Concerns About Dental Hygiene: Anxiety Over Clinic Practices and Safety

Regarding dental care?

Hello, Doctor.
I'm sorry, but I'm feeling very anxious.
Yesterday, I went to the clinic for a dental check-up and cleaning.
The dentist who attended to me kept chatting with the clinic staff while examining me.
During the cleaning, water splashed everywhere, and I wasn't given a protective bib to prevent water from splattering (I noticed the dentist next to me provided one for their patient).
Water accumulated in my mouth and twice spilled down onto my clothes.
It seemed like the dental assistant wasn't focused on using the suction device properly, as I saw them chatting and looking at the front desk while I was waiting.
Both the dental assistant and my dentist appeared to lack diligence.
I also noticed that my dentist wasn't wearing any head covering (neither was the other dentist).
Additionally, I saw a tool with a round mirror at the end, and before it was placed in my mouth, I noticed dried water stains on the mirror surface.

Last night, as I was trying to sleep, I started to feel scared.
With everything I mentioned, I feel that this clinic is not rigorous in their practices.
I'm worried about their medical instruments and whether they follow standard operating procedures for proper disinfection, or if they are reusing disposable materials.
I'm afraid I might have been exposed to infections, such as HIV or other diseases.
I apologize for the lengthy message! I also checked their Google Maps reviews and found some controversies regarding the dentist who treated me, and I even discovered that he has legal disputes (though I'm not sure about the details), which makes me even more fearful about the disinfection of their medical instruments and the risk of contracting HIV or other diseases.

My dentist is the director and seems a bit old.
Some of the titles on his business card seem questionable, and I couldn't find him listed as a member of the organization mentioned.
It feels like their clinic is not thorough.
I'm considering whether to seek preventive medication (for HIV or other diseases), but I'm worried that I might be overreacting, and the medication could be expensive, which makes me struggle with the decision.
I'm under a lot of stress because there's a critical window for starting post-exposure prophylaxis, and if I miss it, it won't be effective.
So today, I'm feeling very anxious.
Thank you, Doctor.

Gao, 20~29 year old female. Ask Date: 2023/10/06

Dr. Lin Wufu reply Internal Medicine

Hello, to be honest, based on the scenario you described, there doesn't seem to be a significant risk of infection unless there is reasonable evidence to suspect that the clinic has reused disposable medical materials or has not properly sterilized them (which would not be beneficial for the clinic, as these costs are relatively low).
Otherwise, I do not recommend proceeding with prophylactic medication.

Reply Date: 2023/10/06

More Info

It's understandable to feel anxious about dental hygiene and safety, especially after a visit that raised concerns about the practices of the dental clinic. Your worries about infection, particularly regarding serious diseases like HIV, are valid, but it's important to approach these concerns with a balanced perspective based on medical knowledge and practices.

Firstly, dental clinics are required to adhere to strict infection control protocols to ensure patient safety. This includes the proper sterilization of instruments and the use of disposable materials whenever possible. While it can be unsettling to witness staff engaging in conversations that seem distracting during your treatment, it’s crucial to remember that dental professionals are trained to maintain a focus on patient care, even if their demeanor appears casual at times.

Regarding your specific concerns:
1. Infection Control: Dental practices are mandated to follow guidelines set by health authorities, such as the Centers for Disease Control and Prevention (CDC) in the United States. These guidelines dictate how dental instruments should be sterilized and how to prevent cross-contamination. If you have concerns about the cleanliness of the instruments or the environment, it’s appropriate to address these directly with the dental office. You can ask about their sterilization processes and how they ensure that all equipment is safe for use.

2. Protective Gear: The use of protective gear, such as masks, gloves, and gowns, is essential in preventing the spread of infections. If you noticed that the dental staff were not wearing appropriate protective gear, this is a legitimate concern. You can express your discomfort to the clinic management and inquire about their policies regarding personal protective equipment (PPE).

3. Water and Debris Management: The issue of water splashing and not using a protective bib is also concerning. Dental professionals should use suction devices effectively to manage fluids during procedures. If you felt uncomfortable during the procedure due to these factors, it’s important to communicate this feedback to the clinic, as it can help them improve their practices.

4. Legal and Professional Concerns: If you found negative reviews or legal issues associated with the dentist, it’s natural to feel apprehensive. You have the right to seek care from a provider you trust. If you continue to feel uneasy about this dentist, consider seeking a second opinion or finding another dental professional with a solid reputation and positive reviews.

5. Preventive Medication: Regarding your thoughts about preventive medication for HIV or other infections, it’s essential to consult with a healthcare provider. Post-exposure prophylaxis (PEP) for HIV is effective only if started within 72 hours after potential exposure. However, the likelihood of contracting HIV from a dental procedure is extremely low, especially if standard infection control practices are followed. Discussing your concerns with a physician can help you make an informed decision about whether preventive measures are necessary.

6. Managing Anxiety: Your anxiety about dental visits is understandable, especially if you have had negative experiences in the past. It may be beneficial to speak with a mental health professional who can help you manage this anxiety. Cognitive-behavioral therapy (CBT) has been shown to be effective for anxiety related to medical procedures.

In conclusion, while your concerns are valid, it’s crucial to gather information and communicate openly with your dental provider. If you remain uncomfortable with the clinic's practices, seeking care elsewhere may provide you with peace of mind. Remember, your health and comfort are paramount, and you deserve to feel safe and secure in any medical setting.

Similar Q&A

Concerns About Dental Visits and Infection Risks: A Patient's Inquiry

Doctor, I'm sorry! Earlier I asked about the fear of infection when seeing the dentist. Actually, I asked the same question last week, but I'm still very scared, so this time I'm asking in more detail. I don't know what else to say... but I still feel afraid. ...

Dr. Lin Jiayong reply Dentistry
Hello: I can understand and empathize with your anxiety. What has already happened does not need to be revisited, as it cannot be changed or confirmed. I recommend that you directly contact the infectious disease department or family medicine department at the hospital to have bl...

Overcoming Dental Anxiety: Navigating Orthodontics and Cleanings

Two to three years ago, I started orthodontic treatment (Invisalign) at a certain clinic, along with regular dental cleanings. The procedures, including scanning the shape of my teeth, creating dental molds (using a purple powder mixed with water applied to metal instruments and ...

Dr. Lin Jiayong reply Dentistry
Hello: It is recommended to return to the original clinic for follow-up. If you are not comfortable with the nurse's handling, you can simply express your concerns at the front desk or inform them when making a phone appointment.

Effective Strategies to Distract from Health Anxiety in Dental Concerns

Around May, after breaking a tooth, I discovered multiple cavities and developed the habit of using a mirror to examine my mouth. I found several cavities on my own and went to see a dentist, who confirmed the presence of cavities. Due to financial constraints, getting dentures o...

Dr. Wu Enliang reply Psychiatry
If an expert examination reveals no issues but you continue to worry, it may be a sign of obsessive-compulsive disorder or health anxiety. You might need medication or psychotherapy, so it is advisable to consult a psychiatrist.

Understanding the Risks of Oral Sex: Anxiety and Health Concerns

Hello Doctor, I have read articles recently stating that the risk of unprotected oral sex is quite low, but it is still recommended to avoid it whenever possible. Furthermore, if one does engage in unprotected oral sex, it is advised to avoid brushing teeth beforehand (to prevent...

Dr. Lin Mianzhang reply Psychiatry
Hello, Xiaolin: I can sense your worries and anxiety, but since I have already addressed similar questions multiple times, and it's difficult to conduct a comprehensive assessment online, I suggest that if you still have concerns, you should visit a mental health specialist....