Canadian Flag Canadian Centre for Occupational Health and Safety Centre canadien d'hygiène et de sécurité au travail Government of Canada Wordmark
CCOHS: Canadian Centre for Occupational Health and Safety
Français Contact Us Help
        
Canada Site
Web Info Service Products & Services OSH Answers Education & Training
Canada's national Occupational Health & Safety Resource
Home About Us E-News Bringing Health to Work Events Resources Shop
AIDS Precautions - Dental
What precautions should I take when employed in the dental field?
What personal protection should I use?
When should I decontaminate and sterilize instruments and equipment?
How should I decontaminate of environmental surfaces?
OSH Answers
Feedback
Disclaimer
Printer Friendly Layout
Inquiries Service

The Inquiries Service at CCOHS answers questions on the health or safety concerns people have about the work they do.

More on Inquiries Service




Printer Friendly Layout
OSH Answers
Diseases, Disorders & Injuries
 AIDS
  AIDS Precautions - Dental

What precautions should I take when employed in the dental field?

Consider blood, saliva and gingival fluid from all dental patients as infective. Refer to "Universal Precautions" for preventing transmission of bloodborne infectious diseases.

  • Use rubber dams in restorative dentistry whenever possible
  • Report immediately a needlestick or sharp injury to a designated person because if post-exposure chemoprophylaxis is to be implemented, it should begin preferably within 1 to 2 hours after exposure.
What personal protection should I use?

Wear gloves:

  • if you have open or healing wounds, or skin infections
  • when in contact with saliva, mucous membranes or blood
  • when in contact with blood-soiled items, body fluids or surfaces contaminated by them
  • when examining all oral lesions

Replace torn or punctured gloves immediately.

Use new gloves for every patient.

Wear gowns:

  • when blood or body fluids are likely to soil clothing

Change gowns daily or when visibly soiled with blood or body fluids.

Wear masks, face/eye protection or chin-length plastic face shields:

  • to protect oral and nasal mucosa from the splatter of blood, saliva or gingival fluid

Wash hands:

  • between patients
  • after completing procedure and before leaving work area
  • with germicidal soap before and immediately after removing gloves
When should I decontaminate and sterilize instruments and equipment?

  • Use disposable materials. Dispose in plastic bags. Place needles and sharp instruments in puncture-resistant containers before disposal. Check with local municipality for disposal of contaminated waste.
  • Routinely sterilize instruments used in all dental procedures. Store in sterile packs or pouches.
  • Sterilize after each use other dental instruments that come in contact with oral tissues such as amalgam condensers, plastic instruments of handpieces and burs. High-level disinfect if this is not possible.
  • Cover with impervious-backed paper, tin foil or clear plastic wrap equipment and surfaces that may become contaminated and are not easy to clean. Remove and replace for each patient.
  • Thoroughly clean blood and saliva from supplies used in mouth (impression material, bite registration). Clean and disinfect.
How should I decontaminate of environmental surfaces?

  • Use absorbent paper towelling to remove blood or saliva.
  • Clean surface and rinse. Wipe surface with a suitable chemical germicide or a 1:100-1:10 dilution of household bleach in water. Prepare solution fresh daily.
Document last updated on June 12, 2000

Copyright ©1997-2006 Canadian Centre for Occupational Health & Safety


OSH Answers Search
        Help

OSH Answers Search is designed to help you specifically target items about Occupational Health and Safety that are explained in the OSH Answers portion of our site.
Home Products/Services Education/Training Events OSH Answers Resources Search