Colin B Wiebe, Bonnie J Hoath, Gethin Owen, Jiarui Bi, Georgios Giannelis, Hannu S Larjava
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引用次数: 0
摘要
传统上,牙周手工工具在病人护理期间被打磨或磨尖,因为它们在接触牙釉质、牙石和牙骨质时很容易变钝。世界各地的牙科和卫生学校都在教授这种方法,并且仍然是标准的护理方法。最近,一些专业组织质疑这种做法是否应该因为安全问题而被放弃。人们提出的问题是,磨刀石是否可以适当消毒,以及磨砺受污染的工具是否会对提供者的健康造成危害。利用细菌培养技术和扫描电镜技术,对受污染的陶瓷磨刀石进行了灭菌试验。我们的结果表明,石头是无菌后,受到制造商的灭菌方案。此外,在过去的一年里,在英属哥伦比亚大学(University of British Columbia)教授椅子边磨刀术的牙科学院的近400名学生中,没有发生与牙周器械磨刀有关的事故。因此,我们得出结论,陶瓷磨刀石可以使用正常的办公室协议进行消毒,并且在患者护理期间,如果遵循适当的协议,椅子边的磨刀石除了常规处理手术或牙周器械外,几乎没有增加风险。
Traditionally, periodontal hand instruments are honed or sharpened during patient care as they dull easily during contact with enamel, calculus and cementum. This approach is taught in dental and hygiene schools around the world and remains the standard of care. Recently, some professional organizations have questioned whether this practice should be abandoned because of safety issues. Questions have been raised whether sharpening stones can be properly sterilized and whether the sharpening of contaminated instruments poses a health hazard for the provider. Using bacteria culture techniques and scanning electron microscopy, we tested whether contaminated ceramic sharpening stones can be sterilized. Our results demonstrate that the stones were sterile after being subjected to the manufacturer's sterilization protocol. In addition, over the last year, no incidents related to periodontal instrument sharpening have been reported among nearly 400 students at the faculty of dentistry, University of British Columbia, where chair-side sharpening is taught. Therefore, we conclude that ceramic sharpening stones can be sterilized using normal office protocols and that chair-side sharpening adds little risk beyond routine handling of operatory or periodontal instruments during patient care when proper protocols are followed.
期刊介绍:
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.