Clappison R A
J Prosthet Dent. 1995 May;73(5):492-4. doi: 10.1016/s0022-3913(05)80081-2.
The issue of heat sterilization of handpieces for every patient every time evokes visions of higher cost, damage to handpiece sheaths and turbines, and increased staff involvement. The introduction of fast turn-around steam autoclaves reduces the number of handpieces required and helps lower costs. The damage can be contained by using high-quality handpieces and by maintaining them properly. Staff involvement time can be reduced through the use of handpiece scrubbers, handpiece flush systems, and simple, adequate maintenance standards. Because of the discovery that biofilms contribute to the microbial contamination of dental unit water lines, the need for a clean water system is apparent because it will further reduce the potential danger of cross contamination.
每次为每位患者对手动器械进行热消毒的问题会让人想到成本增加、手动器械护套和涡轮损坏以及工作人员参与度提高等情况。快速周转蒸汽灭菌器的引入减少了所需手动器械的数量,并有助于降低成本。使用高质量的手动器械并妥善维护可以控制损坏情况。通过使用手动器械清洗器、手动器械冲洗系统以及简单、适当的维护标准,可以减少工作人员的参与时间。由于发现生物膜会导致牙科设备水管的微生物污染,因此显然需要一个清洁水系统,因为这将进一步降低交叉污染的潜在风险。