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At least 55 records · Page 3Linked to original sources
PubMed1978

Inhibition of corrosion during autoclave sterilization of carbon steel dental instruments.

Comparisons were made of several dip-applied corrosion inhibitors for protection of carbon steel dental instruments during autoclaving. Although none were totally effective, several provided significant corrosion inhibition. Sodium nitrite and one proprietary inhibitor were about equally effective and notably superior to the other inhibitors investigated. Because sodium nitrite is a food preservative that is relatively harmless when ingested in small quantities, whereas commercial inhibitors are of proprietary composition and unspecified toxicity, we prefer to use sodium nitrite for corrosion inhibition during autoclaving. Sodium nitritie is readily available from chemical suppliers and is generally much less expensive than most commercial inhibitors. Although the autoclave used in this investigation is typical of many used in clinical situations, minor variations in design, steam impurities, and other unknown factors might effect the results. Further research is needed to determine the corrosive effects of impurities in the steam supply, residual detergents, method of postautoclave drying, steam supply deoxygenation, pH, and possibly the use of oxygen scavengers within the autoclave.

Alloys↗
PubMed2004

Plasma cleaning of dental instruments.

The theoretical risk of prion transmission via surgical instruments is of current public and professional concern. These concerns are further heightened by reports of the strong surface affinity of the prion protein, and that the removal of organic material by conventional sterilization is often inadequate. Recent reports of contamination on sterilized endodontic files are of particular relevance given the close contact that these instruments may make with peripheral nerve tissue. In this paper, we report the effective use of a commercial gas plasma etcher in the cleaning of endodontic files. A representative sample of cleaned, sterilized, files was screened, using scanning electron microscopy and energy-dispersive X-ray analysis, to determine the level of contamination before plasma cleaning. The files were then exposed for a short-term to a low-pressure oxygen-argon plasma, before being re-examined. In all cases, the amount of organic material (in particular that which may have comprised protein) was reduced to a level below the detection limit of the instrument. This work suggests that plasma cleaning offers a safe and effective method for decontamination of dental instruments, thus reducing the risk of iatrogenic transmission of disease during dental procedures. Furthermore, whilst this study focuses on dental files, the findings indicate that the method may be readily extended to the decontamination of general surgical instruments.

Argon↗
PubMed2003

Removing hepatitis C virus from polytetrafluoroethylene-coated orthodontic archwires and other dental instruments.

The efficacy of removing, rather than destroying, hepatitis C virus (HCV) from polytetrafluoroethylene (PTFE)-coated orthodontic archwirs was tested. PTFE-coated archwires, pieces of PTFE and endodontic files (20 each) were immersed in HCV-infected blood for 24 hours. Half were washed under running water for 10 seconds while the remainder were thoroughly scrubbed with a toothbrush under running water for 10 seconds. Items were kept in separate dishes of distilled water for 24 hours. Reverse transcription polymerase chain reaction was used for viral replication. Viruses were detected by the gel method using a transilluminator. Only scrubbed PTFE pieces and coated archwires were negative for HCV. This suggests that PTFE coating of dental instruments inhibited HCV adhesion when thoroughly scrubbed.

Coated Materials, Biocompatible↗
PubMed1991

Properties of a titanium nitride coating for dental instruments.

Adhesion of tooth-coloured restorative materials to the instruments used to place them is a clinical problem. This paper examines the low-stick properties and the durability of a 5 micron coating of titanium nitride on stainless steel when used with two composites (a hybrid and a microfilled) and a glass polyalkenoate (ionomer) cement. Titanium nitride-coated dies were compared to polished stainless steel for adhesion to the unset restorative material before and after a period of wear, and also for properties of surface hardness, contact angle with unfilled resin and frictional coefficient. The results demonstrated that, while the coated instruments were significantly harder and showed a lower coefficient of friction and a higher contact angle with resin, they were slightly 'stickier' than highly polished stainless steel, and this difference persisted even after wear. However, the material is very hard, resistant to damage, and appears to have little potential to discolour the restorative materials with which it is used. It is concluded that a titanium nitride coating confers no additional advantage as regards low-stick properties, over clean, polished stainless steel used for dental instruments.

Adhesiveness↗
PubMedDate not supplied

[Benzalkonium chloride: unacceptable to sterilize or disinfect medical or dental instruments].

OBJECTIVE: To compare the sporicidal activity of benzalkonium chloride (BKC) with that of glutaraldehyde. MATERIAL AND METHODS: A comparative study was conducted at the microbiology laboratory of Facultad de Odontología, Universidad Nacional Autónoma de México. Bacillus subtilis ATCC 9372 spores were exposed to these germicides (1 spore x mL) on a 0.22 mm filter. After completing the contact time the spores were washed and the filters were incubated on nutrient agar for 72 h at 37 degrees C. RESULTS: BKC did not eliminate B. subtilis spores at the concentration used, not even after increasing contact time to 15 h (900-fold the recommended time). Two percent glutaraldehyde destroyed spores only after 10 h of contact. Urea and sodium chloride showed no sporicidal activity. CONCLUSIONS: The results confirm that BKC lacks sporicidal activity and confirm that this quaternary ammonium compound is not able to "sterilize" or "disinfect" medical and dental instruments.

Anti-Infective Agents, Local↗