High-tech sterilization room in Forte dei Marmi

Hygiene and sterility are the watchwords at the Versilia Dental Institute. Caring for each patient's fragility with passion and commitment: this is what each of us expects from a doctor, and even more so from a dentist. So if we're looking for a place where the future is already here, where cutting-edge techniques are a daily routine, and where patient care truly comes first, then we can only turn to the Versilia Dental Institute of Dr. Francesco Ciucci, just steps from the center of Forte dei Marmi. The institute is the most modern and rigorous in Italy in terms of adopting protocols for the sanitization of operating rooms and sterilization of instruments. "For us, it is essential that every clinical action on the patient, from examination to surgery, is performed in compliance with rigorous guidelines, in order to reduce risks," explains Dr. Ciucci, founder and director of the facility. "For this reason, I also consulted with an infectious disease specialist, Dr. Antonella Vincenti. In addition to the dental hygiene room, with a dedicated hygienist, we have operating rooms (equipped with air purifiers), one for examinations and fillings, a surgical suite for major procedures, staffed by two assistants and where we perform strict intraoperative monitoring, and a prosthetics suite, with a laboratory bench that allows us to prepare them on the spot, if necessary."
But the pride of the facility is undoubtedly the instrument sterilization room, equipped with three dedicated machines, where the traceable material is sterilely packaged in special kits each time. Also of note is the use of the operating microscope, which, thanks to its high magnification, allows for long-lasting procedures, preventing recurrence, and provides effective prevention with the ability to address even the smallest dental imperfections and address them before they become serious problems (CT). Furthermore, to reduce the introduction of dirt from footwear, each patient is given shoe covers during the short wait in the waiting room, which is also equipped with an air purifier. The obligatory start of every clinical procedure at the Versilia Dental Institute is to wash one's hands not only with soap but also with specific disinfectants. Each patient can verify the care we take in managing sterility and the sterilization of every instrument they will come into contact with. The area dedicated to instrument sterilization, the sterilization room, is visible, so patients can see it as they walk along the corridor. Furthermore, the Institute maintains a sterilization log and a sterilization reference code for the instruments used for each individual treatment, ensuring greater thoroughness.
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Environment preparation protocols

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The offices are disinfected with bactericidal, fungicidal, tuberculocidal, and virucidal solutions. Every area that is touched is covered with disposable protective covers, which are removed at the end of each session, the area is disinfected, and new protective covers are replaced.
Even rotating instruments such as drills are used for a single treatment and then sterilized and packaged; in fact, we have numerous drills available, allowing us to always have them sterile-packaged and ready. The drill guards are also replaced after each treatment. All the instruments used are packaged and sterile.

Path of the instruments used and sterilization room

We've already mentioned that at the end of each session, the assistant removes all instruments used or touched during the session, taking them to a dedicated room for disinfection and sterilization. The office will then be sanitized and disinfected as described above. The sterilization room is divided into three areas: an area for infected instruments; a disinfection area; and a sterile area. By maintaining this order, the sterile instruments follow a path so that clean instruments never come into contact with infected ones.
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    1. The instruments are first decontaminated, that is, immersed for at least 10 minutes in a solution of water and peracetic acid (also used for surgical instruments in hospitals); 2. They are then rinsed and cleaned manually; 3. They are then dried and subjected to a final inspection before being bagged and placed in the autoclave. Now the instruments are ready to be bagged and placed in the autoclave, where the actual sterilization will take place. We use Class B autoclaves, which are steam sterilizers compliant with the European standard UNI EN 13060, following the guidelines on sterilization activities: collective protection in healthcare facilities (July 2005) published by ISPESL. Once the autoclave is finished, each bag is stamped with the sterilization date. We overlook no detail, because our priority is to ensure a safe environment for the patient, and this can only be achieved by performing periodic tests to verify the effectiveness of the sterilization. All tests performed are dated, signed, and archived over the years. For each autoclave cycle, we perform three tests to ensure the load is completely sterile. The first test is for the autoclave to print a report indicating that the cycle was completed correctly and correctly, indicating the cycle time (20 minutes), temperature (135°C of wet steam), and pressure (2 atmospheres of pressure) for each sterilization cycle. A second test for the autoclave, as mentioned previously, is the process indicators printed on the pouches used to package the instruments to be sterilized. These indicators change from pink to brown and are checked after each sterilization cycle. At the beginning of each week, a vacuum test is performed to ensure the autoclave maintains a perfect vacuum, which is essential for sterilization. At the end of the test, the machine will provide a report with the results, which will be filed in a dedicated log. Once a month, two more tests are performed: the Bowie & Dick and the Helix Test. The first, the Bowie & Dick, is a package containing sheets of paper (to simulate a porous load) that are resistant to high temperatures. A printed sheet is placed in the middle. At the end of the cycle, the central sheet changes color to black, ensuring the autoclave is effective in producing a vacuum and allowing us to verify that the steam and temperature parameters are correct. The second, the Helix Test, can further ensure the parameters discussed above, i.e., complete steam penetration into hollow and porous objects (such as fabrics or handpieces). It consists of a small tube rolled up on itself with a capsule at the end containing an indicator that is light blue at the start and green/black at the end of the test. The last test, the Biological Control, is performed, as expected, every 90 days. This test serves to demonstrate the autoclave's ability to destroy all microorganisms, including spores. We have vials containing spores of Bacillus Stearothermophilus (ATCC7953), one of the most heat-resistant microorganisms with pathogenic properties. We place one vial in the autoclave and run a normal cycle. Once complete, we see that the chemical indicator on the label has changed color. We then activate the vial by breaking it so that the liquid inside comes into contact with the indicator. We also perform this procedure with a non-autoclaved vial for comparison. We place the two vials in the biological incubator at 57°C for 48 hours. We remove the processed vial from the incubator, and the test result will be a purple liquid inside the vial, while the other (non-autoclaved) vial will be yellow.

Material, equipment and personnel resources

To ensure the use of sterile instruments, it is first necessary to have a large number of instruments and a sufficient number of assistants to ensure proper sterilization and office management processes. We believe that meticulous disinfection and sterilization management is essential to safeguarding the health of patients, who generally trust healthcare professionals but have no way of seeing how they are performed.
The Clinical Pathway

Scrupulousness and safety

We keep a sterilization log available to each patient, and the sterilization code for each instrument used is included in the patient's medical record for each service.

Air purification

Versilia Dental Institute is equipped with air purifiers that purify and disinfect the air, eliminating all types of bacteria and viruses. This tower air purifier is designed for small spaces, childcare facilities, residential care facilities, outpatient clinics, and other low-occupancy areas. The dental institute offers this technology to its patients to ensure safety and peace of mind.
  • How SHU technology works

    The UVC germicidal lamp destroys germs that pass through its UV light beams. The UVC lamp's light beams react with the HCT™ nano Nickel catalyst to produce catalytic molecules. The catalytic molecules detect and destroy carbon-based molecules, converting them into carbon dioxide and harmless water.

  • Characteristics

    Easy to use Extremely quiet Audible alarm - AHPCO cell replacement Maintenance free for 3 years Components ensure long life use Made in the USA 3 year warranty

  • What harmful substances does it reduce?

    Odors caused by VOCs (Volatile Organic Compounds) Cigarette smoke Mold Bacteria Viruses and other allergens.

pdf SHU - anti COVID-19

Purifying the air is also beneficial for allergy sufferers

Respiratory allergies (bronchial asthma and allergic rhinitis) are the most common of all allergic diseases. Recent studies show that they account for at least 75% of all allergic-caused clinical manifestations, and their incidence is rapidly increasing. In respiratory allergies caused by dust mites or other environmental allergens, eliminating the allergic individual's exposure to the causative allergens is not possible. In these cases, improving environmental hygiene is recommended to substantially reduce symptoms.
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    A significant solution is the use of highly efficient air purification systems. Our air purifiers guarantee a proven and certified filtration efficiency of over 99%, making them the best solution and the most effective and guaranteed method for reducing allergens and microorganisms in the air of indoor environments.

Latex allergy title

The Versilia Dental Institute has arranged for the use of absolutely latex-free devices for those patients who have a latex allergy.



The specific devices provided to patients with this allergy are: latex-free gloves during the preliminary visit and during treatments; the latex-free rubber dam, a device used in the majority of dental treatments to allow us to work safely and in an aseptic environment, since saliva and the communication with the oral cavity are full of bacterial strains.

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