Infection Control And Sterilization
Write a short answer on the disinfection of dental materials.
Answer:
Disinfection of dental materials should be done to prevent the cross-infections.
- Following are the various disinfecting materials for disinfecting dental materials are:
- Impression compound: Iodophors, sodium hypochlorite (1:10 dilution).
- ZOE impression: Iodophors, sodium hypochlorite (1:10 dilution).
- Polyether: Iodophors, sodium hypochlorite (1:10 dilution).
- Silicone and polysulphide: Iodophors, sodium hypochlorite, synthetic phenols.
- Wax bites: Iodophors.
Disinfection of Various Dental Materials:
- For disinfection of resin prosthesis recommended method is by disinfecting with sodium hypochlorite (1:10 solution).
- This is done by placing of the prosthesis in a zipped plastic
bag with disinfectant for 15 minutes. - As the hydrocolloid impression is taken out from the mouth, it is disinfected before pouring the cast to prevent cross-contamination.
- CDC protocol recommends that hydrocolloids should be immersed in household bleach, i.e. sodium hypochlorite, iodophors, or synthetic phenols.
- The impression should be thoroughly rinsed in water after removal from the mouth, then an impression is sprayed liberally with disinfectant and is wrapped in a disinfectant-soaked towel, and is sealed for 10 minutes. As disinfection is over, it is rinsed thoroughly in water.
- For disinfecting the elastomeric impression materials recommended disinfectant solutions except for polyether are 2% glutaraldehyde, chlorine compounds, complex phenolic, and phenolic glutaraldehyde compounds.
- As polyethers are hydrophilic their disinfectant protocol is the same as hydrocolloids.
- Impressions are disinfected for 10 minutes in 2% glutaraldehyde and for 3 minutes in chlorine compounds.
- If the impression is not disinfected before pouring the cast, it is necessary to disinfect the stone cast. Disinfectants, i.e.
- 5% phenol or 2% glutaraldehyde is mixed with water when the cast is poured.
- Alternatively, models and casts are disinfected by immersion in 1:10 dilution of sodium hypochlorite for 30 minutes or with the spray of iodophor.
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