The short versionEvery dental procedure generates a bioaerosol that standard surface wiping cannot reach. We deliver the hospital-grade disinfection standard via hydrogen peroxide micro-nebulization — the dry H₂O₂ micro-mist reaches ceilings, ductwork, cabinet interiors and the surfaces patients touch but no one cleans. ATP testing before and after the cycle gives you auditable proof — with RODAC microbiological cultures available for surgical operatories and specialty practices serving immunocompromised patients. Documentation goes straight into your OSHA exposure control plan. Operations conducted under the federal authorization of Amil Care Corp USA.
The dental operatory is an aerosol environment
A working dental chair runs an instrument list that aerosolizes saliva, blood and microorganisms by design. The high-speed handpiece spinning at 400,000 rpm with water spray. The ultrasonic scaler vibrating at 25-40 kHz. The air-water syringe. Each generates a plume of droplets in the 0.5-50 micron range that travels meters from the source, settles slowly, and lands on surfaces no one cleans: ceiling tiles, the back of the dental light, the underside of the bracket tray, the top of cabinets, ductwork registers and computer keyboards two operatories away.
Studies in The Journal of the American Dental Association and Journal of Dental Research have repeatedly measured viable microbial counts on operatory surfaces hours after the last patient — counts that surface wiping with a disinfectant towelette does not affect because the wipe never reaches those surfaces. The issue is not whether dental staff are cleaning. The issue is what conventional cleaning cannot reach.
Dry H₂O₂ micro-nebulization reaches the same places the aerosol reached. That is the simplest way to describe what we do.
What the dental protocol includes
Practice Walk-Through
30-minute visit with the practice owner or hygienist lead. We map operatories, the sterilization area, lab, X-ray room, restroom and waiting area. We review your current exposure control plan, your CDC infection-prevention checklist, and your accreditation status (state of Florida dental board, AAAHC if applicable).
Calibrated Cycle Design
Each operatory receives an independently calibrated micronebulization cycle. The sterilization area gets a separate, more intensive cycle. Air-handling registers are treated in a dedicated step. Sequence is designed so the entire practice is treated and dry within 4-6 hours of the patient list closing.
Pre-Cycle Surface Hygiene Baseline
We swab 8-12 critical surfaces — dental chair handles, light handle, bracket tray, sink faucet, sterilization counter, x-ray sensor, reception keyboard, restroom door handle — with a 3M Clean-Trace luminometer. The pre-cycle RLU reading establishes the baseline.
H₂O₂ Micro-Nebulization
The Medibios system disperses a calibrated mist of CE Class IIa · FDA-listed Evolyse Strong hydrogen peroxide. Micro-droplets remain suspended long enough to reach every surface — including the ones aerosols reached — then break down into water and oxygen. Dental electronics, leather upholstery, X-ray sensors and computer equipment are materials-compatible at this concentration and dwell time.
Post-Cycle Verification & Documentation
The same surfaces are re-swabbed with 3M Clean-Trace (target RLU <10). For surgical operatories and practices serving immunocompromised patients, RODAC contact plate cultures provide microbiological confirmation. Any surface that fails is re-treated immediately. All readings are logged and included in the compliance dossier.
OSHA-Ready Documentation
You receive a one-page compliance certificate suitable for the patient-safety binder, plus the underlying dossier: lot numbers, FDA registration references, ATP readings (and RODAC culture results where applicable), cycle parameters, operator signature and timestamped log. For healthcare facilities, Amil Care Corp USA issues a formal FDA-valid Disinfection Certificate on Blanc Estates' behalf. Subscription clients receive a quarterly consolidated report.
OSHA, CDC and the documents auditors actually read
The OSHA Bloodborne Pathogen Standard (29 CFR 1910.1030) requires every dental practice to maintain an exposure control plan, train staff annually on bloodborne pathogen risk, and document its decontamination protocols. The CDC Guidelines for Infection Control in Dental Health-Care Settings layer additional specifics — surface barriers, environmental infection control, sterilization monitoring.
Most dental practices meet the daily-level requirements with internal protocols. What they often miss is verifiable, auditor-friendly documentation of high-level disinfection between routine cleaning. When the Florida dental board, an AAAHC reviewer, or a malpractice insurance underwriter asks "what is your standard for environmental disinfection beyond surface wipes" — your Blanc Estates compliance certificate is the answer.
Why this matters for specialty practices
Three subsegments of the Miami dental market benefit disproportionately from high-level disinfection:
- Pediatric dentistry. Children are reservoirs and transmitters of respiratory pathogens. Pediatric operatories accumulate bioburden faster, and pediatric patients have less developed mucosal immunity. Monthly cycles plus ATP visibility is the baseline.
- Oral surgery and implant practices. Procedures breach the mucosal barrier; surgical site infection risk is non-trivial. Insurance underwriters increasingly ask about environmental disinfection beyond instrument sterilization, particularly post-COVID. A documented hospital-grade environmental disinfection protocol is a defensible answer.
- Practices serving immunocompromised patients — post-transplant, oncology, advanced HIV, primary immunodeficiency. Standard dental hygiene is not the safety floor these patients require. Bi-weekly cycles with full ATP documentation and RODAC cultures, coordinated where appropriate with the patient's medical team, is the right level.
The team behind the protocol
Co-Founder & Managing Director, Blanc Estates Miami. 4 years as Exclusive Amil Care Distributor in the Dominican Republic through Equiesteril SRL. Hospital-grade disinfection delivered with the same protocol discipline used in operating rooms.
Ing. Julio García Puerto, Co-Founder and Operations Director of Blanc Estates, has 35 years of hospital biosafety experience. He is the co-author of 14 official preventive maintenance and biosafety manuals for medical equipment in the Dominican Republic (INFOTEP, ITLA, CERSS, Ministry of Health), an ATP testing specialist with 3M Clean-Trace instrumentation, and the former Exclusive Representative of Amil Care Corp and Technical-Commercial Advisor for Medisystem. Every dental practice intervention is supervised by Julio directly. Read his complete biography.
The Amil Care framework
The Medibios device and Evolyse Strong disinfectant are FDA Class I medical devices. To deploy them in any healthcare setting — including dental practices — under the regulatory framework that gives the protocol its legal weight, operations are conducted under the federal authorization of Amil Care Corp USA, the manufacturer. Marco Nicolini was Amil Care distributor in the Dominican Republic for four years; Julio García was Amil Care Exclusive Representative in the same country. Blanc Estates is the on-the-ground authorized partner. See the partnership framework.
A typical 4-6 operatory practice with sterilization area falls in the $400-650 per cycle range. Subscription contracts (Total Biosafety) bundle monthly cycles, ATP verification, 24-hour on-demand response and quarterly reports at a fixed monthly rate. Written, itemized quote within 48 hours of the walk-through. No obligation.
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