Risk management is at the forefront of the topic of infection prevention and control (IPAC). When looking at IPAC through a risk management lens we can breakdown where the risks originate and tackle them with the proper mitigation.  Tackle them AHEAD of time before they are a problem.  Think of risk mitigation as the addition of safety nets to catch the problem and halt its negative consequences.

Risk management deduction is best executed by posing the ‘right’ questions.  Simple questions that allow the narrowing of the problem at hand. There is no magic number of questions, but rather realizing it can take as many questions as needed.  On the topic of instrument reprocessing what questions could be asked to see the risks, evaluate if your safety nets have holes and decide where to add or repair safety nets?  Let’s break it down.

Infection control in dentistry is critical to ensuring dental practitioners' and patients' health and safety. With the rise of infectious diseases and the need for stringent practices to prevent their spread, compliance with infection control protocols is of utmost importance in the dental industry. However, achieving full compliance can be challenging, as healthcare providers may demonstrate the Hawthorne effect, impacting their behavior and adherence to recommended guidelines. This article explores the concept of the Hawthorne effect in relation to infection control in dentistry and discusses strategies to ensure effective compliance.

The Hawthorne effect, initially discovered through a series of studies in the 1920s and 1930s at the Western Electric Hawthorne Works in Chicago, refers to the phenomenon where people modify their behavior due to the awareness or perception of being observed. In the context of infection control

Where do the IPAC Standards in Canada originate? To simplify, the hierarchy revolves around the Canadian Standards Association Group (CSA). CSA is organized with technical committees under the jurisdiction of the Strategic Steering Committee on Health and Well-Being. Standards are developed and in compliance with the Standards Council of Canada requirements for National Standards of Canada, then published as a National Standard of Canada by CSA Group (CSA, 2023).

Where does Public Health Agency of Canada (PHAC) fit in? Since its establishment in 2004, PHAC is a federal department that operates separately from Health Canada reporting directly to the Canadian Minister of Health (Marchildon,2008). PHAC works with Chief Public Health Officers in the municipal and provincial sectors. At the municipal level are the local Public Health Units (PHU). 

The New 2023 Standards from the Canadian Standards Association.

The second edition of CAN/CSA-Z314, Canadian Medical Device Reprocessing in All Healthcare Settings was updated over a course of several years and released in 2023. It supersedes the previous edition (CAN/CSA-Z314:18) published in 2018 under the title Canadian medical device reprocessing. All editions of the standard address the safe and effective reprocessing of medical devices and supplies in healthcare facilities.

The editing of the title itself is part of the task of

Enzymatic cleaners are fundamental assets within dental practices, offering a targeted and efficient solution for the removal of organic residues from instruments used in various procedures. Their mechanism of action, controlled through specific enzymes, ensures a thorough cleaning process that goes beyond what conventional cleaners can achieve. In dentistry, these cleaners play a pivotal role in upholding strict hygiene standards, minimizing contamination risks, and prolonging the lifespan of essential instruments and equipment.

Enzymatic Action and Specific Enzymes:

Enzymatic cleaners employ a diverse range of enzymes, each tailored to break down specific organic compounds present on dental instruments.

DUWL Maintenance: Back to Chemistry and Biology Class!

No matter what geographical area a dental office is in, it MUST have a Dental Unit Water Line (DUWL)maintenance program. Who says?  Is it the dental regulatory bodies?  Is it the manufacturer of the dental chair or bracket table that hosts DUWL’s? It’s both!  The dental regulatory bodies state to observe the manufacturer’s instructions for use (MIFU).  Perfect, so then we head over to the MIFU and what does it state? Low and behold as clear as day we need a program that includes cleaning, disinfecting, and testing.

How do you clean the inside of one of the smallest tubes possible? 

With enzymes t

Sterilization in various fields, including healthcare and dentistry, plays a critical role in eradicating harmful microorganisms from equipment and instruments to ensure safety. To ascertain the effectiveness of sterilization processes, the implementation of chemical and biological indicators serves as an indispensable practice, providing valuable insights into the process and eventual success of the sterilization procedures.

What Are the Different Types?

Chemical Indicators

There are 6 different types of chemical indicators when it comes to steam sterilization. To ensure a dental office using the correct indicators refer to the governing bodies Infection Prevention and Control guidelines.

Type 1 – Process Indicator

In the dental industry, ensuring the safety of dental professionals and patients is of paramount importance. Personal Protective Equipment (PPE) plays a vital role in safeguarding against potential hazards, including infectious diseases, chemical exposure, and physical injuries. Donning and doffing protocols are crucial procedures that dental professionals must adhere to in order to properly wear and remove PPE. This article will explore the various types of PPE used in the dental industry and the correct practices for donning and doffing.

Writing an IPAC Manual has its challenges. It's not as easy as it seems, as there are many factors to consider before you can call it complete. The following is a list of frequently asked questions, and responses from maxill's own dental educator extraordinaire, Michelle Aube-Simmonds, RDH.   

Does every office need a DUWL program?

This can be answered by the equipment the office has.  There are two types of water delivery systems in a dental office:  direct municipal and closed bottle systems. 

The direct municipal has no bottle and is only required to purge the DUWL on opening, closing, and between clients. 

However, a closed water system as per the MIFU of the manufacturer of the dental chair or bracket table with the attached bottle, states a program is required to include cleaning, disinfecting, and testing. 

At this point, a retrofit from municipal to closed is not mandated.  It is important to note that offices do not get confused with the word municipal … if the office uses tap water in their closed bottle system that is not considered m