Dentisan Brochure August 2020

Practice Infection Control Catalogue

Taking care of everything dental

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henryschein.co.uk

As UK dental practices return to practice, concerns for the wellbeing of staff and patients will be a high priority.

In addition to the regular infection control measures, there are obviously heightened concerns about public health threats in reception and waiting areas. The measures required by HTM 01-05 should be carefully followed, together with any Covid-19 specific instructions issued by the UK Government.

MAINS WATER SUPPLY

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•

Flush all mains water supplies to remove stagnant water that has been static during closure. This is

•

Equipment used for water purification should also be cleaned and flushed in accordance with the

particularly important where there are storage tanks. manufacturer’s instructions before use.

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DENTAL UNIT WATERLINES (DUWL)

Recommissioning of DUWLs Your treatment centre is the most important equipment in the surgery and Dental Unit Water Lines should have been cleaned before closure by using a biofilm remover and the same process should be applied prior to use. Following guidance in HTM01-05 section 19.12, a suitable biocide that removes biofilm is particularly useful when chairs have been inactive for a period. This will help provide water of a quality that remains within guidelines (less than 200 cfu/ml). Testing of input and output water from DUWLs should be completed using dip slides and recorded prior to seeing patients. Bioclear should be left in DUWLs for 12 hours and ideally overnight, before flushing out with RO or distilled water.

HTM 01-05 guidelines on recommissioning DUWLs need to be carried out before units are re-used:

19.12 In the absence of manufacturers’ guidance, flush the DUWL for at least three minutes, disinfect the DUWL with a suitable disinfectant (as recommended by the manufacturer for routine disinfection of the DUWL), then flush for a further three minutes.

19.13 Where in-line filters are used, these will require treatment using a cleansing solution that has been recommended by the manufacturer. This step should be performed after first flushing the DUWL. Note: Care should be taken to minimise the occurrence of splashing and aerosol formation.

19.14 If DUWLs have disposable filters, they should be replaced.

19.15 Self-contained water bottles (bottled water systems) should be flushed with distilled or RO water. Where

visual contamination is present, flushing with a suitable disinfectant followed by thorough washing is necessary.

The manufacturer’s instructions will specify which disinfectant to use. In instances where visual contamination is routinely detected, it will be necessary to decrease the interval between flushing operations. If good practice is followed, practices should not routinely detect evidence of visual contamination.

Note: The self-contained water supplies used for dental care systems should be distilled or RO water (see Chapter 17).

19.16 As part of the recommissioning, dental equipment requiring protection against backflow should have the anti-

retraction valves (incorporated on handpieces or waterlines) checked by the responsible person. They should ensure they are suitably decontaminated, refitted correctly and are operating in the correct manner. Examples of dental equipment requiring backflow protection are: •

dental spittoons;

•

ultrasonic scalers;

•

three-in-one syringes;

Recommended products • Bioclear box of 12 bottles • Bioclear Daily

•

wet-line suction apparatus; and

•

self-filling automatic radiographic processors (where still used).

• Dip Slides pack 10

• While virus contamination of waterlines is not expected, bacterial biofilms can develop very quickly. It is recommended that HTM 01-05 process is followed, using Bioclear to disinfect the DUWL before use.

• DUWLs should be maintained in accordance with HTM 01-05 using Bioclear Daily to maintain water quality and Bioclear as a periodic purge cleaner and disinfectant to deal with any biofilm build-up in the system.

Bioclear®

•• Weekly biofilm remover for dental unit waterlines.

•• Attacks constituent bacteria of biofilm, inhibiting regrowth and ensuring water quality is within guidelines.

•• Ready-to-use, pH neutral.

1116307 Kit: Bioclear 200ml x 12 and Rinse Test Strips x 50 1189080

Bioclear Daily 1L

Accessories

1116308

Biological Dip Slides x 10

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Medical device surface cleaning & disinfection and the Coronavirus

By Laura Yates BSc CChem MRSC, Technical Manager at dentisan.

Whilst the world is focussed on hand hygiene, let’s not forget the importance of surface cleaning and disinfection as part of the fight against COVID-19 in the dental surgery.

What started as reports of a previously unknown virus causing serious illness in the Chinese province of Hubei has now become headline news around the world, as the battle continues to stop the global spread of COVID-19. COVID-19 is a respiratory disease caused by a new strain of coronavirus. Coronaviruses are enveloped viruses known to infect both humans and animals. In humans these pathogens cause respiratory illnesses ranging from the common cold to far more serious infections including severe pneumonia and bronchitis.

With regards to surfaces within a practice, both cleaning and disinfection are required processes, but importantly cleaning must take place before disinfection to ensure that bacteria, proteins and other contaminants are removed from surfaces before disinfection takes place. This is why a single stage process which combines cleaning and disinfection is often the preferred choice for dental nurses.

It is known that coronavirus can remain active on surfaces for up to 10 days, therefore surface cleaning and disinfection are of upmost importance in tackling the transmission of the virus.

Biocleanse Ultra has proven efficacy against enveloped viruses such as Vaccinia virus, HIV, HBV and HCV H1N1 and H5N1. It is therefore expected that Biocleanse Ultra will have efficacy against coronavirus (also an enveloped virus). As this is a novel virus, specific testing on the COVID-19 strain is not yet available.

The suitability of alcohol for disinfection of hard surfaces remains questionable. Despite being an effective disinfectant in clean conditions, alcohol is not effective as a cleaner, especially with proteinaceous soils. It evaporates very rapidly in use, limiting the effective contact time.

In addition to its volatility, alcohol is highly flammable, and is incompatible with common surgery surfaces such as PMMA and upholstery. More worrying is that alcohol acts to fix proteins to surfaces, a problem highlighted in HTM 01-05. Section 6.57 that states, “…the presence of protein will compromise the efficacy of alcohol-based wipes. Note: Alcohol has been shown to bind blood and protein to stainless steel. The use of alcohol with dental instruments should therefore be avoided.”

Biocleanse Ultra Wipes are a single-stage cleaner and disinfectant. They can be used for both cleaning (where a detergent wipe may be called for) and disinfecting, or both where appropriate. The wipes are wetted with a non-alcohol formulation so there is no concern of fixing protein to a surface, which is a significant issue with traditional alcohol wipes.

The COVID-19 outbreak, along with a significant rise in cases of other viral illnesses, including mumps and measles, puts a spotlight on how easily infections can spread, and ultimately how they can be prevented using stringent infection control procedures. For the dental team and patients alike, such measures drastically reduce the likelihood of contracting any infection in the dental surgery.

By complying with government guidelines on hand hygiene, surface cleaning/ disinfection and safe practices, as well as understanding how to break the chain of infection and how pathogens are transmitted, makes it far easier to take the correct preventive and control measures.

Laura Yates BSc CChem MRSC Technical Manager

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SURFACES AND EQUIPMENT

Coronavirus is an enveloped virus and is likely to remain active on hard surfaces for days or weeks.

Biocleanse Ultra has proven efficacy against enveloped viruses such as Vaccinia virus, HIV and HCV. After being closed for a prolonged period every surface in the practice will need to be cleaned and disinfected and both of these are required processes. Importantly, cleaning must take place before disinfection to ensure that bacteria, proteins and other contaminants are removed from surfaces before disinfection takes place.

An alcohol-free, all-in-one formulation with efficacy against bacteria, fungi and enveloped viruses will provide a fast and effective solution. Biocleanse Ultra has proven efficacy against bacteria, fungi and enveloped viruses, and cleans and disinfects in one solution and is compatible against all common surgery surfaces.

Save time on cleaning floor surfaces by using a single stage cleaner and disinfectant. It is advisable to use colourcode mops and cloths according to the zone in which they will be used (kitchens/washrooms/offices/clinical and decontamination areas). This will reduce the risk of transmitting pathogens between areas. Dentifloor has proven efficacy against bacteria, fungi and enveloped viruses. Simply dilute with clean water to make a 20ml per litre solution.

•

Biocleanse Ultra can be used to clean and disinfect medical device surfaces on a regular basis, in accordance

•

Cleaning and disinfection of reception, office and waiting areas should also be undertaken.

•

with HTM 01-05.

Frequently touched surfaces should be frequently decontaminated.

Biocleanse Ultra is a single-stage cleaner and disinfectant.

Wipes are wetted with a non-alcohol formulation so there is no concern of fixing protein to a surface, which is a significant issue with traditional alcohol wipes.

Section 6.57 of HTM01-05 states “…the presence of protein will compromise the efficacy of alcohol-based wipes.

Note: Alcohol has been shown to bind blood and protein to stainless steel. The use of alcohol with dental instruments should therefore be avoided.”

Recommended products

• Biocleanse Ultra Wipes / Refills pk 200 • Biocleanse Ultra RTU Spray 500ml

• Biocleanse Ultra Concentrate 5 litre • DentiFloor 5 litre

Biocleanse™ ULTRA Wipes

DENTIFLOOR

•• All-in-one, alcohol-free cleaner and surface disinfectant wipe.

•• pH neutral formulation with proven efficacy against mycobacteria including TB; enveloped viruses such as hepatitis B and C, and HIV; bacteria; and fungi/yeast.

•• Dimension of wipe: 200 x 220mm.

1122290 1122291

Tub x 200

Refill x 200

BIOCLEANSE® ULTRA

•• All-in-one, alcohol-free cleaner and surface disinfectant.

•• pH neutral formulation with proven efficacy against bacteria, mycobacteria and fungi including TB, hepatitis B and C, and HIV. 1122288

5L Ready to Use

1122289 500ml Spray with Trigger Ready to Use

•• Single-stage operation disinfectant cleaner for hard floors.

•• Wide spectrum biocide.

•• Non-alcohol formulation.

•• Concentrate should be diluted with clean water to give a 20ml per litre solution.

•• Effective against bacteria, fungi and enveloped viruses.

1171580

5L

BIOCLEANSE® ULTRA

•• All-in-one, alcohol-free cleaner and surface disinfectant.

•• pH neutral formulation with proven efficacy against bacteria, mycobacteria and fungi including TB, hepatitis B and C, and HIV. 1122292

5L Concentrate

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TESTING AND VALIDATION CHECKS Check autoclaves, washer disinfectors and ultrasonic baths are working and to manufacturers’ specifications before you re-open.

Recommended products

• Wash checks (for washer disinfectors and ultrasonic baths) pk 25 • Helix Test + 250 indicator strips • TST Strips pk 200

129016

Wash Check Indicator Holder

1195503

Dentisan Indicator Test Strips

1129018

Helix Steam Penetration Test 250pk

1157061

Wash Checks For Ultrasonic Machines 25pk

1129017 1129021

Protein Residue Test Weekly 25pk

Class 6 Indicator Test Strips W/Adhesive 250pk

1153818

Wash Check Indicators 25pk

BLOOD SPILLS AND CONTACT WITH A KNOWN OR SUSPECTED COVID-INFECTED PATIENT

After contact with a known or suspected Covid-infected patient, disinfection with a chlorine solution is recommended • •

The full guidance can be found here

Chlorine solutions can be reliably generated using Dentichlor tablets (1 tablet dissolved in 1 litre of water produces a 1000ppm chlorine solution).

Recommended products • DentiChlor tablets x 200

IMPRESSION DISINFECTION

Impression taking is a standard daily task and for patients having whitening ororthodontic treatment is essential. The disinfection of impressions before being sent to the lab isa vital decontamination process, particularly in the era of COVID-19. DentiChlor tablets provide a measured dose of chlorine and is suitable for disinfection of impressions, blood spills and for water storage containers.

Recommended products • DentiChlor tablets x 200

DENTICHLOR tablets

•• Disinfectant tablets for impressions and devices.

•• Measured dose.

Tub

1111633

•• Rapid action.

•• Easy to use.

Tablets x 200

AEROSOL GENERATING PROCEDURES •

If carrying out aerosol generating procedures (AGPs), respiratory PPE must be correctly used.

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The use of disinfectant mouth washes prior to such procedures may be beneficial in reducing inhalation risk.

•

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Additional measures may be considered such as forced room ventilation to ensure frequent air changes.

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HAND HYGIENE

Good hand hygiene is a major part of any infection control regim.

Hand hygiene will be one of the most obvious ways you can demonstrate infection prevention to patients and staff.

Ensure hand wash, sanitiser and hand cream are available, ideally in touchless dispensers to reduce the risk of cross infection. An effective no-alcohol sanitiser is also available for those who cannot tolerate alcohol on the skin.

DentiSure is specially formulated and microbiologically tested to BS EN 1500 •

Wash hands regularly, using correct technique

•

Supplement hand washing with use of hygienic hand rubs, conforming to the EN1500 standard, between

•

• •

Use liquid hand cleanser from a wall mounted (preferably touchless) dispenser washes, on visibly clean hands.

While much attention has been placed on the use of alcohol-based hand disinfectants, other types, with proven efficacy against enveloped viruses, will be useful.

Adequate hand washing facilities should also be provided for patients.

Recommended products

• Dentiwash 800ml pouch and 500ml pump dispenser • DentiGel 800ml pouch and 500ml pump dispenser • DentiSure 1litre pump dispenser

DentiSure Hand Foam

• Replenish 800ml pouch and 500ml pump dispenser • Touchless Dispensers for liquid and foam

DentiGel

•• Non-alcohol, ready-to-use, post-wash skin disinfectant that provides additional protection from pathogens in healthcare settings.

•• Ready-to-use post-wash skin disinfectant, providing additional protection from pathogens in healthcare settings.

•• Effective against non-enveloped viruses, including coronaviruses having achieved EN14476

•• Microbiologically tested to comply with BS EN 1500.

•• Microbiologically tested to BS EN 1500.

•• Contains effective emollients and skin conditioners.

1184016

1112953

1180535

Pouch 800ml x 6

1L Pump Dispenser

REPLENISH

•• Emollient cream for protecting and conditioning skin.

•• Prevents drying and cracking, especially where frequent hand washing is necessary.

1111639

Pouch 800ml x 6 500ml

DENTIWASH

•• Hand and skin cleanser for use in medical and scientific environments.

•• Free from perfume and solvents.

•• Non-greasy.

•• Contains skin conditioners for added protection.

1112955

Pouch 800ml x 6

1112954

Pouch 800ml x 6

1111644

5L

1111642

500ml

1111645

500ml

DENTIGEL

•• Ready-to-use post-wash skin disinfectant, providing additional protection from pathogens in healthcare settings.

1111641

5L

Accessories

•• Contains effective emollients and skin conditioners.

•• Microbiologically tested to comply with BS EN 1500.

1184017 DentiSure Foam Touchless Dispenser 1111646 Liquid Dispenser for Pouch Refills

1112953

Pouch 800ml x 6

1181926 Wall Cradle

1111648 Wall Cradle for 500ml bottles

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BARRIER PRODUCTS AND PPE

The PPE requirements specified in HTM 01-05 are an essential part of an infection control strategy.

Correct use of gloves, masks, eye protection and aprons provides an effective barrier to potentially infective material.

Once the practice is re-open and you are seeing patients, attention to infection controldetail will be more important than ever. Disposable barriers for handles, control panels,headrests, 3-in-1, handpieces and turbines will be essential.

Single use barriers should be placed firmly on clean, disinfected surfaces. After each patient,barriers should be removed and disposed of safely, before PPE is removed. The area should be decontaminated in the usual way.

• • •

Patient treatment activities Handling and decontamination of used instruments - these are hazardous operations where infectious material may become airborne, as splashes or aerosols.

The use of impervious barrier products on items of equipment can also help to limit surface contamination and make cleaning and disinfection more effective.

Recommended products

• DentiShield A for control panels and handles pk 1200 • DentiSield B for air motors and air/water syringes pk 250 • DentiShield C for tubing, turbines & ultrasonic scaler heads pk 250

• DentiShield D for headrests and x-rays pk 250 • DentiShield E for low speed long handpieces pk 500

DentiShield™

•• Disposable, single-use plastic barriers that help to reduce contamination during treatment.

DentiShield A - Roll of 1200

DentiShield C x 250

1181661 For Light Handles and Control Panels

1181663 For Turbines, Tubing and Ultrasonic Scaler Heads

102 x 152mm

DentiShield B x 250 457 x 53mm

1181662 For Air Motors and Air Water 3-in-1 Syringes

457 x 44mm

DentiShield D x 250

DentiShield E x 500

1181664 For Headrest Covers and X-Ray Heads

1181665

285 x 255mm

255 x 64mm

For Low-Speed Handpieces

DentiPouch®

•• Self-sealing sterilisation pouches for use in all vacuum autoclaves and for packaging of instruments after sterilisation in non-vacuum systems.

•• Compliant to BS EN ISO 11607-1.

Pouches x 200

1184991

60 x 120mm

1184996

90 x 230mm

1185001

140 x 280mm

1184993

75 x 230mm

1184998

132 x 250mm

1185003

250 x 380mm

1184992 1184994 1184995

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70 x 260mm 85 x 180mm 90 x 130mm

1184997 1184999 1185000

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90 x 270mm

132 x 290mm 135 x 180mm

1185002 1185004 1185005

200 x 330mm 260 x 405mm 300 x 450mm

1185006 1188706

320 x 380mm 89 x 254mm

INSTRUMENT DISINFECTION Neutrasan

•• Concentrated detergent for manual and ultrasonic cleaning of dental instruments and sensitive surfaces.

•• pH neutral - safer for staff to handle and for instrument and equipment surfaces.

DENTIRINSE

•• An acidic rinse/neutraliser for use in washer disinfectors.

•• Low foam.

•• Scale control.

•• Reduces water spotting.

•• Use in hot or cold water - recommended maximum temperature is 45°C for optimum protein removal.

•• Dilution ratio of 2-20ml per litre of water (0.2-2.0%); 1:500 to 1:50 depending on process and soiling.

1116305 1L 1116309

5L

Dentisan 100

•• Surface-active cleaner for dental instruments, trays and equipment; removes contamination prior to sterilisation.

•• Formulated for use on stainless steel, ceramics, glass, rubber and many plastics.

1111636

5L

DENTIMATIC

•• Low-foam detergent for use in washer disinfector units.

•• Non-caustic.

•• Suitable for hard or soft water.

•• Solvent-free.

Instrument And Tray Cleaner

1111630 5L

1L1111631

DentiZyme

1111634

5L

DentiZyme ULTRA

•• DentiZyme is a pH neutral enzymatic detergent used for manual and ultrasonic instrument cleaning.

•• Dentizyme Ultra is a high power, pH neutral enzymatic detergent used for manual and ultrasonic instrument cleaning.

•• Low foaming

•• pH neutral

•• pH neutral

•• Highly effective protein removal

•• Available in 2 litre and 5 litre

1198949

2L

1198950 5L

•• Powerful detergent properties •• Low foaming

•• Highly effective protein removal •• 1 litre bottle makes up to 200 litres of cleaning solution

1198951

1L

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t 0800 023 2558 e info@henryschein.co.uk w henryschein.co.uk HenryScheinUK

Please visit http://www.henryschein.co.uk/gb-en/Dental-GB/LegalTerms.aspx for full terms and conditions. E & OE.

HSD205-08-20

Henry Schein Dental, Medcare House, Centurion Close, Gillingham, Kent, ME8 0SB.