Instrument sterilization
1.
Regarding the X-ray equipment commonly used at the dentist's office, such as the XCP ring, crocodile clips, and bite blocks:
a.
Are these three items disposable?
b.
If they are not disposable, what method is used for disinfection and sterilization? Can they all be sterilized using autoclaving? Is there a separate set for each patient that undergoes autoclaving?
c.
If autoclaving is not possible, what type of disinfectant solution is used? Is it CIDEX or alcohol?
d.
When patients bite on these items, are they covered with plastic wrap?
2.
a.
Is the probe of the 3D intraoral scanner used for making dental crowns disposable? (It is fully contained within the mouth.)
b.
If it is not disposable, what method is used for disinfection and sterilization? Can it be sterilized using autoclaving? Is there a separate set for each patient that undergoes autoclaving?
c.
If autoclaving is not possible, what type of disinfectant solution is used? (Is it CIDEX, alcohol, or another type of disinfectant?)
d.
Is a transparent plastic sleeve typically used on the intraoral scanner probe? Does the plastic sleeve affect the scanning results? I apologize for my concerns as I need dental work done soon.
Thank you.
Zhihong, 30~39 year old female. Ask Date: 2020/11/13
Dr. Zeng Guanghui reply Dentistry
Dear Mr.
Chih-Hung,
1.
The plastic ring used in the X-ray is not disposable; however, it is sent for EO (ethylene oxide) sterilization after each patient's use.
This is because plastic products are not resistant to high-temperature and high-pressure sterilization.
If the plastic ring is EO sterilized and sealed in packaging, there is no need to cover it with a plastic film.
2.
Some 3D intraoral scanners have detachable scanning heads that can be sterilized using high-temperature and high-pressure methods, while others are covered with a transparent plastic sleeve and are disposable, which does not affect the scanning results.
Sincerely,
Director Chuang-Hui Tseng, Dental Department, Nantou Hospital
Reply Date: 2020/11/13
More Info
When it comes to dental equipment sterilization, it’s essential for patients to understand the protocols in place to ensure their safety and health during dental procedures. Here’s a comprehensive overview addressing your concerns regarding the sterilization of dental tools and equipment.
1. X-ray Equipment and Accessories
a. Are the XCP ring, crocodile clips, and bite blocks disposable?
Most dental practices use disposable components for X-ray procedures, particularly for items that come into direct contact with the patient’s mouth, such as bite blocks. These are typically made from plastic and are discarded after a single use to prevent cross-contamination.
b. If not disposable, how are they sterilized?
If any of these items are reusable, they would need to undergo a stringent sterilization process. High-pressure steam sterilization (autoclaving) is the most common method used in dental offices. However, not all items can withstand high temperatures. Therefore, it’s crucial to check with your dental office about their specific protocols.
c. What if high-pressure sterilization isn't possible?
In cases where high-pressure sterilization is not feasible, dental practices may use chemical disinfectants. Commonly used solutions include glutaraldehyde (like Cidex) or other EPA-approved disinfectants. Alcohol is generally not recommended for sterilization of dental instruments as it does not effectively kill all pathogens.
d. Are plastic covers used when patients bite these items?
Yes, dental offices typically use plastic barriers or covers on items like bite blocks and X-ray holders. This practice minimizes direct contact and reduces the risk of cross-contamination. After each patient, these covers are disposed of, and the underlying equipment is cleaned and sterilized as necessary.
2. 3D Intraoral Scanners
a. Are the tips of 3D intraoral scanners disposable?
The tips of 3D intraoral scanners can either be disposable or reusable, depending on the model used by the dental practice. Many modern scanners come with disposable tips that are replaced after each patient to ensure hygiene.
b. If not disposable, how are they sterilized?
For reusable tips, they should be sterilized using high-pressure steam sterilization if they can withstand the heat. If not, they may require chemical disinfection.
c. What if high-pressure sterilization isn't possible?
If high-pressure sterilization is not an option, dental practices may use chemical disinfectants. The specific disinfectant used would depend on the manufacturer's recommendations for the scanner.
d. Is a plastic cover used during the scanning process?
Yes, a plastic cover is often used over the scanner tip to prevent contamination. This cover does not typically affect the scanning results, as it is designed to be thin and transparent, allowing for accurate data capture.
Conclusion
Understanding the sterilization processes in your dental office can alleviate concerns about safety and hygiene. Dental practices are required to adhere to strict infection control protocols to protect patients from potential infections. If you have specific concerns about the sterilization practices at your dental office, don’t hesitate to ask your dentist or dental hygienist. They can provide detailed information about their sterilization methods and the measures they take to ensure your safety during dental procedures. Your health and comfort are paramount, and it’s essential to feel confident in the care you receive.
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