Pirotte J
Rev Belge Med Dent. 1980 Nov;35(4):134-7.
Dental practitioners may be likely candidates for either acquisition or transmission of B hepatitis. Detection of virus B markers in sera indicates that the incidence of both overt hepatitis and asympotomatic HBsAg carrier state is higher among dentists than among the general population. Carrier dentists can transmit hepatitis B but controlled studies concluded that the frequency at which this occurs is probably rare. Hepatitis may be transmitted by non parenteral routes from patients to dentists and from patients to patients, via saliva, or instruments contaminated by blood or saliva. Prevention of B hepatitis implies special precaution for treating high risk patients, the use of efficient sterilization methods and education of the dentists.
牙科从业者可能是乙肝病毒感染或传播的潜在对象。血清中乙肝病毒标志物的检测表明，与普通人群相比，牙医中显性肝炎和无症状乙肝表面抗原携带者状态的发生率更高。携带乙肝病毒的牙医可能会传播乙肝，但对照研究得出的结论是，这种情况发生的频率可能很低。肝炎可能通过非肠道外途径，经唾液、或被血液或唾液污染的器械，从患者传播给牙医，也可在患者之间传播。预防乙肝意味着对高危患者的治疗采取特殊预防措施、使用有效的消毒方法并对牙医进行教育。
