Appendix 3 details the minimum code of regulations about infection control as defined by the California Dental Board. It begins by highlighting key definitions of terms useful throughout the established standards. For instance, it describes standard precautions as a set of practices for the prevention of infection that may apply to every patient, irrespective of confirmed or suspected infection in any healthcare environment. The practices encompass hand hygiene, wearing masks, gowns, face shields, gloves, or eye protection. Sterilization is the process used to make a product free from all possible forms of microbial life. Similarly, high-level disinfection entails killing some but not all bacterial spores. It kills bacteria, fungi, viruses, mycobacterium, etc. Germicide, on the other hand, refers to a chemical substance used for disinfecting surfaces and items based on the extent of the contamination.
As part of efforts to curb established regulations on infection prevention, Dental Healthcare Persons (DHCP) are required to adhere to the codes and enforce minimum precautions toward reducing the spread of pathogens in clinical care settings. Some of the efforts aimed at achieving these precautions include adhering to all safeguard measures when caring for all patients, developing, maintaining, and periodically reviewing such written protocol materials. There is a need to mount a copy of written protocols in a conspicuous position in every dental office.
DHCP are encouraged to use personal protective equipment and other protective attire when handling a patient and other potentially hazardous materials during work. Hand hygiene is also emphasized by cleaning with soap and water, especially if it is visibly soiled. An alcohol-based sanitizer might be used as a substitute for water and soap when visible dirt cannot be spotted. Disposable sharps, such as needles, scalpel blades, etc., should be dumped in a sharp’s container close to the point of use. Notably, California’s Dental Hygiene Committee and the Dental Board shall evaluate the existing regulation yearly and create an accord.