Question and Answer

A Type V/Class 5 Chemical Integrator strip with a foil backing and a migration window is not the only accepted format available on the market today. Another technology is available that provides the same quality assurance by measuring all three parameters of sterilization (time, temperature, and pressure). This technology is not new and has been used for several years in Europe. It is the same application as the engineered inks used for the internal and external (type IV and type I) indicators found on sterilization pouches but with a higher validity ratio and a reaction to all three parameters of sterilization.

The two styles will be referred to as wax style and ink style. The wax style operates via a small ball of wax in the foil backing. When heated, the wax melts and migrates into the window. This is the reaction to time, temperature, and pressure. A failure is indicated when the window does not display a full migration/colour change. The ink style operates via the ink reacting to time, temperature, and pressure with a change in colour. A failure is indicated when the colour bar does not undergo a full change in colour.

Both indicator styles meet the EN ISO 11140-1 standard and both styles are acceptable quality assurance tools for monitoring steam sterilization. Both styles require the user to observe the proper MIFU. One style over the other does not dictate an IPAC lapse.

Michelle Aubé (Simmonds) RDH, maxill Dental Hygiene Educator

Michelle is a Dental Hygiene Speaker, Consultant and Educator with over 30 years of experience as a RDH and 4 years as a CDA. She is a professor and curriculum writer at Fanshawe College in both the dental hygiene and continuing education program sharing her knowledge in IPAC, professional practice, periodontal classification, social justice, advocacy and clinical applications. She is maxill’s CE and IPAC Director and wears various IPAC hats including auditing federal correctional facilities dental clinics for IPAC standards. Michelle is ODHA’s Regional Board Director and authors articles for CDHA’s OH Canada professional publication and continues to practice clinically in London ON. She is a CDHO IPAC Remedial Facilitator and IPAC Expert Opinion. Her strong ethics has allowed her to serve on the Discipline Committee at Algonquin College and hold the position of a CDHO Quality Assurance Assessor for 7 years. As a lifelong learner she is completing a BA in Adult Education at Brock University. Her diverse dental background and current status as a practicing RDH offers a fulsome and realistic view of dental related topics. Michelle can be reached at michellea@maxill.com