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Clinical Systems

What is the best outerwear for our facility?

This question was submitted by a general dentist: What is the best outerwear for our facility? Dr. Nita Mazurat, representing the Organization for Safety, Asepsis, and Prevention (OSAP) has provided this quick initial response There is a variety of outerwear utilized in Canadian dental offices. The rationale for this variety ranges from personal comfort (including body temperature control) to patient perception of the office personality (relaxed/professional/surgical). The type of outerwear will determine hand hygiene procedures. Many offices have adopted use of scrubs or short-sleeved shirts and tee-shirts. Bare arms will need to be washed to the sleeves level when aerosol production has ...

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Why Should I wear outerwear and how often should I change it?

This question was submitted by a general dentist: Why should I wear outerwear and how often should I change it? Dr. Nita Mazurat, representing the Organization for Safety, Asepsis, and Prevention (OSAP) has provided this quick initial response Outerwear is worn to prevent exposure of street clothes and operator’s skin to saliva and blood when aerosols are produced. Outerwear should be changed whenever visibly soiled or daily, whichever comes first.       Do you need further information on this topic? Do you have any comments or suggestions? Email us at oasisdiscussions@cda-adc.ca Your are invited to comment on this post and provide further insights ...

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Quick Response: What determines how I wash my hands and with what agent?

This question was submitted by a general dentist: What determines how I wash my hands and with hat agents? Dr. Nita Mazurat, representing the Organization for Safety, Asepsis, and Prevention (OSAP) has provided this quick initial response     The answer to this question depends on the treatment being performing and whether or not you wish to have sustained antimicrobial action (substantivity) following hand washing. Hands are always washed just prior to gloving and immediately upon removal of gloves. When performing critical procedures, such as surgery, the guidelines suggest the use of a surgical scrub using an antimicrobial soap. Consideration should also ...

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Quick Response: Why do I have to wash my hands, if I am wearing gloves?

This question was submitted by a general dentist: Why do I have to wash my hands, if I am wearing gloves? Dr. Nita Mazurat, representing the Organization for Safety, Asepsis, and Prevention (OSAP) has provided this quick initial response Hand hygiene is performed because hands are a potential source of contamination to the patient, when placing gloves or during treatment. Microorganisms grow exponentially in the warm moist environment of the glove. If a glove becomes compromised during treatment, there is more protection to the patient, if the hands have been washed and perhaps even more if they were washed using an antimicrobial ...

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Quick Response: What should I use for washing my hands before gloving?

This question was submitted by a general dentist: What should I use for washing my hands before gloving? Dr. Nita Mazurat, representing the Organization for Safety, Asepsis, and Prevention (OSAP) has provided this quick initial response To wash your hands prior to gloving, you can use plain or antimicrobial soap which are recommended for hand washing at the beginning and the end of the day. Your hand wash should be about 20 seconds long. Between patients and if your hands are not visibly soiled, a shorter wash with plain water is adequate and a hand sanitizer can also be used.   ...

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Quick Response: What are the guidelines for washing hands?

This question was submitted by a general dentist: What are the guidelines for washing hands if I am moving directly from one patient to another, such as when my hygienist asks me to perform an examination? Dr. Nita Mazurat, representing the Organization for Safety, Asepsis, and Prevention (OSAP) has provided this quick initial response The guidelines for hand washing state that hands should always be washed immediately after removing a pair of gloves and immediately before placing another pair of gloves. However, to be practical, if you are moving directly from one patient to another, remove contaminated gloves, hold your ...

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How to improve patient safety?

This summary of evidence is based on the Annals of Internal Medicine Supplement (Ann Intern Med. 2013;158:365-368) and on the report by the Agency for Healthcare Research and Quality: Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices Annals of Internal Medicine Supplement Full Report (PDF) Structured Abstract Study Objective To review important patient safety practices for evidence of effectiveness, implementation, and adoption. Data Sources Searches of multiple computerized databases, gray literature, and the judgments of a 20-member panel of patient safety stakeholders. Results From an initial list of over 100 patient safety practices, ...

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Case Solution: To Implant or Not To Implant: What Role Does Imaging Play?

This case is presented by the University of Toronto, Department of Oral Radiology Residents: Edwin Chang, Sherif El Saraj, Catherine Nolet-Levesque, Daniel Turgeon, Niloufar Amintavakoli, and Trish Lukat.  Pre-operative images provided courtesy of Dr. Milan Madhavji of Canaray | Specialists in Oral Radiology. You can view the original case here You can view the Case Follow up here Case Solution Periapical osseous dysplasia (formerly known as periapical cemental dysplasia or PCD) is classified as a bone dysplasia, in which normal cancellous bone is replaced by a combination of abnormal, disorganized bone and fibrous connective tissue. In periapical osseous dysplasia, the mineralized component of ...

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