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Dental Unit Waterlines Module 6 Some things to think about… Are the potential pathogens from dental unit waterlines a health risk for you as a dental professional? What patients might be particularly at risk from contaminated waterlines? What can you do to decrease the risk from contaminated waterlines? Objectives After completing this module, the participant will be able to: Define colony forming units and discuss the acceptable level for drinking water. Define biofilm and its role in the contamination of dental unit waterlines. Discuss the background of the problem of dental unit waterlines. Identify the primary source of bacteria and other microorganisms in dental unit water. Describe the CDC recommendations for maintenance of dental unit water quality. Discuss the recommendation of the CDC in regard to the use of saliva ejectors. List the types of patients who are potentially immunocompromised and discuss why this is a concern in relation to waterlines. Discuss water recommendations for surgical procedures. Explain the rationale for flushing waterlines. Explain and demonstrate daily and weekly maintenance recommendations for dental unit waterlines. Discuss the rationale for leaving waterlines dry overnight and on weekends. Background Numerous scientific studies have confirmed the problem of high levels of contaminated water associated with dental unit waterlines. This problem exists because of the tendency for microorganisms to adhere to the walls of the small tubing. Once this “biofilm” has begun, it continues to grow due to the conditions of the tubing and can break loose and enter the patient’s oral cavity. It has been known since 1963 that bacterial contamination of dental unit water was a potential problem. The ADA, OSAP and the CDC have been working since the mid 90’s to do research and make recommendations to improve the quality of dental unit water. “ In spite of the advances being made in the adoption of commercial devices for dental units or wat
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