Online Continuing Education / Course Details

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

AN OVERVIEW OF INFECTION PREVENTION IN THE DENTAL OFFICE

Categories:

Author(s):

Course Type: Self-instruction journal and web based activity

Target Audience: Dental Assistants, Dental Hygienist, Dentists from novice to advanced

  

Download this course

Educational Objectives

Infection Prevention in the Dental Office

The goal of this course is to provide a general overview of infection prevention in the dental setting. After completing this course, the reader should be able to:

1. Define modes of transmission in the dental setting.
2. Describe appropriate hand hygiene and the use of personal protective equipment during patient care and other activities.
3. Review the management of clinical contact surfaces.
4. List and describe steps in instrument reprocessing.

Abstract

 Infection prevention is a key activity in the dental office essential to prevent the transmission of microorganisms and disease among patients and dental healthcare personnel. It must be performed in a reliable and effective manner in accordance with current recommendations to ensure patient safety, and in accordance with regulations that protect the safety and health of dental healthcare personnel. Infection prevention protocols that are effective, reliable, and standardized promote health and safe dental visits.

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Course 89 of 92

Online Continuing Education / Course Details

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Protocols for REPROCESSING HANDPIECES & ATTACHMENTS: Connecting the Steps

Categories:

Author(s):

Course Type: Self-instruction journal and web based activity

Target Audience: Dental Assistants, Dental Hygienist, Dentists from novice to advanced

  

Download this course

Educational Objectives

Handpiece Maintenance & Repairs 

The overall goal of this article is to provide the reader with information on instrument processing of handpieces, attachments, and components. After reading this article, participants should be able to:

1. Describe the findings of studies performed to determine the potential for handpiece and attachment contamination during use.
2. List and describe typical steps in handpiece reprocessing.
3. Review challenges and outcomes of inadequate cleaning, lubrication, purging, and of not following the IFU on autoclaving.
4. Discuss required handpiece maintenance and repairs.

Abstract

Reprocessing of handpieces and attachments is one of the cornerstones of infection prevention, and essential for the delivery of safe dental care. Thorough reprocessing of handpieces and attachments in accordance with the Centers for Disease Control and Prevention (CDC) recommendations and relevant regulations is essential. The CDC recommends that reprocessing of handpieces and attachments that attach to and detach from the dental unit’s air and water lines includes a series of steps that include cleaning and autoclaving. In some states, this is a regulation. For cordless stand-alone units, current FDA regulations should be followed, per the CDC, including following the validated manufacturer’s Instructions for Use (IFU) for reprocessing of these devices. The handpiece manufacturer’s instructions for reprocessing in the IFU must be followed, as well as recommendations for maintenance, effective reprocessing, and to prolong the life of handpieces and attachments.

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Course 87 of 92

Online Continuing Education / Course Details

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Infection Prevention and Ergonomics

Categories:

Author(s):

Course Type: Self-instruction journal and web based activity

Target Audience: Dental Assistants, Dental Hygienist, Dentists from novice to advanced

  

Download this course

Educational Objectives

Infection Prevention and Ergonomics

The goal of this article is to provide dentists, dental hygienists, and dental assistants with information about infection prevention and best practices in ergonomics to manage the incidence of preventable risk when practicing clinical dentistry. Following the completion of this course, participants will be able to:

1. Discuss current CDC and Occupational Safety and Health Administration (OSHA) guidelines.
2. Understand the potential hazards in clinical dental environments.
3. Integrate the skills and techniques needed to properly prevent cross-contamination.
4. Adopt a proper neutral seating position while performing clinical treatment.
5. Recognize the benefits gained from the use of a headlamp, loupes, and ergonomic gloves in clinical practice.

Abstract

According to a recent report by the Centers for Disease Control and Prevention (CDC), infection prevention and risk management programs in medical settings have succeeded in dramatically reducing the incidence of healthcare-associated infections (HAIs) over the last decade. Despite this progress, a CDC point prevalence survey found that 1 in 25 hospital patients contract an HAI following a visit to a medical setting. The necessity for effective infection prevention in medical settings are currently in the spotlight because of the following:


1) a 4% rate of contraction of preventable diseases;
2) increased awareness of HAI rates through mandated public reporting by medical care centers;
3) the concerning emergence of multidrug-resistant organisms (MDROs); and
4) general public awareness of the patient safety movement.

Now is the time to implement risk management practices in all medical settings (Mission, Role and pledge. CDC website. https://www.cdc.gov/about/organization/mission.htm). In 2007, a detailed study (Leggat, et al. Occupational health problems in modern dentistry: A review. Ind Health. 2007;45(5): 611-621) reviewed the occupational health problems that persist in modern dentistry. This study enumerated the dangers faced by dental health workers; the risks were numerous, cumulative, and profound. Following the release of this study, all fields of dentistry followed suit, noting the need for new technologies and materials to address serious workplace hazards, including percutaneous exposure incidents, infectious disease exposure, radiation exposure, noise and hearing damage, musculoskeletal injury, dermatitis from chemical exposure, respiratory hazards, eye injury, and psychological problems. These hazards intensify the need for effective risk management in dental practices, as well as education about the dangers of occupational exposure and musculoskeletal injury when working in dental offices.

COMMERCIAL SUPPORT This educational activity is made possible through an unrestricted educational grant from Dentsply Sirona Preventative.

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Course 86 of 92

Online Continuing Education / Course Details

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

SALIVA CONTAMINATION: Achieving Isolation to Avoid its Adverse Effects

Categories:

Author(s):

Course Type: Self-instruction journal and web based activity

Target Audience: Dental Assistants, Dental Hygienist, Dentists from novice to advanced

  

Download this course

Educational Objectives

Achieving Isolation to Avoid Adverse Effects of Saliva Contamination 

The goal of this course is to provide information on best methods for preventing saliva contamination in dental, orthodontic and endodontic procedures. After completing this article, the reader will:

1. Understand some of the natural benefits of saliva
2. Understand how salivary contamination can adversely affect
restorations and root canals
3. Have learned about various methods of moisture contamination
control
4. Understand the pros/cons of various methods of moisture control
5. Recognize clinical implications in the field of pediatric dentistry
and orthodontics.

Abstract

Despite its importance for dental health and normal digestive function, saliva can have an adverse effect on restorative materials and dental procedures. To prevent a negative outcome, care must be taken to avoid contamination by saliva. Practitioners have a number of methods for controlling saliva, and new systems and materials are currently in development. Methods for preventing saliva contamination vary widely amongst practitioners, and across specialties, for logistical reasons. Research comparing the merits of different methods can yield ambiguous results. Therefore, more research is needed.

COMMERCIAL SUPPORTER: This course has been made possible through an unrestricted educational grant from Zyris.

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Course 82 of 92

Online Continuing Education / Course Details

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Reprocessing and Maintenance of Handpieces and Attachments: Following the Recommendations

Categories:

Author(s):

Course Type: Self-instruction journal and web based activity

Target Audience: Dental Assistants, Dental Hygienist, Dentists from novice to advanced

  

Download this course

Educational Objectives

Proper Reprocessing & Maintenance of Dental Handpieces

The overall goal of this article is to provide the reader with information on reprocessing and maintenance of handpieces and components. After reading this course, participants should be able to:
1. List and describe the recommended steps in handpiece reprocessing;
2. Describe key elements of the recent CDC Statement on handpiece reprocessing;
3. Review the handling of handpieces and components not attached to dental unit water or airlines; and,
4. Discuss issues that may occur associated with handpiece reprocessing and maintenance, causes and solutions.

Abstract

Instrument reprocessing of handpieces and attachments is an essential component of infection control and is based on the CDC guidelines. It is also essential that the manufacturer’s instructions for use (IFU) are followed and that all reprocessing procedures and the products used are in accordance with these. Handpieces and attachments that attach and detach to the dental unit’s air and water lines should be heat sterilized (autoclaved) in accordance with the IFU. In addition, the California Dental Practice Act, and regulations in other States require appropriate reprocessing as discussed in this article. For stand-alone cordless handpieces and motors, the manufacturer’s validated reprocessing instructions should be followed. Further, appropriate reprocessing and handpiece maintenance are important for the lifetime of handpieces (and attachments). Maintenance and proper use prevent wear, other damage, and failure of handpieces and attachments.

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Course 71 of 92

Online Continuing Education / Course Details

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Dental Amalgam: Strategies to Reduce Its Environmental Impact

Categories:

Author(s):

Course Type: Self-instruction journal and web based activity

Target Audience: Dental Assistants, Dental Hygienist, Dentists from novice to advanced

  

Download this course

Educational Objectives

Best Practices In the Handling of Amalgam

The overall goal of this article is to provide dentists, dental hygienists, and dental assistants with information on requirements and best practices in the handling of amalgam. After completing this course, participants will be able to:
1. Describe how mercury reaches the environment and the impact of methylmercury
2. List and describe key elements of the EPA Final Rule and considerations for amalgam separators
3. Review best management practices for amalgam waste
4. Describe initiatives and options related to the future use of amalgam.

Abstract

Dental amalgam has proved to be a durable restorative material. However, it also is a source, albeit a minor one, of the mercury released into the environment by human activity. Improper disposal of amalgam waste results in its ending up in landfills, wastewater sludge or incinerators. Additionally, publicly owned treatment works (POTW) cannot remove 100% of the mercury from wastewater. The American Dental Association released its Best Management Practices for Amalgam Waste several years ago, detailing how amalgam waste can be disposed of safely. The recent EPA Final Rule mandates the use of amalgam separators to segregate solid waste from evacuation lines before it leaves the office toward the POTW. In addition, new rules on evacuation line cleaners and on the disposal of amalgam waste apply. The Minamata Treaty also provides nine measures related to amalgam, of which signatories are intended to choose at least two: to reduce the use of amalgam in the long term and to reduce its environmental impact.


COMMERCIAL SUPPORT This educational activity is made possible through an unrestricted educational grant from Solmetex.

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Course 69 of 92

Artifacts / / Read Article

Testing, Treating and Managing Dental Unit Waterlines

Categories:

Author(s):

Date: 01-04-2019 13:50:38 pm


Dental unit waterlines supply water to handpieces, air-water syringes, ultrasonic scalers, the cuspidor and the rinsing cup. Due to the nature of the tubing, as water passes through it, microbial colonization can occur and biofilm can accumulate within them. As such, dental unit waterlines are a source of potential pathogens, and must be maintained at the same water quality level as the public water supply, which is 500 CFU/mL of heterotrophic bacteria. Therefore, regular water testing, and dental unit waterline treatment and maintenance, are required to ensure the water quality for patients and dental healthcare workers.

Dental unit waterlines (DUWLs) consist of the tubes in the dental unit that connect the high-speed handpiece, air/water syringe, ultrasonic scaler, rinsing water and cuspidor water to the water supply Bio lms form in DUWLs as they are colonized by water-borne microorganisms, which can lead to contamination and potential health risks for patients and dental healthcare workers (DHCW). Water introduced into DUWLs typically meets the public health safety standards for potable (drinking) water. In the United States, that standard is less than or equal to 500 colony forming units (CFU) of heterotrophic bacteria per milliliter (mL) of water. The United States Army Dental Command (DENCOM) recommends less than or equal to 200 CFU/mL, while the European Union
(EU) guidelines recommend that drinking water should be delivered at <100 CFU/mL.

Educational Objectives
The overall goal of this article is to provide the reader with information on the management and treatment of dental unit waterlines. On completing this article, the reader will be able to:
1. Describe the features of dental unit waterlines that encourage biofilm to accumulate within them;
2. List key microorganisms that are potential pathogens for immune-compromised and other susceptible patients;
3. Review options for the management and treatment of dental unit waterlines; and,
4. Describe available options for testing the quality of water derived from dental unit waterlines.

Download course PDF or take course.
Article 7 of 10

Online Continuing Education / Course Details

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

An Update on Instrument Processing

Categories:

Author(s):

Course Type: Self-instruction journal and web based activity

Target Audience: Dental Assistants, Dental Hygienist, Dentists from novice to advanced

  

Download this course

Educational Objectives

The overall objective of this article is to provide the reader with information on instrument processing. On completing this article, the reader will be able to do the following:

1. Define the elements of the chain of infection;

2. Delineate and describe the differences in the processing of critical, semicritical and noncritical instruments;

3. Review the use of presoaks and cleaning of instruments;

4. List and describe heat sterilization options and appropriate sterilization packaging; and

5. Review the uses and purposes of chemical and biological indicators.

Abstract

Safe and effective instrument processing is a key element of the infection prevention cycle. This process must meet the Centers for Disease Control and Prevention (CDC) guidelines and the Occupational Safety and Health Administration (OSHA) requirements. The steps involved depend on whether the instruments are critical, semicritical, or noncritical. Critical and heat-resistant critical instruments must be heat-sterilized. Prior to heat sterilization, instruments are wrapped in appropriate FDA-cleared sterilization packaging, which must include chemical indicators. Sterilization processes must be tested for sterility assurance in accordance with the guidelines and all sterilization records maintained.

 

COMMERCIAL SUPPORTER: This course has been made possible through an unrestricted educational grant from Dentsply Sirona Preventive.

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Course 14 of 92

Online Continuing Education / Course Details

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Pathways to Infection Prevention: An Update

Categories:

Author(s):

Course Type: Self-instruction journal and web based activity

Target Audience: Dental Assistants, Dental Hygienist, Dentists from novice to advanced

  

Download this course

Educational Objectives

The overall goal of this course is to provide the reader with information on infection prevention. On completion of this course, participants will be able to:

1.Describe the chain of infection and modes of transmission

2.List the elements involved in the daily infection prevention cycle

3.Review the importance of hand hygiene, appropriate procedures, and factors that influence compliance with hand hygiene

4.List and describe the steps involved in the treatment of clinical contact surfaces

5.Delineate each step in instrument processing

6.Describe the activities necessary at the beginning and end of each day

Abstract

To prevent the transmission of microorganisms and disease, a robust infection control program is required. The guidelines from the Centers for Disease Control provide recommendations for infection control in the dental healthcare settings, and in order to break the chain of infection and prevent disease transmission attention to every detail of infection control procedures is required. Steps include those required at the beginning and end of the day, and repeated procedures that are performed for each and every patient. CDC guidelines, OSHA and EPA regulations must be followed and appropriate FDA-cleared supplies used for infection control.
 

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Course 12 of 92