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INFECTION CONTROL IN

DENTAL LAB
PRESENTED BY:
Eldsouky Mohammed Ahmed Eldsouky 51017096
Mahmoud Yasser Kamel Sakr 51017349
Abdelrhman Tarek abdelkadr 51017501
Mohamed Abdelhalim Elshobaki 51017506
PRESENTED TO/DR Mona Mostafa El Ramady
CONTENTS
1 Introduction
2 Scope and objectives

3 Transmission of infection

4 Clinical and laboratory disinfection


5 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
•Infected saliva or
Direct contact blood

• From microbial
Airborne
laden aerosols
infection

• During lab
spatter procedures

• When using knives and


other sharp items
CHAIN OF INFECTION

Pathogen Reservoir

Susceptible host

Portal of entry Direct contact

Indirect contact
GOALS/ ACTIONS

Make dental Minimize IC compliance


lab safe potential

 Immunization
 Barrier techniques
 Aseptic techniques
Transmission of infection
IMPRESSION

IMPRESSION ARTICULATOR
TRAYS

Transmission
of infection

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 Gloves
soap

Or an alcohol Mask & protective


based hand eye wear
rub

Chin length face


shield

Labcoat
Disinfection of impressions
IMPRESSION Iodophors and sodium
COMPOUND hypochlorite
REVERSIBLE Iodophors and sodium
HYDROCOLLOID hypochlorite

IRREVERSIBLE Iodophors and sodium


HYDROCOLLOID hypochlorite

POLYETHER Iodophors and sodium


hypochlorite

ZOE IMPRESSION Glutaraldehydes, iodophors


PASTE

POLYSULFIDE Glutaraldehydes, iodophors

SILICONE Glutaraldehydes, iodophors


CHOICE OF DISINFECTANT
METHODS OF DISINFECTION

Methods of
disinfection

Spraying Immersion

Uses less Same Exposure of all


disinfectant disinfectant can preferrable surfaces
be used again
DENTAL LAB PROCEDURES
INCOMING OUTGOING
ITEMS ITEMS

Rinse to Clean and


remove blood
& saliva disinfect

Rinse, dilute
Disinfect with
mouthwash

Again rinse to
remove Place in
disinfectant plastic bag

Add the Label the


annotate form 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

Universal Standard
Practical code
precautions precautions

Procedure kept Protect Blood as well


cross infection exposure from as from body
control blood fluids also.
GENERAL PREVENTION

VACCINATION MEDICAL HISTORY

30 •In order to identify


25 pathological conditions,
20
15
10 •Drug induced conditions
5
0 •Malformations &
HIV HBV HCV
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
Wearing Standard
protective precautions
personal
equipments

Aseptic
techniques

PREVENTION OF DISEASE
TRANSMISSION
Thank you

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