Sir, we write concerning the potential effect on tactile sensitivity with the wholesale introduction of latex-free gloves within dentistry. We do not deny their importance in patient safety and prevention of a potential anaphylactic reaction, yet we have concerns that they could create unnecessary strain, reduce the technical ability and affect the fine control required of dental surgeons, therapists and hygienists.

The problem with the majority of non-latex glove is their grip in wet environments becomes compromised. This can increase the risk of needlestick injury where perforation in latex-free gloves has been shown to be significantly higher than in the latex containing gloves.1 There is also a reduction in tactile sensation and reduced grip which can make procedures even more challenging and many of these procedures demand holding equipment ie a handpiece, for long periods. Therefore grip, digit force and technique to avoid cramp and injuries such as repetitive strain injury (RSI)2 are important for those with potentially a 40-year career in a manual field.

Many regular procedures such as enamel bonding, composite resin restorations, negotiating sclerosed canals, identification of subgingival calculus and multiple crown preparations require sensitive tactile sensation and prolonged dexterity. These are unique skills which to dental surgeons, dental therapists and hygienists are essential.

Could these difficulties with grip in wet environments have a negative effect on the quality of dental treatment being provided?

May it also have an effect on the skills of our future clinicians as well as cause possible RSI which could be a potentially costly work-induced injury?

Do we feel this issue is of any concern? Should we try to implement a change and would there be any merit in working with glove manufacturers to provide cost-effective latex-free gloves with suitable grip when wet?