A Dental Laboratory Safety Manual provides written occupational safety and health programs, procedures, and responsibilities for dental laboratories that fabricate, modify, repair, or finish crowns, bridges, dentures, partial dentures, orthodontic appliances, retainers, dental models, implant restorations, and other dental prosthetics and devices.
Dental laboratory employees may perform precision work involving grinding, polishing, cutting, milling, casting, furnaces, abrasive blasting, dental alloys, acrylics, resins, chemicals, compressed gases, powered equipment, CAD/CAM systems, and 3D printing. Depending on the materials and processes used, employees may also be exposed to airborne beryllium, respirable crystalline silica, metal dusts and fumes, chemical vapors, noise, heat, ultraviolet energy, and potentially contaminated dental items.
A comprehensive dental lab safety manual should reflect the laboratory’s actual materials, equipment, manufacturing processes, chemicals, and employee exposures rather than relying on a generic dental-office safety program.
The contents of a Dental Laboratory Safety Manual should reflect the laboratory’s actual processes and occupational hazards.
Depending on operations, the manual may address:
Programs should be selected according to the materials, chemicals, equipment, and processes actually present.
An effective Dental Laboratory Safety Program establishes responsibilities and procedures for identifying occupational hazards, controlling employee exposure, maintaining safe equipment, and preventing injuries and illnesses associated with dental laboratory operations.
Management should provide employees with the engineering controls, equipment, ventilation, PPE, training, procedures, and other resources necessary to perform assigned work safely.
Managers, supervisors, and designated safety personnel should:
Employees should follow established procedures, use required engineering controls and PPE, operate equipment safely, maintain good housekeeping, and promptly report unsafe conditions, equipment defects, injuries, exposures, and other workplace hazards.
The laboratory should evaluate hazards associated with employee job classifications, work areas, equipment, materials, and processes.
Potential hazards may include:
Hazard assessments should be reviewed when materials, equipment, chemicals, manufacturing methods, or workplace conditions change significantly.
Periodic workplace inspections can help identify unsafe conditions before they contribute to employee injuries or illnesses.
Inspections may include:
Identified deficiencies should be documented and corrected in a timely manner.
A Job Safety Analysis (JSA/JHA) may be useful for dental laboratory operations where a step-by-step hazard evaluation can improve employee protection.
Potential JSAs/JHAs may address:
Dental laboratory processes can generate airborne dust during grinding, cutting, polishing, finishing, blasting, mixing, milling, and other operations.
Depending on the materials being processed, dust may contain:
The laboratory should identify the materials being processed and evaluate employee exposure where necessary.
Engineering controls should be the primary means of reducing airborne contaminants where feasible.
Potential controls include:
Controls should capture contaminants as close as practical to their source.
Local exhaust ventilation can reduce employee exposure by capturing dust, fumes, or vapors before they enter the employee’s breathing zone or spread through the laboratory.
Ventilation systems should be:
Employees should report damaged or ineffective ventilation.
Dust collectors should be maintained according to manufacturer instructions and workplace procedures.
Maintenance should address:
Employees performing maintenance should be protected from concentrated dust exposure.
Where feasible, grinding and finishing operations that generate substantial dust may be performed within ventilated enclosures or at workstations designed to capture airborne material.
Employees should position work so the ventilation system can effectively capture contaminants.
Wet methods may reduce airborne dust during certain operations when compatible with the material, equipment, and process.
Wet methods should not introduce electrical, chemical, biological, or other hazards.
Where appropriate for the contaminant, suitable HEPA-filtered vacuum equipment may be used for cleaning fine hazardous dust.
Vacuum equipment should be maintained and emptied in a manner that minimizes employee exposure.
Compressed air should not be used to clean clothing, skin, work surfaces, or equipment when doing so could create hazardous airborne dust or violate applicable OSHA requirements.
Safer cleaning methods should be used.
Some dental alloys may contain beryllium.
Dental laboratory operations involving beryllium-containing materials can potentially expose employees during:
The laboratory should determine whether materials contain beryllium by reviewing product information and Safety Data Sheets.
When beryllium-containing alloys are used, the employer should evaluate applicability of OSHA’s Beryllium requirements.
Controls should be based on:
Where feasible, material substitution may be considered as a means of eliminating the hazard.
Employees should be able to identify the alloys and materials they are working with.
The laboratory should maintain applicable:
Unknown alloys should be evaluated before employees perform processes that could generate hazardous dust or fumes.
Where the Beryllium standard applies, employee exposure should be assessed as required.
Exposure evaluation may consider:
Employees should be informed of exposure-assessment results as required.
Where required by applicable Beryllium provisions, appropriate work areas should be established and controlled.
Procedures may address:
Beryllium-containing dust should not be allowed to accumulate on work surfaces, equipment, floors, or employee clothing.
Cleaning methods should minimize airborne contamination.
Employees should follow applicable requirements concerning vacuuming, wet cleaning, compressed air, and other housekeeping methods.
Where required, appropriate PPE may include:
PPE should be selected according to the task and employee exposure.
Procedures should prevent unnecessary transfer of beryllium contamination outside the work area.
Employees meeting applicable criteria under OSHA’s Beryllium standard should be offered required medical surveillance.
The employer should maintain required records and protect employee medical confidentiality.
Some dental laboratory materials and processes may create respirable crystalline silica exposure.
Potential exposure can occur when silica-containing materials are:
The laboratory should determine whether materials contain crystalline silica and evaluate employee exposure where necessary.
Safety Data Sheets and manufacturer information should be reviewed to determine whether products contain crystalline silica.
Potential materials may include certain:
Material composition should be verified rather than assumed.
Where employees may be exposed to respirable crystalline silica, the employer should determine whether exposure assessment is necessary under applicable requirements.
Evaluation may include:
Potential controls may include:
Respirators should not be used as a substitute for feasible engineering and work-practice controls where such controls are required.
When respirators are required to protect employees from airborne contaminants, the laboratory should maintain an appropriate Respiratory Protection Program.
Applicable elements may include:
Respirator selection should reflect the specific contaminant and exposure.
Dental laboratories may work with alloys containing various metals.
Depending on materials used, potential constituents may include:
Employee hazards should be evaluated according to the actual composition of the alloys and the processes performed.
Grinding, polishing, cutting, casting, soldering, brazing, and other operations can potentially generate metal dust or fumes.
Controls may include:
Grinding and polishing are common dental laboratory activities that can create hazards involving:
Equipment should be properly maintained and employees should use appropriate guards, ventilation, and PPE.
Employees using dental lathes and polishing equipment should:
Equipment should be stopped before adjustments are made unless the adjustment is specifically designed to be performed while operating.
Bench grinders should be appropriately guarded and maintained.
Employees should inspect:
Damaged or defective equipment should be removed from service.
Handheld rotary tools should be used with appropriate burs, discs, stones, or other attachments.
Attachments should be:
Employees should use appropriate eye protection.
Grinding, cutting, polishing, and finishing can generate chips, fragments, and particles.
Appropriate eye or face protection should be used.
Face shields should supplement rather than replace required primary eye protection when both are necessary.
Loose clothing, long hair, jewelry, gloves, or other items can become caught in rotating machinery.
Employees should secure clothing and hair and avoid wearing items that create entanglement hazards.
Some dental laboratories use small abrasive-blasting units for cleaning, finishing, or preparing dental components.
Potential hazards include:
The hazards depend on both the abrasive media and the material being processed.
Where blast cabinets are used, employees should inspect:
Damaged equipment should be repaired before continued use when the defect affects employee protection.
The composition of abrasive media should be identified.
The laboratory should not assume that a product is free from silica or other hazardous constituents without reviewing manufacturer information or Safety Data Sheets.
Dental laboratory casting and furnace operations may expose employees to:
Employees should receive task-specific training before independently operating casting or furnace equipment.
Burnout furnaces should be:
Employees should use appropriate tools and PPE when handling hot materials.
Ceramic and porcelain furnaces can create burn and electrical hazards.
Employees should:
Recently fired, cast, or heated materials may remain dangerously hot even when they do not appear hot.
Appropriate tools, heat-resistant gloves, or other controls should be used where necessary.
Employees working with molten metals should be protected from splashes, spills, and hot surfaces.
Appropriate controls may include:
Dental laboratories may use acrylic resins, monomers, adhesives, solvents, and other chemicals during fabrication and repair.
Potential hazards may involve:
Employees should follow product labels, Safety Data Sheets, and established procedures.
Products containing methyl methacrylate or other volatile monomers should be handled according to applicable hazard information.
Controls may include:
Chemicals should be stored according to their hazards and manufacturer instructions.
Incompatible chemicals should be appropriately separated.
Flammable products should be stored and handled according to applicable requirements.
Employees should know how to respond to chemical spills within the limits of their training and available protection.
Procedures should address:
Employees should not attempt to control releases requiring capabilities beyond their training.
The dental laboratory should maintain a Hazard Communication Program where employees may be exposed to hazardous chemicals.
The program should address:
Safety Data Sheets should be readily accessible to employees.
SDS information can help determine:
SDSs should be reviewed when evaluating new materials.
Chemicals transferred into secondary containers should be labeled as required.
Unidentified containers should not remain in use.
Employees should understand the laboratory’s labeling system.
PPE should be selected according to employee hazards.
Depending on operations, PPE may include:
PPE should be readily available where employees need it.
Eye and face hazards may occur during:
Appropriate safety glasses, goggles, or face shields should be selected according to the hazard.
Gloves should be selected according to the task.
Different gloves may be required for:
Employees should avoid wearing gloves near rotating equipment when the glove itself could create an entanglement hazard.
Powered dental laboratory equipment should have required guards and safety devices in place.
Potential equipment includes:
Employees should not remove, bypass, or defeat required guards or interlocks.
Equipment equipped with interlocks should not be operated with interlocks intentionally defeated unless an authorized servicing procedure permits and appropriately controls the hazard.
Defective interlocks should be reported.
Where equipment is provided with emergency-stop controls, employees should know their location and proper use.
Emergency-stop devices should remain accessible.
Employees should inspect equipment as appropriate before use.
Potential defects include:
Unsafe equipment should be removed from service or otherwise controlled until repaired.
Certain maintenance and servicing activities may expose employees to hazardous energy.
Where applicable, energy-control procedures should address:
Employees should not rely solely on normal operating controls when Lockout/Tagout is required.
Dental laboratories may use numerous electrically powered devices and machines.
Employees should report:
Only qualified personnel should perform electrical work requiring specialized training.
Dental laboratories may use compressed gases for torches, casting equipment, soldering, brazing, or other processes.
Cylinders should be:
Regulators, hoses, and fittings should be appropriate for the gas and equipment.
Employees should inspect systems for:
Damaged components should not be used.
Appropriate carts or carriers should be used to move cylinders.
Valve-protection caps should be used where applicable.
Employees should not roll, drag, or intentionally drop compressed gas cylinders.
Some dental laboratory operations may involve soldering, brazing, or torch work.
Potential hazards include:
Employees should receive appropriate training and use required ventilation and PPE.
Torches should be inspected before use and operated according to manufacturer instructions.
Employees should control:
Torches should not be left unattended while operating.
Fire-prevention procedures should address:
Fire extinguishers and required exit routes should remain accessible.
Modern dental laboratories may use computer-aided design and manufacturing systems for scanning, designing, milling, and producing dental restorations.
Potential hazards may include:
Employees should follow manufacturer instructions and maintain guards and interlocks.
Milling machines should be operated with required guards and doors closed.
Employees should not reach into moving machinery.
Procedures should address:
Employees who perform prolonged scanning and design work may experience ergonomic stress.
Workstations should be arranged to support:
Dental 3D printing may involve uncured photopolymer resins, cleaning solvents, post-processing equipment, and ultraviolet curing systems.
Employee-safety procedures should reflect the printer, resin, cleaning chemicals, and curing equipment used.
Uncured resins should be handled according to manufacturer hazard information.
Potential controls may include:
Employees should avoid unnecessary skin contact with uncured resin.
Isopropyl alcohol or other solvents may be used during post-processing.
Where used, procedures should address:
Containers should remain closed when not in use.
Employees should follow manufacturer procedures for UV curing equipment.
Protective enclosures, covers, and interlocks should remain in place.
Employees should avoid unnecessary exposure to ultraviolet energy.
Uncured resin, contaminated wipes, solvents, and other 3D-printing waste should be managed according to the material’s hazards and applicable waste requirements.
Employees should not dispose of hazardous chemical waste as ordinary trash unless permitted by applicable requirements.
Grinding, polishing, compressed air, dust collectors, compressors, and other equipment may contribute to occupational noise.
The laboratory should evaluate noise exposure where employee exposures may be significant.
Controls may include:
Where employee noise exposure reaches applicable OSHA thresholds, the employer should implement required Hearing Conservation measures.
These may include:
Dental laboratory work often involves precision hand work, prolonged sitting, static postures, repetitive movements, and close visual tasks.
Potential ergonomic concerns include:
Workstations should be arranged to reduce unnecessary reaching, bending, twisting, and awkward posture.
Considerations may include:
Grinding, waxing, finishing, polishing, and other precision activities may involve repetitive hand and wrist movements.
Potential controls may include:
Adequate task lighting and appropriate magnification can reduce unnecessary forward bending and eye strain during precision work.
Lighting should be positioned to reduce glare and shadows.
Dental appliances, impressions, prostheses, and other items received from dental offices may potentially be contaminated with biological material.
The laboratory should maintain appropriate procedures for receiving and handling incoming cases.
Employees handling potentially contaminated items should use appropriate precautions.
Procedures may address:
The level of protection should reflect the actual exposure.
The employer should determine whether any dental laboratory job classifications have reasonably anticipated occupational exposure to human blood or other potentially infectious materials.
Where such occupational exposure exists, applicable Bloodborne Pathogens requirements should be implemented.
Bloodborne Pathogens coverage should be based on employee duties and anticipated exposure rather than assuming that every dental laboratory employee is occupationally exposed.
Incoming dental items should be handled according to established laboratory procedures.
Employees should use appropriate PPE when handling items that may be contaminated.
Chemicals used for disinfection should be included in the Hazard Communication Program where applicable.
Good housekeeping is particularly important in dental laboratories because settled dust can become airborne again and may contaminate work surfaces, equipment, clothing, and other areas.
Housekeeping procedures should address:
Cleaning methods should not unnecessarily disperse hazardous contaminants.
Where work can contaminate employee clothing with hazardous dust or chemicals, appropriate protective clothing should be provided and used as required.
Employees should avoid carrying hazardous contamination into vehicles or homes.
Contaminated protective clothing should be handled according to applicable procedures.
Dental laboratories should maintain floors and walking-working surfaces in safe condition.
Potential hazards include:
Hazards should be corrected or controlled promptly.
The dental laboratory should maintain emergency procedures appropriate to its operations.
The Emergency Action Plan may address:
Employees should understand alarms, evacuation routes, communication methods, and assigned responsibilities.
Employees should know how to respond to skin, eye, or inhalation exposure involving workplace chemicals.
Appropriate:
should be available as required by the hazards present.
Employees should promptly report occupational injuries and illnesses.
Potential incidents may include:
Prompt reporting allows appropriate medical evaluation and helps identify hazards requiring corrective action.
Occupational injuries, exposures, equipment failures, fires, chemical spills, and significant near misses should be evaluated.
Investigations should focus on identifying contributing causes and corrective actions.
Potential corrective actions may involve:
Employee training should reflect assigned duties and occupational exposures.
Depending on responsibilities, training may address:
Employees should receive task-specific training before independently performing higher-hazard work.
New employees should receive safety orientation appropriate to their assigned work.
Orientation may address:
Additional training should be provided before employees perform specialized tasks.
Dental laboratories can use JSAs/JHAs to document safe work practices for selected operations.
Potential Dental Laboratory JSAs/JHAs include:
Periodic safety meetings can reinforce safe work practices and address current workplace concerns.
Potential topics include:
Dental laboratories should maintain occupational safety and health records required for their operations.
Records may include:
Employee medical and exposure records should be maintained according to applicable requirements.
Depending on dental laboratory operations and employee exposures, additional safety programs may be necessary for:
Programs should be included when the laboratory’s materials, processes, equipment, chemicals, and employee exposures make them applicable.
A useful Dental Laboratory Safety Manual should reflect the actual manufacturing processes performed rather than simply adapting a Dental Office Safety Manual.
A small digital laboratory performing primarily scanning and CAD/CAM work may require a different combination of programs than a full-service laboratory performing alloy casting, abrasive blasting, grinding, polishing, acrylic processing, removable prosthetics, and other fabrication operations.
The manual should consider:
Selecting programs according to actual hazards creates a comprehensive manual without filling it with procedures unrelated to the laboratory.
A Dental Laboratory Safety Manual can be developed around the laboratory’s materials, fabrication methods, dental alloys, grinding and polishing processes, dust exposures, casting operations, furnaces, abrasive blasting, chemicals, acrylics and resins, CAD/CAM equipment, 3D printers, machinery, compressed gases, and other occupational hazards.
The finished manual may incorporate applicable programs for Beryllium, Respirable Crystalline Silica, Respiratory Protection, Hazard Communication, Chemical Safety, PPE, Machine Guarding, Lockout/Tagout, Compressed Gas Cylinders, Fire Prevention, Hearing Conservation, Ergonomics, Emergency Action Planning, and other hazards present within the operation.
This provides dental laboratories with a practical safety manual organized around the work their employees actually perform.
Safety Resources
Related Programs
Beryllium Exposure
Respirable Crystalline Silica
Respiratory Protection
Hazard Communication
Chemical Safety
Personal Protective Equipment
Eye & Face Protection
Hand Protection
Machine Guarding
Lockout/Tagout
Hand & Power Tools
Compressed Gas Cylinders
Welding, Cutting & Hot Work
Fire Prevention
Electrical Safety
Hearing Conservation
Ergonomics
Manual Lifting & Material Handling
Slips, Trips & Falls
Walking-Working Surfaces
Housekeeping
Bloodborne Pathogens
Emergency Action Plan
First Aid
Spill Prevention & Response
Hazardous Waste Management
Workplace Security
Subcontractor Management
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