Cleaning of Dental Handpieces: A Method to Test its Efficiency, and its Evaluation With a Washer Disinfector Lubricator-Dryer
Journal Title: Dentistry – Open Journal - Year 2016, Vol 3, Issue 1
Abstract
Objectives: When using dental handpieces (HP), a phenomenon of backflow leads to an external and internal soiling and contamination of HP, especially in their narrow air/water pipes. To prevent any cross-infection, HP need to be sterilized after a thorough cleaning. This work aims to establish and assess a method for testing their cleaning. Indeed, there is a methodological gap concerning its validation because of their complex architecture. Materials and Methods: This method is declined into a protocol using artificial soilings and ninhydrin tests. Its evaluation with a washer-disinfector-lubricator-dryer (WDLD) within 2 cleaning cycles with each 6 HP and after control tests, heads to validate its relevance and to demonstrate the effectiveness of the cleaning provided. Results: After each cycle, all HP were externally clean. Our method also showed an internal cleanliness except for 2 HP whose engines in the automaton were defective. Conclusion: This work fits with the improvement of infection control in dental practices. It is the first method developed to control the internal cleaning of HP without having to break them, and it demonstrates the need for HP to be put into an internal rotation during their cleaning. It fills the methodological gaps concerning their cleaning and allows assessing HP cleaning from dedicated WDLD. According to standard NF EN ISO15883, the method could be used for initial steps of operational or performances qualifications concerning HP cleaning.
Authors and Affiliations
Damien Offner
Bilateral Body of Mandible Fracture in an Oral Submucous Fibrosis Patient: Treatment Modifications
Oral submucous fibrosis (OSMF or OSF) is a severely debilitating oral premalignant condition characterized by restricted mouth opening secondary to formation of fibrous bands due to deposition of collagen in the submucos...
Osteonecrosis of the Jaw Related to Oral Bisphosphonate Treatment: A Clinical Case
Bisphosphonates are inhibitors of osteoclastic activity and hence cause inhibition of bone resorption.1-3 These drugs, which are synthetic analogy of natural pyrophosphate, have proven their effectiveness in the treatmen...
To Mill or Not to Mill: The Pluses and Minuses of CEREC in the Office
With digital dentistry making huge strides and becoming an everyday part of our field, it is very tempting to try out the new technology to improve and hone our current clinical skills. Every office has something digital...
Frequency of Post-Instrumentation Symptoms Using Hand Files Versus Rotary Protapers
Introduction Controversy among dentists exists to use conventional hand files or contemporary rotary protapers for intracanal instrumentation. The controversy arose because of variable findings on post-instrumentation pa...
Clinical Management of Regional Odontodysplasia
Here we present a case of a 7-year-old Japanese girl with regional odontodysplasia affecting tooth numbers 24, 25, 26, and 27. No other teeth were affected. Partially erupted tooth number 26 had a rough enamel surface an...