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introducing a reproducible, validatable, medically effec- tive washing process, that will ensure you are doing the best you possibly can to reduce the risk of cross infection among your patients and your team – and that has to be a good thing. When investing in your


decontamination facilities, you should be looking for complete solutions from one supplier. Within the dental practice, practitioners and their teams are all very aware of steam sterilisation of instruments and equipment that are used for invasive procedures. However, several important


factors are required in order to achieve a sterile state and a safe load: ı. The sterilisation temperature band, normally ı34°C to ı38°C 2. The quality of steam that produces moist heat and a saturated steam 3. The time this temperature is held for: a minimum of


three minutes holding time. These three critical criteria


are where we get the term TS – Time, Steam and Tempera- ture, which you may have seen describing chemical indica- tors, Helix Test kits and Bowie Dick packs. Very often, air removal


as a subject is overlooked, but without this important phase none of the above three criteria would be totally effec- tive in sterilisation, making a decontamination procedure ineffective and failing to gain the end result: properly steri- lised instruments to ensure staff and patient safety. There is no debate about


the fact that handpieces are hollow instruments. Therefore the instructions for use recom- mend the use of a vacuum machine. We are all taught at school that water boils at


Continued »


Scottish Dental magazine 63


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