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Infection control
DR. ANUBHUTI
PRESENTED BY:
DR. ANUBHUTI
DENTAL INSTITUTE
RIMS
INFECTION CONTROL – Also called
“exposure control plan” by OSHA is a
required office program that is designed to
protect personnel against risks of exposure
to infection
vimal sikri pg no 145-149
Routes of
transmission
Inoculation
Direct contact of previously
damaged skin or mucous
membrane with a lesion or
injury due to contaminated
needle or debris from the oral
cavity
Inhalation
While using high
speed handpiece,
ultrasonic scalers
Ramyya raghu pg no 166
Why is infection control necessary in dentistry ?
Dental staff and patients may be exposed to a
wide variety of pathogenic microorganisms .
vimal sikri pg no 145-149
PATIENT
DENTIST
FAMILY
HYGIENIST ASSISTANT
LAB TECHNICIAN
vimal sikri pg no 145-149
Who is responsible for infection control in the dental
office ?
Each member of the dental
team must follow the
recommended guidelines
vimal sikri pg no 145-149
What should be done to prevent the transmission
of disease in the dental office ?
Hand
washing
Gloves Face
masks
Protective
eye wear
Protective
clothing
Instrument
sterilization
&
disinfection
vimal sikri pg no 145-149
Standard
Precaution
1.Immunization
2.Patient
screening
3.Hand
washing
4.Barrier
techniques
Personal
Protective
Equipment (PPE)
Rubber dam,
Pre-
procedural
rinsing
vimal sikri pg no 145-149
Standard
Precaution
5.Needle & sharp
instrument safety
Occupational
Exposure To
Blood/Body Fluids
6. sterilization &
disinfection
7.Surface
disinfection
8. Radiographic
asepsis
9. Laboratory
asepsis
vimal sikri pg no 145-149
vimal sikri pg no 145-149
Vaccine plays an important
role in the infection control
Hepatitis B is a major
health hazard
Hepatitis B Vaccine is must
vimal sikri pg no 145-149
Personal protective equipment ( PPE )
Disposable
patient
treatment
gloves
Surgical
mask
Face shield Protective
clothing
Heavy-duty
utility
gloves
vimal sikri pg no 145-149
These PPE must be used whenever you :
Perform other clinical activities that require handling contaminated items e.g.
radiographs , impressions , dentures or contaminated equipment and surfaces .
Any contact with body fluids
Performing tasks that could produce splash or spatter .
vimal sikri pg no 145-149
HAND HYGIENE
vimal sikri pg no 145-149
Hand washing is the single most important
procedure for preventing the spread of
infection. So , you must wash your hands
each time before you put on gloves and
immediately after you remove gloves .
GOOD
ANTIMICROBIAL
SOAP
BEST
vimal sikri pg no 145-149
BETTER
ALCOHOL -
BASED
HANDRUB
PLAIN
SOAP
Before wearing personal protective equipment, the dentist and
staff need to remove chunky jewelry and wrist watch, and examine
their hands for cuts and bruises and hangnails
Dental infection control & occupational safety for oral health problems by Anil kohli & Ragunath puttaiah
vimal sikri pg no 145-149
Water should follow from fingertips to the elbow & not
run back towards the area previously rinsed
Dental infection control & occupational safety for oral health problems by Anil kohli & Ragunath puttaiah
After hand washing, the cuts and bruises should be medicated and
covered using a band aid/dressing to avoid coming in contact with patient
material
Dental infection control & occupational safety for oral health problems by Anil kohli & Ragunath puttaiah
vimal sikri pg no 145-149
vimal sikri pg no 145-149
Gloves
Prevents contamination of hand and
control cross infection
Should be changed between patients
Don’t wash with detergents at any time
Remove gloves that are
torn, cut or punctured
vimal sikri pg no 145-149
Its an important barrier providing protection
from inhalation of aerosols, generated by
handpiece & air water syringes & also prevent
spatter from patients mouth
Don’t touch the mask with gloved hand
When wet should be changed
vimal sikri pg no 145-149
Face mask
vimal sikri pg no 145-149
Face
mask
White Blue
vimal sikri pg no 145-149
White side contains
filter & if you have
flu, it should be
attached to your face
so that blue side faces
out so as to prevent the
germs from spreading
outward
vimal sikri pg no 145-149
vimal sikri pg no 145-149
Protecting clothing
Wear gowns, lab coats, or uniforms that cover
skin and personal clothing likely to become
soiled with blood, saliva, or infectious material
Change if visibly soiled
Remove all barriers before leaving the
work area
Its highly beneficial for dentists
Herpes virus infection of eye & infection
from hepatitis B are possible consequences
of viral contact with the eye by aerosol spray
Put an eyewear before gloving & remove it
with clean hand after gloves are removed
vimal sikri pg no 145-149
Eyewear
Operator’s hair has
to be kept away
from the treatment
field by means of
surgical cap.
Ramyya raghu pg no 166
Headcap
All sharp instrument
should be disposed of
in designated puncture-
resistant containers
vimal sikri pg no 145-149
Needle & sharp instrument safety
Clinical operating area
Special designated
plastic are used to
cover the chair and
unit Changes the bag
after each patient
Dental Unit Waterlines and Biofilm
It may be
contaminated
by biofilm.
Ramyya raghu pg no 172
Biofilm is the colonization &
proliferation of microorganisms on
surface bathed by fluids
Since the flow rate in dental unit is
very low, biofilms can readily form
here.
Ramyya raghu pg no 172
vimal sikri pg no 145-149
As a result the water emitted
from handpiece & Air water
spray may have high
concentrations of
microorganisms some of
which may be pathogenic
While using handpieces ,these
organisms can be introduced
into patient’s oral cavity from
where they have the potential
to initiate systemic infections
Ramyya raghu pg no 172
VARIOUS WAYS TO REDUCE THE FORMATION OF BIOFILMS
Periodic flushing of dental unit water lines
with sterile water or 1:10 dilution of 5.25%
sodium hypochlorite is recommended .
Minimum of 20-30 sec of flushing of
waterlines between patients is recommended
Ramyya raghu pg no 172
VARIOUS WAYS TO REDUCE THE FORMATION OF BIOFILMS
Filters & antiretraction valves may be installed
in the waterline as close as possible to the point
of use.
Ramyya raghu pg no 172
VARIOUS WAYS TO REDUCE THE FORMATION OF BIOFILMS
Use of sterile water delivery systems
can also reduce the risk of transferring
potentially infective organisms
Ramyya raghu pg no 172
What are the common routes of
transmission of dental infections ?
Explain the personal barrier protection
methods in dentistry .
vimal sikri pg no 145-149
vimal sikri pg no 145-149

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Infection control

  • 3. INFECTION CONTROL – Also called “exposure control plan” by OSHA is a required office program that is designed to protect personnel against risks of exposure to infection vimal sikri pg no 145-149
  • 4. Routes of transmission Inoculation Direct contact of previously damaged skin or mucous membrane with a lesion or injury due to contaminated needle or debris from the oral cavity Inhalation While using high speed handpiece, ultrasonic scalers Ramyya raghu pg no 166
  • 5. Why is infection control necessary in dentistry ? Dental staff and patients may be exposed to a wide variety of pathogenic microorganisms . vimal sikri pg no 145-149
  • 7. Who is responsible for infection control in the dental office ? Each member of the dental team must follow the recommended guidelines vimal sikri pg no 145-149
  • 8. What should be done to prevent the transmission of disease in the dental office ? Hand washing Gloves Face masks Protective eye wear Protective clothing Instrument sterilization & disinfection vimal sikri pg no 145-149
  • 10. Standard Precaution 5.Needle & sharp instrument safety Occupational Exposure To Blood/Body Fluids 6. sterilization & disinfection 7.Surface disinfection 8. Radiographic asepsis 9. Laboratory asepsis vimal sikri pg no 145-149
  • 11. vimal sikri pg no 145-149
  • 12. Vaccine plays an important role in the infection control Hepatitis B is a major health hazard Hepatitis B Vaccine is must vimal sikri pg no 145-149
  • 13. Personal protective equipment ( PPE ) Disposable patient treatment gloves Surgical mask Face shield Protective clothing Heavy-duty utility gloves vimal sikri pg no 145-149
  • 14. These PPE must be used whenever you : Perform other clinical activities that require handling contaminated items e.g. radiographs , impressions , dentures or contaminated equipment and surfaces . Any contact with body fluids Performing tasks that could produce splash or spatter . vimal sikri pg no 145-149
  • 15. HAND HYGIENE vimal sikri pg no 145-149 Hand washing is the single most important procedure for preventing the spread of infection. So , you must wash your hands each time before you put on gloves and immediately after you remove gloves .
  • 16. GOOD ANTIMICROBIAL SOAP BEST vimal sikri pg no 145-149 BETTER ALCOHOL - BASED HANDRUB PLAIN SOAP
  • 17. Before wearing personal protective equipment, the dentist and staff need to remove chunky jewelry and wrist watch, and examine their hands for cuts and bruises and hangnails Dental infection control & occupational safety for oral health problems by Anil kohli & Ragunath puttaiah
  • 18. vimal sikri pg no 145-149 Water should follow from fingertips to the elbow & not run back towards the area previously rinsed Dental infection control & occupational safety for oral health problems by Anil kohli & Ragunath puttaiah
  • 19. After hand washing, the cuts and bruises should be medicated and covered using a band aid/dressing to avoid coming in contact with patient material Dental infection control & occupational safety for oral health problems by Anil kohli & Ragunath puttaiah
  • 20. vimal sikri pg no 145-149
  • 21. vimal sikri pg no 145-149 Gloves Prevents contamination of hand and control cross infection Should be changed between patients Don’t wash with detergents at any time
  • 22. Remove gloves that are torn, cut or punctured vimal sikri pg no 145-149
  • 23. Its an important barrier providing protection from inhalation of aerosols, generated by handpiece & air water syringes & also prevent spatter from patients mouth Don’t touch the mask with gloved hand When wet should be changed vimal sikri pg no 145-149 Face mask
  • 24. vimal sikri pg no 145-149
  • 26. White side contains filter & if you have flu, it should be attached to your face so that blue side faces out so as to prevent the germs from spreading outward vimal sikri pg no 145-149
  • 27. vimal sikri pg no 145-149 Protecting clothing Wear gowns, lab coats, or uniforms that cover skin and personal clothing likely to become soiled with blood, saliva, or infectious material Change if visibly soiled Remove all barriers before leaving the work area
  • 28. Its highly beneficial for dentists Herpes virus infection of eye & infection from hepatitis B are possible consequences of viral contact with the eye by aerosol spray Put an eyewear before gloving & remove it with clean hand after gloves are removed vimal sikri pg no 145-149 Eyewear
  • 29. Operator’s hair has to be kept away from the treatment field by means of surgical cap. Ramyya raghu pg no 166 Headcap
  • 30. All sharp instrument should be disposed of in designated puncture- resistant containers vimal sikri pg no 145-149 Needle & sharp instrument safety
  • 31. Clinical operating area Special designated plastic are used to cover the chair and unit Changes the bag after each patient
  • 32. Dental Unit Waterlines and Biofilm It may be contaminated by biofilm. Ramyya raghu pg no 172
  • 33. Biofilm is the colonization & proliferation of microorganisms on surface bathed by fluids Since the flow rate in dental unit is very low, biofilms can readily form here. Ramyya raghu pg no 172
  • 34. vimal sikri pg no 145-149
  • 35. As a result the water emitted from handpiece & Air water spray may have high concentrations of microorganisms some of which may be pathogenic While using handpieces ,these organisms can be introduced into patient’s oral cavity from where they have the potential to initiate systemic infections Ramyya raghu pg no 172
  • 36. VARIOUS WAYS TO REDUCE THE FORMATION OF BIOFILMS Periodic flushing of dental unit water lines with sterile water or 1:10 dilution of 5.25% sodium hypochlorite is recommended . Minimum of 20-30 sec of flushing of waterlines between patients is recommended Ramyya raghu pg no 172
  • 37. VARIOUS WAYS TO REDUCE THE FORMATION OF BIOFILMS Filters & antiretraction valves may be installed in the waterline as close as possible to the point of use. Ramyya raghu pg no 172
  • 38. VARIOUS WAYS TO REDUCE THE FORMATION OF BIOFILMS Use of sterile water delivery systems can also reduce the risk of transferring potentially infective organisms Ramyya raghu pg no 172
  • 39. What are the common routes of transmission of dental infections ? Explain the personal barrier protection methods in dentistry . vimal sikri pg no 145-149
  • 40. vimal sikri pg no 145-149