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February 1, 2006Applied and Environmental MicrobiologyOpen Access

Comparison of the Efficacies of Disinfectants To Control Microbial Contamination in Dental Unit Water Systems in General Dental Practices across the European Union

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Authors

ASA. J. SchelPMPhilip MarshDBD. J. Bradshaw

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Overview

Multicenter comparative study demonstrates continuous disinfection significantly reduces bacterial levels in dental unit water systems, indicating superior control over biofilm-associated pathogens.

Key Points

  • To evaluate and compare the efficacy of seven commercial disinfectants in eliminating biofilms and meeting the American Dental Association microbial guideline (<200 CFU·ml⁻¹) in dental unit water systems.
  • Tested seven disinfectant formulations (Alpron, BioBlue, Dentosept, Oxygenal, Sanosil, Sterilex Ultra, and Ster4Spray) across 134 dental unit water systems in general practices in seven European countries.
  • Conducted a 4- to 5-week baseline assessment followed by 6 to 8 weeks of either continuous or intermittent disinfectant application.
  • Measured weekly water samples for total viable counts on yeast extract agar and evaluated disinfectant impacts on established biofilms.
  • Disinfection reduced the proportion of water samples exceeding the ADA guideline from 64% at baseline to 17% during treatment, with median bacterial reductions ranging from 0.69 to 3.11 log CFU·ml⁻¹ across products.
  • Continuous disinfectant application outperformed intermittent treatment; Dentosept and Oxygenal enabled 91% of samples to meet ADA guidelines, compared to 60% for Ster4Spray.
  • Dentosept achieved the highest median reduction in bacterial counts (3.11 log CFU·ml⁻¹) and provided the most consistent, sustained antimicrobial efficacy over the testing period.

Cite This Study

Schel et al. (2006) studied this question.

synapsesocial.com/papers/6a8e595759e755dcaecd624chttps://doi.org/10.1128/aem.72.2.1380-1387.2006
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Microbial Biofilm Formation and Contamination of Dental-Unit Water Systems in General Dental Practice2000 · 255 citations
  2. 2Legionella contamination of dental-unit waters1995 · 248 citations
  3. 3Widespread<i>Legionella pneumophila</i>contamination of dental stations in a dental school without apparent human infection1987 · 55 citations