University of PalestineUniversity of PalestineCollege of Dentistry

DR. MUSTAFA I. ELGHOUL B.SC,B.D.S,MS(ORTHO)

Master of Orthodontic

FOUR HANDED DENTISTRY&INFECTION CONTROL

PART C PART C

INSTRUMENT RE-PROCESSINGINSTRUMENT RE-PROCESSING(cleaning)(cleaning)

Appropriate re-processing of instruments and Appropriate re-processing of instruments and equipmentequipment in the surgeryin the surgery

Use Use instrument sinkinstrument sink in surgery for in surgery for

cleaningcleaning . .

Remove gross deposits as soon Remove gross deposits as soon

as possibleas possible..

Instruments MUST be Instruments MUST be maintained maintained

properly and discarded when properly and discarded when

corroded & worncorroded & worn..

Preparation of Items Preparation of Items In the In the re-processing areare-processing area

Cleaning - The first stepCleaning - The first step..

DisassembleDisassemble..

Rinse, dry, inspectRinse, dry, inspect..

Manual or mechanical cleaningManual or mechanical cleaning..

The process should be The process should be documented documented in the in the

clinic work procedures manualclinic work procedures manual . .

Removal of gross depositsRemoval of gross deposits

i- Use of i- Use of dry wipe at chair-sidedry wipe at chair-side to remove dental to remove dental materials from instruments before materials hardenmaterials from instruments before materials harden..

Ii-Ii- Flush with lukewarm water in instrument sink Flush with lukewarm water in instrument sink to to remove blood and other debrisremove blood and other debris..

Iii- Use of suitable Iii- Use of suitable brushes brushes for removal of debrisfor removal of debris in in surgery - Firm brush with nylon bristlessurgery - Firm brush with nylon bristles . .

Iv- Use of Iv- Use of heavy duty gloves for cleaningheavy duty gloves for cleaning of gross debris of gross debris can be either latex or silicon if latex sensitivity is a can be either latex or silicon if latex sensitivity is a problemproblem..

Removal of gross depositsRemoval of gross deposits

Removal of gross depositsRemoval of gross deposits

Ways of CleaningWays of Cleaning

Manual CleaningManual Cleaning

Mechanical CleaningMechanical Cleaning (washer disinfectors) (washer disinfectors)

Ultrasonic CleanersUltrasonic Cleaners

Manual CleaningManual Cleaning

Two sinksTwo sinks –: –:

one for washingone for washing

one for rinsingone for rinsing

Mechanical CleaningMechanical Cleaning

Ultrasonic CleanerUltrasonic Cleaner

Single use packagingSingle use packaging

Paper bagsPaper bags

Non woven wrapsNon woven wraps

Laminated PouchesLaminated Pouches

Reusable packagingReusable packaging

Woven textile wrapsWoven textile wraps ; ;

washed before each usewashed before each use

remove indicator tapesremove indicator tapes

Types of Instrument Packaging

INSTRUMENT INSTRUMENT STERILISATIONSTERILISATION

Protocols and Procedures of SterilizationProtocols and Procedures of Sterilization

Cleaning of instrumentsCleaning of instruments

Packaging of instrumentsPackaging of instruments;;Self sealing bagsSelf sealing bags..Heat sealing bagsHeat sealing bags..

SterilizationSterilization

Storage of Sterile instrumentsStorage of Sterile instruments

Sterilizer Loading TechniqueSterilizer Loading Technique;;Do not overloadDo not overload..Check items before loadingCheck items before loading..

SterilizerSterilizer

Sterilizer function check & monitorSterilizer function check & monitor