This July if your a dental office – you most likely have either purchase a amalgam separator or shopping for a new system. Capt-all HVE Amalgam Capture Tips are EPA Compliant as equivalent devices that meet the 95% collection requirement and can be easily added on the EPA One Time Compliance Forms…See below for the Equivalent Device Sections circled in red!
We are excited for this year, 2020 to announce our partnerships for dental distribution of the DOVE Dental Products full line. They include:
Henry Schein Dental
DHPI (Dental Health Products)
Each has our new products (Capt-all and SE Plus) stocked as well as our legacy disposable valves. If you have any questions, please contact your local representatives from each company.
Have a great year!
DOVE Dental Products Acquires Capt-all, The Only Handheld Amalgam Separator HVE Tip
Chesterfield, MO, December 6, 2019 – DOVE Dental Products, the leading manufacturer in disposable evacuation dental devices, announced the acquisition of Capt-all.
Capt-all is the only handheld Amalgam Separator device designed to collect dental amalgam waste into a patented designed tip that fits into any standard HVE Valve device. Once amalgam is captured into each Capt-all Tip, it can then be safely sent back in a recyclable container to properly dispose of the captured amalgam.
Starting July 14, 2020 the EPA Final Amalgam Separator Rule requires most general dentists to install an amalgam separator to prevent mercury from entering the air, water and land. (Ref 1)
Using Capt-all allows for offices to quickly comply with the upcoming ruling. Capt-all keeps amalgam out of the dental equipment, vacuum lines and secondary filters. Other benefits include no installation requirements, its ease of use, avoidance of messy clean ups and Capt-all is only used when Amalgam Removal is necessary.
Available January 2, 2020, Capt-all will be sold through Dental Distribution including Henry Schein Dental, Patterson Dental Supply, Benco Dental and Dental Health Products Inc. The starter package for Capt-all will contain 25 Tips and 1 prepaid recyclable shipping container. Upon recycling of the used tips, customers can obtain a manifest containing the return shipment confirmation.
About DOVE Dental Products
DOVE Dental Products develop cost-effective disposables for increasing patient safety. DOVE Dental principals have a proven track record in successful start-ups, product and market development, marketing, manufacturing and intellectual property development. DOVE (Disposable Oral Valve Evacuation) Dental HVE and Saliva Ejector Backflow Prevention Valve devices are simple to install and intuitive with performance. All DOVE products are Made In the USA and are manufactured by a ISO 13485 facility in Phoenix, AZ.
The day and life as a dental hygienist:
“Open bigger. Turn towards me. Stay open. Oh, don’t close on the suction.”
Throughout my hygiene career it is a priority to place patient care first, providing comfortable quality treatment, maintaining proper infection control, and comprehensive assessments; in the midst of watching the clock and time managing the day. While wearing many hats in our small office, I took on the role of infection control. Implementing the latest protocols office wide including cavicide wipe and rewipe, autoclave handpieces after every patient, change our traps, clean and scrub our suction lines, run our evacuation detergent nightly, and barrier protect next to everything touchable.
In school we learn about backflow risk from saliva ejectors. We are taught to instruct the patients not to close on the suction straws. However, the reality is patients’ frequently do close around the suction during treatment. I was tired of cringing under my mask when a patient close tightly without being able to stop them knowing they are at risk to be exposed to back flow.
According to the Centers for Disease and Control (CDC), backflow occurs when previously suctioned fluids and microorganisms remain present in the suction tubing or valve and flow back into the patient’s mouth. Backflow cross-contamination can occur when there is pressure in a patient’s mouth caused from closing their lips and forming a seal around the tip of the ejector, raising the ejector above the patients’ mouth during use, and when the saliva ejector is used at the same time as the high volume suction. The CDC also advises dental professional to inform patients to avoid closing their lips tightly around the tip of the saliva ejector and to contact the manufacturer of the dental unit to review proper maintenance procedures.
As a hygienist we took an oath as a patient advocate, to stand up to what is wrong, and to provide the best care possible. We know that backflow can occur, we should not put our patients at risk, we know better and there are solutions.
Take out your saliva ejector and take a look into your valves, would you want someone using it on you? Every dental unit is different; I learned many do have removable HVE and saliva ejector valves, which need to be autoclaved between each patient. Check your instructions for use (IFU) manuals for your valves. The proper maintenance process for the HVE and saliva ejector valves in our office took excessive time. They required autoclaving after every patient, checking and replacing O-rings, and disassembling them weekly. Unfortunately, this is something many of us do not learn before entering the workplace, instead, we learn it while on the job. It is our responsibility to read the manuals on each device and properly maintain them whether it takes time or costs a little extra.
At our office, we tried other backflow products, sampled using sleeves on our valves and attempted to clean properly between patients as instructed. Each process implemented proved to be too lengthy of a process or uncomfortable, and were really only putting a Band-Aid on the real issue of our evacuation valves which were a petri dish of all the days’ patients.
In the end, our office agreed upon Dove disposable valves which are disposable HVE and Saliva Ejector Valves that stop and eliminate the risk of backflow. For us, we removed backflow risk and alleviated the nuance of timely cleaning of the valve parts. We finally have peace of mind when patient close around the suction straws.
Jennifer Reese RDH, BHSA
Today, most would agree patient safety is of utmost importance.
Unfortunately, on a daily basis we continue to see dental offices instructing patients to close around suction straws. Research concluded as far back as 1993 that patient safety is compromised when lips are closed around saliva ejectors during procedures. The CDC also provides us clear warnings about the risk from saliva ejector backflow.
Studies concluded 23% (Nearly 1 in 4) likely receive prior patient backflow when lips close around straws. Flushing the lines will not address this problem nor will the cleaning of the valve components. Countless studies, education, and training clearly show the risks of backflow. Using a disposable backflow eliminating product is the only way to guarantee backflow prevention. NEW affordable backflow eliminating products are readily available.
Instructing patients to close around saliva ejector straws goes against everything we know for the past 20 years. Simply wiping valves between patients is not enough. Recent ATP surface testing displayed over 99% of evacuation valves failing when only wiped between patients.
Ask yourself; Knowing that Dental Backflow is a proven fact, why do most offices continue to place patients at risk?
– If your patients knew the facts about backflow, would they want you to do something about it?
Recently, Dove Dental learned of another dental breach at a U. S. Dental School. It was discovered that for nearly 2 years dental handpieces were merely wiped between patients instead of following the mandatory sterilization protocol set forth by the CDC, the dental school and the manufacturer’s instructions for use (IFU). Given our access to education and technology how can this continue to occur?
Starting in the late 1990’s I spent over 10 years working with accredited teaching programs at dental schools and universities as a school and government regional manager with KaVo Dental. In those years, there were many infection control inconsistencies ranging from incorrect methodology to simple carelessness. For example, teaching basic routine dental handpiece maintenance varied between programs and in some cases was not taught at all. Unfortunately much of this became engrained and passed onto the next generation of dental professionals, as last week’s breach makes clear, this issue is ongoing.
Some of the major problems in the 90’s with improper cleaning were a result of not having enough instruments on hand to ensure proper cleaning; students were typically instructed to purchase just one handpiece (dental offices traditionally contain 3 highspeed handpieces per room). Additionally, instructions (IFU) were not strictly taught or followed with some instructors relying on central sterilization instead of teaching the student to properly clean the instrument by hand.
From my experience, variations in cleaning, sterilization and performance included:
|Variations on handpiece maintenance|
|*Using incorrect lubricant or wrong nozzle to spray|
|*Autoclave/reprocess with a sheath/bag|
|*Autoclave/reprocess with no sheath/bag|
|*Lubricating with a bur|
|*Lubricating without a bur|
|*Lubricating after sterilization|
|*Purging with a bur|
|*Purging without a bur|
|*Usage of a purge/lubrication machine vs manually|
|*Disassembly during cleaning (lowspeed components)|
|*Not disassembling lowspeeds or motors during cleaning|
|*Reprocessing that never dries|
|*Too much or too little air pressure PSI|
|*Dental water line flushing or lack there of|
|*Shortage of instruments resulting in hurried processes between patients|
|*Using a hot handpiece immediately out of the autoclave and cooled under water|
Naturally, after graduation any bad habits learned persisted and many continue today. When educators conducted due diligence at a dental office we often saw that processes were all over the map, even within a single office: some purged, some lubed, some did not purge and some lubed with odd lubricant/oils not intended for dentists. Naturally, performance reflected these practices. For example, a result of not purging was water line biofilm continuously clogged most water ports and electric motors on the market. Dental offices tended to become defensive about their procedures and quick to blame the manufacturer of handpieces for poor performance rather than focusing on proper cleaning and maintenance. And while educators noted the inconsistencies around cleaning protocols and resultant risks, much went unnoticed by the industry.
An important note: handpiece repair service was and continues to be a highly profitable business with direct ties to the inconsistent and incorrect maintenance methods learned early on.
Subsequent to my experience at KaVo Dental, I worked at SciCan and continued to witness inconsistencies in the schools, distributors and hundreds of offices that I examined. At SciCan we specialized in the Statim Sterilizer, a fairly simplistic machine. But again, practices varied resulting in some of the following:
|Variations of maintenance on Statim usage|
|*level machines that drained properly|
|*machines that dried correctly|
|*pouches that were dried correctly|
|*unleveled machines that did not drain|
|*leaking seals around cassettes resulting in failed cycles|
|*instruments (handpieces) not disassembled|
|*pouches that never dried|
|*some instruments were bagged, others were not in the same cycle|
|*never using a spore test|
|*stopping cycles ½ way through hot, because they did not have enough instruments for the next patient|
|*never cleaning the cassette|
|*never changing the bacteria filter or not knowing it exists|
|*using incorrect water in the machine|
As I continued to examine the inconsistencies, I understood that the key to proper handpiece performance at the best value is heavily influenced by the processes that maintain the instruments between patients. Patient safety is at its highest level when the dental staff is properly trained consistently on instrument management through schools, teaching programs, Universities and mentors. When instrument management training is poor and inconsistent, the results carry on for years and patient safety risk is tremendous.
Since 2014 I’ve served as the VP of Sales at DOVE Dental Products where I focus on teaching Evacuation Valve maintenance 101. Through hundreds of office visits, trade shows and phone interviews our company listens to how offices maintain HVE and Saliva Ejector Valves. We discover the same inconsistencies that existed in the 1990s. The use and maintenance of valves varies widely, resulting in unclean instruments, poor performance and leakage and backflow; major risks to patients, a critical issue that only grows in importance with each passing year.
|Variations of maintenance on Evacuation Valves|
|* removing the evacuation valve for cleaning frequency, sometimes, rarely, never|
|*cleaning the interior of valve frequency, sometimes, rarely, never|
|* reprocessing the valve components, sometimes, rarely, never|
|*only wiping exterior surfaces only between patients|
|*wiping, flushing between patients – some do it daily, weekly, monthly or often never|
|*cleaning the solids collector daily, weekly, monthly, or never|
|*never changing o-rings (3 in a HVE) and (2 in a Saliva Ejector) – these prevent seepage or leaking|
|*not knowing the valve is removable (very common)|
|*using a barrier between patients|
|*not using a barrier|
|*inspecting vacuum line condition routinely, sometimes, never|
|*ignoring leaks and bubbles from the sides of the instrument (very common)|
|*instructing patients to close around suction straws (very common)|
|*when patients do close around straws, nothing is mentioned to prevent Backflow|
|*warning patients to not close around straws|
When we examine dental programs today we see many of the same problems with evacuation valves that we’ve seen in the past. Many students have no idea that the valves are designed to swivel and should routinely be removed and cleaned even though every instruction guide clearly states: remove, scrub, reprocess routinely. Many rely on central sterilization or a person who maintains the chairs to insure clean and sanitary instruments. As always, patient safety is critical and it is of concern that weekly we are contacted by a dental school or program to explain “backflow,” and to question its importance as related to protecting the patient.
It’s been 20 years since we first raised concerns about water line bacteria, inconsistent maintenance of instruments and the need for consistency in infection control processes. Last week a U.S dental school had a major breach because dental handpieces were merely wiped and not properly cleaned for two years. In 1993 researchers provided solid proof that saliva ejector backflow occurs in 1 in 5 patients who close their lips around straws. However, just yesterday I had a conference call to explain saliva ejector backflow to a team of RDH’s in charge of infection control at 8 locations with nearly 50 chairs, and who did not know it exists.
Dove Dental continues to promote safe and effective dental practices for the benefit of the dental industry and for the patients. We are confident that our products provide the best solution for both dentists and patients; a simple, cost effective and expedited cleaning and maintenance regime at the dental office which insures a safe and sanitary dental experience for the patient.
For more information on Dove Dental Disposable Evacuation Valves, visit dovedentalproducts.com
DOVE Valves were first introduced in 2014 to meet the challenge of providing clean, safe, uncontaminated evacuation valves for each patient. DOVE Valves are the #1 selling Disposable HVE and Saliva Ejector Replacement Valve on the Market! Our products range from HVE (High Volume) Valves to Saliva Ejector Valves, to adapter Tailpieces and Tailcap Plug Covers.
Our Newest DOVE innovation is our comfort driven HVE Valve series. The new line focuses on comfort, optional sizes, color, chair flexibility and cost.
Comfort: Evacuation Valve Comfort was a key factor of the design. Our newest valve(s) are contoured to fit into large or small hands. We’ve removed exterior fluting and softened all edging. Exterior surfaces are smooth and the end result is a disposable instrument that feels like the traditional valve.
Optional Sizes: The HVE Valve market has evolved over the years. Offices use a variety of lengths of HVE Valves dependent on the type of chair in each operatory. We are excited to offer 2 distinct lengths of Disposable HVE Valves. Our new disposable long neck option and our short neck option will allow offices to select valves that are similar in size and length compared to traditional valves.
Color: DOVE Valves are known for their bright aseptic blue color. We are now excited to offer bright aseptic purple. This color was hand selected by a group of RDH Dental Professionals and shares the status as the premier color in dental hygiene! All new style HVE Valves are offered in either blue or purple.
Chair Flexibility: The HVE market is flooded with connection styles. Each dental chair will often have its own connector (Tailpiece) or utilize a DCI style. In the U.S. alone up to 7 variations are available. We now offer (3) connection sizes that cover nearly 99% of the U.S. Dental Chair Market. Our small barb HVE Valve allows easy snap on connection to existing Belmont, Forest, Dental EZ and traditional DCI style connections. Our medium barb HVE Valves allow easy snap on conversion to Royal, Pelton, Marus and DCI Comfort style chair connections. Our large barb HVE Valve allows easy connection to Adec style valves.
Performance: DOVE High Volume (HVE) valves are simple to use, providing a seamless transition to disposable. Each valve snaps into the connection, secures all styles of HVE straws and has a smooth rounded on/off turret that performs just like a metal valve. No more leaking, sticking, gumming up of parts and no more time consuming cleaning procedures.
Cost: On May 1st, 2018 we reduced by pricing of our DOVE Valves by 20%! This included our new comfort driven designs! Better product, better design, better cost!
Conclusion: Today, more than ever its vital to provide each patient with a safe, clean, good working instrument. New DOVE Disposable Valves alleviate cross contamination risks between patients and eliminate the need for extensive metal valve maintenance while saving time and money.
Traditional Metal HVE Valves pose many challenges and problems. They include leaking of the instrument, difficult cleaning processes, parts inventory, degrading performance and most important patient safety is compromised. Simple wiping has proven ineffective when instruments are not autoclaved and scrubbed. Intermittent flushing of the lines does not address each patient and instead skyrockets safety concerns for patients who are not first in the chair. Its no question the New DOVE High Volume (HVE) Valves are the safest, maintenance free, best performing instrument on the market!
I know what you’re saying, Not My Valves! And we hope that is the case, however, there’s a very good possibility they do. Here’s why…
Lets first ask a couple of questions to see how well maintained your office HVE and Saliva Ejector Valves are.
*How often do you disassemble the parts on the HVE and Saliva Ejector? See image below. Each manufacturer states you are to disassemble as part of the regular routine and then scrub each part.
*Do you lubricate the o-rings frequently? All manufacturers state to routinely lubricate the orings. Specific to the leading chair mfr, they state to remove the orings entirely and lubricate each routinely.
*How often are you replacing the o-rings? Valve companies state to inspect orings often and routinely. Most agree to replace all valve orings yearly assuming your offices are already following the above-mentioned disassembly & lubricating routine. Not following the above routine likely means changing more frequently.
*What is the main purpose of the orings inside the evacuation valves?
- Seal off the liquid debris from leaving the interior of the valve.
- Provide a swivel on the valve and tailpiece coupler
- Provide a smooth easy on/off rotation
With respect to your office. Visit each room and see if the following is easy to do:
*Pull off the HVE or Saliva Ejector easily. These are designed to connect similar to a dental handpiece. They will click into place and should require NO force.
*Swivel at the connection. Same applies, similar to dental handpiece designs you should have swivel ability. Dental unit instruments were designed to work with you and not against you to reduce carpel tunnel syndrome. Also they are designed to reduce tangling of tubings.
*Pull/push out the On/Off lever. These are designed to push out with relative ease. This should require very little force.
So why is our article titled “Your Evacuation Valves Most Likely Leak?”
Over the past 3 years we’ve visited 100’s of offices, spoke with countless dental professionals and continue to work with the leading infection control professionals in the industry. We rarely see valves maintained correctly.
When orings are not maintained, they will not work properly. Our experience is based on the following:
1. It very rare when we offices disassemble the valves. Our last poll consisted of a few hundred dental professionals resulting in less than 1% following the IFU (instructions for use). Most valves we encounter are never removed off the lines and never lubricated.
2. Many offices we visit require a pair of pliers to remove the valves. It is a sure indicator the orings do not work. In these situations, the orings have become dry and brittle. Blood, saliva and other debris leak into the areas where the oring was designed to seal. These valves most often seap (leak) out the sides.
3. We speak to dental professionals and ask them if they have ever seen a bubble on the side of the valve during a procedure. More often we hear YES as opposed to NO as the response.
We’ve personally viewed leaking blood, saliva, water and bubbles. The cause for concern is where these leaks end up. Many of the leaks end up on the patients! To quote one RDH, “I quickly wiped the bubble off of my patients ear in horror”.
Finally, just because you cannot see the leak does not mean it’s not occurring. Bubbles and blood are obvious indicators. However, when orings are compromised and no longer function as they were designed, they will leak air and faint fluid because they will take the path least resistance when suction is on.