Dental Public Health · MU Sofia

21. Cross-infection control in dental practice.

Covers how microorganisms pass between patients and dental staff, and the chain of infection that control measures aim to break. It then looks at occupational risk in dentistry and the main infectious agents, including their survival times on surfaces. The note also sets out standard precautions, the difference between cleaning, disinfection and sterilisation, a three-tier instrument classification (critical, semi-critical, non-critical), the instrument processing cycle and environmental measures for the surgery.

Inside: 16 sections · 6 flashcards · 3 min

Topic 33 of 38 in the MU Sofia syllabus for Dental Public Health (Dental Medicine, Year 3). The free AceMed note covers it in 16 sections, about 365 words (3 min of reading), with 6 flashcards.

In this note

  1. Definition
  2. Chain of Infection
  3. Occupational Risk in Dentistry
  4. Important Infectious Agents
  5. Important Facts
  6. Standard Precautions
  7. Cleaning, Disinfection and Sterilisation
  8. Cleaning
  9. Disinfection
  10. Sterilisation
  11. Instrument Classification
  12. Critical Instruments
  13. Semi-critical Instruments
  14. Non-critical Instruments
  15. Instrument Processing Cycle
  16. Environmental Infection Control

Definition

Cross-infection = transfer of microorganisms from one person/object to another.

May occur: – Patient – Dentist

  • Dentist – Patient
  • Patient – Patient
  • Via contaminated instruments, surfaces or aerosols.

Main goal = break the chain of infection.

Chain of Infection

Source/reservoir of microorganisms.

Route of transmission: Direct contact, Indirect contact, Blood, Saliva, Aerosols or Contaminated instruments/surfaces.

Susceptible host.

Infection occurs when all links are present.

Infection control works by breaking one or more links.

Occupational Risk in Dentistry

High risk due to: – Blood – Saliva – Aerosols – Sharp instruments Close patient contact.

Risk influenced by: – PPE use – Immune status – Stage of disease Severity of injury.

Important Infectious Agents

Hepatitis B (greatest occupational risk). – Hepatitis C.

HIV – Tuberculosis – Influenza.

Herpes simplex virus

  • Streptococci and staphylococci.

Childhood infections: – Rubella – Mumps – Chickenpox.

Important Facts

HBV survives up to 6 months at room temperature.

HIV survives approximately 72 hours.

Influenza survives 24–48 hours.

Herpes simplex survives 2–4 hours.

Tuberculosis organisms may survive for weeks.

Louis Pasteur developed germ theory and laid the foundations for modern infection control.

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