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PRESENTED BY :- DR SHARAD SHARMA
PG 1ST YEAR.
( RAMA DENTAL COLLEGE )
22-Apr-20Dr Sharad Sharma 2
Condition Right Now Though In Place Of This House Fly
We Ourselves Have Become The Vectors Of This Deadly
Disease.
A) Personal health
elements
Operatory asepsis
 Education and training
 Exposure prevention
 Personal protection
 Hand hygiene
 Sterilization
 Disinfection
 Aerosol reduction
 Regulated waste
management
 Dental unit waterlines
22-Apr-20Dr Sharad Sharma 3
A) LEVEL 1 B) LEVEL 2
 Direct physical contact with
suspected individual.
 Minimal symptoms like fever.
 No fluid production such as
vomiting , diarrhoea, bleeding
 Direct physical contact in
which accurate or controlled
risk assessment cannot be
done
 Uncontrolled patient
secretions.
 Unconscious patients
 Patients with communicable
difficulties.
22-Apr-20Dr Sharad Sharma 4
22-Apr-20Dr Sharad Sharma 5
A) Fluid resistant
long sleeved gown
B) Fluid resistant
surgical mask
C) Goggle or
faceshield
D) Gloves with
extended cuff
CONSTITUENTS OF LEVEL 1 PPE
22-Apr-20Dr Sharad Sharma 6
A) Fluid resistant long sleeved gown
B) Fluid resistant coverall
C) Powered air purifying respirator and its
accompanying suit
Options For Level 2 Personal Protection Kit :-
22-Apr-20Dr Sharad Sharma 7
A) Fluid
resistant long
sleeved gown
B) Fluid resistant
coverall
C) POWERED AIR
PURIFYING RESPIRATOR
(PAPR) and its
accompaning suit
22-Apr-20Dr Sharad Sharma 8
Constituents of personal protection equipment:-
A) Protective Gowns And Aprons :-
• They mainly act as a barrier and prevents the transmission of infection
from the patient.
• Mostly made up of polyester and polypropylene.
• Available in values of 60 and 90 GSM.
• 60 GSM is believed to limit the transmission of infection.
B) Face Shield :-
• Mainly made up of polycarbonate; prevents the airways from aerosols.
• Recently a new material PETG ( Polyethylene tetraphthalate glycol has
been used
SURGICAL MASK RESPIRATOR
 Mask are loose fitting,
covering the face and
mouth.
 One way protection to
capture the secretion
leaving the wearer.
 They are tight fitting
mask designed to
create the facial seal.
 Provide good two way
protection.
 Filters both inflow and
outflow of air ( non
valved respirators )
22-Apr-20Dr Sharad Sharma 9
22-Apr-20Dr Sharad Sharma 10
A) FFP 3 B) Half faced
respirator
C) Full faced
respirator
D) N 95
VARIOUS TYPES
OF RESPIRATORS,
22-Apr-20Dr Sharad Sharma 11
22-Apr-20Dr Sharad Sharma 12
GREEN ZONE
• Near the patient
room
•Mainly used for
donning of PPE kit
RED ZONE
• Patient room
with door closed
• Highly infectious
zone
AMBER ZONE
• Removal of the
PPE kit
• Door kept closed
• Stock of gloves
and sanitizer
present for
sanitization..
VARIOUS ZONES FOR DONNING AND DOFFING OF PPE
22-Apr-20Dr Sharad Sharma 13
HAND HYGIENE
22-Apr-20Dr Sharad Sharma 14
Operatory Asepsis :-
• We all are familiar with the basic sterilization protocol and
disinfection and they have to be followed in the usual way.
•Wiping the surfaces with isopropyl alcohol or either sanitizer spray
at least three times.
•For disinfection of impressions they can be immersed in sodium
hypochlorite or gluteraldehyde solution for 10 minutes.
•Povidone iodine is effective against corona virus .
•Povidone iodine dilluted with water can be attached with chair and
can be used for air rotors…
22-Apr-20Dr Sharad Sharma 15
Aerosol reduction :-
Aerosol is defined as a suspension of solid or liquid particle in a
gas with a particle size of less than 50 um.
Various methods to reduce aerosol reduction are :-
A) Electric handpiece :-
Electric handpieces can be used as they uses the motor for their
function ..
22-Apr-20Dr Sharad Sharma 16
Extra oral dental suction system :-
22-Apr-20Dr Sharad Sharma 17
22-Apr-20Dr Sharad Sharma 18
Effect Of Extra Oral Suction Unit :-
22-Apr-20Dr Sharad Sharma 19
INNOVATIVE IDEA :-
22-Apr-20Dr Sharad Sharma 20
RUBBER DAM :-
POP UP TENT :-
22-Apr-20Dr Sharad Sharma 21
NEGATIVE PRESSURE ROOM
22-Apr-20Dr Sharad Sharma 22
HEPA FILTER :-
22-Apr-20Dr Sharad Sharma 23
LAMINAR FLOW IN OPERATING ROOM
22-Apr-20Dr Sharad Sharma 24
CHEMICALS BELIEVED TO BE EFFECTIVE AGAINST
CORONA VIRUS :-
A) 62-72 % Ethanol
B) 2% Glutardehyde
C) 0.1% Sodium Hypochlorite
D) 5% Hydrogen Peroxide
According To Ruhr University Of Germany .
22-Apr-20Dr Sharad Sharma 25
THANK YOU
22-Apr-20Dr Sharad Sharma 26

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Infection control in dentistry post novel corona virus

  • 1. PRESENTED BY :- DR SHARAD SHARMA PG 1ST YEAR. ( RAMA DENTAL COLLEGE )
  • 2. 22-Apr-20Dr Sharad Sharma 2 Condition Right Now Though In Place Of This House Fly We Ourselves Have Become The Vectors Of This Deadly Disease.
  • 3. A) Personal health elements Operatory asepsis  Education and training  Exposure prevention  Personal protection  Hand hygiene  Sterilization  Disinfection  Aerosol reduction  Regulated waste management  Dental unit waterlines 22-Apr-20Dr Sharad Sharma 3
  • 4. A) LEVEL 1 B) LEVEL 2  Direct physical contact with suspected individual.  Minimal symptoms like fever.  No fluid production such as vomiting , diarrhoea, bleeding  Direct physical contact in which accurate or controlled risk assessment cannot be done  Uncontrolled patient secretions.  Unconscious patients  Patients with communicable difficulties. 22-Apr-20Dr Sharad Sharma 4
  • 5. 22-Apr-20Dr Sharad Sharma 5 A) Fluid resistant long sleeved gown B) Fluid resistant surgical mask C) Goggle or faceshield D) Gloves with extended cuff CONSTITUENTS OF LEVEL 1 PPE
  • 6. 22-Apr-20Dr Sharad Sharma 6 A) Fluid resistant long sleeved gown B) Fluid resistant coverall C) Powered air purifying respirator and its accompanying suit Options For Level 2 Personal Protection Kit :-
  • 7. 22-Apr-20Dr Sharad Sharma 7 A) Fluid resistant long sleeved gown B) Fluid resistant coverall C) POWERED AIR PURIFYING RESPIRATOR (PAPR) and its accompaning suit
  • 8. 22-Apr-20Dr Sharad Sharma 8 Constituents of personal protection equipment:- A) Protective Gowns And Aprons :- • They mainly act as a barrier and prevents the transmission of infection from the patient. • Mostly made up of polyester and polypropylene. • Available in values of 60 and 90 GSM. • 60 GSM is believed to limit the transmission of infection. B) Face Shield :- • Mainly made up of polycarbonate; prevents the airways from aerosols. • Recently a new material PETG ( Polyethylene tetraphthalate glycol has been used
  • 9. SURGICAL MASK RESPIRATOR  Mask are loose fitting, covering the face and mouth.  One way protection to capture the secretion leaving the wearer.  They are tight fitting mask designed to create the facial seal.  Provide good two way protection.  Filters both inflow and outflow of air ( non valved respirators ) 22-Apr-20Dr Sharad Sharma 9
  • 10. 22-Apr-20Dr Sharad Sharma 10 A) FFP 3 B) Half faced respirator C) Full faced respirator D) N 95 VARIOUS TYPES OF RESPIRATORS,
  • 12. 22-Apr-20Dr Sharad Sharma 12 GREEN ZONE • Near the patient room •Mainly used for donning of PPE kit RED ZONE • Patient room with door closed • Highly infectious zone AMBER ZONE • Removal of the PPE kit • Door kept closed • Stock of gloves and sanitizer present for sanitization.. VARIOUS ZONES FOR DONNING AND DOFFING OF PPE
  • 13. 22-Apr-20Dr Sharad Sharma 13 HAND HYGIENE
  • 14. 22-Apr-20Dr Sharad Sharma 14 Operatory Asepsis :- • We all are familiar with the basic sterilization protocol and disinfection and they have to be followed in the usual way. •Wiping the surfaces with isopropyl alcohol or either sanitizer spray at least three times. •For disinfection of impressions they can be immersed in sodium hypochlorite or gluteraldehyde solution for 10 minutes. •Povidone iodine is effective against corona virus . •Povidone iodine dilluted with water can be attached with chair and can be used for air rotors…
  • 15. 22-Apr-20Dr Sharad Sharma 15 Aerosol reduction :- Aerosol is defined as a suspension of solid or liquid particle in a gas with a particle size of less than 50 um. Various methods to reduce aerosol reduction are :- A) Electric handpiece :- Electric handpieces can be used as they uses the motor for their function ..
  • 16. 22-Apr-20Dr Sharad Sharma 16 Extra oral dental suction system :-
  • 18. 22-Apr-20Dr Sharad Sharma 18 Effect Of Extra Oral Suction Unit :-
  • 19. 22-Apr-20Dr Sharad Sharma 19 INNOVATIVE IDEA :-
  • 20. 22-Apr-20Dr Sharad Sharma 20 RUBBER DAM :- POP UP TENT :-
  • 21. 22-Apr-20Dr Sharad Sharma 21 NEGATIVE PRESSURE ROOM
  • 22. 22-Apr-20Dr Sharad Sharma 22 HEPA FILTER :-
  • 23. 22-Apr-20Dr Sharad Sharma 23 LAMINAR FLOW IN OPERATING ROOM
  • 24. 22-Apr-20Dr Sharad Sharma 24 CHEMICALS BELIEVED TO BE EFFECTIVE AGAINST CORONA VIRUS :- A) 62-72 % Ethanol B) 2% Glutardehyde C) 0.1% Sodium Hypochlorite D) 5% Hydrogen Peroxide According To Ruhr University Of Germany .