Posterior composite resins: an update. Council on Dental Materials, Instruments, and Equipment.
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A titanium nitride coating has been deposited on steel and tungsten carbide dental rotary instruments. This process is carried out under partial vacuum, by reacting vapourized metal (titanium) and nitrogen in a plasma. The instruments temperature is around 500 degrees C during coating. We have determined by micro-analysis the treatment modifications upon the different bursa components. VICKERS microhardness tests have shown the coating temperature effects towards the heat treatments of employed steels.
An animal model of dental virus transmission was developed using the lactate dehydrogenase-elevating virus (LDV) of mice to study cross infection. Mouse-to-mouse cross-infection was carried out by scaling the teeth of LDV-infected donor mice with dental instruments, immediately prior to using the contaminated instruments on the teeth of recipient indicator mice. The level of donor viremia was found to correlate with the rate of virus cross-infection, with a viremia threshold level of 10(7.5) ID50/ml observed for dental cross-infection. The blood volume transferred during dental cross-infection was approximately 10(-4) to 10(-5) ml, demonstrating the inefficiency of virus cross-infection, since deposition of about 1000 virions on dental instruments was associated with the threshold limit. Virus transferred during dental cross-infection rapidly entered the blood circulation, showing that dental cross-infection was not dependent on an oral infection. The results from these model studies predict the general inefficiency of dental instrument virus cross-infection, and a further reduced likelihood of dental cross-infection with appropriately cleaned instruments.
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