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HuFriedyGroup Infection Prevention Guidelines
Do you know if your office is following the proper infection prevention protocol? Instrument processing is a key part of any office infection control program and must be performed properly to help ensure patient safety.
Instrument Processing Area
HuFriedyGroup Infection Prevention Products
The dental practice should have a designated central processing area divided physically, or at least spatially, into separate areas for: 1. Receiving, Cleaning & Decontamination 2. Preparation & Packaging 3. Sterilization 4. Storage
Sterilization
Sterile Cassette Storage
Automated Handpiece Cleaner (optional)
Educational Article Infection Prevention Guidelines Part Code: IMS-235GB
Cleaning and Care Products Ultrasonic Cleaning Solutions Enzymax Liquid Packets (40 per box)
IMS-1222 IMS-1226 IMS-1226P IMS-1229
Enzymax Liquid Gallon Bottle Enzymax Liquid Gallon Pump Enzymax Spray Gel, 24 fl. oz
Cleaning Monitors Washer-Disinfector Cleaning Monitor, 50 pcs
IMS-1200W IMS-1200U IMS-1200H
Ultrasonic Cleaning Monitor, 50 pcs Cleaning Monitor Holder, 1 each
Stain and Rust Remover Shine reNEW Instrument Wipes (20 wipe container)
IMS-1455
Instrument Lubricant Spray Instrument Lubricant Spray, 8 oz
ILS
Lilac Utility Gloves Small, Size 7
40-060 40-062 40-064 40-066
Medium, Size 8 Large, Size 9
Extra Large, Size 10
Waste Management For regular, sharps and biomedical waste
Instrument Washer
Rinsing
Cleaning Recessed or Countertop Ultrasonic
Wrapping Drawers
Drying Drawers (optional)
Operatory Prep Area
Surface Disinfectant Bactryl™ Spray (1000 ml - 4 units)
500046 500047
Cleaning, Rinsing, Drying (optional)
Bactryl™ Wipes (Tub with 110 wipes - 6 units)
Soiled
Sterile
Sterilisation Products Bagette Pouches 57 x 102 mm, rubber dam clamps or burs, 200 pcs 70 x 229 mm, 1 handpiece or 1-3 hand instruments, 200 pcs 89 x 229 mm, loose instrument pouch. Fits 3-6 hand instruments, 200 pcs 133 x 254 mm, 1 handpiece or multiple instruments, 200 pcs 190 x 330 mm, for Exam 5-instrument cassettes, 100 pcs 254 x 356 mm, for Small 8-10 instrument cassettes, 100 pcs 305 x 432 mm, for Large 16-20 instrument cassettes, 100 pcs 330 x 508 mm, oral Surgery Cassette; IMOSX Large Custom Cassette, 100 pcs Autoclave Wraps 600 x 600 mm, for DIN and Container Cassettes, 500 sheets 600 x 600 mm, for DIN and Container Cassettes, 100 sheets 375 x 375 mm, for 1/4 DIN Cassettes, 1000 sheets 375 x 375 mm, for 1/4 DIN Cassettes, 100 sheets 500 x 500 mm for 1/2 DIN Cassettes, 500 sheets 500 x 500 mm, for 1/2 DIN Cassettes, 100 sheets Bonded Double Wrap 508 x 508 mm, for 1/2 DIN Cassettes, 480 sheets 380 x 380 mm, for 1/4 DIN Cassettes, 480 sheets Bonded Double Wrap 610 x 610 mm, for DIN and Container Cassettes, 240 sheets DIN Container 1 Container Cassette - dimensions: 312 x 190 x 50 mm 1 Container Cassette - dimensions: 312 x 190 x 65 mm 2 Container Cassette - dimensions: 312 x 190 x 100 mm 3 Container Cassette - dimensions: 312 x 190 x 135 mm Chemical Indicators Type 1 IMS™ Steam Sterilization Indicators, 250 pcs/pack Type 5 IMS™ Steam Sterilization Integrators, 100 pcs/pack Type 5 STEAMPlus™ Integrators, 100 pcs/pack Type 5 STEAMPlus™ Integrators, 250 pcs/pack Type 5 STEAMPlus™ Integrators, 1000 pcs/pack EU AirView™ II Bowie-Dick Test Pack, 127 x 95 x 16 mm, 30 pcs/pack IMS™ Monitor Tape (18 x 55 mm) Ortho IMS-1243 Restorative IMS-1247 Surgery IMS-1248 Amalgam IMS-1251 C&B IMS-1252 Cement IMS-1253 Composite IMS-1254 Endo IMS-1255 Exam IMS-1256 Extraction IMS-1257 Perio IMS-1258 Prophy Pedo Grey Orange Purple Yellow Red Green Blue Black Lead Free Blank
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Instrument Processing Guidelines • Work practice controls should be used to minimise handling of loose, contaminated instruments during transportation to the central processing area.
IMS-1346
• Dental team members should be trained to use work practices that prevent contamination of clean areas. For example: Sterilised and clean supplies should be stored away from a contaminated area.
IMS-1347
IMS-1236
IMS™ Infinity Series™ Cassette
For example: Instruments should be transported in a closed container.
IMS-1348
IMS-1237
1. Receiving, Cleaning & Decontamination
IMS-1238
IMS-1239
• Cleaning and disinfection should precede the sterilisation process. It should involve removal of debris as well as organic and inorganic contamination. • If visible debris is not removed, it will interfere with microbial inactivation and can compromise the disinfection or sterilisation process. • Puncture/chemical-resistant utility gloves (such as HuFriedyGroup Lilac™ Utility Gloves ) should be worn when handling contaminated instruments and when performing instrument cleaning and decontamination procedures. > Use automated cleaning equipment (e.g., ultrasonic cleaner or washer-disinfector) to increase productivity and decrease worker exposure to blood and body fluids. • Appropriate PPE (mask, protective eyewear and protective clothing) should be worn when splashing or spraying is anticipated during cleaning. • Visibly clean instruments might not be enough to ensure quality of your cleaning protocol. In order to know if your instruments have passed the first step, HuFriedyGroup recommends to use Cleaning Monitors , designed to monitor the efficacy of the cleaning process when using washer- disinfectors and ultrasonic cleaners.
IMS-1345
IMS-1210M
IMS-1210MH
IMS-1211M IMS-1211MH
IMS-1212
IMS-1212MH
IMS-2220 IMS-2215 IMS-2224
2. Preparation & Packaging
All instruments must be completely dry before packaging. • After cleaning, critical & semi-critical instruments should be inspected for remaining debris. Hinged instruments, such as pliers, bone rongeur forceps, scissors and needle holders should always be lubricated. HuFriedyGroup offers the following for all of your lubrication and maintenance needs: > Shine reNEW Instrument Wipes: Remove stain, rust, corrosion and restore the luster to stainless steel and tungsten carbide instruments, as well as stainless steel cassettes. Shine reNEW eliminates the need for abrasive scrubs and is quick and simple to use. > ILS (Instrument Lubricant Spray) : Used to help keep hinged instruments moving freely. Applied before sterilisation and does not dry out during sterilisation. • Before sterilisation, instruments and other patient-care items should be assembled into sets (cassettes) or trays, and wrapped, packaged, or placed into a container system for sterilisation. Packages should be labeled with the date.
IMDINCO0M IMDINCO1M IMDINCO2M IMDINCO3M
IMS-1240 IMS-1241
SSI-100 SSI-250
SSI-1000 MBD030E
3. Sterilisation
• Mechanical and chemical monitors should be used according to the manufacturer’s instructions to ensure the effectiveness of the sterilisation process. > Each load should be monitored with mechanical and chemical indicators. • A chemical indicator should be placed on the inside of each instrument package to be sterilised. > If the internal indicator is not visible from the outside , another chemical indicator should be added to the outside of package. • Place packages correctly and loosely into the steriliser so the sterilant can properly reach all contents. • A Bowie-Dick Test Pack is designed to detect the presence of residual air in pre-vacuum steam sterilizers operating at 134°C for 3.5 minutes. Daily, place the test pack on the bottom shelf, over the drain closest to the door, in an otherwise empty chamber. • Biological monitoring, also known as spore testing, determine whether microorganisms are destroyed from the steam sterilization process. It should be performed weekly.
IMS-1259 IMS-1260 IMS-1262 IMS-1263 IMS-1264 IMS-1265 IMS-1266 IMS-1267 IMS-1268 IMS-1269 IMS-1461 IMS-1270 IMS-1270H
Proper monitoring and maintenance are essential to ensure the durability and health of a dental implant. The long-term success of implants is fundamentally dependent upon both the patient’s maintenance of effective home care and on the dental team’s administration of professional prophylaxis procedures in the dental office. Author: Dr. Olivier Carcuac , DDS, PhD, Department of Periodontology, University of Gothenburg, Sweden Free Call: 00800 48 37 43 39 | Free Fax: 00800 48 37 43 40 E-Mail: info@hu-friedy.eu | Website: HuFriedyGroup.eu HuFriedyGroupEurope HuFriedyGroup Mfg. Co., LLC. • European Headquarters • Lyoner Str. 9 • 60528 Frankfurt am Main, Germany • HuFriedyGroup.eu All company and product names are trademarks of HuFriedyGroup Mfg. Co. LLC, its affiliates or related companies, unless otherwise noted. ©2023 Hu-Friedy Mfg. Co., LLC All rights reserved. IMS-235GB/1123 Surface Disinfectant Cleaning and Disinfection are key to maintaining a safe and healthy practice environment, and disinfecting clinical surfaces is frequently performed with staff turning over rooms after each and every patient, as well as the decontamination area after each decontamination cycle. HuFriedyGroup Bactryl™ Wipes and Spray will make it easy for dental practices since it is safe on all hard, non-porous healthcare surfaces, including glass, plastics, stainless steel and vinyl. Wear gloves and other PPE to prevent occupational exposure to infectious agents and hazardous chemicals during surface disinfecting. 4. Storage • Store sterile items in covered or closed cabinets. Never store sterile items above a steriliser. • Examine all sterilised packs before opening for use to ensure the barrier wrap has not been compromised during storage. > Reclean, repack and re-sterilise any instrument package that has been compromised. IMPLANT MAINTENANCE CARE SOLUTION
Tape Dispenser, holds up to 9 rolls Mini Tape Dispenser, holds up to 4 rolls
Biological Indicator ConFirm™ 10 Steam Biological Indicators, 25 pcs/pack
C10BI25
ConFirm™ 10 Digital Incubator
C10SK
Standard Incubator
NDB-060-E
ConFirm™ Record Keeper Booklet
CRK02
Implementing an infection prevention and instrument processing protocol that follows the European and National Guidelines helps your practice provide a safer and more comfortable environment for your staff and patients.
IMPLANT CARE SOLUTION TITANIUM IMPLANT SCALERS | 2
IMPLANT MAINTENANCE CARE PROGRAM Enhance instrument integrity by the use of the HuFriedyGroup Instrument Management System (IMS). The IMS Solution allows clinicians to move instruments from cleaning to chairside in Cassettes, without manual handling instruments.
IMS INSTRUMENT MANAGEMENT SYSTEM
Educational Article Implant Maintenance Care Solution Lecturer: Dr. Olivier Carcuac Part Code: HFL-197GB
Proper monitoring and maintenance are essential to ensure the durability and health of a dental implant. Following the completion of the surgical and prosthetic procedures in implant therapy, it is imperative to inform the patient about how to carry out selfperformed infection control procedures. The long-term success of implants is fundamentally dependent upon both the patient’s maintenance of effective home care and on the dental team’s administration of professional prophylaxis procedures in the dental office [10] . Professional infection control procedures are necessary to achieve long-term success of our implant treatments [6] and include the removal of hard and soft bacterial deposits on implant and suprastructure components with scalers. Great care and caution should be practiced when cleaning the dental implant and the instruments to be used should ideally be capable of removing efficiently the bacterial deposits without altering the implant surface, the implant components and the surrounding tissues [7], [12] . To know more about our product portfolio, download our Infection Prevention Catalogue!
Free Call: 00800 48 37 43 39 | Free Fax: 00800 48 37 43 40 E-Mail: info@hu-friedy.eu | Website: HuFriedyGroup.eu HuFriedyGroupEurope
HuFriedyGroup Mfg. Co., LLC. • European Headquarters • Lyoner Str. 9 • 60528 Frankfurt am Main, Germany • HuFriedyGroup.eu All company and product names are trademarks of HuFriedyGroup Mfg. Co. LLC, its affiliates or related companies, unless otherwise noted. ©2023 Hu-Friedy Mfg. Co., LLC All rights reserved. IMS-235GB/1123
In this context, it is imperative to highlight that deep instrumentation, such as “subgingival debridement” that normally is performed around teeth, is not recommended in non-surgical treatment of peri-implant disease. The reason for this difference in strategy is related to the geometry of the implant device with its threaded part and other obstacles to access. The risk of causing injury to the inflamed tissues when performing “blind” instrumentation must be emphasized.
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DEBRIDEMENT OF IMPLANT SURFACE Hand curettes of different materials have been proposed as instruments for removing bacterial deposits of the supra- and subgingival peri-implant areas. Among these instruments, plastic, carbon fiber, stainless-steel and titanium curettes are included. Some studies has been performed to evaluate these different materials regarding to their cleaning efficacy and potential of alteration of the implant surface and prosthetic component, which could affect its biocompatibility, biofilm formation and therefore the implant longevity [3], [4], [8] . EFFECTS OF HAND INSTRUMENTS ON THE IMPLANT SURFACE SEM investigation of instrumented titanium implant surface shows significant- ly less scratching caused by titanium curettes compared to other commonly used metal curettes and sonic insert [9] .
1,5 1,25 1 0,75 0,5 0,25 0
A: Titanium
B: Stainless-steel
C: Plastic
D: Cavitron
E: Densonic
Average work traces and substance removal (μm) on implants and abutments after treatment with different instruments.
Educational Workshop Gingival Recession Defects, Peri- Implant Soft Tissue Management and Peri-Implant Biological Complications Lecturer: Dr. Olivier Carcuac Part Code: HF-020EU
GINGIVAL RECESSION DEFECTS
Characteristics and treatment modalities from basic to advanced
LEARNING OUTCOMES The objective of the course is to introduce students to the management of gingival recession defects, their etiology, classification and treatment modalities, from basic to advanced techniques. At the end of the seminar, the students will be able to identify and diagnose mucogingival defects, understand why and when to proceed with treatment and what outcomes can be expected depending on the patients pre-surgical status. They will also learn key communication narratives to help their patients understand the value of healthy gums. Students will learn treatment guidelines, how to perform different root coverage surgical techniques and harvest sub-epithelial connective tissue.
PART 1 THEORETICAL PART • Characteristics and classification of gingival recession defects • Etiological factors • Treatment strategies and prognosis • Microsurgical instrumentation • Coronal Advanced Flap: different flap designs, indications • Sub-epithelial connective tissue graft harvesting procedures: anatomical and technical aspects • Tunneling technique: flap design, indication PART 2 HANDS-ON Students will practice on fresh animal jaw models, with microsurgical hand instruments, resorbable and nonresorbable sutures. • Full and partial thickness flap management • Coronally Advanced Flap technique (classic and modified technique) • Different sub-epithelial connective tissue graft harvesting techniques • Tunneling technique • Different suturing methods
HuFriedyGroup University Program EDUCATIONAL WORKSHOP ARMAMENTARIUM FOR BURNISHED CALCULUS MANAGEMENT GINGIVAL
RECESSION DEFECTS , PERI-IMPLANT SOFT TISSUE MANAGEMENT AND PERI-IMPLANT BIOLOGICAL COMPLICATIONS Lecturer : Dr. Olivier Carcuac
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