TX · Sterilization compliance
Texas Dental Sterilization Compliance Requirements
A summary of Texas's sterilization-monitoring rules for dental practices — the enforcing agency, the biological-monitoring cadence, and the primary citation.
Quick answer
- BI cadence
- Record retention
- Enforcement agency
- Texas State Board of Dental Examiners (TSBDE)
- Primary citation
- 22 Tex. Admin. Code §§ 108.23–108.24
CDC guideline, made binding by state rule
No period stated in the reviewed rule
Biological monitoring (spore testing)
Texas incorporates the CDC dental infection-control guidelines by reference (§ 108.23), which carries CDC’s at-least-weekly biological monitoring; § 108.24 separately points sterilizer testing and verification at ADA recommendations and states no interval or retention period of its own.
Federal guidance applied in Texas
CDC incorporated by § 108.23; sterilizer testing tied to ADA recommendations by § 108.24
Even where state rules are silent on a specific point, the CDC's 2003 Guidelines for Infection Control in Dental Health-Care Settings are the most widely used professional reference. They are guidance rather than law unless a state's rule adopts them — many do by reference — and a board may treat departures from them as unprofessional conduct.
Records commonly kept on file
Whatever a state's stated minimum, these are the sterilization records dental practices commonly maintain:
- A weekly (or per-state-cadence) biological-indicator log with matching control results, lot numbers, and expiration dates
- A per-cycle log identifying sterilizer, operator, and chemical-indicator result
- Documented response to any positive spore test (recall procedure, retest result, root cause)
- Sterilizer maintenance and service records (preventive maintenance + repair)
- A list of staff authorized to operate sterilizers, with training completion dates
- A written infection-control plan referencing CDC 2003 guidelines
How Cuspo handles Texas compliance
- Captures BI tests on the cadence that applies to your practice, with matching control results and lot tracking
- Auto-generates an audit-ready PDF of your sterilization records over any date range
- Triggers a documented remediation workflow on every positive spore test
- Maintains tamper-evident audit trail of who logged what and when