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    Infection Control in Dental Radiology

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    DrShweta Saini
    This document discusses infection control procedures for dental radiology. It outlines the common viruses and bacteria found in the oral cavity that pose infection risks. Proper personal protective equipment like gloves and masks should be worn during procedures that generate aerosols or droplets. Surfaces should be disinfected between patients using an intermediate-level hospital disinfectant. For digital and panoramic radiography, barriers are used on sensors and bite blocks to prevent contact with saliva. Proper aseptic techniques like pre-procedural mouthrinsing and disinfecting equipment help reduce the spread of infections in dental radiology.

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    Infection Control in Dental Radiology

    Uploaded by

    DrShweta Saini
    1K views41 pages
    This document discusses infection control procedures for dental radiology. It outlines the common viruses and bacteria found in the oral cavity that pose infection risks. Proper personal protective equipment like gloves and masks should be worn during procedures that generate aerosols or droplets. Surfaces should be disinfected between patients using an intermediate-level hospital disinfectant. For digital and panoramic radiography, barriers are used on sensors and bite blocks to prevent contact with saliva. Proper aseptic techniques like pre-procedural mouthrinsing and disinfecting equipment help reduce the spread of infections in dental radiology.

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    infection control in dental radiology

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    9. Infection Control in Dental Radiology

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    This document discusses infection control procedures for dental radiology. It outlines the common viruses and bacteria found in the oral cavity that pose infection risks. Proper personal protective equipment like gloves and masks should be worn during procedures that generate aerosols or droplets. Surfaces should be disinfected between patients using an intermediate-level hospital disinfectant. For digital and panoramic radiography, barriers are used on sensors and bite blocks to prevent contact with saliva. Proper aseptic techniques like pre-procedural mouthrinsing and disinfecting equipment help reduce the spread of infections in dental radiology.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPS, PDF, TXT or read online from Scribd
    Download as pps, pdf, or txt
    1K views41 pages

    Infection Control in Dental Radiology

    Uploaded by

    DrShweta Saini
    This document discusses infection control procedures for dental radiology. It outlines the common viruses and bacteria found in the oral cavity that pose infection risks. Proper personal protective equipment like gloves and masks should be worn during procedures that generate aerosols or droplets. Surfaces should be disinfected between patients using an intermediate-level hospital disinfectant. For digital and panoramic radiography, barriers are used on sensors and bite blocks to prevent contact with saliva. Proper aseptic techniques like pre-procedural mouthrinsing and disinfecting equipment help reduce the spread of infections in dental radiology.

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    Infection Control in Dental Radiology

    Dr. Raghunath Puttaiah & Dr. Hui Liang

    Introduction & Rationale


    Most oral and maxillofacial radiology normally consists of non-invasive procedures Although exposure to blood is not common, contact with saliva does occur

    What are the risks??


    Common viruses seen in the oral cavity include
    cytomegalovirus, herpes simplex viruses-1 & 2, hepatitis-B and D viruses, hepatitis-C virus, influenza viruses, Epstein-Barr virus (infectious mononucleosis), Rhinoviruses (common cold), and HIV

    Common bacterial pathogens seen are


    Pseudomonas, Flavobacterium, Staphylococci, Streptococci, Diplococci, Pneumococci, Mycobacterium, Chlamydia, and Spirochetes from human or inanimate sources

    Candidiasis is also very common among dental patients

    Rationale
    Most of Oral and Maxillofacial radiology (OMR) procedures fall mainly in the semicritical and non-critical categories of Spaulding's Classification of inanimate surfaces BUT Many contagious diseases such as Infectious mononucleosis and hepatitis-B can possibly be spread by simple contact with saliva Therefore, it is necessary for aseptic techniques to reduce ambiguity within protocols The purpose of this module is to present the most recent information regarding aseptic techniques in OMR.

    What PPE is needed


    It is not usually necessary to wear PPE such as impervious gowns, long sleeves, masks and protective eyewear during routine OMR procedures when no aerosols, droplets or spatter are generated One may use gloves, gowns, masks and protective eyewear while treating patients with gagging problems While handling the processor and the chemicals, use full PPE Stay out of the Radiation Hazard area (behind a shield) Patients must be protected with a lead apron

    Disinfectants and Barriers


    Barriered films should be used when available Between patients, frequently touched areas must be

    Barriered with plastic barriers OR -Disinfected with an Intermediate level, Hospital Disinfectant using a Spray-Wipe-Spray technique

    If barriers are used between patients, disinfection is only needed at the beginning or end of the day

    Steps in Infection Control


    Unit Dose 1. Pre-procedural mouthrinse for patients Make them rinse for about 30 seconds to reduce the microbes in the mouth 2. PPEGloves Masks Eyewear Gown

    Steps in Infection Control

    Prepackaged films with plastic barriers

    Unbarriered films

    Barriered Films

    Steps in Infection Control Steps in Infection Control

    1. Unit dose supplies and sterile equipment on to a clean bib/work surface 2. Set up the films on to the positioning devices 3. Label cups as Exposed and Unexposed

    Use of Disinfectants and Barriers


    Disinfect surfaces at the beginning and end of each day, and between patients only if contaminated Avoid spraying electrical switches, wipe with disinfectant moistened paper towel Apply surface covers to the yoke, tube head, cone, control unit, head rest, arm rest, and any hand held switches

    Aseptic Procedures
    Place the sanitized lead apron and collar on the patient after seating the patient Set the required mA, kVp and exposure time on the control unit and reset as required Use Foot Controlled Trigger Switch if possible

    Now Please expose the Radiograph

    The whole purpose in dental radiology is to Get the radiograph

    Inside a daylight loader


    Place the cup with exposed films on one side and the Empty one on the other Place a clean bib or napkin as a barrier Dispense a pair of gloves

    Daylight Loader with Films Inside

    Be sure to close the lid before exposing the films

    Donning Gloves inside the Loader

    Various layers inside the polysoft film cover

    Polysoft cover

    Radio-opaque metal foil on the rear of the film Paper folder that secures the film

    Film

    Processing Barriered Films Barriered Films

    Exposed film

    Wear gloves Peel the outer cover and drop the film into the Exposed cup This should be done chairside

    Step 1

    Step 2

    Step 3

    Step 4

    Bare hands with barriered film inside a daylight loader

    Bare hands to be used to handle exposed and peeled film

    Unbarriered Films

    Step 1

    Step 2

    Step 3

    Step 4

    Now try this inside a daylight loader

    Bare hands to be used to handle exposed and peeled film

    Remove your gloves and then handle the film that has been taken out of the Polysoft cover

    Clean up after loading films

    Carefully hold the edge of the napkin or bib and fold it over the waste You need not wear gloves if you hold the non-contaminated corners

    Disinfect the Daylight Loader once or twice daily if barriers are used

    Panoramic Radiography
    In panoramic radiography, infection control procedures are very simple Patient needs to have a lead apron No contact of film with saliva Only one barrier is needed

    Panoramic Radiography
    Bite block Barriered positioning device

    Chin rest

    Panoramic Radiography
    Infection Control in Panoramic radiography is very simple All one needs is a barrier for the bite block Make sure the lead apron is on Film loaded on to the cassette Stay outside of the active radiation area

    Panoramic Radiography

    This film does not come in contact with saliva

    Panoramic Radiography

    Position the patient correctly

    Panoramic Radiography

    Make the patient remove the barrier on the bite block

    Digital Radiography

    Digital Radiography
    Sensor being inserted into barrier Sensor

    Sensor Barriered

    Barrier or sleeve

    Digital Radiography

    1. Insert the barriered sensor in the film holder on the Rinn holder

    Digital Radiography

    Slide this door open

    Digital Radiography

    Peel open the barrier without touching the sensor

    Digital Radiography

    Slide the sensor into the chamber for the computer to read the image

    Digital Radiography

    Digital Radiography

    Image appears on the screen within seconds

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