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Various authors have reported the presence of Legionella spp. in dental unit waterlines with prevalence rates reaching, in some cases, 69.7% In order to evaluate the association between occupational exposure to Legionella and risk of infection, anti-Legionella spp. antibodies were measured in 88 dental assistants, 44 of which exposed and 44 not exposed to dental environments. Antibody levels > 1:128 were considered positive for infection. Relative risk was found to be 3.5 (p<0.01). These results confirm the hypothesis that workers in dental health-care settings are at occupational risk for Legionella infection. It is essential, therefore, that surveillance of microbiological quality of dental waterlines be implemented and appropriate disinfection procedures performed where necessary.

The past two decades have witnessed a sharp rise in the incidence of work-related musculoskeletal disorders (WMSD). All occupations are involved; in dental professionals (dentists, dental hygienists and dental auxiliaries) this problem occurs in 54-93% of subjects, with higher risk in elderly subjects and women. Spine, shoulder, elbow and hand are mostly involved. Prevention of WMSD is becoming crucial and requires the identification and modification of risk factors. Individual characteristics of the worker--such as gender, age, stature, physical condition, strength, etc.--may contribute to the occurrence of these musculoskeletal disorders. Moreover, the specific occupation and work organisation may be the source of ergonomic hazards. Awkward postures, prolonged repetitive movements, intense work schedules or fast work pace represent important risk factors for WMSD. Sometimes the dentist's workstation is not suited to the specific professional characteristics and an ergonomic improvement is needed. Finally, factors connected with professional equipment (such as vibrations, or sharp and hard surfaces causing pressure points) may also contribute to generating WMSD in dental professionals.

Hygiene education for dental students is crucial in order to control and reduce the risk of infections in their future professional practices. The aim of this study was to evaluate the improvement in university students' knowledge of infectious disease prevention, dental instruments and environmental decontamination following the Course in Dental Hygiene and Prevention. 595 questionnaires were submitted to dental students at twelve Italian Universities; 335 were filled out before the Course began and 260 at the end of the same course. The students in both the PRE-course and at the POST-course evaluations demonstrated adequate knowledge regarding the transmission of infections in dental practices, knowledge improved following the Hygiene course.

In the definition of a surgical setting, there are some operative steps that precede, characterize and follow it. Whenever we talk about ergonomic protocols, these steps cannot be separated from the specific operation. Therefore the Author recommends an operative line based on parameters of safety and quality, easily feasible and repeatable many times during everyday routine of work.

HPLC was used to measure blood levels of methyl mercury in dentists and their assistants.