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消毒剂对印模材料的有效性评估

Evaluation of the Effectiveness of Disinfectants on Impression Materials.

作者信息

Sivamani Chidambaram Rajmohan, Rajmohan Sudha, Olive Prasad Pusulury, Kalyani Dorothy, Mallikarjuna Rachappa, Ganiga Channaiah Shivakumar

机构信息

Department of Prosthodontics, Oman Dental College, Muscat, OMN.

Department of Preclinical Conservative Dentistry, Oman Dental College, Muscat, OMN.

出版信息

Cureus. 2024 Feb 24;16(2):e54846. doi: 10.7759/cureus.54846. eCollection 2024 Feb.

Abstract

Background The disinfection of dental impression materials is a cornerstone of infection control in dental practice. This study aimed to evaluate the effectiveness of two disinfectants, sodium hypochlorite and iodophor, on alginate and silicone impression materials, which are prone to microbial contamination. Methods The study was structured into two main groups based on the impression material: Group I (alginate) and Group II (addition silicone), each further subdivided into two subgroups for disinfection with sodium hypochlorite and iodophor. For each subgroup, initial microbial swabs were taken before any treatment, followed by a second swab after rinsing and a final swab after disinfection. The mean colony-forming unit (CFU) counts, standard deviations, and standard errors of the mean were calculated for each stage of treatment. Results Prior to disinfection, Group I had a mean CFU count of 2,529.40, while Group II had a lower mean CFU of 1,417.40. After rinsing, there was a significant decrease in CFUs in both groups, with Group I at 1,337.10 and Group II at 415.10. Post-disinfection, Group I showed a mean CFU count of 73.00 for sodium hypochlorite and 0.00 for iodophor. Similarly, Group II achieved a CFU reduction of 99.00 with sodium hypochlorite and 0.00 with iodophor, demonstrating a marked reduction in microbial presence. Conclusion Iodophor was exceptionally effective in disinfecting both alginate and silicone impression materials, eliminating all detectable CFUs. Sodium hypochlorite also significantly reduced microbial counts but was not as effective as iodophor. Rinsing prior to disinfection was instrumental in reducing the microbial load, underscoring its importance in the disinfection protocol.

摘要

背景

牙科印模材料的消毒是牙科实践中感染控制的基石。本研究旨在评估两种消毒剂——次氯酸钠和碘伏,对易于受到微生物污染的藻酸盐和硅酮印模材料的消毒效果。

方法

根据印模材料将研究分为两个主要组:第一组(藻酸盐)和第二组(加成型硅酮),每组再进一步分为两个亚组,分别用次氯酸钠和碘伏进行消毒。对于每个亚组,在任何处理之前采集初始微生物拭子,冲洗后采集第二次拭子,消毒后采集最终拭子。计算每个处理阶段的平均菌落形成单位(CFU)计数、标准差和平均标准误差。

结果

消毒前,第一组的平均CFU计数为2529.40,而第二组的平均CFU较低,为1417.40。冲洗后,两组的CFU均显著下降,第一组为1337.10,第二组为415.10。消毒后,第一组次氯酸钠的平均CFU计数为73.00,碘伏为0.00。同样,第二组用次氯酸钠使CFU减少了99.00,用碘伏减少到0.00,表明微生物数量显著减少。

结论

碘伏在消毒藻酸盐和硅酮印模材料方面非常有效,可消除所有可检测到的CFU。次氯酸钠也显著降低了微生物数量,但不如碘伏有效。消毒前冲洗有助于降低微生物负荷,突出了其在消毒方案中的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d240/10964117/b9d1d661b07a/cureus-0016-00000054846-i01.jpg

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