Since washing increases the porosity of gloves up to 60
percent, repeated use of a single pair of gloves is not
permitted. Also petroleum-based hand lotions should
not be used before donning gloves.
Face Mask and Shield
Many types of gloves are available for use in the
dental clinic. The four most common are as follows:
Sterile surgical glovesThey are the highest
quality, most expensive, and best fitting. They are
used for surgical or invasive procedures (bloody)
where maximum protection against infection must be
provided for the patient and the provider.
Procedural glovesThey are manufactured the
same as sterile surgical gloves; however, these gloves
are nonsterile and are not individually wrapped in
pairs. Procedural gloves offer the highest quality and
best fit at a greatly reduced cost when sterile surgical
gloves are not required.
Wear a face mask or a full-length face shield with a
face mask during any patient treatment. Wear a mask
in the DTR and central sterilization room (CSR) where
aerosols are a problem, especially on the dirty side of
the CSR. Personnel must change face masks in the
After each patient or when the mask is visibly
When involved in other activities such as
prosthetic laboratory and equipment repair
procedures where airborne particles or dusts are
When sorting laundry.
During decontamination procedures.
When cleaning spills of infectious wastes.
Latex examination glovesThese are the least
expensive type of nonsterile gloves that are commonly
used in routine dental procedures. They are available
in a variety of sizes and come with or without
cornstarch for ease in putting them on and off. Some
individuals may develop hypersensitive reactions
either to the latex material or the cornstarch. If this
occurs, latex powderless gloves should be worn. If a
true latex allergy exists, it should be documented in the
staff members medical record.
Wear protective eyewear when assisting or
providing treatment or other procedures that may
cause a splash, splatter, or airborne particles. Eyewear
or goggles must have solid side shields to provide
maximum protection. Patients must be provided
approved protective eyewear. Disinfect patient
eyewear after treatment.
Wear reusable or disposable clinical apparel, such
as smocks, scrubs, laboratory coats, or other personal
protective attire when treating patients or working in
areas where contaminated or potentially contaminated
materials may be present. When surgical procedures
are performed involving reasonable exposure to blood
or OPIM, additional personnel protective equipment
or apparel, such as long-sleeved gowns, is required.
Forearms must be covered if one reasonably assumes
that they will be splattered with saliva or blood. All
dental personnel must take the following precautions
regarding the use of clinical apparel:
Wear disposable protective headwear during
surgical procedures such as periodontal, endodontic,
and oral surgery.
Headwear must fit the head to
minimize exposure of the head and hair to potential
splashing or spraying of blood or airborne particles.
Eating, Grooming, Drinking, and
Wear clinic apparel only in the DTF.
Change clinic apparel daily and when visibly
Turn in soiled linen at the end of the work period
and place them in a soiled linen receptacle (fig.
Do not leave dirty clinic attire in personal
clothing lockers or spaces overnight.
Eating, grooming, drinking, and smoking are
permitted only in designated areas separate from
DTRs. Follow all BUMED and command instructions
pertaining to this matter.
INFECTION CONTROL IN THE DTR
Infection control in the DTR is your
responsibility. There are many precautions and
procedures involved with infection control practices.
The implementation of aseptic techniques is required
when preparing for patient treatment, during