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Operatory Maintenance

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1. 5 Matintainin ES ir id Items To Consider In Operatory Maintenance Within the operatory there are some common items that routinely pop up as problems resulting in a service call air water syringes leak ing and buttons sticking vacuum valves that get tight and seem to lose their vacuum power tubings and upholstery get dry hard cracked and stained These lead to air and vacuum leaks as well as a dirty looking operatory environment water clogs in syringe tips handpieces and control blocks Also the water gets musty smelling like a wet basement These common issues can be drastically reduced by under standing the causes and utilizing a little routine maintenance Smooth Syringe Nut Assembly _ 23 1112 00 Ca Fi r pe at r oA aS New Button Kit Ls Smh Sarg Mt 23 1111 Chring EP ASShs ee AIA 1 x OF E 035 48 1 Spine rige Tut 2 110 1M Chring EP AS68005 DSA 1D x Oa Ww 0 01 A dec S E Valve Parts List A dec HVE Valve Parts List Description Part f Description Part O ring S E tip holder 034 107 00 O ring HVE Tip Holder 034 013 01 S E valve Autoclavable 12 1089 00 O ring HVE Rotor 034 014 01 O ring for S E Rotor 034 012 00 HVE Autocl Rotor w O rings 11 1074 00 S E Rotor Cartridge w o rings 12 1093 00 Screen Spring Clip for QD HVE 11 0998 00 S E Tailpiece Autoclavable eee Tailpiece QD Short Surf color 11 1027 00 Tip Holder ees a i Tailpiece QD Short Grey color 11 0989 00 Tip
2. A ii It E ProE Vac Liquid Evacuation System Cleaner Non foaming biodegradable evacuation system cleaner that leaves a fresh mint scent Multi action formula cleans e F re ae and deodorizes wae i the entire sian evacuation a a system Buy 1 Get a Tidy Tote FREE 24 1 oz Unit Dose Me ore aA wren EEA EEI eile SER Re er CIR S e99 1 Gallon with Pump IPAC scan tee a ni accent ta aise ance 42 19 Tidy Tote 1 Gallon Empty Dispenser PVACB E E A DE Ea 23 09 V Cide Chemical Vapor Sterilant Solution Formulated for use in Harvey Chemiclave sterilizers Improved formula reduces odor causing agents Does not corrode rust or dull instruments Cost effective alternative for your chemical vapor sterilizer Compatible with materials recommended by manufacturers for sterilization in chemical vapor sterilzers Buy 3 Get 1 FREE Liter Bottles 4 Box WGS38 es a ac i Persia este ba eae w ean eoe 1 41 59 oa A a e RR Ba a ag Wap aa Re Tal amp ala ea Ce achiln ce acorn 4 37 79 i L ka u i t Ggs 4 val pe t E ji Pead ry Mi A AANT F Ri Pr ron AT ae AAN AD gen To te i ie r FA i dd T E A Dr pe b hit a a ae pe aN sabe g i Eo 4 ir t h Y 1 a4 j T i ee Free goods shipped with order Offers valid January 1 March 31 2009 20 NDI ChairSide Essentials For more than 100 years your most
3. BA DRT FRE r z D es a a Z es Z gt Z P es T es os gt 7 es N Office Maintenance Handpiece Controls amp Operatory Surfaces Within the operatory the need for disinfection is critical With handpiece aerosols saliva blood and other infectious debris accumulating on instruments and surfaces thorough cleaning and disinfecting is essential to prevent the spread of germs and disease to staff as well as other patients There are several chemicals that are used for disinfecting dental equipment Dental equipment manufacturers take this into account when choosing materials used in the manufacturing of their equipment items However to date there has not been a material discovered that will stand up to all chemicals and all surfaces exposed to disinfecting chemicals need to be thoroughly and regularly cleaned For this reason you will find in most user manuals of major equipment manufacturers the recommendation of barrier protection as their only approved means of eliminating cross contamination on touch and transfer surfaces That is why it is important to consult your user manual for the equipment items you purchase and find materials that meet the manufacturer s guidelines In the day to day world of dental offices however disinfectants are used regularly on these surfaces In order for disinfectants to work they must be in contact with the surface when it is clean Therefore most disinfectants se
4. tips installed note if Kavo electric motors are installed on your unit be sure to remove the four hole Winter 2009 Edition tubing from the back of the control box prior to purging water lines Debris that breaks loose can clog the water solenoid in the control box and cause water problems with the handpiece Often times lots of debris will purge from the lines at this point and can clog tips and handpieces if installed repeat this process EVERY 6 MONTHS 3 Daily add an ICX tablet or other water cleaner to the bottles when refilled This prevents the redevelopment of biofilm killing any microbes in the water 4 Daily put an empty bottle on each unit and purge lines with air This prevents lines from sitting stagnant and wet overnight If not daily do this AT LEAST weekly S Weekly Remove bottles and wash with soap and water Then rinse thoroughly Sterilex ULTRA may be used as a system shock treatment semi annually or as a routine treatment to be done weekly prior to leaving for the weekend This will eliminate using water treatment tablets This process needs to be repeated every 6 9 days minimum if no other daily water treatments are being used SLO sectotinescvaioussanaworees ede E ee 49 79 20 packets per box each packet makes 80z of solution ICX is an effervescing tablet specially formulated to help prevent contamination and maintain clean water lines in dental units ICX remains active overnight o
5. Holder S E Gray 12 0183 01 r S E Screen 12 0180 00 HVE Valve long Autocl complete 11 1177 00 16 trusted source for dental supplies and equipment Winter 2009 Edition Assistant s Instrumentation Maintenance Traditional Autoclavable Syringe Air Water Syringe Common Issues 0000 1 Leaking out of end of the tip Figure A This is caused by the buttons sticking and not sealing correctly on i nee Common reasons this happens i to A piz A Minerals in hard water can create mineral deposits around the o rings in the syringe buttons M causing them to stick and not seal properly B Bio burden debris build up from utilizing syringes without a barrier over them As the doctor hygienist or assistant works in the oral environment saliva blood and mucous get on the gloves Then when using the syringe this material can work into the o rings in the buttons This can lead to o ring failure and a less than desirable situation for the patient C Disinfectant build up At the end of each procedure most offices spray and wipe the syringe with a disinfectant liquid This also works its way into the buttons and leaves an increasing layer __ of debris that can cause the o rings to become stiff and not seal correctly NO oescmrnon 2 Water leaking and dripping from around the nut or tip retainer Figure B aloe Aas Singe Tip a A O ring is torn and needs replacing There is a small o ring at the back end of this nut that the t
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7. commended process For more information on ICX or other A dec products contact your Nashville Dental account representative today 2004 A dec Inc All rights reserved 1min nachnrllodeoental rom 22 615 860 7100 trusted source for dental supplies and equipment Waterline Maintenance Due to the effects of biofilm growth in flexible vinyl tubings effective means of regularly clean ing water lines is strongly recommended by the CDC and ADA We recommend having a clean water bottle system at each location that delivers water to the oral cavity Having a Clean Water system doesn t necessarily mean you have clean water flow ing through your unit It really means that you have a controlled delivery of the quality of water or solution that is delivered through your unit Clean Water systems are simply a means of introducing chemicals to your water supply to pre vent the growth of bacteria in these lines Due to the popularity of these units a number of products have been introduced to the market for treating the water used in these systems In order for these systems to truly deliver Clean water they have to be maintained correctly Waterline Maintenance Protocol 1 Initially shock the system overnight with Sterilex Ultra This will kill all biofilm in the lines 2 The following morning or Monday if done before leaving for the weekend all lines need to be flushed thoroughly without handpieces or air water syringe
8. dec Simple Waterline Maintenance New A dec ICX offers you a unique and effective way to main tain clean dental unit waterlines First of all it s incredibly easy to use Simply add one ICX tablet to an empty self contained water bottle before each filling As the effervescent tablet dissolves ingredients are released into the water to help prevent contamina tion and the buildup of deposits Measuring and mixing are not required the ICX tablet does the work for you And since ICX is not harmful to your team your equipment or your patients you can have peace of mind knowing that your waterline maintenance protocol is not only easy and effective but also safe e Convenient single tablet dispensing packet e Continuously present eliminates need to purge waterlines e Preventative remains active in the water during periods of non use lasting up to 2 weeks ICX is available for both 0 7 liter e Has no effect on dentin bonding ener alae e Odorless and has no taste i E a Sm Ba ae a irar i sa p Sa oa _ gt 2x a a 4 aa a fa ior YE FE S DRA RATLI AF PEE HELPE ARATA TA jaa Cl fa a Erra Liner VATA Ao se i onmuLaTas T o ik js nL T r Oe T HELP PARIT geet eT iter TE l arrir WW 50 TABLETS avdee O 7liter 50 TABLETS ddec ICX As with all waterline protocols achieving quality results requires adherence to the manufacturer s re
9. e lubricant prior to reassembling the valve 3 Build up in lines can lead to weak suction As the suction is used lines can develop a crust on the inside walls that make the lines smaller This can cause large debris to hang up and create clogs Lines should at a minimum have a quart of warm water run through them each day Then weekly run a quart of non foaming cleanser through each operatory To do this utilize a non foaming enzymatic solution mixed in an atomizer jug that is designed specifically for vacuum line cleaning These jugs allow air to mix with the solution creating a scrubbing effect in the lines The Vacusol Ultra atomizer allows the assistant to hook up the lines and walk away A metered dose of exactly a quart will be pulled into the lines One mixture will do 3 rooms If you do not have an atomizer make sure that you do not pull straight liquid through the lines as it will not clean the lines well and can cause problems with your vacuum Always allow air to enter with the cleaner 4 The solids collector on the unit should be checked weekly and cleaned or replaced as necessary The main trap at the actual vacuum pump needs to be checked regularly When running cleaner through your lines large amounts of debris can break loose and fill this trap causing the suction to shut down By keeping the disposable Evac u traps on hand you will always have extra clean traps to swap out quickly in this situation 1 QANA OKT L105 17 PEE E
10. fection is only necessary when the uphol stery becomes visibly soiled Many offices routinely disinfect this surface between patients This exposes the material to these harsh compounds over and over again If the office feels this is necessary it is important to use a disinfectant with very low alcohol content and to avoid phenols A few that are the gentlest on chair upholstery seem to be Birex by Biotrol Optim 33 by SciCan ProSpray by Certol There are others but these have performed well However they ARE NOT recommended by the equipment man ufacturers If you are disinfecting your chairs you need to clean them at least weekly This will remove the disinfectant residue and help to prevent staining drying and cracking Palco manufactures a product for cleaning and conditioning chairs called TopCat Vinyl Maintenance Kit The kit comes with a stain remover cleaner and condition er and a caddy for keeping the cleaners organized Touch amp Transfer Surfaces Lights Tubings X rays Countertops Handpiece Controls etc Many of these surfaces may be barrier protected However many offices disinfect these surfaces even if they have been covered during proce dures Just like the chairs the materials used in manufacturing many of these surfaces are durable high quality polymers designed to stand up to the harsh operatory environment However if these are not cleaned properly and routinely they too will become stained hard dr
11. ip Wie wore een slides in and out of all day Through repeated use this o ring can become torn and needs replac 3 ss ing These o rings can be purchased in a 10 pack and should be available for replacement whenever this situation occurs To prevent these problems 1 Air water syringes should be covered with a barrier during use While this can be difficult to get used to it is the only way to prevent bio burden from working into the buttons 2 Syringes should be wiped down thoroughly with a disinfectant between patients 3 Weekly syringes should be wiped down with a mild soapy water solution and lubed with a silicone lubricant See general operatory surface cleaning guidelines on page 13 4 Spare parts for syringes should be kept in a maintenance kit in the office A O rings for tip retainer nut B Spare button kits for your brand of syringe C Silicone lubricant Vacuum Valves HVE and Saliva Ejector Common Problems 1 Valves tight and hard to open and close 2 Suction is low or weak To prevent these problems 1 Most HVE valves have QD connections allowing them to be removed and ultrasonically cleaned routinely Lack of regular cleaning and lubrication will allow debris to work into the rotor and damage it so that it can t be lubed enough to return to a like new condition 2 Keep extra o rings on hand and replace them semi annually to keep the valve operating smoothly Always lubricate the o rings with silicon
12. nyl conditioner like the Topcat product listed above 19 Spraying control heads and areas with air and electric switches can lead to switch malfunctions If possible spray a 4x4 or ProSpray Ready to Use Surface Disinfectant Cleaner Water based formula does not degrade or soften plastic as does an alcohol based disinfectant Ready to use format is safe and convenient avoiding issues with dilution EPA approved testing allows bare hand use in absence of biohazards because of it s low toxicity profile Buy 3 of the same Get 1 FREE 24 oz Spray Bottle CesT ee e E E E wide we oer a eset AENG TEA EL E TEE 57 29 1 Gallon PPE Ih alata ualanciacuaiigie oath a caleh as ght T AA N N ea as eel POY Ca ta 1 29 99 Se E eee ee CE re N re ee FES ie ProEZ foam Foaming Enzymatic Spray Ready to use neutral pH dual enzyme protease and amylase detergent designed to keep soiled instruments moist and start the cleaning process Especially valuable in the dental setting when soiled instruments must be held for extended periods of time Simply spray cleaning foam on tray of instruments Buy 3 of the same Get 1 FREE 24 oz Spray Bottle PREZ oP 4 Be eae een E ea capes WEARER EEE CAE ee E UAE 17 99 1 Gallon Eig Seat ot Nee a eg E eee eae ae are ae ring Sele pee Ieee 45 59 hi f z in E arf NSN RAs jAi og ee ee eee ee ee eo T Ji NE Li MATI l Fi f f i E MITOY Lat ey
13. rve as a cleaner and disinfectant In order to have a clean surface however the dirty surface should be sprayed and then wiped clean Then a layer of disinfectant is sprayed on the clean surface and allowed to air dry The residue left behind stays in contact with any left behind germs and if contact is maintained for the required time as specified by the manufacturer germs will be killed This spray wipe spray technique is recommended by CDC This residual layer of dis infectant will continue to build up over time and needs to be cleaned off If not this residue will dry vinyl and plastic surfaces and cause them to stain and crack Nashville Dental cannot give you advice contrary to what our manufacturing partners recommend So we DO NOT recommend use of dis infectants on surfaces that can be barrier protected However since so many offices feel the need to disinfect these surfaces in this section we will discuss the different surfaces and how to best clean and maintain them so that they don t prematurely wear and become irreparably stained and damaged 18 Chair amp Stool Upholstery Upholstery is designed for esthetics comfort and durability However upholstery that is not maintained will soon become stained dry and begin to crack This can be avoided by following a regular routine for maintaining this surface NOTE Chair upholstery is not considered by the CDC guidelines to be a cross contamination surface Therefore disin
14. ver weekends and even over extended periods of non use lasting up to two weeks Purging water lines at night is not necessary ICX is FDA approved non corrosive to dental unit components and safe for patients and staff 7 Liter 50 tablets 90 1064 00 33 59 2 Liter 50 tablets 90 1065 00 50 39 BlueTab is simple to use and effective at maintaining clean dental unit waterlines Add an effervescing tablet each time the bottle is filled One tablet treats 700 750ml of water Effective for up to 28 days Tasteless odorless and has no effect on bonding 50 tablets BTSO osaxsassectendeskscevesses 30 29 MicroCLEAR Rowpar Cleans and disinfects dental unit waterlines Prevents biofilm build up when used as a continous treatment for self contained systems 2 Gallons Dual Bottle Clean Water Irrigation System DCI Dual bottle system has a selector switch allowing you to switch from city water to bottle delivery of medicaments of your choice Unit also has a flush feature allow ing you to run only air through your lines to purge any liquid preventing biofilm build up while away from the office This system is also effective in treating water lines to prevent biofilm build up while away from the office This Sytem is also effective in treating water lines to prevent biofilm from growing 199 00 1 QANA OKT L105 23 aranan CIE O nTa F py E O es gt Z es FA gt
15. y and cracked Protocol for disinfecting these areas l 4 When cleaning and wiping tubings hold the tubing with the end hanging down then wipe down toward the end This will help to eliminate tubings being pulled away from their connectors Wipe surfaces clean with a saturated 4x4 or towelette then wipe again with a fresh saturated towelette towelette first and then wipe down these areas Weekly clean these areas to remove the disinfectant residue General Operatory Surface Cleaning Because these surfaces repeatedly are layered with disinfecting residue it is important to routinely clean this residue off Daily 2 Use another cloth or sponge dampened with warm water to remove the Mixa solution of warm water amp a mild dish detergent like Palmolive or Joy Liquid in a bucket Dampen a sponge or cloth with the soapy solution and thoroughly wipe down all surfaces that have been disinfected throughout the week This includes chair surfaces countertops light handles handpiece hangers and tubings Note Turn off units using fiber optics so the bulbs are not on while wiping down these tubings residual soapy solution Dry 3545 Topcat Vinyl Mntc Kit 49 89 Some manufacturers e g Pelton amp Crane recommend using a household furniture wax like lemon Pledge to restore the luster to your upholstery Note Not all manufacturers recommend this Refer to your user manual for details Use a vi

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