Comprehensive Endodontic Safety Protocol Template

Standard Operating Procedures for Safe Endodontic Practice

Endodontics

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Last updated: Mar 24, 2025

1. Personal Protective Equipment (PPE)

Required PPE for All Procedures

  • Surgical masks (Level 3 or higher)
  • Eye protection with side shields
  • Disposable gloves (nitrile preferred)
  • Fluid-resistant gowns
  • Hair covers

2. Instrument Management

Sterilization Protocol

  1. Clean instruments immediately after use
  2. Ultrasonic cleaning with enzymatic solution
  3. Autoclave at 134°C for 18 minutes
  4. Use sterilization indicators for each batch

Critical Instruments

  • Endodontic files
  • Reamers
  • Spreaders
  • Pluggers

3. Rubber Dam Protocol

Mandatory Steps

  1. Use for all endodontic procedures
  2. Verify complete isolation
  3. Test seal with air/water spray
  4. Document rubber dam placement

4. Chemical Safety

Irrigation Solutions

  • Sodium hypochlorite (NaOCl)
    • Concentration: 2.5-5.25%
    • Safety caps required
    • Clear labeling essential
  • EDTA
    • 17% concentration
    • Separate storage from NaOCl

5. Radiation Safety

Digital Radiography Protocol

  1. Use rectangular collimation
  2. Apply ALARA principles
  3. Document exposure settings
  4. Maintain quality assurance records

6. Emergency Protocols

Chemical Accidents

  1. Immediate irrigation with sterile saline
  2. Document incident
  3. Follow-up monitoring
  4. Contact emergency services if needed

7. Documentation Requirements

Daily Checks

  • Sterilization logs
  • Chemical storage inspection
  • Emergency kit verification
  • Equipment calibration status

8. Quality Assurance

Monthly Reviews

  • Protocol compliance audit
  • Staff training updates
  • Equipment maintenance records
  • Safety incident reports

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