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灭菌与消毒:确保牙科诊疗中的感染控制

Sterilization and Disinfection: Ensuring Infection Control in Dental Practices.

作者信息

Patiño-Marín Nuria, Villa García Lorena Dafnee, Aguirre López Eva Concepción, Medina-Solís Carlo Eduardo, Martínez Zumarán Alan, Martínez Rider Ricardo, Márquez Preciado Raúl, Rosales García Pedro, Salas Orozco Marco Felipe

机构信息

Clinical Research Laboratory, Faculty of Stomatology, Autonomous University of San Luis Potosí, San Luis Potosí, MEX.

Dentistry, Health Sciences Institute, Autonomous University of the State of Hidalgo, San Luis Potosí, MEX.

出版信息

Cureus. 2025 Feb 15;17(2):e79041. doi: 10.7759/cureus.79041. eCollection 2025 Feb.

Abstract

Effective sterilization and disinfection are critical for infection control in dental practices, reducing healthcare-associated infections and ensuring patient safety. This review explores the principles, applications, and limitations of various sterilization and disinfection methods used in dentistry, including heat sterilization (steam and dry heat), chemical sterilization (ethylene oxide, hydrogen peroxide), and radiation methods (ultraviolet (UV) and gamma rays). Emphasis is placed on the effectiveness of each method against a range of pathogens, their suitability for different dental instruments, and advancements in technology such as vaporized hydrogen peroxide systems and antimicrobial coatings. Autoclave sterilization remains a cornerstone due to its reliability, while methods like UV rays and ozone offer innovative, material-friendly alternatives. The importance of verifying sterilization efficacy through biological indicators and maintaining proper storage protocols to ensure sterility is also highlighted. By integrating traditional techniques with emerging technologies, dental practices can enhance infection control standards while adapting to modern challenges.

摘要

有效的灭菌和消毒对于牙科诊所的感染控制至关重要,可减少医疗保健相关感染并确保患者安全。本综述探讨了牙科中使用的各种灭菌和消毒方法的原理、应用及局限性,包括热力灭菌(蒸汽和干热)、化学灭菌(环氧乙烷、过氧化氢)和辐射方法(紫外线和伽马射线)。重点关注每种方法对一系列病原体的有效性、它们对不同牙科器械的适用性,以及诸如汽化过氧化氢系统和抗菌涂层等技术进展。高压蒸汽灭菌因其可靠性仍然是基石,而紫外线和臭氧等方法提供了创新的、对材料友好的替代方案。还强调了通过生物指示剂验证灭菌效果以及维持适当的储存规程以确保无菌的重要性。通过将传统技术与新兴技术相结合,牙科诊所可以在适应现代挑战的同时提高感染控制标准。

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