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At least 37 records · Page 2Linked to original sources
PubMed1978

Autoclaving of lubricated dental instruments.

Test organisms forced mechanically into lubricated, rotating dental instruments (handpieces) were all killed during autoclaving at 134 degrees C for 8 min, even when protected by serum and oil. The test organisms were: Escherichia coli, Staphylococcus aureus, Pseudomonas aeruginosa, Candida albicans, and spores of Bacillus stearothermophilus. Also when testing the sterility of autoclaved simulated instrument surfaces (brass cylinders and pieces of a cotton fabric) which had been inoculated with bacteria and dried before they were sprayed with oil, there was no growth of the test organisms. In addition to the other test organisms, spores of Bacillus subtilis and Gram-positive, anaerobic bacteria isolated from used handpieces that had been exposed to several autoclavings were used. Some of the handpieces that had been left to dry after use in the dentist's office before they were autoclaved, were shown not to be sterile. Therefore, the authors suggest that autoclaving of the instruments should take place shortly after use and prescribed cleaning.

Bacteria↗
PubMed1995

Decontaminating dental instruments: testing the effectiveness of selected methods.

The decontamination of dental instruments before sterilization is designed to safeguard dental personnel from exposure to bloodborne pathogens and to remove gross contamination. The authors studied the relative effectiveness of decontamination methods that included ultrasonic cleaning, presoaking with an enzymatic cleaner and dishwashing. Results indicated that the most effective methods involved presoaking followed by cleaning. However, no single procedure eliminated detectable concentrations of blood contamination.

Analysis of Variance↗
PubMed1998

Evaluation of the efficacy of glutaraldehyde and peroxygen for disinfection of dental instruments.

The antimicrobial and sporicidal activities in vitro and in vivo of 1% peroxygen (Virkon) and 2% alkaline glutaraldehyde (Asporin) were evaluated on dental instruments before and after cleaning. The in vitro antimicrobial activity against vegetative bacteria, bacterial spores and fungi indicated that glutaraldehyde is more active against these organisms than peroxygen. Asporin killed all vegetative bacteria within 1 min after cleaning, whereas Virkon was active, in the majority of cases, within 15 min and obtained a greater than 10(5)-fold reduction in count before killing for the vast majority of instruments, and for all micro-organisms. The spores of Bacillus subtilis were killed by Asporin within 4-5 h after cleaning, whereas Virkon required almost 20 h. A meticulous instrument cleaning process followed by an appropriate disinfection treatment assures a shorter disinfection time. Asporin should be recommended for chemical sterilization or high-level disinfection of dental instruments, and Virkon, if only disinfection is required, would seem to be a possible alternative, even if used with a higher exposure time.

Bacillus subtilis↗
PubMed1995

The durability of ceramic coated dental instruments.

This study investigates the hardness, structure, composition, and thickness of coatings on two dental instruments and the changes which occurred when the instruments were subjected to conditions that closely match their clinical use. One group of instruments had a titanium nitride coating that was approximately 8 micrometers thick and had a hardness of 19.5 GN/m2. The coating on the other instrument was alumina (aluminium oxide) and contained some microcracks even when new; this coating was thicker (approximately 30 micrometers) and had a hardness less than the titanium nitride coating (15.8 GN/m2). The results showed that the titanium nitride coating was structurally superior compared with the aluminium oxide coating. Laboratory wear tests against composite resin showed that the wear resistance of titanium nitride was superior to that of stainless steel whether assessed in terms of weight or volume loss.

Aluminum Oxide↗
PubMed1991

Sterilization beneath rings on dental instruments.

This study determined the effectiveness of standard methods of instrument sterilization beneath instrument rings. Sets of three types of dental instruments were contaminated with known amounts of bacterial spores (Bacillus stearothermophilus or Bacillus subtilis). Instrument rings were placed over the contamination and the instruments processed through standard cycles in a steam autoclave, an unsaturated chemical vapor sterilizer, a standard dry heat sterilizer, an ethylene oxide gas sterilizer or a 2.0% alkaline glutaraldehyde solution. Controls consisted of spore-contaminated instruments without rings that were not processed through any sterilizing method and that were processed through each sterilizing method. All instruments and their associated rings were cultured for the presence of live spores. The results indicate that the reliability of sterilization beneath the instrument rings used is greatest if the ringed instruments are processed through a steam autoclave or an unsaturated chemical vapor sterilizer.

Bacillus subtilis↗
PubMed2001

Dental instrument sterilization: a six-step process.

The recycling of orally soiled dental instruments and pieces of equipment involves a collection of procedures that prepare those items for reuse. The process must be performed properly each time - so, that patients and dental office staff are not placed at risk. For the sterilization effort to be successful, it must also be efficient and as benign as possible to items being treated. The overall process involves six basic steps. The procedures involve a smooth step-to-step flow and a dedicated location. The ideal flow is as follows: (1) receive dirty items at designated "dirty area, (2) move to soaking (holding) area, (3) move onto scrubbing/ultrasonic (cleaning) area, (4) move onto packaging, (5) sterilize, and (6) finally storage and distribution.

Dental Instruments↗
PubMed2006

[Aspiration and ingestion of dental instruments--diagnosis, treatment and prevention].

Aspiration and ingestion of foreign bodies of dental origin during treatment may cause a gastrointestinal and airway obstruction or perforation, and may constitute a life threatening situation. Ingestion occurs more often than aspiration and usually does not cause any clinical signs or symptoms. Most often it will spontaneously rejected from the gastrointestinal tract by peristaltic movement without any coimplication. However aspiration always requires treatment since foreign bodies there may cause inflammatory reaction and even severe obstruction and death. This article describes one case of aspiration and 3 cases of ingestion of dental instruments and materials. We discuss the diagnostic procedure: evidence of clinical signs and plain radiography, CT and the use of contrast material in case of radiolucent foreign bodies. The modern technique of endoscopy is successfully performed for diagnosis and treatment of foreign bodies in case of aspiration with minimal complications. We suggest a step by step protocol of treatment at the dental clinic in the case of ingestion/aspiration of foreign body and discuss several prevention techniques.

Adult↗
PubMed1989

[Disinfectants and sterilizants for dental instruments].

A comparative study of ten (10) products recommended for disinfection and/or sterilization of dental instruments is detailed. Four (4) out of fourteen (14) characteristics have been evaluated, namely corrosive power, monthly cost, odor and availability.

Corrosion↗