Infection Control in the Dental Office

Sebastiani, Francesco; Dym, Harry; Kirpalani, Tarun

doi:10.1016/j.cden.2016.12.008

Cited by 41 publications

(39 citation statements)

References 5 publications

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“…1 Hospital environments can be a source of transfer of pathogens; between patients, patient to doctor and among the staff, if infection control is not practiced adequately. 2 The infective agent can be transmitted via instruments contaminated with blood, saliva and tissue debris. 1 Cross infection control is a vital part of dental education and emphasis should be placed on its importance during the training of future dentists, in order for them to adopt the proper attitude towards infection control measures.…”

Section: Introductionmentioning

confidence: 99%

Cross infection control in private dental practice in Karachi, Sindh.

Das

Samejo

Ahmed³

et al. 2019

TPMJ

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The Aim of this study was to assess that what measures were taken routinely by private dental practitioners regarding cross infection control. Study Design: Cross sectional study. Setting: Private dental practitioners in Karachi. Period: 01-04-2018 to 30-09-2018. Materials and Methods: A questionnaire comprised of 10 questions was prepared regarding measures taken for infection control in private dental practice. The questionnaire was distributed randomly among 130 private dental practitioners by hand to carry out a cross sectional study on cross Infection control among the private dental practitioners in Karachi. The each question had two options (YES OR NO), and the respondents had to select one of the two. Results: The questionnaire was sent to 130 private dental practitioners, out of which 111 dentists responded and returned the questionnaire. The response rate was 85%. Following are the results obtained. 85% of participants asked detailed medical history. Majority of dentists (78%) were immunized against hepatitis B. 95 % of the participants stated that they wore gloves during dental treatment and change on each patient. Mask was worn and changed on each patient by 67% of dentists during treatment. Protective eyeglasses and protective face shield were worn by 20% and 2 % of respondents respectively during dental treatment. Majority of dentists (84%) used autoclave to sterilize the hand piece and 16% dentists used sterilized hand piece on each patient. 100% participants changed instruments such as extraction instruments, saliva ejector, hand piece, impression trays on each patient. Only 3% of participant disinfected the impression before sending to laboratory. Only 17 % participants used special container to disposal off sharp objects. Conclusion: Cross infection control measures need to be improved in private dental practice.

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Section: Introductionmentioning

confidence: 99%

Cross infection control in private dental practice in Karachi, Sindh.

Das

Samejo

Ahmed³

et al. 2019

TPMJ

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“…Dental professionals are widely exposed, either directly or indirectly, to a wide variety of microorganisms during their daily practice. 4 In order to combat this, the disinfection and sterilization of dental instruments and materials, including impressions, are recommended by the American Dental Association (ADA) and the Centre for Disease Control to prevent the possible transmission of infectious diseases, such as hepatitis B, HIV, and tuberculosis. 5 The precise fit of the dental prosthesis is the major factor impacting the success of the prosthodontic treatment, which in turn depends on the accurate recording of fine intraoral details.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of some properties of elastomeric dental impression materials after disinfection

Mikaeel¹,

Namuq²

2019

EDJ

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Backgrounds and objectives: Dental impressions present a risk to spread infections among dental practitioners and should be disinfected to prevent the spread of these microorganisms. Different disinfectant materials and techniques can be used to eliminate this threat. The purpose of this study was to evaluate the effect of some disinfectant materials with two different techniques on surface detail and dimensional stability of elastomeric impression materials. Materials and methods: Three dental impression materials were used in this study, Vinyl polysiloxane, Polyether and Vinyl polyether siloxane that were disinfected with sodium hypochlorite, Dettol and Cavex Impresafe by using two techniques, spraying and immersion methods for each. Results: The results of this study showed a significant difference of the dimensions between immediate and 48 hours after disinfection P<0.05 with the maximum change (1.5%) appeared with vinyl polysiloxane material when immersed in sodium hypochlorite for 10 minutes and stored for 48 hours, but this change was acceptable by the ADA. Polyether showed the least dimensional change of 0.05% after 7 hours from disinfection with Cavex impresafe and the latter caused the least change on the impression materials. Conclusion: Within the limitations of this in vitro study, it was concluded that dental impression materials can be disinfected without causing dimensional changes that affect the manufacture of dental prosthesis.

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“…Compliance with infection control recommendations and guidelines provides a safe working environment for dental health care personnel (DHCP) and their patients, to prevent or reduce the potential for infection transmission from patient to DHCP, from DHCP to patient, and from patient to patient [ 20 , 21 , 22 ]. Effective sterilization of instruments is crucial for prevention of transmission of communicable diseases, as well as delivery of quality dental care [ 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Observance of Sterilization Protocol Guideline Procedures of Critical Instruments for Preventing Iatrogenic Transmission of Creutzfeldt-Jakob Disease in Dental Practice in France, 2017

Bourgeois

Deroanne

Saliasi

et al. 2018

IJERPH

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Effective sterilization of reusable instruments contaminated by Creutzfeldt–Jakob disease in dental care is a crucial issue for public health. The present cross-sectional study investigated how the recommended procedures for sterilization were implemented by French dental practices in real-world settings. A sample of dental practices was selected in the French Rhône-Alpes region. Data were collected by a self-questionnaire in 2016. Sterilization procedures (n = 33) were classified into 4 groups: (1) Pre-sterilization cleaning of reusable instruments; (2) Biological verification of sterilization cycles—Monitoring steam sterilization procedures; (3) Autoclave performance and practitioner knowledge of autoclave use; (4) Monitoring and documentation of sterilization procedures—Tracking and tracing the instrumentation. Answers were provided per procedure, along with the global implementation of procedures within a group (over 80% correctly performed). Then it was verified how adherence to procedure groups varied with the size of the dental practice and the proportion of dental assistants within the team. Among the 179 questionnaires available for the analyses, adherence to the recommended procedures of sterilization noticeably varied between practices, from 20.7% to 82.6%. The median percentages of procedures correctly implemented per practice were 58.1%, 50.9%, 69.2% and 58.2%, in Groups 1, 2, 3 and 4, respectively (corresponding percentages for performing over 80% of the procedures in the group: 23.4%, 6.6%, 46.6% and 38.6%). Dental practices ≥ 3 dental units performed significantly better (>80%) procedures of Groups 2 and 4 (p = 0.01 and p = 0.002, respectively), while no other significant associations emerged. As a rule, practices complied poorly with the recommended procedures, despite partially improved results in bigger practices. Specific training regarding sterilization procedures and a better understanding of the reasons leading to their non-compliance are needed.

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Infection Control in the Dental Office

Cited by 41 publications

References 5 publications

Cross infection control in private dental practice in Karachi, Sindh.

Cross infection control in private dental practice in Karachi, Sindh.

Evaluation of some properties of elastomeric dental impression materials after disinfection

Observance of Sterilization Protocol Guideline Procedures of Critical Instruments for Preventing Iatrogenic Transmission of Creutzfeldt-Jakob Disease in Dental Practice in France, 2017

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