Reactions to Acrylates in Dentistry and Related Factors - The First Croatian Survey Study on Reactions to Acrylates in Dentistry.

Abstract

Objective: Our aim was to examine the potential impact of acrylate exposure and the influence of other associated factors on skin and mucosal changes/lesions among dental professionals and students.

Materials and methods: In this cross-sectional field study, we used a questionaire to survey 136 participants-including dentists, dental technicians, nurses, assistants, and students-to assess skin conditions and the impact of acrylates on skin and mucosal disorders.

Results: A high prevalence of self-reported work-related skin changes in dentistry was recorded, affecting 65% of dental professionals/students, with the highest frequency among dental technicians (78%) and assistants (77%), followed by students (52%) and dentists (49%). Dental technicians were significantly more frequently in daily contact with acrylates (54%) than others (students 13%, dental assistants/nurses 19%) and had a markedly higher prevalence of skin lesions after contact with acrylates (71.7%). The most common manifestations were hand eczema/fissuring (29.4%), facial/neck eczema (14.7%) and periungual dermatitis (11.8%). Those who reported acrylates as an aggravating factor had significantly more facial/neck eczema (p=0.003). Other significant findings: contact with contact lenses and hearing aids was a predictor of periungual dermatitis (p=0.028); contact with artificial eyelashes and hair extensions was a predictor of mucosal symptoms (p=0.006); and the contact with diabetic devices, TENS/ECG electrodes, was more frequently associated with hand eczema/fissuring (p=0.026).

Conclusion: Skin lesions in dental professionals and students, particularly dental technicians, are shown to be linked to acrylate exposure in this first Croatian study. Consequently, the implementation of additional protective measures is highly recommended.