Sterilization of reusable implant components: a pilot study.

STATEMENT OF PROBLEM: The placement and restoration of dental implants require the use of numerous reusable instruments and components. The adequate sterilization of reusable instruments and components is essential to prevent cross contamination between patients. Sterilization usually is accomplished with single-use sterilization envelopes. A reusable sterilization vehicle would reduce costs as well as the waste generated in patient care. PURPOSE: This study was designed to determine the efficacy of a 10-cc Pyrex test tube as a sterilization vehicle for reusable dental implant instruments and components. MATERIAL AND METHODS: In this study, a reusable dental implant component was placed in a Pyrex test tube, along with a biologic test strip. A control biologic test strip was kept for each test tube. The test tube was closed with a cotton roll folded in half and placed in the opening. Twenty test tubes were prepared. five sets of 4 test tubes were placed in an autoclave in different locations with varying orientations. The autoclave completed a standard sterilization cycle. RESULTS: The biological monitoring service indicated that the biologic test strips in 100% of the test tubes were sterile, whereas the control strips were 100% nonsterile. CONCLUSION: A Pyrex test tube sealed with a cotton roll can serve as a sterilization vehicle for reusable dental implant instruments and components.

Methods for pregnancy determination and the effects of body condition on pregnancy status in Rocky mountain elk (Cervus elephus nelsoni ).

The objective of this study was to determine the effectiveness of transrectal ultrasonography and serum progesterone (P(4)), estrone sulfate (E(1)S) and pregnancy-specific protein B (PSPB), without prior knowledge of reproductive status, in detecting pregnancy in elk cows. In addition, body weight and body condition score (BCS) were determined to assess whether body condition affects pregnancy status in elk cows. Twenty-five elk cows were sampled during the early rut (Period 1) and after the rut (Period 2), an interval of 120 d. Age, weight, BCS and blood samples, for P(4), E(1)S and PSPB determinations, were taken at Periods 1 and 2. Ultrasonography was performed at Period 2. The younger elk cows weighed less (P<0.05) than older cows. However, pregnancy status was not affected (P> 0.10) by age or weight of the cow. Elk cows that calved had higher (P<0.02) BCS at Periods 1 and 2 than cows that remained open. Serum P(4) and E(1)S were higher (P<0.0001) in pregnant cows at Period 2 than in open cows. Progesterone was 85.8% accurate in detecting pregnant versus open cows at Period 1, while E(1)S and PSPB were not effective. Elk cows at Period 1 were <20 d pregnant with the exception of 1 cow at 46 d. Ultrasonography was 92% accurate, P(4) was 95% accurate, and E(1)S and PSPB were both 100% accurate in determining pregnant versus open cows at Period 2. Pregnant cows at Period 2 were all > 100 d pregnant. Ultrasonography, serum E(1)S and PSPB all may provide a reliable means for pregnancy diagnosis in elk cows at > 100 d of gestation, while serum P(4) may be effective when multiple samples are compared during or after the rut, or when used in combination with the other diagnostic methods described. Further research is needed to determine the optimum time period after breeding in elk cows for accurate pregnancy detection through hormonal analysis.