Doddamani Santosh, Patil Raghunath A, Gangadhar S A
Department of Prosthodontics, Bapuji Dental College and Hospital, Belgaum, Karnataka, India.
Indian J Dent Res. 2011 Nov-Dec;22(6):764-9. doi: 10.4103/0970-9290.94662.
Most of the materials (casts, impressions, etc.) that are sent to the dental laboratories show the presence of numerous pathogenic microorganisms. All the spray disinfectants are not equally effective against these microorganisms.
The aim was to compare the effectiveness of different spray disinfectants on irreversible hydrocolloid impressions and to find out the most effective dilution, contact time, and effect against each microorganism studied.
The effects of four spray disinfectants, 5.25% sodium hypochlorite, 0.525% sodium hypochlorite, 1:213 (1 part in 213 parts of water) povidone iodine, and 2% glutaraldehyde along with control (distilled water) on irreversible hydrocolloid impressions contaminated with Staphylococcus aureus, Bacillus subtilis and Streptococcus viridans were studied.
Sodium hypochlorite, 5.25%, showed 1-min exposure time which was able to effect a 4 log 10 reduction in bacterial counts against S. aureus and S. viridans followed by 0.525% sodium hypochlorite and 2% glutaraldehyde for 10 min. None were able to effect a 4 log10 reduction against B. subtilis.
Sodium hypochlorite with a concentration of 5.25% was the most effective disinfectant and required the shortest contact time (1 min). Not all ADA-approved concentrations of surface disinfectants work equally well on irreversible hydrocolloid impression materials.
送往牙科实验室的大多数材料(模型、印模等)都存在大量致病微生物。并非所有喷雾消毒剂对这些微生物的效果都相同。
比较不同喷雾消毒剂对不可逆水胶体印模的有效性,并找出最有效的稀释度、接触时间以及对每种研究微生物的效果。
研究了四种喷雾消毒剂,即5.25%次氯酸钠、0.525%次氯酸钠、1:213(1份溶于213份水)聚维酮碘和2%戊二醛,以及对照(蒸馏水)对被金黄色葡萄球菌、枯草芽孢杆菌和绿色链球菌污染的不可逆水胶体印模的影响。
5.25%的次氯酸钠在1分钟的暴露时间内,能使金黄色葡萄球菌和绿色链球菌的细菌计数减少4个对数级,其次是0.525%次氯酸钠和2%戊二醛作用10分钟。没有一种消毒剂能使枯草芽孢杆菌的细菌计数减少4个对数级。
浓度为5.25%的次氯酸钠是最有效的消毒剂,所需接触时间最短(1分钟)。并非所有美国牙科协会批准的表面消毒剂浓度对不可逆水胶体印模材料的效果都一样好。