Michelle Aubé (Simmonds), RDH
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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?
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April 12, 2023
Should Leadership be Taught in Dental School Curriculums?
Absolutely! The dentist running a practice must be the ‘scientist’ in dental sciences and deliver quality care. Also, the dentist has to be a ‘business’ savvy individual to ensure the practice’s financial health. What else does the dentist need to be … the team ‘coach’.
It is either the dentist’s role or if the office has an office manager, it may fall upon the manager. Nonetheless, it’s a reality that hand-in-hand with being a practice owner comes leadership. So where does a practice owner ‘learn’ leadership?
It would be fantastic along with DENT 3055 there would be a Leadership 101 course that teaches the practice owner how to navigate the various dynamics of a team to develop and strengthen that team.
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April 11, 2023
July 1976 at the American Legion Convention at the Bellevue Stratford Hotel in Philadelphia, Legionnaires was named and identified as the cause of an outbreak of severe pneumonia with 200 cases and 29 deaths (3) (5). The outbreak was linked to the inhalation of aerosolized contaminated water (3)(5). A milder infection caused by the same type of Legionella bacteria is called Pontiac fever. Rewinding in time, in 1968 in Pontiac Michigan, Pontiac Fever was named and identified as an outbreak of influenza-like illness, identified by people who worked at & visited the city’s health department and had inhaled aerosols from contaminated water (3). Legionnaires' disease is an acute bacterial disease, causing death in 5% to 30% of cases (4). The Government of Canada’s Legionella site, states the following:
“Cases of Legionnaire’s disease may be difficult to detect because very few of the people exposed to the bacteria get infecte
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April 10, 2023
Spring signifies a time of change where colors are plentiful, and every breath delivers fresh air. Dental professionals should use the energy of seasonal change for their own refueling and restructuring.
It goes without saying, dental offices are busy places and the day-to-day operations do not leave much time in anyone’s schedule to re-organize physical spaces in the office as well as the mental compartments of our process of care circuits when treating clients.
What does physical space re-organizing look like? This would be going around the office and removing ALL clutter. The best way to ‘SEE’ if your office and operatories look cluttered is to take a picture. Play an ‘eye-spy’ game with the picture. What do you see that should not be in the picture?
An Untidy Work Area Equates Uncleanliness
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March 05, 2023A dental office reprocessing area must be organized in a one-way workflow to prevent cross-contamination. The one-way workflow is composed of stations that are linked in functionality to one another to finally achieve the end point of reprocessing; sterilization. Each station can only perform the duties of THAT station and can only host the contents of THAT station’s tasks. In ‘common practice’ vs ‘best practice’ reprocessing rooms ...
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March 01, 2023There are two main elements to the reprocessing of a dental bur. First, what does the manufacturer of the bur state to do with the bur? Is it single use or can it be reprocessed? Second, if it can be reprocessed what are the steps from end-to-end use that meet IPAC standards of practice.
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September 14, 2022In any IPAC discussion, a proper risk assessment guided by the Hierarchy of Controls and Spaulding’s Classification will never stir any IPAC guru wrong! Even with dental offices having attended countless continuing education on IPAC, there may still be lingering remnants of ‘common practice’ that require a closer look.
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August 12, 2022Although digital imaging is at the forefront of dentistry, not every office has a digital scanner or a second or third scanner to fully eliminate manual impression taking. In every office there seems to always be the one or two impression guru’s that constantly capture a fabulous impression. You too can be an impression guru with the review of some simple elements and skills that can deliver a more predictable ‘good impression’ organized with proper planning.
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July 18, 2022
Identifying pathogens to ensure proper elimination has always been part of the infection prevention and control in dentistry. The SARS CoV-2 pandemic has shown how an emerging pathogen can surface and spread globally. Emerging pathogens are defined as a new microorganism or an existing microorganism that is changing patterns. In the hopeful forward movement out of the SARS CoV-2 pandemic, the Monkeypox virus has made a come back from the late 1970’s where in the 1980’s it was believed to be irradicated with successful vaccinations 1. Monkeypox virus is a member of the Orthopoxvirus genus, and includes variola virus (smallpox virus), vaccinia virus, cowpox, and other poxviruses 2. The National Library of Medicine states “the last endemic case of smallpox occurred in 1977, total eradication was confirmed in 1980” 3. “Smallpox helped to shape history, and it made history by being the first disease to be controlled by immunization and the first to be era
