Ultrasonically nebulised electrolysed oxidising water: a promising new infection control programme for impressions, metals and gypsum casts used in dental hospitals

Abstract

Controlling the transmission of infectious diseases by impressions, metals and dental casts in dental hospitals remains a challenge. Current disinfection methods have various drawbacks. This study introduced and provided a preliminary evaluation of the feasibility of using ultrasonically nebulised, electrolysed oxidising water (UNEOW) as a new infection control programme. UNEOW was produced from freshly generated electrolysed oxidising water (EOW). Samples of impressions, titanium and gypsum were subjected to the following treatments: (1) immersion in 1% sodium hypochlorite for 10min; (2) immersion in EOW for 10min; (3) exposure to UNEOW for 15, 30 and 45min; (4) no disinfection (control). Bactericidal efficacy was examined using Staphylococcus aureus and Bacillus subtilis var. niger spores as indicators. Dimensional accuracy, surface quality, and effect of corrosion were also evaluated for the different samples. Results showed that except for B. subtilis var. niger spores on gypsum casts, the bacterial reduction log(10) values after 30-45min treatment with UNEOW were all above 4. The impression dimensional changes showed no difference between control and UNEOW groups, but both were significantly lower than the EOW and sodium hypochlorite groups (P<0.05). The same was true for the surface quality of impressions and gypsum casts. No assessable corrosion was found on the titanium surface after a 45min treatment with UNEOW. The findings indicated that use of UNEOW is a feasible and promising approach for controlling the transmission of infectious diseases by impressions, gypsum casts and denture metals in dental facilities.