental Products Report April 2021
Volume 55
Issue 4

The full impact of the current pandemic might not come into focus for several years, but here's a look at some of the key changes to the industry following the AIDS pandemic of the 1908s and 1990s.

James Thew / stock.adobe.com

James Thew / stock.adobe.com

Today’s dental practice very likely looks different from how it did a year ago. In response to the coronavirus disease 2019 (COVID-19) pandemic, dental practices changed schedules, modified clinical and operational workflows, and adopted new strategies and products to prevent infection.

These steps clearly made a difference: Although dental professionals work in one of the riskiest environments for the spread of infectious diseases, COVID-19 was not widely transmitted in dental settings. With multiple approved vaccines, the pandemic might be a less pressing concern later this year, but some of the changes in dental practices likely will be permanent industry shifts.

With this in mind, here’s a look back at 6 ways dentistry changed in the wake of the AIDS pandemic in the 1980s and ’90s.

  1. Personal protective equipment (PPE)
    This is one of the most noticeable changes that arose in the 1980s. Due to the risks of transmission of HIV and hepatitis B, dentists were encouraged and then required to wear gloves, masks, and other PPE. Today, the idea of working in a patient’s mouth barehanded seems outrageous.
  2. Handpiece sterilization
    Prior to the AIDS pandemic, dental handpieces were generally cleaned after use but rarely sterilized. This was due to both design and a lack of sterilization requirement. When the requirement changed, handpiece design followed; today, like all other nondisposable instruments in the practice, these vital pieces of operatory equipment get sterilized.
  3. Instrument sterilization
    The processing of instruments also changed as hand cleaning and cold sterilization were determined to be less effective than heat sterilization at preventing the spread of disease. An increased awareness of how to prevent the spread of blood-borne pathogens led to a decline in hand washing of instruments, especially those with sharp points and edges. This made way for ultrasonic cleaners and instrument washers to enter the industry to improve the safety and efficacy of instrument processing.
  4. Other infection control updates
    With the risks of the spread of deadly diseases such as HIV more widely understood, dental practices began implementing more stringent processes for cleaning waterlines, wiping down surfaces between appointments, and using protective barriers on surfaces and instruments that cannot be sterilized or sanitized.
  5. Government guidelines
    In 1986, the Centers for Disease Control and Prevention issued formal infection control guidelines for health care settings, standardizing how dental practices are expected to operate regarding sterilization, sanitization, staff training, and general protocols for keeping patients and practitioners safe.
  6. Blood-borne pathogen awareness
    Dental professionals have long known about the risks of transmitting disease in health care settings, but with the spread of both HIV and hepatitis B in the 1980s, the risks from viruses that are transmitted by blood and other body fluids became far more present, and training in how to mitigate those risks became standard.

These are some of the most noticeable ways the dental industry adapted to meet the challenges of the AIDS pandemic in the 1980s and early ’90s. Not every change adopted during the COVID-19 pandemic will stick around, but some will. For example, the industry’s new focus on aerosol risks and mitigation strategies is likely here to stay. Although change can be difficult, clinicians and patients are better off with every step practices take to make things safer.

Related Videos
CDS 2024 Midwinter Meeting – Interview with Debbie Zafiropoulos, who discusses a trio of new infection control products from Armis Biopharma.
GNYDM23 Product Focus: Henry Schein Maxima Turbo Class B Sterilizer with Dyan Jayjack
GNYDM23 Product Focus: Henry Schein Maxima PowerClean 210 with Dyan Jayjack
Greater New York Dental Meeting 2023 – Interview with Daniel Weinstein from Lura Health
Problem Solvers: BurButler bur blocks from Steiriliu
Exploring Artificial Intelligence in Dentistry with Overjet AI
Building a Safe and Efficient Practice: Protection from Bloodborne Pathogens – Requirements and Best Practices
Building a Safe and Efficient Practice: Controlling Airborne Pathogens in a Dental Setting
Building a Safe and Efficient Practice: Importance of Hand Hygiene in Infection Prevention
Building a Safe and Efficient Practice: Applying the Concepts of Risk Management to Infection Control
Related Content
© 2024 MJH Life Sciences

All rights reserved.