Disinfectant Resistance and Sterilization Methods
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Questions and Answers

What is the primary reason for flushing the handpiece with water between patients?

  • To flush out the sprayed lubricant inside the handpiece
  • To flush out the bacterial spores that have lodged inside the turbines, air, and water lines
  • To flush out patient fluids that might have entered the turbines, air, and water lines (correct)
  • To flush out the sterilant that went inside the handpiece
  • Which sterilization method is capable of sterilizing the entire dental operatory simultaneously?

  • Dry heat
  • Glutaraldehyde
  • Autoclave (correct)
  • UV sterilization
  • What is a significant advantage of using dry heat sterilization?

  • Lower temperature
  • Shorter cycle time
  • May process wet instruments
  • Does not dull cutting edges of instruments (correct)
  • What is NOT a rationale for flushing a handpiece with water?

    <p>To remove air from the handpiece</p> Signup and view all the answers

    Which of the following is least effective for immediate sterilization in a dental setting?

    <p>Quaternary ammonium compound</p> Signup and view all the answers

    Which of the following organisms is most resistant to disinfectants?

    <p>Bacillus atrophaeus</p> Signup and view all the answers

    What classification does a dental mouth mirror fall under?

    <p>Semicritical instrument</p> Signup and view all the answers

    Which sterilization method and cycle temperature correlation is incorrect?

    <p>Autoclave: 130°C</p> Signup and view all the answers

    What is the recommended sterilization method for heat-resistant critical and semicritical instruments?

    <p>Autoclave</p> Signup and view all the answers

    Why should instruments be dried before sterilizing under Chemiclave?

    <p>To prevent corrosion of metal instruments</p> Signup and view all the answers

    What is a disadvantage of steam sterilization?

    <p>Both A &amp; B</p> Signup and view all the answers

    Which chemical is described as a one-minute sterilant against Mycobacterium tuberculosis?

    <p>Glutaraldehyde</p> Signup and view all the answers

    What is the reason for using nitrile or butyl rubber gloves when handling glutaraldehyde?

    <p>It is toxic to the skin and can cause blistering</p> Signup and view all the answers

    Study Notes

    Disinfectant Resistance

    • Bacillus atrophaeus is most resistant to disinfectants among the listed options.

    Dental Mouth Mirror Classification

    • Dental mouth mirrors are classified as semicritical instruments.

    Incorrect Sterilization Method/Temperature Correlation

    • The incorrect correlation is Chemiclave: 180°C.

    Sterilization Method for Heat-Resistant Instruments

    • Autoclave is the sterilization method of choice for heat-resistant, critical, and semicritical instruments.

    Chemiclave Drying Rationale

    • Drying instruments before Chemiclave sterilization is crucial to ensure proper instrument dryness at the end of the cycle and prevent corrosion of metal instruments.

    Disadvantages of Steam Sterilization

    • Steam sterilization may dull sharp instruments and instruments are typically wet at the end of the sterilization cycle.

    One-Minute Sterilant for Mycobacterium tuberculosis

    • Glutaraldehyde is a one-minute sterilant against Mycobacterium tuberculosis.

    DNA Inactivation Method

    • Chemiclave (and UV sterilization, among others) destroys microorganisms by inactivating their DNA.

    Glutaraldehyde Glove Rationale

    • Nitrile or butyl rubber gloves should be worn when handling glutaraldehyde to protect against its toxicity, pungent smell, potential staining, and skin blistering risks.

    Dry Heat Sterilization Prohibited Items

    • Cloth, surgical burs, dental mouth mirrors, dental explorers should not be placed in a dry heat sterilizer.

    Sterilization Method for Remote Missions

    • For remote dental missions, autoclave is the best sterilization choice due to its dependability.

    Handpiece Flushing Time

    • The recommended handpiece flushing time between patients is 20-30 seconds.

    Handpiece Flushing Rationale

    • Flushing the handpiece with water between patients helps remove sprayed lubricant, patient fluids, sterilant, and bacterial spores.

    Operatory-Wide Sterilization

    • Quaternary ammonium compound and UV sterilization are NOT suitable for sterilizing the entire operatory at once. Autoclaves can be adapted, depending on the size of the operatory.

    Dry Heat Sterilization Advantages

    • Dry heat sterilization does not dull cutting edges, has a shorter cycle time, and uses a lower temperature than steam sterilization, and can handle instruments that are already dry.

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    Description

    Test your knowledge on disinfectant resistance, the classification of dental instruments, and various sterilization methods. This quiz covers critical aspects of infection control and the proper handling of medical instruments. Explore the details on effective sterilization practices and the challenges associated with different methods.

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