INFECTION CONTROL IN DENTAL LAB

PRESENTED BY: ANKIT PRABHAKAR GENESIS INSTITUE OF DENTAL SCIENCES AND RESEARCH,FEROZEPUR PUNJAB

CONTENTS
1 2 3 4 5

Introduction Scope and objectives Transmission of infection Clinical and laboratory disinfection

CDC dental guidelines for sterilization of instruments

INTRODUCTION

Why do we need to know about infection control?

A study has found that 67% of materials sent from dental office to laboratories were contaminated with bacteria of varying degree of pathogencity.`

Scope of this presentation

Occupational Risks
Direct contact

Infected saliva or blood

Airborne infection

From microbial laden aerosols

spatter

During lab procedures

When using knives and other sharp items

CHAIN OF INFECTION

Pathogen

Reservoir

Susceptible host

Portal of entry Indirect contact

Direct contact

GOALS/ ACTIONS

Make dental lab safe

Minimize potential

IC compliance

Immunization Barrier techniques Aseptic techniques

Transmission of infection
IMPRESSION

IMPRESSION TRAYS
Transmission of infection

ARTICULATOR

CASTS

OCCLUSAL RIMS

DENTAL PROSTHESIS

Infection control precautions

Prevention of cross contamination should always be a prime consideration in the dental lab.
Appropiate personal protective equipment

Frequent hand hygiene

Organization of dental lab into separate receiving , production & shipping areas.

BARRIER SYSTEMS
Hand washing Personal Protective equipments
Plain or antimicrobial soap

Gloves Mask & protective eye wear

Or an alcohol based hand rub

Chin length face shield

Labcoat

Disinfection of impressions
IMPRESSION COMPOUND REVERSIBLE HYDROCOLLOID IRREVERSIBLE HYDROCOLLOID POLYETHER Iodophors and sodium hypochlorite Iodophors and sodium hypochlorite Iodophors and sodium hypochlorite Iodophors and sodium hypochlorite Glutaraldehydes, iodophors

ZOE IMPRESSION PASTE POLYSULFIDE

Glutaraldehydes, iodophors

SILICONE

Glutaraldehydes, iodophors

CHOICE OF DISINFECTANT

METHODS OF DISINFECTION
Methods of disinfection

Spraying

Immersion

Uses less disinfectant

Same disinfectant can be used again

preferrable

Exposure of all surfaces

DENTAL LAB PROCEDURES

INCOMING ITEMS
Rinse to remove blood & saliva

OUTGOING ITEMS
Clean and disinfect

Disinfect

Rinse, dilute with mouthwash

Again rinse to remove disinfectant

Place in plastic bag

Add the annotate form

Label the plastic bag

ORALLY SOILED PROSTHESIS

Scrub with brush and antimicrobial soap. Place in plastic bag in ultrasonic cleaning solution.

Removed

Rinsed

Dried

Accomplished required work.

DENTAL PROSTHESIS
Do not exceed the recommended contact time to minimize corrosion. Do not store in disinfection before insertion.

Store in diluted mouthwash until insertion.

DISINFECTION OF CASTS
Most difficult to disinfect without causing damage. In such cases, can be sprayed with an iodophor or chlorine product Rinsed, handled in aseptic manner Transfer to the production area.

Dry properly, if shipping.

LAB EQUIPMENTS
Polishing lathe requires special attention. Pumice has been shown to pose a potential contamination risk Via aerosol or direct contact

This act as a barrier in the path of cross contamination.

CDC DENTAL GUIDELINES

Objectives - protect patients, practitioners , & staff. All blood and saliva is infectious.

Reviews scientific information & makes recommendations to protect the health of the population. Tracks disease trends & investigates disease outbreaks

RESPONSIBILITY
Responsibility

Practical code

Universal precautions

Standard precautions

Procedure kept cross infection control

Protect exposure from blood

Blood as well as from body fluids also.

GENERAL PREVENTION
VACCINATION
30 25 20 15 10 5 0 HIV HBV HCV

MEDICAL HISTORY
In order to identify pathological conditions, Drug induced conditions Malformations & abnormalities

Average Risk of Transmission after Percutaneous Exposure to Blood

SPECIFIC GUIDELINES
These guidelines apply in the care of all patients.

Disposal of wastes Cleaning and maintainance Personal hygiene

SUMMARY
Adhering to Standard precautions

Wearing protective personal equipments

Aseptic techniques

PREVENTION OF DISEASE TRANSMISSION

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