Dental workplace chapter
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Hand Instrument Care

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Hand instruments need to be handled and cleaned properly.

They should be stored in proper instrument trays, as individual kits. This prevents chipping of delicate blades and allows them to retain their sharp edges.

  Sharpening a subgingival curette and testing on an acrylic stick (25 seconds)

Dental instruments must be cleaned carefully to avoid chipped or broken tips. Soaking solutions traditionally contain either glutaraldehyde or formaldehyde (e.g. Gigasept™ and Cidex™).

Ultrasonic baths are the best method for cleaning instruments, followed by autoclaving at 124 degrees C minimum. Ultrasonic baths are initially expensive to buy (approx. £400), but save on cleaning effort, provide a fast instrument turn-around, and cause less tip damage.

Curettes, scalers, elevators, luxators and periosteal elevators need to be sharpened daily, before autoclaving with an appropriate stone. A sharpening kit contains the necessary Arkansas or oilstones and oil.

 
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