Comparison of two types of disinfectants on the disinfection of the fixed end of the table suction pipe in the oral comprehensive treatment table / 口腔疾病防治

Objective@#To compare the disinfection effects of 500 mg/L chlorine-containing disinfectant and 3% hydrogen peroxide disinfectant applied to the threaded plastic hose at the fixed end of the saliva suction pipe of the oral comprehensive treatment table after diagnosis and treatment of patients in stomatology to provide a basis for clinical cleaning and disinfection.@* Methods @#The fixed ends of saliva suction pipes of 12 comprehensive treatment tables in the dental pulp department and maxillofacial surgery were selected as the research objects. The absorption was randomly divided into two groups and a control group: experimental group 1 with 500 mg/L chlorine disinfectants and experiment 2 group with 3% hydrogen peroxide disinfectant rinse disinfection and the control group with 0.9% sterile saline flushing pipe once a week for four weeks. Before and after washing and disinfection, samples from the inner wall of the threaded plastic hose interface were collected for bacterial culture and colony count, and colony counts within and between groups were compared before and after disinfection. Statistical analysis was conducted using SPSS 24.0 software.@*Results@#The baseline number of bacterial colonies in the first three groups was balanced, with no statistically significant difference (χ2 = 0.538, P = 0.764). The number of bacterial colonies after washing and disinfection was lower than that before washing and disinfection. The difference between 500 mg/L chlorine-containing disinfectant and 3% hydrogen peroxide disinfectant before and after disinfection was highly significant (Z = -4.801, P<0.001; Z = -4.429, P<0.001). There was no significant difference between the disinfection effect of 500 mg/L chlorine-containing disinfectant and 3% hydrogen peroxide disinfectant, but they were both better than the control group (χ2 = 18.070, P<0.001).@*Conclusion@#Disinfecting the saliva suction pipe with disinfectant between diagnosis and treatment can effectively reduce the bacterial contamination at the fixed end threaded plastic hose interface of the saliva suction pipe. The disinfection method is simple and convenient, and it is worth applying in the oral clinic.

Retraction of dental unit waterlines in Tianjin City / 中国感染控制杂志

Objective To survey the retraction of dental unit waterlines (DUWLs)in medical institutions,and evaluate the influencing factors for retraction of DUWLs.Methods In May-November 2014,dental chair units (DCUs)in medical institutions in Tianjin City were sampled through systematic random sampling method,retrac-tion volume of DUWLs was detected by independently made detector,the relevant influencing factors were investi-gated.Results A total of 58 DCUs in 30 medical institutions in 10 districts(counties)of Tianjin were investigated, the average retraction volume of DUWLs was (103.60 ±117.85 )mm3 ,the qualified rate of retraction volume of DUWLs was 48.28 %(28/58);length of utilization of DCUs was positively correlated with DUWLs retraction (r=0.52,P 0.05 ).Conclusion The qualified rate of retraction volume of DUWLs is low,routine maintenance of DUCs needs to be intensified,especially the long-term used DUCs,contaminatin of DUWLs due to the invalidity of retraction valve should be prevented.

Health Risk Of Dental Unit Waterline System To Dental Patients ' An Issue Of Concern

Water delivered through dental unit waterline system(DUWS) is often reported contaminated with microbesdislodged from biofilm that forms within the tubingof a dental chair unit (DCU). ADM: The study aimedat evaluating the sanitary level of DCU water froma teaching dental clinic. Materials: The presence ofpathogenic bacteria which include total coliforms, faecalcoliforms, E. coli, faecal streptococci and P. aeruginosawere determined using conventional microbiologicalmethods while PCR technique was used to identify othermicrobial contaminants. Result: pH of DCU water wasfound slightly acidic at pH 5.4-5.5 and the temperaturewas 23°C. Pathogenic contaminants were absent butthe DCU water was highly loaded with Sphingomonasrhizogenes (17.9%), Sphingomonas dokdonesis(79.5%), Sphingomonas mucosissima (1.1%) andMethylobacterium radiotolerans (1.5%). The high load ofmicrobes that exceeded 200 cfu/ml was of great concernas it failed to meet recommendation set by the AmericanDental Association

Microbial Biofilm: Contamination in Dental Chair Unit.

This short review focuses on biofilms in the dental clinic environment. Microbial biofilms are potentially a significant source of contamination and cross-infection in the dental clinic. Biofilms in dental chair unit waterlines (DUWLs), suction hoses and fittings pose the most significant risk as these may come into contact with the patient during treatment. These can be managed effectively by regular disinfection using chemical and other methods to minimize reservoirs and disseminators of potentially pathogenic bacteria from these areas.