| FAQ - Instruments & Equipment - 2015
I need assistance with a new – possible concern. I’ve heard that there is now a sterility concern with autoclaved items, such as diamond burs and polishing points, and disposables are encouraged.
Ask OSAP can provide you with some general information on this topic. However, any questions about diamond bur, polishing points, etc. reuse and storage should be directed to the specific product manufacturer. The manufacturer should be able to provide further information (I.e., instructions for use - IFU) regarding if the product was approved for reprocessing and any storage considerations, etc.
Regarding burs, Ask OSAP would like to reference the 2003 CDC guidelines for infection control in dentistry. It states as follows:
Because of the physical construction of certain devices (e.g., burs, endodontic files, and broaches) cleaning can be difficult. In addition, deterioration can occur on the cutting surfaces of
some carbide/diamond burs and endodontic files during processing (384) and after repeated processing cycles, leading to potential breakage during patient treatment (385–388). These factors, coupled with the knowledge that burs and endodontic instruments exhibit signs of wear during normal use, might make it practical to consider them as single-use devices. 1
Further questions about burs (i.e., feasibility of sterilization, recommendations for processing, storage considerations, etc.) should be directed to the manufacturer of the specific product.
1) Kohn WG, Collins AS, Cleveland JL, Harte JA, Eklund KJ, Malvitz DM, Centers for Disease Control and Prevention (CDC). Guidelines for infection control in dental health-care settings—2003. MMWR Recomm Rep 2003;52(RR-17):1-61. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5217a1.htm Accessed on November 30, 2015.