Infection Control in Dental Clinic

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  • Topic: Dentistry, Dental surgery, Dental assistant
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  • Published : January 26, 2013
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INFECTION CONTROL IN THE DENTAL PRACTICE
Dr. Darshak K. Shah
{B.D.S.}
Tutor, Faculty of Dental Science, DDU, Nadiad
Dr. Lopa D. Shah
{B.D.S.}
Tutor, Faculty of Dental Science, DDU, Nadiad

The goal of infection control is to prevent the spread of infection from one patient to another patient and to the treating healthcare worker. Prevention of cross infection is the most important aspect of infection control and measures to achieve the same need to be practical and economical. Many of infection control measures called “Universal precautions” are recommended by national dental associations and are mandatory for good clinical practice.

• Emerging infections of concern to the dentist are +1
Hepatitis B
Tuberculosis
Aids
Herpes
• Cross infection control - protocols +3
No patient-to-patient cross contamination
No health care worker to patient body fluid transfer To ensure each patient that the level of general cleanliness and sanitation will be maintained within professional standards of care in dentistry. To ensure each patient most effective infection control materials and methods will be used in office.

Universal precaution for the prevention of disease transmission as recommended by the CDC.(Centre of Disease control)

RECOMMEDATION FOR PROTECTION IN ALL DENTAL CLINICS +4

• Staff protection :
1. All staff should wear Eye protector glasses, Mask and gloves 2. All saliva & blood should be wiped from impression materials before handing over to technician. 3. Cotton balls/rolls/gauze pieces, after patient use should be dropped immediately into a plastic lined bucket. 4. Double gloving for all procedure.

• Patient protection :
1. Adequate sets of instruments to be made available such as a}diagnostic set, b}extraction instruments set c} surgical set, d}scaling instruments e}restorative set, so that no instrument has to be reused during the day, but can be suitably cleaned, sterilized and used the next day. 2. Disposable plastic syringes and needles are used and destroyed after use. 3. Stainless steel burs to be autoclaved between patients. 4. Patients to be given plastic/disposable bibs/fresh towels. 5. Light cure heads wiped with disinfectant like gluteraldehyde before use.

UNIVERSAL PRECAUTIONS IN DENTAL OPD +6

• Before the start of a treatment session

• Clean with detergent :
1) All items and equipment including
a. chair, base, head rest, stand
b. Side arm and tray holder
c. Air rotor couplings
d. Light
e. Suction bottles {change bottles }
2) House keeping surfaces like
a. Drawers
b. Counter top
c. Wash basin
d. Window sill and blinds
e. Floor
• Line the waste bucket with a plastic bag.
• Change hand towels or replenish tissues. Arrange sterile instrument sets, gauze and cheatle forceps, patient towels, disposable syringes and needles in the clinic. • All treating staff should wear glasses, gloves, mask and apron. • In between patients :

• Wipe tray holder with a suitable disinfectant solution and clean spittoon area. • Change 3-way syringe tip, air rotor / surgical hand piece and light • cure tip if used.
• Used items should be sterilized.
• Used gauze, wrappers, syringes and extracted teeth to be carefully disposed into waste bucket. • Used instruments to be collected and sterilized.
• Remove gloves and wash hands.
• Disinfact all surface of the dental chair.
• Prepare the serilised instrument set for the next patient. • Change the tumbler and give a fresh bib to the new patient. • Adjust the chair and light position.
• Reglove.
• During procedure :
The following surfaces are to be handled by the dental assistant or dental nurse wearing over gloves or a plastic...
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