Ahtone J, Goodman R A
J Am Dent Assoc. 1983 Feb;106(2):219-22. doi: 10.14219/jada.archive.1983.0416.
Hepatitis B virus (HBV) infection is considered an occupational risk for dental professionals. The Centers for Disease Control have participated in eight investigations regarding dental professionals who were suspected of transmitting HBV infection to their patients. This article summarizes the findings of the investigations, the postulated mechanism of transmission of HBV, control measures suggested, and follow-up of the dental practice for those dentists who were chronic carriers of hepatitis B surface antigen. The approach by the centers for managing dental professionals who are HBsAg positive and those dental professionals who are HBsAg positive and implicated as transmitting HBV infection to patients are outlined. If HBV transmission cannot be interrupted, by suggested measures, then more restrictive measures should be decided on by state or local health officials, or both. These could include removal of the practitioner's license. HBV-infected dental personnel can transmit HBV infection to their patients. The measures suggested for the HBV carrier are designed to allow the dental practitioner to continue practice, but, at the same time, give maximum protection to the patient.
乙型肝炎病毒（HBV）感染被认为是牙科专业人员面临的职业风险。疾病控制中心参与了八项针对涉嫌将HBV感染传播给患者的牙科专业人员的调查。本文总结了调查结果、HBV传播的假定机制、建议的控制措施，以及对乙肝表面抗原慢性携带者牙医的牙科诊所随访情况。概述了疾病控制中心对HBsAg阳性的牙科专业人员以及被认定将HBV感染传播给患者的HBsAg阳性牙科专业人员的管理方法。如果按照建议措施无法阻断HBV传播，那么应由州或地方卫生官员，或双方共同决定采取更严格的措施。这些措施可能包括吊销从业者执照。感染HBV的牙科人员可将HBV感染传播给患者。针对HBV携带者建议的措施旨在使牙科从业者能够继续执业，但同时为患者提供最大程度的保护。
