In most dental practices, instruments are cleaned in an ultrasonic cleaner. This type of unit removes bioburden by using sound waves generated by electrical energy. For many years, available ultrasonic solutions were detergent-type cleaners only. These worked by emulsifying oil and water, sometimes leading to formation of an oil film on the surface. Placing instruments in an ultrasonic cleaner is the most common method used by dental teams to clean instruments prior to sterilization.
The ultrasonic activity also known as cavitation combined with detergent solutions, removes blood, saliva, and other debris from instruments. Without this cleaning process, heat sterilization of dental instruments is not effective. One of the most important characteristics is that the solution be compatible with the dental instruments and other items that will be cleaned. But the solution must also be compatible with the tank or chamber where the instruments are placed, which is metal.
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