Does A Sealed Bracket Kit Give Sterility Check???
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
Introduction: Orthodontic brackets are classified as semicritical instruments. However, in orthodontic clinical practice, the use of brackets directly from non-sterile manufacturer’s packages is still a routine. In this scenario, it becomes extremely important to assess the potential contamination of these materials so as to determine sterilization protocols and maintain the health of patients and dental practitioners. Objective: To evaluate the microbial contamination of orthodontic brackets as received from the manufacturer using microbiological tests. (An in vitro study) Materials and Methods: The sample comprised 25 brackets of five different commercially available brands, used directly from the manufacturer’s packaging, divided into 5 groups (n =05 brackets each). Materials were tested under aseptic conditions to detect bacterial growth using microbiological tests and analyze types of bacteria present by preparing slides using gram staining protocol. Results: In four of five groups the brackets showed microbial contamination: group A, 3M Unitek metallic brackets, group B, TP Orthodontics metallic brackets, group D Forestadent self ligating metallic brackets and group E,3M Unitek ceramic brackets. Microbiological analysis showed presence of endospore forming bacilli. Group C, OrthoOrganisers metallic brackets showed no contamination. Conclusion: Brackets of three brands (TP Orthodontics, 3M Unitek and Forestadent) were found to be contaminated by bacteria in the original packages supplied by the manufacturers, which suggests a risk for patient contamination. These data suggest that the manufacturers of these materials should improve the quality control of the packaging used, including sterilization, for the security of patient health.
Authors and Affiliations
Dr Pallavi S More
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