DAC Universal by Nitram Dental (English) - Sirona Hygiene

DAC Universal 

by Nitram Dental 

NITRAM DENTAL 

1

Simple. Safe. Superior. 

2 NITRAM DENTAL 

NITRAM DENTAL 3

Simple, 

Safe and Superior 

Nitram Dental is a pioneer in the field of dental hygiene. Our technology 

ensures the highest level of hygiene using a minimum of resources, 

providing your clinic with a solid return on investment.

A word from our PRESIDENT 

Patients’ safety is our vision 

Dentists worldwide are met by ever stricter 

guidelines, recommendations and standards. 

At the same time, patients expect full protection 

against cross-contamination. Therefore, 

it is important that the dental clinic 

is equipped to face these challenges in the 

best and most efficient way. It is absolutely 

crucial that patients do not leave their dentist 

with harmful bacteria and viruses that 

have been transmitted during the visit at the 

dental clinic. 

We are on a mission 

At Nitram Dental, we are constantly looking 

for better ways to improve dental procedures 

in the fight against the spread of disease. We 

know that even the smallest gaps in hygiene 

can have enormous consequences. We are only 

satisfied with a perfect patient safety record. 

This is why we are proud to offer you and 

your clinic the world’s safest and most 

cost-effective solutions for preventing crosscontamination. 

This is our mission. 

You can see the results 

With the DAC Universal combination autoclave 

from Nitram Dental, you are ensured simpler, 

safer and more sensible hygiene procedures 

in your clinic. In addition to improving your 

business, this means that your staff can 

spend time on patients rather than on 

maintaining instruments. You can quickly see 

the results in both time and money saved. 

A simple solution to a difficult challenge 

This brochure gives you an insight into why 

compromises and half-measures are never 

sufficient for Nitram Dental. It gives an answer 

to why the prevention of cross-contamination 

is one of the greatest challenges in modern 

dental clinics. It also gives an explanation of 

how a single product ensures that patient 

safety and business profits can form a successful 

synthesis. 

Happy reading! 

Jan Ellegaard 

President, Nitram Dental 

Preventing cross-contamination 

Cross-contamination is the passing of microorganisms (bacteria, fungi, virus) and other harmful 

substances from one person to another. In dental environments, cross-contamination can occur 

as a result of non-sterile equipment and products or due to improper hygiene procedures. 

Understanding and practicing basic and simple procedures for the prevention of crosscontamination, 

such as proper cleaning and decontamination followed by sterilization in safe and 

validated procedures, must be considered as today’s most important issue in all health care settings. 


NITRAM DENTAL 7

Nitram Dental 

An innovative nature 

Our solution 

DAC Universal by Nitram Dental 

is the world’s leading combination 

autoclave. In one process lasting 

just 12 minutes, the DAC Universal 

provides internal and external cleaning, 

lubrication and sterilization of 

up to six handpieces and turbines. 

This ensures optimal hygiene and 

less manual work in the clinic. 

Nitram Dental manufactures state-of-the-art 

hygiene and infection control products for dental 

clinics worldwide. We are based in Aarhus, 

Denmark, and manufacture the DAC Universal 

combination autoclave, which is specially 

developed for the handling of handpieces and 

turbines. Nitram Dental is the hygiene division 

of Sirona Dental Systems. 

Pioneers within dental hygiene 

Since launching the DAC Universal in 2004, 

Nitram Dental has been a pioneer in the 

production of combination autoclaves for 

dental clinics worldwide. This puts us in the 

lead in the fight against cross-contamination 

in dental environments. 

Proven technology 

It is crucial for us to provide innovative 

solutions that will ensure optimum hygiene 

as well as giving dentists a solid return on investment. 

Therefore, during the development 

of the DAC Universal, we have been in close 

dialogue with dentists and dental hygiene 

experts. 

Our technology has been thoroughly and 

successfully tested by dentists, dental institutions 

and universities worldwide. In recent 

years we have delivered more than 15,000 

combination autoclaves to the dental industry 

and before delivery, every single product has 

undergone thorough testing in our manufacturing 

facilities. 


NITRAM DENTAL 9

DAC Universal 

Simple, safe and superior 

Good ideas and simple solutions are often 

the best responses to demanding tasks. 

This is why Nitram Dental aims to solve the 

challenges within hygiene standards and 

procedures with simple, safe and superior 

technology. It is common sense. 

Simple 

Simple operation and a clean, minimalist 

design make DAC Universal an indispensable 

tool in the modern dental clinic. With just a 

single press of the button, cleaning, lubrication 

and sterilization of handpieces and turbines 

occur completely automatically – no manual 

work is required. This is our definition of firstclass 

hygiene with a minimal use of resources. 

To learn more about DAC Universal and 

the prevention of cross-contamination in 

dental environments, simply visit our web site 

nitramdental.com. 

Safe 

DAC Universal is your guarantee that your 

patients encounter the best possible hygiene 

and safety during treatment at your clinic. 

Cleaning and sterilization of the instruments 

conform to strict norms and standards. The 

cleaning process is performed according to 

the international standard for washer-disinfectors 

ISO 15883 and its efficacy is tested by 

several leading dental institutions and universities. 

The sterilization process conforms to 

the European standard for small steam sterilizers 

EN 13060. 

For your patients, this means they have 

the best possible protection against crosscontamination. 

For you, it means a healthy and 

safe business. And for Nitram Dental, it means 

we are successful in living up to our mission by 

providing you with the world’s safest and most 

cost-effective solution for preventing crosscontamination. 

Superior 

We want to develop the world’s best autoclave, 

and we will always base our solutions on industry 

knowledge, dialogue and insight in the latest 

research in hygiene. Bearing these ambitions 

in mind, we have made the DAC Universal 

superior in its functionality, economy, safety 

and design. 

The 100 per cent automated processes eliminate 

the risk of manual errors and make the 

DAC Universal superior to traditional hygiene 

procedures. 


NITRAM DENTAL 1 1

Our philosophy 

Knowledge and insight are the best foundations 

At Nitram Dental, we monitor the latest 

hygiene research and developments 

meticulously. Close contact with professionals 

worldwide, along with structured 

knowledge sharing, helps to prepare us for 

the fight against cross-contamination. 

We believe that the best way to create unique 

products is through professional knowledge 

and insight. Therefore, we take pride in keeping 

ourselves updated on all relevant news, publications 

and studies within the field of dental 

hygiene – and share it with dentists worldwide. 

Always in the same direction 

Sharing knowledge among our employees ensures 

that Nitram Dental moves in one consistent 

direction – always towards the best 

technologies that prevent cross-contamination. 

Via ongoing dialogue with dentists, dental 

technicians and dental assistants worldwide, 

we keep a finger on the professional pulse, so 

our solutions can give you and your colleagues 

the best possible assistance in your work. 

We listen to the experts 

By collaborating with renowned scientists, 

conducting studies and discussing the foremost 

expertise within dental hygiene, we try 

to always keep one step ahead. In this way, we 

are well equipped to deal with the requirements 

and standards in the dental clinics of 

the future. 

Stay updated 

Our web portal nitramdental.com 

collects and disseminates international 

news, research and scientific 

articles within the field of hygiene. 

The aim is to keep you and other 

interested parties in the industry 

updated with useful knowledge. 

> Visit nitramdental.com 


NITRAM DENTAL 13

The future 

of our business 

Modern dentists are skilled health care specialists and businessoriented 

leaders. At Nitram Dental, we are in the vanguard of 

helping dental clinics meet both current and future requirements.

Modern dentistry 

New times, new demands 

In modern dental clinics, the staff’s attention 

should not be on routine manual work. 

The DAC Universal makes the process of 

cleaning, lubricating and sterilizing handpieces 

and turbines fully automatic. The 

result is both time and money saved and 

levels of hygiene that belong among the 

medical elite. 

Dentistry is not what it used to be, as both 

dentists and technology are continuously 

developing. Modern dentists have to master 

both the professional and the business sides 

of running a dental clinic. While they are health 

care specialists, perform surgery, keep updated 

on the latest knowledge in their field, they 

are also skilled, business-oriented leaders. 

We live up to the modern profile 

At Nitram Dental, we want to help all dentists 

to create clinics that live up to both the modern 

profile and conform to the authorities’ hygiene 

norms and standards. We want to be at 

the forefront in the fight against cross-contamination, 

helping dentists provide their patients 

with the best possible care and safety. 

Focus on patients 

We also want to help dentists to run their business 

in the most efficient way. In modern clinics, 

all cleaning, lubrication and sterilizing processes 

occur completely automatically, so that both 

dentists and dental assistants can use their resources 

to provide the patients with the best 

service and treatment. 

Designed to benefit 

We have developed DAC Universal to match 

the hygiene and business requirements that 

modern dentists encounter. When cleaning, 

lubricating and sterilizing are carried out in 

one single automated process, it frees more 

hands for the patients. At the same time, DAC 

Universal ensures that the clinic’s instruments 

last longer and the oil expenses are reduced 

by up to 80 per cent – all to the benefit of the 

modern dentist’s work and business. 


NITRAM DENTAL 17

Showing the way forward 

Jesper Hatt from Skagen Dental 

Clinic is the first Danish dentist 

who has taken a complete training 

module at the renowned Pankey 

Institute in Florida. He carries on 

the American in-service training at 

his clinic in Denmark, where he has 

up to 15 Danish and international 

dentists on a course at a time. 

Meet a modern dentist 

Hygiene in a first-class CLINIC 

Patient safety, bottom line and branding 

are key words in the modern Skagen 

Dental Clinic. And the DAC Universal is an 

important contributor to the higher hygiene 

requirements and increased earnings. 

The dentists, Helle and Jesper Hatt, know 

that it pays to give their patients the best 

possible experience in the couple’s ultramodern 

Skagen Dental Clinic, located on the 

northernmost point of Denmark. 

“Good hygiene should be mandatory. When all 

the processes in the clinic are in order, the 

patients experience greater safety. It gives 

the business a better reputation and is important 

for the positive branding of the dental 

profession”, says Jesper Hatt. 

Highest possible standard 

While Jesper Hatt has been teaching at 

the dental school, Helle has specialized in 

implant surgery through an international 

diploma course. 

“Surgical operations place an additional 

demand on hygiene and we transfer these high 

standards to as many of our other treatment 

types as possible, says Helle Hatt.” 

“We want an exceptional clinic that provides 

first-class dental work. We also expect that 

the hygiene requirements and documentation 

in the industry will be tightened in the future, 

which is perfectly reasonable”, she adds. 

A well-run business 

Since 2008, the DAC Universal has been an 

important tool in this modern clinic. It is not 

only important for hygiene, but also for the 

clinic’s resources and bottom line. 

“The DAC Universal conveniently cleans, lubricates 

and sterilizes the instruments between 

patients. The entire process is done quickly, so 

we need fewer handpieces and turbines. At the 

same time, we avoid mess with oil and do not 

have to waste time by cleaning one instrument 

at a time”, says Jesper Hatt and continues: 

“We have invested a great deal of money in 

creating our dream clinic, so to survive we 

must have a well-run business.” 


NITRAM DENTAL 19

Risk 

assessment 

People travel – and so do infectious diseases and other devastating 

microbiological capabilities. Proper cleaning is the most efficient 

way to prevent cross-contamination in the dental clinic.

Bioburden 

Why cleaning beats sterilization 

Handpieces and turbines are dentistry’s 

most difficult instruments to clean because 

these hollow instruments feature a 

sophisticated inner mechanical construction, 

internal cavities as well as long and 

narrow channels (tubes) for air and water. 

Handpieces and turbines are also delicate 

surgical instruments – proper care must be 

taken not only due to the risks for of crosscontamination 

but also to maintain optimal 

function and longevity. 

Proper decontamination is needed 

It is extremely important to decontaminate 

your instruments properly, not only by sterilization, 

but also by first washing them thoroughly, 

both externally and internally. If the 

rotating instruments are not properly cleaned 

before sterilization, the biological remnants on 

all inner surfaces will become charred – with 

a devastating effect on functionality, and encapsulating 

infectious material. 

Did you miss a spot? 

As described by Dr. D.L. Lewis and Dr. R.K. Boe 

in 1992: if internal lumens and crevices are 

not ultra-clean, the sterilization process will 

only result in surface-sterilized aggregates. 

When these aggregates are broken apart by 

the moving parts of rotating dental instruments, 

their viable interiors could be liberated 

(ref: Lewis D.L:, Boe R.K. J Clin Microbiol 

1992(30) Febr 2: 401-406). 

In the same article, Lewis and Boe compare the 

dosage of biological material released from 

dental turbines and handpieces while doing a 

minor dental restoration with the equal risk of 

unprotected oral intercourse. Similarly, they 

compare larger dental preparations involving 

minor marginal gingival injuries with multiple 

20-gauge-needle percutaneous penetrations 

involving previously used needles. The cutting 

rotation forces and high-pressure flow of water 

from handpieces and turbines will have the 

same effect. 

Hepatitis B VIRUS 

Hepatitis B virus is one of the world’s most common and serious infection diseases. It is 

estimated that more than one third of the world’s population has been infected with the virus. 

Hepatitis B virus infections cause more than 1 million deaths every year. Source: WHO 


NITRAM DENTAL 23

HIV VIRUS 

So far about 60 million people are infected with HIV virus. 

33.4 million people carry the virus in themselves. Around 25 

million people have died of aids. Source: WHO 

The boundaries are broken 

Thanks to today’s extensive international contacts, 

infectious diseases and antimicrobial resistance 

(antibiotic resistance) spread quickly to 

parts of the world where they were once scarce. 

People travel – and so do infectious diseases and 

other devastating microbiological capabilities. 

Every second, 25 people cross a national border. 

This is the equivalent of about 1 billion international 

travellers annually, not to mention the 

movement of all industrial products and food 

supplies. 

The increased globalization places new demands 

at individual levels – to think globally and 

act locally. 

Virus and the global man 

With the body as a method of transport, we 

humans bring viruses and resistant bacteria 

to the places we visit and we take new ones 

back home with us. Among the known killers 

are HIV, hepatitis B, hepatitis C, tuberculosis, 

swine flu, MRSA, antimicrobial resistance, 

etc., which are spread directly or indirectly and 

mostly by blood, saliva and body secretions. 

But these harmful microorganisms are not 

the only ones to cause damage. Even the mi- 

croorganisms that form part of the normal 

flora can cause problems. When found in dental 

instruments, for instance, they can carry 

the genetic material of antibiotic resistance. 

Sterile doesn’t mean clean 

Bacteria do not cause infection by just being 

there. They produce enzymes (toxins) that will 

break down tissue. A sterile instrument might 

be free from living microorganisms. But if it is 

improperly cleaned, it can be filled with poisonous 

toxins that can cause strong inflammatory 

reactions in patients or dental staff. 

When bacteria disintegrate after having been 

killed, all toxins in their interior will be released 

into their surroundings. Sterilization of a large 

bacterial burden can therefore mean an increased 

risk. This is the main reason why instruments 

have to be thoroughly cleaned before 

they are sterilized. 

Don’t hand-wash your instruments 

Even the most thorough hand-washing of 

instruments – performed by the most diligent 

dental assistant – can be insufficient 

and damaging to your health. This is because 

blood, saliva and other biological material can 

hide inside the rotating instruments and create 

biofilm, which makes the bacteria almost 

impossible to destroy. 

This means the possibility of cross-contamination 

remains intact and the patients’ health 

is at risk. Hand-washing in stagnant water 

will actually result in higher microbial burden 

on instruments after the washing procedure 

than before. 

Dr. Zimmerman on bioburden 

According to associate professor Dr. Mikael 

Zimmerman from Karolinska Institutet in 

Stockholm, Sweden, the fight against bioburden 

– and especially bacterial biofilm – is the 

most important factor if you wish to avoid 

cross-contamination in your dental clinic. 

Bioburden refers to all organic and inorganic 

remnants, including the numerous infectious 

organisms and bacterial biofilms found on the 

surface of – or inside – dental instruments 

before cleaning and decontamination, disinfection 

and sterilization. The larger the bioburden, 

the harder the object is to sterilize. 

Make the cleaning automatic 

According to Dr. Zimmerman, automated 

washing processes in validated machines are 

the safest and most reliable way to clean and 

decontaminate your instruments. This is also 

recommended by the guidelines DGKH and RKI 

in Germany and the HTM01-05 in England. 

24 NITRAM DENTAL NITRAM DENTAL 25

Risk 

management 

Handpieces and turbines are the two most dangerous sources of infection in any dental clinic. 

Blood and secretions from patients can hide in their internal lumens and cavities. This is why 

hygiene should always be a top priority, when handling these rotating instruments.

Pathways of infection 

Hidden dangers in the dental clinic 

Handpieces and turbines that are in contact 

with the patient’s mucous membrane and body 

fluids may represent a high risk of crosscontamination 

for both patients and staff. 

The reason is that these rotating instruments 

have internal lumens and cavities where bacteria 

and viruses can hide during cleaning. 

Microorganisms in the channels can be traced 

even after proper sterilization of the rotating 

instruments if they have not been properly 

cleaned prior to sterilization. 

Air and water supply 

The air and water channels in rotating instruments 

are easy targets for contamination in 

the form of saliva or possible blood residue 

from the patient’s mouth. Handpieces 

and turbines can suck these fluids 

into its internal channels via the 

re-suction and capillary action effect that 

occurs when the instrument stops. 

Hepatitis C VIRUS 

About 3 % of the world’s population has been infected with Hepatitis C virus. 

There are more than 170 million chronic carriers who are at risk of developing 

liver cirrhosis and/or liver cancer. Source: WHO 


NITRAM DENTAL 29

Microbiology 

Bacteria and viruses in the oral cavity 

Bacteria play an important role in the oral 

cavity, both as a part of the normal flora and 

as disease-causing agents. Under unfavourable 

conditions, some bacteria form endospores 

by enveloping themselves in a capsule 

that is highly resistant to dehydration, acids 

and heat – including boiling for several hours. 

Disinfection doesn’t kill endospores 

The purpose of sterilization is to destroy all 

microbial life, including large numbers of highly 

resistant bacterial endospores. Disinfection 

eliminates virtually all recognized pathogenic 

microorganisms but not necessarily bacterial 

endospores. This means that disinfection processes 

lack the margin of safety provided by 

sterilization procedures. 

The trouble with toxins 

To survive and multiply, bacteria absorb substances 

from their surroundings, forming 

enzymes and toxins. These enzymes are excreted 

into the environment to break down 

the surrounding tissue into small molecules, 

which are then absorbed by the cell. Toxins 

reduce the body’s defence against infections 

and help spread disease-causing bacteria. 

An instrument that has been sterilized but not 

sufficiently cleaned may be free of living microorganisms 

but smeared with toxins, which 

can result in acute inflammatory reactions in 

the body. 

Fight the resistance 

Bacteria can also produce enzymes or genes 

that carry antibiotic resistance – these substances 

can be released into the surroundings 

and picked up by other bacteria. ESBL 

(Extended Spectrum Beta-Lactamase resistance 

gene) is a newly recognized and severe 

problem in health care. In the summer of 2010, 

the world received news about the antibiotic 

resistance gene NDM-1 (New Delhi Metallo 

Beta-Lactamase 1) which even further reduces 

our possibilities for treating bacterial 

infections. 

Antibiotic resistance is a far larger problem 

than the environmental carbon dioxide issue 

and global warming! This has also been identified 

as one of the top-priority international 

issues by both the EU and the USA. 

Viruses are heat-sensitive, but … 

Viruses comprise a separate group within microbiology 

because they do not have an independent 

metabolism and cannot replicate independently. In 

contrast to bacteria, viruses interfere with the 

metabolism of the host cells and use these to replicate 

(e.g. HIV). Most viruses are heat-sensitive. 

Several types lose their ability to cause disease 

if they are heated to temperatures in excess of 

60°C for 30 minutes. An exception is the hepatitis 

B virus, which can tolerate temperatures between 

90°C and 100°C for short periods. 

Biofilm – a hard nut to crack 

Certain bacteria can form biofilm, known in the oral 

cavity as dental plaque. The bacterial colony within 

biofilm has a very high resistance to chemicals 

and antibiotics, as well as to pH and temperature 

variations. Biofilms have been found to be involved 

in a wide variety of microbial infections in the body. 

Biofilms can also be found on dental instruments, 

and must be removed via thorough cleaning procedures 

prior to sterilization. 

Tuberculosis 

About one third of the world’s population is infected with tuberculosis 

germs – one new infection per second. Tuberculosis is a world leader in 

the statistics of fatal infectious diseases. Source: WHO 


NITRAM DENTAL 31

The DAC 

Universal 

DAC Universal cleans, lubricates and sterilizes six handpieces and turbines 

in just 12 minutes. This gets rid of even the most resistant bacteria – and 

the fully automated process will save you both time and money.

The combination autoclave 

A life-saving device 

You care for your patients. We know. That’s why 

the combination autoclave DAC Universal from 

Nitram Dental is an indispensable tool in your 

clinic. The DAC Universal is able to clean, lubricate 

and sterilize your handpieces and turbines 

in only 12 minutes. A cleaning effect of 

99.979 per cent provides the best possibilities 

for ensuring a successful posterior sterilization 

- fighting the risk of cross-contamination. 

Killing the resistant bacteria 

A thorough initial cleaning of both the internal 

channels and all the external parts is essential 

for successful sterilization. With the DAC 

Universal, the cleaning can access the rotating 

instruments’ internal lumen and cavities, 

where manual processes often have to give 

up. During the sterilization, water-saturated 

steam reaches a temperature of 134°C over 

a period of three minutes. This kills even the 

most resistant bacteria and viruses, and eliminates 

the risk of cross-contamination when 

instruments are used on the next patient. 

A thorough and extremely safe killer 

DAC Universal easily conforms to the requirements 

of the European standard for small 

steam sterilizers EN 13060. This standard 

defines sterility as SAL 10 -6 (Sterility Assurance 

Level), which is commonly interpreted as 

“in one million sterilized items, there must not 

be more than one microorganism”. In reality, 

SAL 10 -6 is a term defining how long it takes 

for a sterilization process to kill one million 

(10 6 ) endospores forming bacteria on an item 

and then theoretically calculating twice that 

time, which will let the process reach SAL 10 -6 . 

This stringent requirement leaves a considerable 

safety margin. The DAC Universal is so 

thorough that the process reaches a value 

corresponding to 10 -29 . 

Clean 

The unique cleaning program of 

the DAC Universal ensures the 

highest level of instrument hygiene. 

The cleaning process is performed 

according to the international 

standard for washer-disinfectors 

ISO 15883 and its efficacy is tested 

by several leading dental institutions 

and universities. 

Lubricate 

Proper maintenance helps to extend 

the lifetime of rotating instruments. 

The lubrication system of the DAC 

Universal is tested and approved by 

leading international manufacturers 

of handpieces and turbines. 

Sterilize 

The sterilization process of the 

DAC Universal conforms to the 

European standard for small steam 

sterilizers EN 13060. Moreover, its 

efficacy is validated according to the 

international standard ISO 17665, 

which describes the requirements 

for validation and routine control of 

sterilization processes for medical 

devices. 

34 NITRAM DENTAL NITRAM DENTAL 35

DAC 

Universal 

• Cleans, lubricates and sterilizes six handpieces and turbines in 12 minutes 

• Ensures the highest level of hygiene in your clinic 

• Eliminates the risk of incorrect handling during preparation and maintenance of instruments 

• Ensures optimum maintenance of handpieces and turbines 

• Helps transfer resources from manual routine work to patient service 

• Continuously ensures correctly dosed lubrication 


NITRAM DENTAL 37

The Technology 

THE FULLY AUTOMATED PROCESS 

The DAC Universal cleans, lubricates and 

sterilizes up to six handpieces and turbines 

in a fully automated process in just 12 

minutes. All you need to do is to place the 

instruments on the lid and press the start 

button. It doesn’t get much simpler, cleaner 

and safer than this. Furthermore, DAC 

Universal offers a special program that sterilizes 

up to three wrapped instruments. 

INTERNAl cleaning LUBRICATION EXTERNAL CLEANING STERILIZATION 

Step 1 

Step 2 

Leak test 

Internal cleaning: The internal 

channels are flushed with water 

Step 3 

Lubrication: The drive channels 

are lubricated 

Step 4 External cleaning: The instruments 

are cleaned with pulse wash 

Step 5 Hot wash: Steam at 107°C 

Step 6 Heating procedure: To 134°C 

Step 7 Back flush: Saturated steam is forced 

through the instruments 

Step 8 Sterilization: 3 minutes at 134°C 

Step 9 Back flush 

Step 10 Drying 

Step 11 Lid opens slightly 

Step 12 Lid opens opens completely 

when pressing the “C” button 


NITRAM DENTAL 39

Return on investment 

Turning hygiene costs into profit 

Calculation basis 

Cost per month 

The DAC Universal helps you to turn good 

hygiene into a profitable bottom line. You 

get a number of financial advantages, which 

strengthen your business. 

Instruments last longer 

Proper maintenance is required to ensure a 

longer life for any item of dental equipment. 

This is extremely relevant regarding your 

handpieces and turbines. The DAC Universal 

always ensures perfect cleaning and lubricates 

the rotating instruments with exactly 

the required amount of oil. The lubrication 

system of the DAC Universal is tested and 

approved by leading international manufacturers 

of handpieces and turbines. 

place automatically. The time saved can be 

used on other patient-related tasks, which 

ensures improved service for your patients. 

Reducing oil costs 

Manual lubrication of handpieces and turbines 

is often associated with excessively large 

oil waste. With the DAC Universal, however, 

lubrication occurs as an integral part of the 

fully automated process. This means that the 

instruments are always lubricated and get 

exactly the required oil dosage. The precise 

dosage means you save up to 80 per cent of 

your normal oil consumption. 

1 dentist, 20 patients/day, 3 instruments/patient, 

200 workdays/year = 12,000 instruments/year 

Work hours 

(1,000 instrument preparations) 

Staff cost per month € 2,500 (€ 15/ hr.) 

Oil consumption 

150 instr. per spray bottle (€ 25.00 each) / 1,500 instr. per NitramOil bottle (€ 60.90) 

Total 

Savings per month 

Approx. 1,000 instruments 

Manual 

preparation 

41.6 hrs. 

2.5 min per instr. 

€ 624 

€ 167 

€ 791 

DAC 

UNIVERSAL 

8.3 hrs. 

0.5 min per instr. 

€ 125 

€ 41 

€ 166 

€ 625 

Saving staff time 

Thorough manual cleaning, lubrication and 

sterilization are time-consuming processes. 

With the DAC Universal, however, this all takes 

Your investment 

Amortization within 

€ 6,520* 

11 months 

The profit 

At nitramdental.com, you can enter the information 

from your clinic and see how good a business 

DAC Universal could be for you. 

( * Price example. Recommended retail price; 2011, Germany) 


NITRAM DENTAL 41

What do the users say 

about the DAC Universal? 

A faithful partner 

Dental Assistant, Radmila Sandu 

Malmö, Sweden 

For more than seven years, dental assistant 

Radmila Sandu has worked for dentist 

Stefan Hagstam in Malmö, Sweden. She has 

used the DAC Universal in all those years, 

which has saved her plenty of manual work related 

to the preparation and maintenance of 

handpieces and turbines. 

“Before the DAC Universal, I can easily imagine 

that they used to spend a lot of time 

on manual cleaning, if the instruments first 

had to be run through a washing machine and 

then moved to an autoclave to be sterilized. 

None of that is now necessary with the DAC 

Universal. It does it all in one go”, says Radmila. 

More hands, less stress 

The extra time that Radmila gains by using the 

DAC Universal is used to assist in other areas 

in the clinic, as required. 

“With the DAC Universal, I have extra time to 

assist the dentist and help the patients, so 

they feel they receive the best possible service. 

It also means that we rarely experience 

stress here at the clinic”, says Radmila, who 

thinks that the DAC Universal has been a good 

and faithful partner over the years. 


NITRAM DENTAL 43

The best choice 

Dentist Dr.med.dent Christian Bodart 

Béziers, France 

Dentist Dr. Christian Bodart is very pleased 

that he has chosen the DAC Universal for his 

clinic in the French town of Béziers – both for 

health and business reasons. 

“The advantage of the DAC Universal is the 

guarantee of the complete process of cleaning, 

lubricating and sterilizing of our instruments 

between each patient”, says Dr. Christian 

Bodart and continues: 

“Saving time enables us to release the assistant 

for other tasks helping at the chair, or 

administrative tasks. My associate and I are 

sure that we have made the best choice for 

our dental clinic.” 


NITRAM DENTAL 45

A reliable hygiene solution 

Dr.med.dent. Axel Posorski 

Hamburg, Germany 

With three assistants and three units in his 

clinic, Dr. Axel Posorski runs a very modern 

and busy practice in the heart of Hamburg, 

Germany. Prior to incorporating the DAC 

Universal in the clinic’s workflow, the hygiene 

procedure consisted of cleaning and lubrication 

in one machine, followed by autoclaving 

in another. 

“This semi-manual process left a lot to be 

desired in terms of both cleaning and handling. 

With a full timetable of clients, the hygiene 

procedure was simply too time-consuming”, 

says Dr. Axel Posorski. 

Small is good 

The staff do not only save time with the DAC 

Universal. Dr. Axel Posorski and his team get 

a better result and are able to spend more 

time with their patients. Another important 

aspect is the size of the DAC Universal. Dr. 

Axel Posorski explains: 

“The DAC Universal only requires minimal 

space, reducing the pressure in the sterilization 

room. I recommend the DAC Universal if 

you want a reliable hygiene solution and also 

need additional space in your clinic.” 


NITRAM DENTAL 47

DEVELOPMENT 

The secret is testing 

At this very moment, a freshly produced 

DAC Universal is being tested at our production 

facilities in Aarhus, Denmark. The DAC 

Universal is build according to the European 

standard for small steam sterilizers EN 13060. 

Before leaving Nitram Dental, all machines 

are individually tested and the specific workstest 

document is enclosed with the machine. 

Every day, we make sure that everything works 

properly. That’s how we continue to develop. 

And that’s why a DAC Universal won’t let 

you down. 


NITRAM DENTAL 49

TECHNICAL INFO 

Check out the details 

Specifications 

• Water quality: Demineralised or distilled water below 3 µS. 

• Power consumption: 1100W. (at 230V AC) 

• Water tank capacity: 2.0 L. 

• Oil bottle capacity: 0.2 L. 

• Width of machine: 36 cm. 

• Depth of machine: 37 cm. 

• Total height of machine (open): 60 cm. 

• Total height of machine (closed): 35 cm. 

• Mains supply: 90-120V AC. / 190-240V AC. 

Installation - the following installations are necessary 

• Pressurized air 

• Drain 

• Electricity 

Programs 

• 134 °C, 3 min. sterilization (standard program. Total cycle time: 12 min.) 

• 134 °C, 3 min. sterilization (wrapped program. Total cycle time: 22 min.) 

• 121 °C, 15 min sterilization (gentle program. Total cycle time: 24 min.) 

• 134 °C, 18 min. sterilization (standard program. Total cycle time: 27 min.) 

Smart design 

You won’t even notice it. 

The DAC Universal is designed to 

fit naturally into all dental clinics. 

In its development, our engineers 

sought to create a machine that 

is easy to handle and makes as 

few demands as possible on the 

clinic’s interior. 

Made to fit in 

Small: The machine has a small 

footprint so it does not take up 

unnecessary space. This makes 

it ideal for even small clinics. 

Light 

Requires only one technician 

for moving, which reduces your 

handling costs. 

Quiet 

No annoying humming sounds. 

You and your colleagues can enjoy 

a pleasant working environment. 

Closed oil system 

There is no need for extraction. This 

saves costs and ensures a healthy 

indoor environment in the clinic. 


NITRAM DENTAL 51

Accessories 

Get the most out of your DAC Universal 

See more accessories at nitramdental.com 

NitraClean 

Removes oil residue from your 

DAC Universal and can be used 

in a standard cycle. 

Printer 

Prints out measurements of pressure 

and temperature from each cycle to 

provide documentation that the relevant 

parameters are met. 

Data logger 

USB storage of measurements of 

pressure and temperature from each 

cycle to provide documentation that 

the relevant parameters are met. 

Drain tank 

For waste water if you have not 

connected your DAC Universal 

directly to the drain. 

Extra lid 

After the cycle has finished, the 

lid and the instruments may still 

be warm. With an extra lid, you 

can start a new cycle straight 

away to optimize your workflow. 

Adapters 

Nitram Dental offers the market’s 

widest selection of specially developed 

adapters to match exactly 

the type of rotating instruments 

in your clinic. Please visit nitramdental.com 

to see the full adapter 

range. 

Lid for wrapped instruments 

Designed to handle up to three 

wrapped instruments at the 

same time. The lid enables you 

to have wrapped instruments 

sterilized fast and efficiently. 

This provides extra flexibility to 

your workflow, when your other 

autoclave is not available. 

Basket for solid instruments 

With the additional basket for 

DAC Universal, solid instruments 

are easily cleaned and sterilized 

quickly and fully automatically. 

Lid holder 

Ensures ergonomically improved 

working procedures when many 

instruments have to be handled 

during the day. Can be placed on 

the table or mounted on the wall. 

NitraDem Direct Connect 

A modern water treatment system 

that provides your DAC Universal and 

other autoclaves with demineralised water 

so you do not have to manually refill them. 

Up to three autoclaves can be connected 

at the same time. NitraDem Direct 

Connect complies with European standard 

EN 1717, created to prevent the backflow 

of water into the public water system. 

NitraDem E/A 

A user-friendly water treatment 

system that, like NitraDem Direct 

Connect, provides demineralised 

water. NitraDem E/A is designed 

for manual refilling of DAC Universal 

and other autoclaves in your clinic. 

Holder for indicator 

Holder for chemical and biological 

indicators used for routine control 

of the sterilization process in the 

DAC Universal. 

Spore tester 

Process Challenge Device (PCD) 

that simulates a hollow instrument. 

Chemical and biological indicators can 

be loaded into the device for routine 

control of the internal sterilization 

process of the instruments. 


NITRAM DENTAL 53


NITRAM DENTAL 55

NITRAM DENTAL A/S 

Sindalsvej 36 

DK-8240 Risskov 

Phone: +45 87 43 90 60 

Fax: +45 87 43 90 61 

info@nitramdental.com 

www.nitramdental.com 

56 

NITRAM DENTAL

DAC Universal by Nitram Dental (English) - Sirona Hygiene

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