Hospital-Grade Sterilization
We utilize state-of-the-art
washing/disinfection and sterilization equipment to ensure
thorough cleansing and effective sterilization of our instruments.
Our instrument sterilization process is described below to help
our existing and potential patients to better understand the steps
we take to ensure the sterility of our instruments.
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| STEP 1: Receiving and
Processing |
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After a procedure, all instruments and other items are
carefully transported to the "dirty" counter in the sterilization area. Disposables
and other single-use items are properly discarded. Re-usable
items, such as instruments, are inspected, organized, and
prepared the washing/disinfection process.
We use stainless steel cassettes to keep the majority of
the instruments for a specific procedure together. Sharp
instruments are safely stored in the cassettes during
transport. This reduces direct handling of potentially
contaminated instruments and decreases the risk of exposure to
blood-borne pathogens. Instruments remain in the cassettes
throughout the entire sterilization process. Cassettes do not
hinder the washing or sterilization process since they are
perforated to allow cleaning solutions and steam vapor to
reach the contents. |
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Hu-Friedy Instrument Management System |
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| STEP 2: Washing &
Disinfection |
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Instruments are placed into an electronic washer designed to
thoroughly remove protein debris from instruments. The washer
utilizes a cleaning solution that combines special
detergents with hydrogen peroxide. Hydrogen peroxide has
long been recognized for its exceptional anti-microbial
properties and provides low-level disinfection during the
washing process. Instruments will have 99.9% of all protein
material removed after a washing cycle. This level of efficacy
is important since any residual debris left on instruments may
impair sterilization.
Electronic washers are utilized by most hospitals to clean
instruments prior to sterilization. Unfortunately, they are
not as prevalent in dental practices primarily due to space
and cost concerns. Most dental practices manually clean
instruments by hand scrubbing or rely solely on an ultrasonic
unit which do not offer the same level of cleaning efficacy.
We are also equipped with an ultrasonic unit to pre-clean
instruments contaminated with non-protein debris that require
soaking in an enzymatic solution to aid in the removal of the
debris. The bottom line - we utilize all methods necessary to
ensure our instruments are thoroughly cleaned and debris-free
prior to packaging and sterilization. |
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Benefits:
- Superior cleaning of instruments compared to other methods
- Special detergent and hydrogen peroxide cleaning solution
provides low-level disinfection during the washing process
- Decreases risk of exposure to blood-borne pathogens when compared
to manual cleaning
- Instruments are dried and ready for packaging after the washing
cycle
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* Scican Hydrim Instrument Washer & BioSonic Ultrasonic Unit |
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| STEP
3: Preparation and Packaging |
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items are sealed in self-adhesive, pre-formed pouches. Cassettes are wrapped in blue
paper. The
pouches and the tape used to seal the blue paper have special
chemical process indicator stripes that change color when exposed
to steam sterilization to provide sterility assurance without the
need to open the pack. Items that will not tolerate the high
temperature of heat/steam sterilization are identified for cold
sterilization. These items are packaged and sealed after the cold
sterilization process. |
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Benefits:
- Packaging protects instruments during sterilization
- Does not hinder the sterilization process since they allow steam
vapor to reach the enclosed contents
- Sealed cassettes and pouches ensure sterility during storage
until next use.
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| STEP
4: Microprocessor-Controlled Steam Sterilization |
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Prepared and packaged instruments are loaded into a hospital-grade
sterilizer that combines high temperature and pressurized steam
for effective and efficient sterilization.
Microprocessor-controlled precision guarantees the proper time and
heat settings are utilized to ensure sterility. The
automatic "set-and-forget" ability virtually eliminates human
error that can occur with sterilizers that require manual
settings. We diligently follow manufacturer-specified
maintenance guidelines. Our sterilizer is wiped-down, drained,
flushed, and spore-tested by a third-party monitoring agency
weekly followed by a more thorough cleaning at the end of every
month.
Items that will not tolerate the high temperature of heat/steam
sterilization are "cold sterilized". The cold sterilization
process involves the immersion of the items in a high-level
disinfectant/sterilization solution for 10 hours. The
effectiveness of cold sterilization is equivalent to heat
sterilization with the only difference being the time required to
achieve sterility (10 hours versus 30 minutes for heat/steam
sterilization). |
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Benefits:
- Microprocessor-controlled heat/steam sterilization guarantees
sterility of instruments
- Automatic functionality eliminates human error associated with
sterilizers that require manual settings
- Diligent maintenance and spore-testing by a third-party
monitoring agency ensures effective sterilization
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Midmark M11 UltraClaveŽ Automatic Sterilizer |
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| STEP
5: Clean Storage |
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Sterile instrument cassettes and pouches are stored in a clean and dry
cabinet to
retain their sterility. All packages containing sterile items are inspected
before use to verify barrier integrity. |
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