Michelle Aubé (Simmonds), RDH
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August 07, 2025
As infection control standards continue to evolve, dental professionals are seeking tools that not only meet today’s requirements but anticipate tomorrow’s demands. The maxill Process Challenge Device (PCD) stands out as a future-ready, cost-effective, and scientifically grounded solution for validating sterilizer performance in dental settings.
Designed for Real-World Sterilization Challenges
The maxill PCD is engineered to replicate one of the most difficult sterilization scenarios in dentistry: a narrow lumen, prioritizing clinical specificity over general simulation. This deliberate design closely mirrors the internal geometry of dental handpieces, ultrasonic sleeves, hollow mirror handles, and air polisher handpieces, equipment that demands the highest level of sterilization assurance.
You might ask, why not use a flat, square, or rectangular PCD
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July 25, 2025
In dentistry, and especially in infection prevention and control (IPAC), the term “best practice” is often misunderstood. Many assume it's an optional extra, something aspirational or “above and beyond” the standards. But in reality, best practice is not about going beyond the standards, it's about fully meeting them through a responsible, evidence-informed, and risk-managed approach.
Let me explain.
When we say “best practice,” what we really mean is: meeting the standards with accountability. Best practice is about taking the regulatory standards and interpreting them through the lens of risk management, tailoring them to your specific clinical environment. It's not an abstract concept or a luxury for high-end clinics. It is the professional duty of every regulated health professional.
Why Standards Sound Vague—And Why That's Intentional
Often, standards are written broadly. This is not becaus
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July 11, 2025
In the world of dental infection prevention and control (IPAC), the terms *guidelines* and *standards* are often used as if they mean the same thing. But should they be? And more importantly … does it matter?
Yes, it matters. A lot.
What's the Difference?
Standards are formal, enforceable requirements set by regulatory bodies. They are the minimum expectations for safe and ethical practice. Meeting these standards is not optional—they are legally binding, and failing to comply can lead to professional consequences, including disciplinary action or loss of license.
Guidelines, on the other hand, are recommendations. They are typically developed by public health agencies, expert panels, or research organizations. While not enforceable on their own, guidelines represent current best practices and offer direction on how to implement standards effectively and safely.
Why Are They Confused?
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June 27, 2025
In today’s high-tech dental world, quality assurance (QA) often brings to mind automated sensors and software calibration. But there's one old-school, low-tech tool that remains just as essential as ever: the step wedge. Health Canada’s Safety Code 30 and best practice guidelines still recommend regular use of this tool to ensure your dental radiography systems are functioning correctly (Health Canada, 2022). If your practice is overlooking step wedge testing, or not logging it properly, you may be putting diagnostic accuracy and patient safety at risk.
What Is a Step Wedge Test?
A step wedge is a radiographic quality control tool made of graduated thicknesses of aluminum. When exposed to X-rays, it produces a pattern of varying density levels on the image. This test helps evaluate the consistency of image quality and monitor changes in exposure, sensor calibration, or processing systems (for fil
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April 04, 2025
April 4 to 10 is our week, fellow RDHs! National Dental Hygienists Week™ (NDHW™) is a time to reflect on how far we've come as a profession, celebrate our contributions to oral health, and continue advocating for a future where everyone has access to preventive care. We are the unsung heroes of dentistry, bridging the gaps in healthcare, fostering trust with our clients, and standing at the forefront of prevention.
Our Journey: From Auxiliary to Independent Healthcare Providers
Did you know that dental hygiene as a profession started in 1913 with Dr. Alfred Fones training Irene Newman in Connecticut? His vision was clear: rather than just treating disease, we would prevent it. That vision remains at the core of what we do today.
For decades, RDHs were restricted to working under strict supervision, but as research reinforced the connection between oral and systemic health, our role expanded. And now? We are essential members of the healthcare team. We've earned our
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March 14, 2025
As dental professionals have implemented the 2018 AAP periodontal classification of staging and grading there is still some confusion as to some of the rules of what counts and what does not count. One of the ways to make sense of the ‘rules’ is to ask the question Papapanou et al. (2018) pose in the Journal of Clinical Periodontology, “How do we define a patient as a periodontal patient?” (p. 168). Answering this question clarifies the rules of staging and grading, including the need to capture true interdental CAL’s, the requirement for a matching CAL site, searching for the highest CAL’s, why adjacent CAL doesn’t count, when buccal and lingual CAL can be considered, and how periodontitis distribution is assessed across the entire mouth rather than assigning generalized or localized labels to specific stages.
To answer this question, we must consider how we have traditionally approached it and not ask "Does the patient have perio?" instead "How do we define a patient as
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December 06, 2024
Why does sterilization monitoring include both a biological indicator ‘test’ and a ‘control’? Post incubation is it not clear enough that the user will simply look to see if the vial is purple or yellow? Seems simple to observe a color change and log the outcomes. This is all indeed true, however, dental professionals need to remember the structure of scientific testing and validating. Going back to high school science and the science labs in undergrad we were all taught the purpose of following the scientific method. As we get busy in our typ
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September 20, 2024
If my dental regulatory body does not state specifically, that I need to track and trace, then who is telling me to track and trace?
A terrific question for any busy dental office to pose … who is telling me to track and trace? To answer the ‘who’ one must understand the ‘why’. Once the ‘why’ is understood through a risk management lens and professional responsibility to keep the public safe, the who loses its debate as you will be the person telling yourself to track and trace!
Tracking and tracing are linking a sterilized package to the client it was used on. Why do we label packages with the date, sterilizer #, load #, contents, and initialize? It is not just to label to see when it was sterilized but also where it’s going or in past tense, has gone. The label is the first step of having a recall system in place, it’s the tracking of packa
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July 12, 2024
Infection prevention and control (IPAC) is a fundamental aspect of dental practice, ensuring the safety of both clients and dental professionals. A critical component of these standards is the Point of Care Risk Assessment (PCRA), which helps dental professionals determine the appropriate PPE for various procedures and client interactions.
A PCRA is conducted before any client interaction or procedure. It involves evaluating the potential risks of exposure to infectious pathogens and determining the necessary measures to mitigate these risks. This assessment considers the client’s health status, the type of dental procedure, and the likelihood of exposure to blood, bodily fluids, and other infectious materials. The following are elements to consider during a PCRA:
Client Health Status: Assessing the client’s med
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April 17, 2023
It is no secret that dental clinicians work hours upon hours under the armor of personal protective equipment. For educational facilities and some dental offices, the pandemic PPE layers were not new protocols. For others, it was a novel approach to the safe practice of dentistry.
Are all these layers still required post-pandemic? Why had educational facilities and some offices already expanded their PPE wardrobe before the pandemic?
