Abstract
The purpose of the present study was to establish a system for the management of pincushion and cut wound accidents. A questionnaire survey was conducted among the members of the Midori Ward and Aoba Ward Dental Associations in Yokohama City (178 facilities).
A total of 72 accidents involving pincushion and cut wounds were reported. The occupational categories involved in the accidents included 36 dentists, 10 dental hygienists, and 6 assistants. Nineteen accidents occurred during recapping, and 15 occurred during root canal treatment, cavity preparation, and local anesthesia. In addition, 7 accidents occurred while washing instruments.
Most accidents were treated conventionally by washing the wound with flowing water and squeezing out blood. A wait-and-see approach was then usually taken (58 accidents). Five patients consulted physicians at hospitals, and 4 received intramuscular injection of interferon.
The Department of Gastroenterology, Showa University Fujigaoka Hospital has fully supported our association since April 2005.
Accidents involving pincushion and cut wounds are a common problem that are routinely diagnosed and treated. Safety measures during washing and sterilization are necessary to prevent accidents involving pincushion and cut wounds. However, safety measures after accidents have not been fully established. A contingency system is necessary not only for dentists, but also for medical treatment staff. Timely diagnosis and safe treatment are the ultimate goals.
