Live WebinarPlanning, Presentation, and Performing Full Arch Restorations
22 Oct 2020, 03:00 AM Dubai
Anthony Deliberato DDS
There’s more to infection control than masks and hand sanitizer. It’s time to take a closer look at consumables: reuse and reprocess, or go disposable?
Nonetheless, products under each umbrella can be reprocessed safely. After use, non-critical items should be cleaned, and then disinfected if the product is visibly soiled. Guidelines indicate that heat-tolerant, semi-critical dental products should be heat sterilized. The CDC recommends that heat sensitive, semi-critical products should be reprocessed using high level disinfection or replaced with a disposable alternative. The FDA has published an additional guidance for multiple use intra-oral dental dispensers, such as those that deliver adhesive or composite materials.2 It states that these devices that cannot be sterilized or high level disinfected based upon their design must be covered with a barrier sleeve during use to prevent contact with mucous membranes. Multi-use critical products, on the other hand, must always be sterilized between patient uses.
According to the CDC, dental offices should consider adopting single-use products when they replace multi-use, semi-critical products that cannot tolerate heat sterilization.3 The guidelines also indicate that similarly classified, multi-use products may be used safely if the manufacturer’s reprocessing instructions are followed correctly.
But why should you consider single-use products and delivery systems? Single-use products take the risk of patient-to-patient infection out of the equation – infection control is baked into the product design. Of course, the risk of patient-to-patient transmission is also addressed when a multi-use device has been appropriately reprocessed. But if it gives you peace of mind, or if you think it may give your patients confidence, replacing multi-use products that are routinely used intraorally with single-use alternatives may be the right way to go.3
Further, the CDC advises that offices should consider not just the initial product cost of a single-use item, but also the time, cost and material savings obtained by eliminating the need for sterile processing of that product.3 At a time when so many procedures and protocols have ratcheted up and your office workflow is almost unrecognizable, every factor – from expenses to application needs to infection risk – is worth exploring.
Dental products, of course, are not one-size-fits all. Variables like application needs, ergonomic or control considerations, and more may well be worth reprocessing a multi-use version of a product rather than switching to a single-use option.
Before making a commitment to adopting single-use products, allow these considerations to guide your decision-making process: