Asepsis & Аntiseptic in Dental Practice. Part II

Facilities For The Clinic Sanitation

Previous cleaning-up. Floor, stomatological tools and equipment, pieces of furniture and other things in a clinic must be cleaned every day prior to the shift change (other things have to be removed from the operating facilities prior to the ship starts working).

Current cleaning has to be done not less than two times per day in accordance with the staff, temperature in the room and sanitary conditions. Disinfecting materials should meet the requirements for medical care units.

Disinfection and washing are also necessary for mouth rinsing cups. The cup can be boiled, pass a procedure of hot-air spraying or be kept in 0.5 chloramine-solution for 30 minutes.

Spittoon bowls have to be cleaned throughout the whole workday after each patient. Overfilled spittoon bowls must are to be avoided. They are to be filled with 3% solution of hydrogen peroxide prior to cleaning. One can also use chloramine solution. Then, a spittoon bowl has to be sprayed with a hot detergent and rinsed with the flowing water. Tools, which had been used for cleaning-up, must have a mark with the facility, for instance – surgery. Having been cleaned, the facility should pass a procedure of ultraviolet anti-bacterial irradiation and then ventilated. The final cleaning-up (cleaning of walls, equipment and floor) should be carried out at the end of the day.

Major Cleaning in The Dental Clinics

It is obligatory to perform major cleanings every week or even more frequently when needed.




Preparing the surgical area:

  • It is obligatory to divide off the surgical area only with sterile wipes or pads;
  • Hair within the surgical area must be removed prior to the surgery when needed;
  • Skin preparation with 70% alcohol solution must be performed twice;
  • The edges of the cut must be treated with alcohol solution prior to widening the discission and after putting stitches. Iodonatum, chlorhexidine and roccalum with some iodonized solution, iodopironum or alcohol;
  • The most perfect way to avoid infection is the use of a specific membrane in the surgical area and making discissions through it. This membrane can be removed when all the needed operations are performed;
  • Surgery is abolished in case there is any wound, ulcer, abrasion, herpes or mycosis on the patient’s skin. If the surgery is obligatory due to the health reasons, the infected field should be distinguished with special label;
  • Uneaten food and odontolith should be removed from the oral cavity. The mucosal field should be processed with balls of cotton, soaked in 1:1000 potassium permanganate or in 3% hydrogen peroxide solution.