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Question:
Sterilizing Practices: Isn't there any kind of uniform current US law that forces all dental practices to autoclave all instruments, wear gloves and masks, etc?
How often does the state (or fed) agency inspect dental offices to see that these procedures are consistent?
I have recently moved from Maine to NY and notice fewer precautionary measures in the new dental office I recently visited. The dentist did not wear gloves or a mask and when I asked the hygienist about autoclaving, she did not understand what I meant. ... Visitor from NY
Answer:
Yes there are laws and regulations for dental offices that are quite extensive.
Hand washing, gloves and masks are required in most states but the laws do vary. These laws are designed for employee protection under the OSHA guidelines. The main purpose is to reduce the number of workman compensation injuries. There are inspections and some with very stiff penalties.
Autoclaving all instruments is also a requirement in most states including surface disinfection and barrier protection. Barriers are plastic covers over the handles and knobs that may be touched during care.
A new barrier for each patient is instant protection and works very well. Dentists in California are required to take a course on California health care laws every two years.
Surface disinfection involves dental chairs, counter tops and other surfaces that are wiped with a powerful disinfectant between patients. Autoclaving is the use of steam heat and pressure to kill germs on instruments.
Inspections are possible in some states but for the most part, sterilization is determined by the integrity of the office and staff. It is very expensive to follow all of the guidelines and laws resulting in the use of a lot more plastic, chemicals, instruments and staff training.
Editorial Staff
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