Orthodontic Practice Cleaning and Sterilization Protocol

1. Daily Opening Procedures

Treatment Areas

• Disinfect all surfaces with EPA-registered hospital-grade disinfectant
• Clean and flush dental unit water lines for 2 minutes
• Verify sterilization indicators on instruments
• Check ultrasonic cleaner solution levels

Common Areas

• Sanitize reception desk and waiting area surfaces
• Clean door handles and high-touch surfaces
• Verify hand sanitizer stations are filled

2. Between-Patient Protocol

Clinical Surfaces

• Remove disposable barriers
• Clean visible debris with enzymatic cleaner
• Apply surface disinfectant with appropriate dwell time
• Replace protective barriers

Instruments

1. Transport used instruments in closed containers
2. Clean in ultrasonic cleaner
3. Inspect for debris
4. Package for sterilization
5. Process in autoclave

3. Specialized Equipment Care

Orthodontic Pliers

• Clean immediately after use
• Lubricate joints weekly
• Sterilize according to manufacturer specifications

Impression Materials

• Disinfect impressions before sending to lab
• Use ADA-approved disinfectants
• Document disinfection process

4. End-of-Day Procedures

Operatory Breakdown

• Deep clean all surfaces
• Empty suction traps
• Flush water lines
• Remove and dispose of all barriers

Sterilization Area

• Process all remaining instruments
• Clean ultrasonic unit
• Wipe down all surfaces
• Document sterilization logs

5. Weekly Tasks

• Deep clean compressor and vacuum system
• Check sterilization equipment maintenance logs
• Verify chemical indicator supplies
• Review infection control protocols

6. Documentation Requirements

• Daily sterilization logs
• Equipment maintenance records
• Staff training documentation
• Chemical usage logs

7. Safety Measures

Personal Protective Equipment

• Gloves
• Masks
• Eye protection
• Protective clothing

Emergency Protocols

• Exposure incident procedures
• Spill management
• Safety data sheets location