The preferred method for sterilisation of medical instruments is by using saturated steam, under pressure at the highest temperature compatible with the instrument. That is why a vacuum dental autoclave for sale (type B) is recommended for sterilising wrapped solids instruments, porous loads and hollow instruments.
Chamber Size The chamber size can vary from 8 to 24 liters. The bigger the chamber the greater the capacity for instruments, although a smaller chamber will usually mean faster overall cycle times. Warning: a 24-liter unit will consume more energy. so it is important to choose the autoclave according to your needs. You will then optimize your energy consumption and the initial investment will be reduced. Two smaller autoclaves are sometimes preferable to a single system. This also allows a backup device if a failure occurs.
Cycle Duration The quicker the cycle, the quicker the turnaround of instruments. Ensure the autoclave has the appropriate choice of cycles to meet your sterilising requirements.
Warranties Check the period of warranty offered with the autoclave. Those with two year warranties offer increased peace-of-mind and will save you money. If the manufacturer does not have a local technical service, you will need to hire a qualified technician to revise your device.
Price The price of the autoclave goes along with its reliability and its technical specifications. European and American brands offer higher quality at relatively high costs, while Chinese and Korean brands are more competitive with variable quality. After sales service can be complicated if you choose a cheaper device.
Accessories Type B autoclaves dental may have accessories that are very useful in some cases. For example, some have an incorporated printer to ensure the traceability of sterilized objects.
Our main objective at dentalsalemall is to provide you with all the necessary dental equipment in order for you to meet all of your daily clinic needs. In this article, we will review the various types of instruments and equipment used at a dental clinic, which will come in handy if you are thinking about opening your own clinic, want to renew a particular product line or if you simply want to know more about certain products.
Let’s start with the basic instruments needed at a clinic:
The following dental instruments should not be missing from any dentist’s examination tray:
Dental Examination Mirror: The mirror is an essential dental instrument that allows dentists to explore the patient’s oral cavity, both for direct viewing and indirect vision techniques, as well as to act as a mouth separator. Its little size and adaptability make it a basic but highly practical instrument for a perfect working vision.
Probes: The probe is the instrument that ends with a long and thin tip and which can be found in two different types: Scanning probe: This is a more classical but equally practical instrument used to determine the level of bacterial plaque, caries, etc. Forceps: A dental forceps is another basic instrument used in dentistry for a multitude of tasks. They are used to separate tissues, hold them together, suture them, and to transport small objects to the oral cavity or out of it. Depending on the task to be performed, there are different types of forceps: surgical, ligatures, hemostatic etc… pinza diseccion Pliers: Pliers are instruments used in dentistry for a multitude of treatments, especially in orthodontics and in the laboratory, for instance, to cut through wires and dowels, or to bend hooks, etc. There are multiple types of pliers depending on the particular function to be performed. They may also be used to cut through materials such as plaster and come with various types of tips.
Studies have shown that cross-contamination between patients can result from the backflow of bacteria dislodged from dental suction unit. A PubMed study revealed that the majority of the bacteria isolated from backflow samples were staphylococci, micrococci, and non-fermenting Gram-negative rods. Infectious agents such as Pseudomonas aeruginosa and Staphylococcus aureus were also isolated from backflow fluids.
Here are six things you can do to avoid
backflow episodes:
1.Never create a vacuum by sealing your
lips around the saliva ejector
2.Never suck on the saliva ejector
3.Ask your dental professional if they use
a backflow prevention mechanism
4.Ask your dental professional how often they flush the vacuum lines. (Ideally, they do it after every patient.(Click here to buy contra-angle speed-increasing handpiece)
5.Ask your dental professional about
single-use evacuation options
6.Tell your dental professional that you
value their attention to equipment cleanliness
Although the risk of cross-contamination due to backflow is considered to be low, infection control should always be a top priority. Disposable and single-use evacuation products are available to lessen the risk of patient-to-patient contamination.
As clinicians, we use dental magnifying loupes to enable us to see better, but what about our patients? We try to explain what we see or try to show them in a hand mirror. But can they really see what we see? Usually the patient doesn’t see the same things we see; they may just trust but not fully understand or visualize what we are trying to explain. I have had many patients to whom I have tried to educate and explain the need for periodontal therapy and the significant amount of calculus present, only to have the patient request a “regular cleaning.”
Once I show the patient a large-screen
photo of their bleeding gingiva and inflammation in addition to the calculus
present, they are suddenly more interested in their oral condition and usually
are more responsive to treatment recommendations. Many patients are then able
to grasp an understanding of the condition and are often willing to complete
the recommended treatment.
As a proponent for patient education, I always like to explain the reasoning behind any treatment recommendations that are made in the practice. By using intraoral camera with screen, I am able to show as well as tell the patient what I see. How many times have patients put off what they can’t see because it is not hurting at the time? With the use of intraoral imaging, the patient sees the broken filling or recurrent decay on the computer screen, and most do not want that in their mouths. Due to the increased use of intraoral cameras over the years, I have seen case acceptance for treatment increase greatly. I even have patients ask me to take an image so they are able to see the problem as well. I used to rarely use the intraoral camera while explaining an oral condition, but then discovered that imaging and education complemented each other in the dental practice.
The dental profession, however, says
otherwise. Annual preventive X-rays, called bitewings, for healthy dental
patients are not necessary.
Of course, for adults whose dental health
is not as ideal, listening to your professional’s advice makes a great deal of
sense. Adults prone to cavities, for instance, should have bitewings done every
year-and-a-half, states the ADA, depending on the individual’s overall dental
picture.
Reducing exposure to radiation also can be
a consideration as to whether or not have annual X-rays. Without being
alarmist, and without demonstrating absolute certainty, studies focusing on
radiation accumulation have pointed to avoiding low-level exposure. And with
its own recommendations, the ADA concurs.
“Even though radiation exposure from
dental radiographs is low,” citing from the report, titled, Dental
Radiographic Examinations: Recommendations For Patient Selection and Limiting
Radiation Exposure, “once a decision to obtain radiographs is made it is
the dentist’s responsibility to follow the ALARA Principle (As Low as
Reasonably Achievable) to minimize the patient’s exposure.”
Finally, x ray taken by portable dental x ray unit reveal more than what your dentist can see when s/he peers into your mouth, and for some people the possibility exists that tooth decay, once it starts, can spread quickly. So if you’re the type who tends to operate with an abundance of caution – and possibly, an unnecessary abundance – then accept your dentist’s offer for annual X-rays.
Access to high quality images and a
streamlined digital workflow improve the speed and accuracy of case diagnosis,
producing more predictable outcomes for dentists and their patients.
Compatibility
Purchasing compatible components from one
supplier ensures no integration issues and simplifies training and maintenance,
ensuring there is no buck-passing between different suppliers.
Where
to start
If you are starting out you will likely require an portable dental x ray unit and either phosphor plate scanner or digital sensor for fast access to X-ray images. If you require more detail including panoramic, CBCT or 3D images you will want an extraoral imaging unit.
Image
quality
The top of the list for anyone
contemplating purchasing digital imaging products is image quality using the
latest technology such as CMOS digital sensors and Automatically Controlled
Exposure (ACE), which ensures sharp images with up to 50% lower radiation
emissions.
X-ray
unit & Sensor
Automatic Controlled Exposure (ACE), has
built in filters to reduce artefacts from metals. User preferences such as
contrast settings are automatically saved so all images are processed uniformly
to reveal the required detail in either hard or soft tissue. The combination of
the X-Mind X-ray and Sopix2 digital sensor yields sharp image quality and a
‘real time’ view which is important in endodontic treatment and implant
placement.
Phosphor
plate unit
A less expensive alternative is the PSPIX
phosphor plate unit, which has the added advantage of different size phosphor
plates suitable for smaller and younger patients. The PSPIX is the fastest and
most compact phosphor plate scanner available, processing images in just 12
seconds and being fully networkable throughout the practice.
Panoramic
and 3D units
The ‘Rolls Royce’ of digital diagnostic
units is the latest extraoral imaging device, X-Mind Trium from Acteon –
available from A-dec dealers around Australia. X-Mind Trium offers the highest
possible image quality, four fields of view enabling you to select the scanning
area for examination and to minimise radiation exposure to patients.
Imaging
software
The all important imaging software will
harness the power of all your digital imaging equipment, making images
available to view, store and manipulate.
PAIN OR SENSITIVITY If one of your teeth hurts when you chew, or if you have a constant toothache, you may have a cavity. A tooth has three layers: enamel, dentin, and pulp (where the roots and nerves are located). As the protective layer of enamel decays, the nerves in your tooth have one less layer protecting them. When a cavity forms, chewing can be incredibly painful. If the decay reaches the pulp, your tooth can become infected and result in a consistent, throbbing pain.
BAD BREATH As a tooth decays, bacteria continue to multiply if the decay isn’t treated. Bacterial growth can lead to bad breath. If you’ve developed bad breath while continuing a good dental routine, you may have a cavity.
NOTICEABLE HOLES, PITS, OR DARK SPOTS One of the most accurate ways to determine whether you have a cavity is to examine your teeth. If you see any dark spots, pits, or holes in your teeth, you probably have a cavity. Because you use your back teeth for the majority of your chewing, you’re most likely to develop a cavity there.
When you find these signs, the most important thing that you need to do is to make an appointment with a dentist to examine your teeth. The dental office you choose should have a portable dental X-ray machine to ensure that your condition is detected, such as cavities.
In a study published in the journal of dental education in 1998, Fifty-two third-year students were randomly assigned to experimental (magnification) or control (no magnification) groups. Members of the experimental group used magnification in their daily work in the pediatric dentistry clinic. No significant differences between the groups’ preparations or evaluations of standard preparations were found (Donaldson, Knight, and Guenzel, 1998).
In a separate, more recent study; the performance of first-year dental students was assessed during an Advanced Simulation Course using virtual reality-based technology training. The test group consisted of 116 dental students using magnification loupes, while students not using them served as the control. The study found that students using dental loupes completed more preparations, worked faster per procedure, therefore displaying greater overall performance. The survey revealed a high degree of student acceptance of using magnification (Maggio, Villegas, and Blatz, 2011).
There is no definitive answer to this question, there are a large number of dentists which advocate the use of loupes for dental students who argue that, although they are quite a large investment (especially for a students), Loupes help to create and maintain good habits in terms of posture and their increased attention to detail. On the other hand some dentists have said that they can’t work with loupes because it makes them dizzy when alternating between looking at the patients mouth and looking at the instrument tray for example.
The best thing to do is to try them on! A number of Loupes companies/businesses will visit dental schools during conferences, trade fairs and provide students with the opportunity to try on their range of models. Some manufacturers also allow a limited trial period (around 45 days) where you can work with them on clinic and if you are not happy with your by the end of your trial, you return them to the manufacturer and you don’t pay.
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One of the key parts to an effective oral disease prevention plan is practicing daily oral hygiene to remove dental plaque. Both brushing and flossing are necessary for cleaning your teeth of this thin biofilm of bacteria and food particles most responsible for tooth decay and periodontal (gum) disease.
Once formed, calculus can adhere to teeth so tenaciously, it’s impossible to remove it with brushing and flossing. But dentists and hygienists can remove calculus safely with special tools called dental ultrasonic scaler.
And it should be removed or it will continue to foster bacterial growth. This in turn increases the chances for infections that attack the teeth, gums or underlying bone. Keeping it under control will therefore diminish your risk for developing dental disease.
Although there are other factors like heredity that can affect your disease risk, keeping your mouth clean is the number one thing you can do to protect your teeth and gums. A daily hygiene practice and regular dental visits will help ensure plaque and its calcified form calculus won’t be a problem.
