Instrument disinfection
I saw two types of suction devices while visiting the dentist.
Later, I found out online that one is called water suction (a bendable, transparent type that hangs in the patient's mouth), and the other is called high power suction (a strong suction device, slightly bent, opaque, usually white or yellow, often seen held by dental assistants).
1.
It is commonly known that suction devices are disposable, but is the disposable nature of suction devices limited to water suction only?
2.
Regarding high power suction, according to infection control standards, is it considered "disposable and single-use" or "can be sterilized and reused"? (I saw on Yahoo Kimo that someone mentioned high power suction can be sterilized, and I'm unsure if that information is accurate, as it's difficult to determine the truth of online information.
I would like to consult a physician before seeking treatment.)
3.
If high power suction is made of plastic, what type of plastic is it made from? Can it withstand sterilization in an autoclave at temperatures above 100 degrees Celsius? Will the sterilization process release toxic substances or phthalates that could contaminate the autoclave and subsequently other instruments?
4.
If high power suction can be sterilized and reused, will "each individual" use a "dedicated high power suction device that has been sterilized"? (I am concerned that high power suction may only be sterilized a few times a day, and for the remaining time, it may only be soaked in disinfectant without autoclaving.
This would mean that only the first patient of the day benefits from an uncontaminated, autoclaved suction device, while subsequent patients would only use suction devices that have been disinfected with a solution but not autoclaved.)
5.
If a plastic high power suction device becomes contaminated with blood and saliva and cannot be sterilized in an autoclave, according to dental infection control standards, can it be disinfected and reused? If it can be reused, what disinfectant solution should be used for soaking? Is the disinfection time sufficient? Does the disinfectant effectively eliminate viruses that could be transmitted through blood or saliva?
As winter approaches, is there a risk of a resurgence of the COVID-19 virus hidden among patients? Given my age and chronic illnesses, I am deeply concerned about becoming severely ill.
In addition to COVID-19, my grandson is worried about enteroviruses that cannot be disinfected with alcohol, and my son is concerned about hepatitis A, C, or B viruses (since the suction device may draw in a mixture of saliva and blood from a patient's wound, with dried blood sometimes present at the suction tip, and the suction process may occasionally contact the patient's mucous membranes or tongue).
There are also concerns about various chronic disease-causing viruses such as EB virus, herpes virus, varicella virus, and CMV virus.
Thank you, doctor, for your assistance.
🙏
A Kai, 30~39 year old female. Ask Date: 2020/11/03
Dr. Zeng Guanghui reply Dentistry
Hello Akai: The flexible transparent saliva suction tube is disposable, while the high-power saliva suction tube is sterilized through high temperature and pressure, packaged individually, and then reused.
Of course, the plastic material should be discarded after being deformed due to multiple high-temperature and high-pressure sterilizations.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2020/11/03
More Info
When it comes to dental suction devices, understanding their safety, sterilization, and usage is crucial for both patients and dental professionals. There are two main types of suction devices commonly used in dental practices: the water suction and the high-power suction. Each serves a specific purpose and has different protocols regarding their use and sterilization.
1. Disposable Nature of Suction Devices: Generally, both types of suction devices are designed with patient safety in mind. The water suction, which is often a flexible, transparent tube, is typically single-use and disposable. This means that after each patient, it is discarded to prevent cross-contamination. On the other hand, the high-power suction, which is usually made of a more rigid material and may be opaque, can vary in its usage. While many dental practices opt for disposable high-power suction devices, some may use reusable ones that can be sterilized.
2. Sterilization of High-Power Suction Devices: The question of whether high-power suction devices can be reused after sterilization is important. In many dental offices, high-power suction devices are indeed designed to be reusable and can be sterilized. However, this depends on the materials used in their construction. If they are made from a durable plastic that can withstand high temperatures, they can be subjected to autoclaving (high-pressure steam sterilization). It is essential to confirm with the dental office about their specific protocols, as practices may vary.
3. Material Composition: The materials used for these suction devices are typically medical-grade plastics that are designed to endure sterilization processes. Common materials include polycarbonate or polypropylene, which can withstand high temperatures without releasing harmful substances. However, it is crucial to ensure that the specific type of plastic used is suitable for autoclaving to avoid any potential leaching of toxic substances.
4. Usage Protocols: If a dental office uses reusable high-power suction devices, they should have a strict protocol in place for sterilization. Ideally, each patient should receive a suction device that has been properly sterilized. If the office only uses chemical disinfection methods (like soaking in disinfectant solutions), it may not be as effective as autoclaving, especially for devices that have been contaminated with blood or saliva.
5. Infection Control Standards: According to infection control standards, any suction device that has been contaminated with blood or saliva should be sterilized before reuse. If a suction device cannot be sterilized due to its material, it should be disposed of after a single use. The disinfection process typically involves soaking in a solution that is effective against a broad spectrum of pathogens, including viruses and bacteria. The contact time for effective disinfection can vary depending on the solution used, so it is crucial for dental practices to follow the manufacturer's instructions.
6. Concerns About Viral Infections: With the ongoing concerns about viral infections, including COVID-19, it is understandable to be cautious about potential exposure during dental visits. Dental practices are required to adhere to strict infection control protocols to minimize the risk of transmission. This includes the use of personal protective equipment (PPE) by dental staff, proper sterilization of instruments, and the use of disposable items whenever possible.
In summary, when visiting a dental office, it is important to inquire about their specific practices regarding suction devices. Understanding whether they use disposable or reusable devices, how they are sterilized, and what materials they are made from can help alleviate concerns about safety and infection control. Always feel free to ask your dental provider about their protocols to ensure a safe and comfortable experience.
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