The mission of CEIMG is the total commitment to the deontological code and the social responsibility to the environment and our patients.

To following are some projects and routines of the operating professionals in the CEIMG:



a) Promotion in Research:
The CEIMG tries to stimulate and to promote through their works in their scope of research, the professionals, professors, technicians and graduate students in the area of dentistry. They do so by the means of case studies and the planning of treatments and procedures. CEIMG makes possible material for future studies, debates and introduction of new techniques. The partnerships and courses promoted by Dr. Mauro Gebran help to amplify new horizons in the area of implantodontology. He is always searching, to improve the quality of life, and the complete satisfaction of the patients.




b) Civil responsibility to the enviroment

The CEIMG has standard operating procedures for the epidemiological control guaranteeing to its patients the maximum security and quality. As shown below:

1. OCCUPATIONAL ACCIDENTS WITH PERFORATION - CUTTING
No occurrences.

2. SURFACES
We use EPIS for these procedures in our clinical routine: eyeprotection, cap, mask, glove.
* FLOOR: Daily laundering with Solution of Sodium hypochlorite diluted in water (in the concentration of 10 ml for 1 liter of water) and finally with aromatically solution.

* COUNTERS and CABINETS:

After each patient the cleaning is done with paper towels soaked in alcohol 70% solution; and one time a day is disinfected;
1ª. Use of paper towel soaked in enzymatic soap;
2ª. Use of paper towel with clean water;
3ª. Use of dry paper towel;
4ª. Use of paper towel soaked in alcohol 70% solution.

* DENTIST CHAIR:
Change of the plastic for each patient and after that disinfection is done;
1ª. Paper towel soaked in enzymatic soap;
2ª. Paper towel soaked in clean water;
3ª. Dryed with a paper towel;
4ª. Paper towel soaked in alcohol 70% solution (in the upholstered one: Alcohol 70% Glicerine)
5ª  Placement of impermeable protectors on the chair and cabinets.

* DENTIST EQUIPMENT:
Disinfection carried through between each patient
1ª. Gauze soaked in enzymatic soap;
2ª. Paper towel with more clean water;
3ª. Gauze soaked in alcohol 70% solution;
4ª. After disinfecting and cleaning the cover handle of the reflector, hoses of the hand parts, triple syringes, teething ring and auxiliary table with appropriate disposable plastic packs.

* PERIPHERAL EQUIPMENT:
The devices that enter in contact with the patient are disinfected after each use, the ones that do not suffer contamination, are disinfected one time a day. Procedure for disinfection:
1ª. Paper towel soaked in enzymatic soap.
2ª. Paper towel soaked in clean water;
3ª. Use of dry paper towel;
4ª. Paper towel soaked in alcohol 70% solution.

* MANUAL EQUIPMENT, HIGH ROTATION and MICROMOTOR:
Disinfection after each patient when not contaminated with blood. These pieces are autoclaved one time a day. In the case of contamination for blood/secretion they are autoclaved between each patient. Procedure:
1ª. Gauze and enzymatic soap;
2ª. Gauze and clean water;
3ª. Drying with gauze;
4ª. Gauze with alcohol 70% solution;
5ª. Lubrication and sterilization in autoclave;

3. ARTICLES (INSTRUMENTAL)
* We use EPIS in our clinical routine for the accomplishment of these procedures: Eyewear, mask, cap, gloves and plastic apron.
* Laudering: Immersion for 2 minutes in receptacle of ultrasound with enzymatic soap solution.
* Rinses: Total removal of the enzymatic soap in water.
* Drying: with paper towel.
* Inspection: Checking the instrument for cleanliness.
* Packaging: In surgically sealed packing to a "surgical degree", stamped and vacuum sealed and identified with the marking of the date and the lot of sterilization.  Then there is placed a Chemical Marking External Ribbon in case the paper packing "surgical degree" does not possess chemical ribbon externally.

** Placement of Internal Chemical Pointer in the packing lot of sterilization.
* Sterilization: Sterilization only in Autoclave.
* Verification of the results of the chemical pointers and notation of the registers: (change of color, time, temperature, pressure, dates, etc), in the table of monitoring of sterilization.
* * Biological Test: Carried through once a month, during the first cycle of sterilization of the day and completing the registers in the Organization Chart of Monitorization of lots and loads of sterilization.

* Storage of the Materials: The autoclaves packings, dated and identified, are placed in stainless steel boxes, covered, and placed inside climatized storage closets devoid of heat, and humidity, preventing the constant movement of these storaged packings. Periodically the date of validity of the sterilization of the instrument is verified: Surgical fields: 07 days - Critical Instruments: the maximum validity is 20 days. Semi-critical instrument: the maximum validity is 30 days.

* Chemical sterilization: Not used in our clinical routine, we perform sterilization only with autoclave.

* In our clinic we perform monthly meetings with the participation of all the ACD’s with the purpose to verify if all the sterilization norms are being executed in our routine correctly.

c) Specialized treatment for all.
This work project is aimed at taking care of the patient that does not possess resources for dentistry treatment, implantation and/or prosthesis.
Dr. Mauro Person Gebran
CRO-PR 8008