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DNT 141
“Keepin’ It Clean”
Are you cleaning good enough? To be sure you have disinfected every
surface in your operatory to the best of your ability, I recommend using the quote
“Better to be safe than sorry.” This means you assume everything is dirty.
Thousands of microbes are released into the air during a basic filling, so you
can only imagine where they land. (Yuck!) When breaking down a room, first start
with disposing of all the sharps, such as needles or carpules, into the sharps
container. Next, dispose of anything saturated in blood into the bio-hazardous bin.
Everything else that is disposable should be discarded into the trashcan, such as floss,
After everything has been sorted, gather up the instruments, handpieces, and
burs, place them in a headrest cover and lay them in the sink. Wipe down the
assistant’s cabinet top, sides, and handles. I wipe down any materials that need to be
put back up and place them on the cabinet to dry. Get a new wipe to disinfect the
chair, light arm, light handles, and lastly the hoses and nozzles for the assistant.
Change out the wipe and clean the dentist’s tray, hoses, and handpiece attachments.
Grab one more wipe to wipe off cabinets, doors, counters, etc. for an extra
precaution.
While that is air drying, take the instruments to the sterilization room, clean
them and place them in the ultrasonic. Take off the gloves and walk back to the
operatory. Place a new pair of gloves on and wipe out the sink. Take off those gloves,
glasses, mask, and gown. Place the glasses on a paper towel and dispose of the rest.
Sanitize your hands and place new barriers and suction tips. Set the room up for your
next patient. Then, place a mask and some gloves on so you can sanitize your glasses.
Let those dry before returning to the sterilization room. Place a mask, your
glasses, and some gloves on before rinsing your instruments off. Bag them and place
them by an autoclave to be sterilized. Strip down of my PPEs and sanitize your hands
before going to the sterile side where you can grab any instruments you may need for
your day.
If I have learned anything in dentistry, it is that you can never be too safe. We
should treat every patient kindly and we should help them the best we can, but we
clean up after them like they are infected. Cleaning your operatory goes beyond
protecting our patients; we are also protecting ourselves from microorganisms that
our immune system cannot handle. Always wear PPEs, always disinfect every surface
you can, and always double-check yourself. It’s okay to be nit-picky about it. This
means that you are less likely to expose yourself, your doctor, or your patient to a
foreign microbe.