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      Effect of Different Energy Levels of Microwave on Disinfection of Dental Stone Casts

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          Abstract

          Background and aims

          Current chemical methods may not efficiently disinfect dental stone casts. The aim of this study was to investigate if microwave irradiation is effective for disinfection of stone casts.

          Materials and methods

          In this laboratory study, three groups (n = 162) of prepared spherical stone beads as carriers with a diameter of 10 mm were inoculated by separately soaking in three broth culture media, each containing a study microorganism—Pseudomonas aeruginosa, Staphylococcus aureus or Candida albicans. Six inoculated carriers were used for every test, including irradiation in a household microwave oven at 300, 450, 600 or 900 W energy level, or soaking in 0.03%, 0.06%, 0.12%, 0.25% or 0.50% concentration of sodium hypochlorite solution, at 1, 2, or 3-minute test times. Positive and negative control groups were considered for each test. All treated carriers were then individually transferred to nutrient broth culture medium and one milliliter from each tube was cultured in nutrient agar media over night. Colony forming unit per milliliter (CFU/mL) was counted, and multi-factor ANOVA was used to analyze data (α = 0.05).

          Results

          Microwave irradiation at 600 W resulted in high-level disinfection in 3 minutes. Immersion of the stone casts in hypochlorite solution at 0.06% concentration resulted in disinfection after 2 minutes.

          Conclusion

          According to the results, high level disinfection of the stone casts can be achieved by microwave irradiation at 600 W in 3 minutes, similar to a validated chemical method.

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          Most cited references27

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          Guidelines for infection control in dental health-care settings--2003.

          This report consolidates previous recommendations and adds new ones for infection control in dental settings. Recommendations are provided regarding 1) educating and protecting dental health-care personnel; 2) preventing transmission of bloodborne pathogens; 3) hand hygiene; 4) personal protective equipment; 5) contact dermatitis and latex hypersensitivity; 6) sterilization and disinfection of patient-care items; 7) environmental infection control; 8) dental unit waterlines, biofilm, and water quality; and 9) special considerations (e.g., dental handpieces and other devices, radiology, parenteral medications, oral surgical procedures, and dental laboratories). These recommendations were developed in collaboration with and after review by authorities on infection control from CDC and other public agencies, academia, and private and professional organizations.
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            Differential damage in bacterial cells by microwave radiation on the basis of cell wall structure.

            Microwave radiation in Escherichia coli and Bacillus subtilis cell suspensions resulted in a dramatic reduction of the viable counts as well as increases in the amounts of DNA and protein released from the cells according to the increase of the final temperature of the cell suspensions. However, no significant reduction of cell density was observed in either cell suspension. It is believed that this is due to the fact that most of the bacterial cells inactivated by microwave radiation remained unlysed. Scanning electron microscopy of the microwave-heated cells revealed severe damage on the surface of most E. coli cells, yet there was no significant change observed in the B. subtilis cells. Microwave-injured E. coli cells were easily lysed in the presence of sodium dodecyl sulfate (SDS), yet B. subtilis cells were resistant to SDS.
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              Infection control recommendations for the dental office and the dental laboratory. ADA Council on Scientific Affairs and ADA Council on Dental Practice.

              (1996)
              This report is based on the recommendations of the Centers for Disease Control and Prevention and other publications in the medical and dental literature. The recommendations here, which have been accepted by the ADA Council on Scientific Affairs and the ADA Council on Dental Practice, are intended to offer general guidance for dental offices and laboratories on infection control. They are not intended to establish a standard of care or industry custom, nor are they intended to deprive the dentist of the ability to exercise his or her professional judgment.
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                Author and article information

                Journal
                J Dent Res Dent Clin Dent Prospects
                J Dent Res Dent Clin Dent Prospects
                Journal of Dental Research, Dental Clinics, Dental Prospects
                Journal of Dental Research, Dental Clinics, Dental Prospects
                Tabriz University of Medical Sciences
                2008-210X
                2008-2118
                2013
                30 August 2013
                : 7
                : 3
                : 140-146
                Affiliations
                1Dental and Periodontal Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
                2Assistant Professor, Department of Prosthodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
                3Drug Applied Research Center, Tabriz University of Medical Science, Tabriz, Iran
                4Associate Professor, Faculty of Pharmacy, Tabriz University of Medical Science, Tabriz, Iran
                5General Practitioner, Private Practice, Sabzevar, Iran
                6Post-graduate Student, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Kerman University of Medical Sciences, Kerman, Iran
                Author notes
                [* ]Corresponding Author; elnaz_moslehi@ 123456yahoo.com
                Article
                10.5681/joddd.2013.022
                3779372
                24082984
                f786d956-41e9-46d4-bfa8-7cd7430f08f6
                © 2013 The Authors; Tabriz University of Medical Sciences

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 11 November 2012
                : 12 March 2013
                Categories
                Original Article

                Dentistry
                disinfection,microwave,stone cast,sodium hypochlorite,sterilization
                Dentistry
                disinfection, microwave, stone cast, sodium hypochlorite, sterilization

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