Infectin control in dentistry

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    INFECTION CONTROL

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    Our

    FieldBlo

    o

    d Tray

    s

    Syrin

    ge

    Instru

    men

    Table

    Bacte

    ria

    Virus

    Dontforge

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    &

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    CHAIN OF INFECTIONAll links must be connected for infection to take place

    Pathogen

    Source

    ModeEntry

    SusceptibleHost

    (sufficient virulence& adequate numbers)

    (allows pathogen tosurvive & multiply)

    (of transmissionfrom source to host)

    (portal that thepathogen can

    enter the host)

    (i.e., one that is not immune)

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    DISINFECTION

    Plastic instruments or any heat sensitive itemscontaminated by handling should be disinfected(by spray or immersion technique based on type

    of item) after each use.

    Examples:-Mixing spatula, Mixing bowl

    Aim:-Incomplete destruction of lifesex. -destroying bacteria, fungi and yeast

    -not the virus and their spores.

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    DISINFECTING IMPRESSIONS

    -:Many variables can affect impressionmaterials

    1-Composition and concentration of disinfectants.2-Exposure time.

    3-Physical/chemical properties ofmaterial/disinfectant.-:Methods Spraying, dipping, immersing

    Steps:-

    1-Clean and rinse impression.2-Cleaning efficiency improved by scrubbingimpression with brush.

    3-Spray, dip, or immerse impression in disinfectant andplace in sealed bag.

    4-After required contact time, rinse impression andpour-up.

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    DISINFECTING IMPRESSIONS

    PRAY TECHNIQUE

    PING/IMMERSION TECHNIQUEClick to edit Master text stSecond l

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    Heat sterilize all metal and heat-stable instruments

    that contact oral tissues, contaminatedappliances, or potentially contaminated appliancesshould be heat sterilized after each use.

    Aim:-

    Complete destruction of all lifes form ofmicroorganismsIncluding:-

    Bacteria, Virus & their spores, fungiand yeast.

    STERILIZATIONS

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    utoclave

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    ity displacement (type "N)

    Steam

    Air

    30AirWater

    Solid unwrapped instruments

    Positive pressuredisplacement

    Modified (type "N)

    SteamGenerat

    or

    Decreases autoclave cycle times

    Heated

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    ity displacement (type "N)S

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    Steam

    Steam

    Generator

    Vacuum

    Pump

    Air

    Negative pressure, or vacuum

    displacement

    (type "S)

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    larged negative pressure displacement autoclaves

    (type "B)

    refers to Big

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    The Statim S-cycleCassette

    Autoclave

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    M3 ULTRAFASTCassette

    Autoclave

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    Cycle type N-cycle B-cycle S-cycle (Statim)

    Materials thatcan besterilized

    solid only solid/hollow solid/hollow

    non-wrappedonly

    multi-wrapped/non-wrapped

    wrapped/non-wrapped

    porous

    Air removal forced pressure pulsed

    25 minutes 45 minutes 6-9 minutes

    Types of autoclave

    The ideal sterilization cycle for the dental practice is one that canhandle both hollow and solid instruments, wrapped or unwrapped.

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    eam Sterilization

    -Dental handinstruments-Dental handpieces

    STERILIZATIONS

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    -Carbon steel instruments other than specified-Burs in blocks-Instrument kits and cassettes

    -Dental hand instruments-Dental handpieces

    ry Heat Sterilization

    STERILIZATIONS

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    Instruments to besterilizedBurs &Stones

    Endodontic files

    Hand

    instruments (Cassette)

    STERILIZATIONS

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    ontra-Angle(Handpieces)

    Should besterilized not

    disinfected

    STERILIZATIONS

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    STERILIZATIONS

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    *PROTECTION OF DHCW

    Include:-1-Vaccination against common virus ex.

    HBV ,T.B ,H1N1 & H1N5

    2-Hand washing with plain or antimicrobialsoap.

    3-Use effective Barriers:-a-Gloves

    b-Maskc-Protective

    eye wear

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    *DHCW= Dental Health Care Wo

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    GLOVES

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    Remove gloves thatare torn, cut or punctured

    Do not wash, disinfector sterilize gloves for reuse

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    Cleaning of the fieldS

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    Cleaning of the fieldS

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    Cleaning of the field

    rapping

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    Cleaning of the fieldS

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    Cleaning instruments afterfinishing1-Ultrasonic cleaner

    2-Instrument washer3-Washer-disinfector

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    Storage of instrumentsS

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    Storage of instrumentsS

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    Storage of instrumentsS

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    BE SURE

    1-Any material used must be clean anddisinfected.2-Any material have to come in contact

    with blood or saliva should besterilized after using.3-Dont reuse any disposable item.4-SHARP instruments should be

    discarded in labeled a-puncture-resistant container.

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    Common Errors in Dental

    Clinic

    Dont open faucet byinfected hand

    Dont recap the needlewith your hand

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    Common Errors inDental Clinic

    Syring

    e Sterilize

    Wrapped

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    Common Errors in DentalClinicS

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    Save your life & yourpatient life

    With minimum procedure &maximum protection

    Remember, Its not theconditions,

    It

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