口腔医学 ›› 2022, Vol. 42 ›› Issue (8): 701-706.doi: 10.13591/j.cnki.kqyx.2022.08.005

• 临床研究 • 上一篇    下一篇

不同清洗方式对ZOE水门汀污染车针清洗效果的研究

叶莺1, 徐晶洁1, 李瑾2,3, 鲍文丽4, 祁文1, 江飞1,2,3   

  1. 1 南京医科大学附属口腔医院综合诊疗科,江苏南京(210029);
    2 江苏省口腔疾病研究重点实验室,江苏南京(210029);
    3 江苏省口腔转化医学工程研究中心,江苏南京(210029);
    4 南京医科大学附属口腔医院供应消毒中心,江苏南京(210029)
  • 修回日期:2022-01-29 出版日期:2022-08-28 发布日期:2022-08-30
  • 通讯作者: 江 飞 E-mail:nykqjf@njmu.edu.cn
  • 基金资助:
    国家自然科学基金青年基金(81900960);江苏省自然科学基金青年基金(BK20180671);江苏省高校优势学科建设工程资助项目(PAPD,2018-87)

A study on cleaning ZOE cement contaminated dental instruments with different methods

YE Ying, XU Jingjie, LI Jin, BAO Wenli, QI Wen, JIANG Fei   

  1. Department of General Dentistry, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing 210029, China
  • Revised:2022-01-29 Online:2022-08-28 Published:2022-08-30

摘要: 目的 针对口腔临床表面粗糙的小器械,使用中黏附氧化锌丁香酚(ZOE)水门汀后难以有效清除的问题进行改进。方法 在TR-13金刚砂车针表面负载ZOE水门汀模拟临床使用后ZOE水门汀污染。以不同清洗方式处理,通过称重残余质量、扫描电镜观察处理后车针表面情况以及短时间内抑菌效果分析各实验组清洗效果。结果 对比清水浸泡组、多酶浸泡组、保湿剂浸泡组、丁香酚浸泡组结果,丁香酚浸泡后ZOE水门汀清除效果显著好于其他实验组。若丁香酚直接超声清洗,效果无差异,但抑菌效果较差。使用丁香酚超声清洗后再经多酶浸泡,抑菌效果明显改善。结论 应用丁香酚超声清洗ZOE水门汀污染器械,配合多酶清洗液浸泡,可有效清除器械表面黏附的ZOE水门汀同时抑制病原菌的增殖。该清洗方式简便易行、效果显著,适于临床推广使用。

关键词: ZOE水门汀, 丁香酚, 口腔器械, 医疗器械清洗剂, 超声清洗, 抑菌

Abstract: Objective To provide experimental data for finding effective cleaning methods to remove zinc oxide eugenol cement (ZOE Cement) from dental instruments with rough surfaces. Methods Dental TR-13 diamond burs were subjects of this study. The well-distribution of ZOE cement on the diamond burs’ surfaces mimicked the daily situation in clinical practice. The cleaning effects of different methods were compared by analyzing residual ZOE cement weight and its clearance rate, observing the surface of TR-13 diamond burs with scanning electron microscope. The anti-bacterial effect within a short time of different methods was also investigated. Results The TR-13 diamond burs wrapped with ZOE cement were randomly divided into four groups, including water soaking group, multi-enzyme soaking group, moisturizer soaking group and eugenol soaking group. Each group was ultrasonicated with multi-enzyme cleaning solution posterior to the soak. The cleaning effect of the eugenol soaking group was significantly better than other groups. Compared with the group processed by eugenol soak and then multi-enzyme ultrasound, the direct ultrasonic cleaning with eugenol exhibited no differences in the cleaning effect, but had poor performance in bacteriostasis. This defect would be ameliorated by multi-enzyme solution soaking after the ultrasonic cleaning. Conclusion The application of eugenol ultrasonic cleaning could clean ZOE cement contaminated dental instruments efficiently. Followed by multi-enzyme cleaning solution immersion, the proliferation of pathogenic bacteria could be inhibited effectively as well. This cleaning strategy is easy, effective and suitable for clinical application and promotion.

Key words: ZOE cement, eugenol, dental instrument, medical cleaning agent, ultrasonic cleaning, anti-bacteria

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