Dental Hygiene Source ADHA - February 2014 - (Page 33)
Bib-Eze™: The Ideal Solution to Avoid Bib Chain Cross-Contamination
by Shannon Pace Brinker, CDA , CDD, Editor in Chief, Contemporary Product Solutions * www.cpsmagazine.com
1
Introduction
Shannon Pace Brinker,
CDA, is a National and
International Speaker
and published author.
Shannon, Editor in Chief,
and her husband Erik, own
Contemporary Product
Solutions, which provides
product reviews for the
complete dental team. It is
the only dental editorial that
combines product review for
the whole team.
Shannon Pace Brinker,
CDA, is a past faculty
member at the Dawson
Academy and Spear
Education. She is an
active member of the
AACD. Shannon is the
first auxiliary to sit on the
AACD Board of Directors.
Shannon was selected one
of Dentistry Today's Top
100 Clinicians of 2009,
2010, 2011 and 2013.
She was also selected as
Dental Products Report 25
most influential women in
dentistry and Dr. Bicuspid's
Dental Assistant Educator
of the year for 2012. She
is the Editor in Chief for
Contemporary Product
Solutions and consultant for
many dental manufacturers.
For information on dental
assistant programs, please
contact her at 757-285-9477
or e-mail at
shannon@cpsmagazine.com.
Education
What You Don't Know About
the Bacteria on Your Bib Chains
Infection control presents the greatest
potential threat to dental practices today. The
greatest risk, cross-contamination, occurs when
bacteria or viruses on one surface are spread
to another surface. In dental practices, dental
professionals and team members take many
precautions to avoid cross-contamination.
The use of gloves, disposable materials, and
disinfecting products decreases the likelihood of
cross-contamination, but it does not eliminate
the possibility of infection. It is the responsibility
of dental team members and monitoring
agencies to prevent the unnecessary spread of
infection between patients and staff within a
dental practice.
The Centers for Disease Control and Prevention
(CDC) guidelines suggest that dental items
contacting only intact skin are at a low risk for
transmitting infection.1 Patient napkin holders
(i.e., bib chains) are a multiple-use dental
product that falls under the "low risk" category
for transmitting infection. The CDC guidelines
suggest that these items require cleaning and
disinfecting with an intermediate- or low-level
hospital disinfection product registered with
the Environmental Protection Agency.1 With
this recommendation, a variety of products and
techniques are used among dental practices to
disinfect bib chains between patients.
For example, many dental practices use surface
wipe disinfectants to clean bib chains. However,
many clips and chains harbor bacteria in crevices
or places that a wipe cannot reach. Another bib
chain disinfection technique includes immersion
in a hospital grade disinfectant and requires that
a dental team member first removes debris and
then immerses the bib chains for the appropriate
length of time.2 This requires disinfecting solution,
sufficient time between appointments, and multiple
bib chains.
Autoclaving offers another option to clean bib
chains and uses heat to sterilize the equipment.
Similar to immersion, autoclaving provides an
effective solution, given that prior to autoclaving,
all the debris present on the bib chain is removed.2
Autoclaving, however, presents its own problems
because of its time consuming and expensive
To Order, Call Us Toll-Free:
characteristics. This includes more bib chains
to accommodate the amount of time it takes to
autoclave, as well as the autoclaving equipment.3
These extra steps frequently prevent dental practices
from using this as a routine method for sterilization.
Bib chains that include any rubber on them are also
unable to be autoclaved and limit the types of bib
chains available to dental practices.3
Infection Control and Bib
Chain Contamination Studies
Over the last few years, several studies have
examined the relationship between bib chain
contamination and infection control. The Dental
Advisor published a study by John Molinari, Ph.D,
entitled "Microbial Contamination of Patient
Napkin Holders," in 2010.4 This study evaluated
1.800.372.4346 8am-9pm, et
33
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Table of Contents for the Digital Edition of Dental Hygiene Source ADHA - February 2014
Dental Hygiene Source ADHA - February 2014
Index
CAO
CE Course for Dental Assistants
Colgate
Coltene Whaledent
Crosstex
DENTSPLY Professional
DENTSPLY Rinn
Desensitizers
Disposables
Dry Mouth
Dux Dental
Equipment & Technology
Floss & Flossers
Fluorides â In Home
Fluorides â In Office
GlaxoSmithKline
Gloves
Handpieces
Healthcare Apparel
HealthLink
Henry Schein Brand
Hu-Friedy
Infection Control
Instruments
Kerr
Medicom
Microflex
Mouthwash
Nordent
Oral-B
Oral Cleaning Aids
Oral Rinse
Patient Education
Pit & Fissure
Power Scaling Inserts
Power Scaling Units
Premier
Preventech
Privileges
Prophy Angles
Prophy Paste
Sultan Healthcare
Sunstar America
Super Specials
Surgical Solutions
StarDental
ToothbrushesâManual
ToothbrushesâPower
Toothpaste
VOCO
Waterpik Technologies
Young
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