Adding an antibacterial or antiseptic to Dental Machine Water

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Bob Russell — Fri, 19 Oct 2012 13:30:40 GMT

[quote user="Gerry Henry"]

We flush with MILTON post procedure, then clean water, then air until all lines dry, works fine, also no 'gumming or clogging' of lines or turbine.

[/quote]

Just remember to release the pressure in the wash bottle before unscrewing the top! Theatre smells wonderfully clean thanks to the Miltons. Very soaked nurse and Miltons dripping from the ceiling!

ACCIDENT BOOK!?

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Gerry Henry — Wed, 17 Oct 2012 12:17:30 GMT

We flush with MILTON post procedure, then clean water, then air until all lines dry, works fine, also no 'gumming or clogging' of lines or turbine.

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Michael Woodhouse — Wed, 17 Oct 2012 10:53:13 GMT

[quote user="Evelyn Barbour-Hill"]Alpron BRS starter kit best i should think.[/quote]

Useful link, thanks. ***** (5 stars not an expletive)

Have mused about running some residual protein tests to check everything as clean as it should be.

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Anthony Todd — Wed, 17 Oct 2012 10:19:05 GMT

Like this, although this is from USA

http://www.pall.com/main/Medical/Product.page?id=51059

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Anthony Todd — Wed, 17 Oct 2012 10:11:34 GMT

[quote user="Pynadath George"]where can I get one of these kits Evelyn?[/quote]

You can get a fine in-line filter which prevents the water line blocking in the descaler or worse, in the flexible lead, as in a Bobcat. You'll be amazed at the black crud that collects in it.

It has Luer male and female ends so you need a narrow gauge water line. Easily changed when dirty though.

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Evelyn Barbour-Hill — Tue, 16 Oct 2012 20:46:22 GMT

[quote user="Rajat"]

[quote user="Evelyn Barbour-Hill"]You can get little kits for assessing the microbial load in cfu per litre in your waterline water. The results can be an education.[/quote]

where can I get one of these kits Evelyn?

[/quote]

www.qwsonline.co.uk

(Alpron BRS starter kit best I would think)

Sorry the actual link not working. You'll have to cut and paste.

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Evelyn Barbour-Hill — Tue, 16 Oct 2012 20:43:30 GMT

[quote user="Rajat"]

[quote user="Evelyn Barbour-Hill"]You can get little kits for assessing the microbial load in cfu per litre in your waterline water. The results can be an education.[/quote]

where can I get one of these kits Evelyn?

[/quote]

Alpron BRS starter kit best i should think.

www.vetsurgeon.org/.../www.qwsonline.co.uk

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Evelyn Barbour-Hill — Tue, 16 Oct 2012 19:38:17 GMT

[quote user="Martin Atkinson"]

[quote user="Evelyn Barbour-Hill"]Bah. All you need is a non-return valve in the pipe from the mains. [/quote] My jobsworth was happy with a non-return valve for the hand spray but not the dental machine. He also insisted on a non-return valve for the outside hosepipe tap but this is not a requirement on a domestic water system for an outside tap. Pray tell me the difference.

[/quote]

Don't ask me to explain for Mr. Jobsworth! It may vary with water board, but round here they like you to have a non-return valve for a domestic outside tap, assuming it comes off the rising main. It does make some sense – you don't really want bacteria swirling back into your mains water. I can't understand why it wasn't good enough for the dental machine though. Perhaps Mr. J. didn't understand.

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Pynadath George — Tue, 16 Oct 2012 17:57:06 GMT

[quote user="Rajat"]

[quote user="Evelyn Barbour-Hill"]You can get little kits for assessing the microbial load in cfu per litre in your waterline water. The results can be an education.[/quote]

where can I get one of these kits Evelyn?

[/quote] Henry schein do some for us.

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Martin Atkinson — Tue, 16 Oct 2012 17:52:27 GMT

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Rajat — Tue, 16 Oct 2012 17:26:54 GMT

[quote user="Evelyn Barbour-Hill"]You can get little kits for assessing the microbial load in cfu per litre in your waterline water. The results can be an education.[/quote]

where can I get one of these kits Evelyn?

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Evelyn Barbour-Hill — Tue, 16 Oct 2012 17:08:29 GMT

[quote user="Pynadath George"]I'm not sure what's meant by "dental machine".[/quote]

People are referring to both their scalers and their air-driven units, I think.

Mr. George will be well aware, but I fear many veterinary surgeons are not, of the big problem of the biofilm which forms very quickly in the waterlines and can increase to spectacular proportions. Running through with disinfectant after every working day is important and helps a lot, but even then it would be good practice to clean the waterlines with a chemical system designed for the purpose.

You can get little kits for assessing the microbial load in cfu per litre in your waterline water. The results can be an education.

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Pynadath George — Tue, 16 Oct 2012 16:59:00 GMT

I'm not sure what's meant by "dental machine". However in my ultrasonic scaler I regularly use clorhexidine for aggressive periodontitis/gingivitis. Problem is it causes frothing which impedes visions. For cleaning at end of the day we run though with disinfectant for the tubes for 90 seconds.

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Bob Russell — Tue, 16 Oct 2012 14:33:21 GMT

[quote user="Evelyn Barbour-Hill"]

[quote user="Martin Atkinson"]

My dental scaler is connected directly to the gravity feed water supply. It was connected to the mains but the local water authority sent a jobsworth round who said we couldn't do that in case it flashed back into the mains water supply. Quite how he imagined the difference in pressure would allow this is difficult to contemplate but then he has to justify his job. Still is works just the same, no reservoirs, no pumping up the pressure, no worries about stagnant water.

[/quote]

Yes, but I wouldn't allow anything into my machines but distilled water.

[/quote]

We were told not to use distilled water but to rely on the chlorine in tap water for the main machine. We did have a problem with our ultrasonic scaler because of algae (apparently) so dilute Miltons was recommended!

Strange how advice differs!

Both machines have been going strong for years so no evidence this has done any harm.

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Evelyn Barbour-Hill — Tue, 16 Oct 2012 13:33:09 GMT

[quote user="patrick murphy"]

same guy had major concers re. the sprayer on my tub table, which he wanted me to remove.

[/quote]

Bah. All you need is a non-return valve in the pipe from the mains.

Re: Adding an antibacterial or antiseptic to Dental Machine Water

patrick murphy — Tue, 16 Oct 2012 13:13:27 GMT

same guy had major concers re. the sprayer on my tub table, which he wanted me to remove.

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Evelyn Barbour-Hill — Tue, 16 Oct 2012 12:08:31 GMT

[quote user="Martin Atkinson"]

[/quote]

Yes, but I wouldn't allow anything into my machines but distilled water.

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Evelyn Barbour-Hill — Tue, 16 Oct 2012 12:06:21 GMT

[quote user="Michael Woodhouse"]

[quote user="Evelyn Barbour-Hill"]Keep water water, I say! [/quote]

But what about the vat of water sitting there for a period of time? Legonella?

[/quote]

A good point. You are supposed to empty the water container at the end of the day and leave it open and upside down.

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Martin Atkinson — Tue, 16 Oct 2012 12:01:23 GMT

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Michael Woodhouse — Tue, 16 Oct 2012 11:26:58 GMT

[quote user="Evelyn Barbour-Hill"]Keep water water, I say! [/quote]

But what about the vat of water sitting there for a period of time? Legonella?

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Evelyn Barbour-Hill — Tue, 16 Oct 2012 11:25:28 GMT

Opinions differ.

You can add something designed for the purpose, but many things will either acutely or chronically bugger up the machinery. Many of these chemicals can be quietly and insidiously corrosive, and you don't find out until it's too late

My own feeling, for what it's worth, is that the cooling-irrigating water is just that and it simply does not need any additives. Sluicing plenty of chlorhexidine about separately is the way to "disinfect" the mouth. If I want to medicate a subgingival pocket, I irrigate it with a specially-prepared chlorhexidine from a syringe with an irrigating needle..

The Australian machines have two reservoirs, one for CLS and one for plain water. The primary purpose of the CLS is to flush all the waterlines after use, in order to reduce biofilm formation. Some people also use the CLS solution as the irrigant while scaling. That's OK and might perhaps improve the process. However, also remember that all these chemicals are irritant and damaging to the mucosa with a certain length of exposure. People make comments like "so, if it's getting to be a long procedure, I switch from CLS to water". OK, if it works for them, but it's not the way I care to work.

Keep water water, I say!

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Michael Woodhouse — Tue, 16 Oct 2012 10:48:38 GMT

Too late - I was on the phone to a client whilst composing my reply!

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Michael Woodhouse — Tue, 16 Oct 2012 10:47:53 GMT

I always put a bit of water soluble iodine in the water reservoir (=garden sprayer) for the US scaler. Vet Instrumentation do a proprietary chlorhexadine that they say is safe. It is expensive

http://www.vetinst.com/product.php?productid=2967&cat=83&page=1

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Rajat — Tue, 16 Oct 2012 10:35:32 GMT

Also forgot to add the denal service ppl say dont add anything but when questioned at more length admit CLS is safe, just that they have seen so many ppl bugger their machines with hibiscrub iodine and whatnot now the blanket advice is not to add anything.

Re: Adding an antibacterial or antiseptic to Dental Machine Water

Rajat — Tue, 16 Oct 2012 10:33:34 GMT

Yes it can be done - Don't use plain hibi it will damage your machine.You can use CLS - see page 241 here

It is helpful to reduce bacterial counts, but tbh, I use chlorhex prep before extractions anyways in th emouth, this is just an extra. Does smell nice and I like the fact that when I scale sub gingivally I am getting a nice jet of chlorhex up there fwiw....Apparently helps burr cutting too (how I dont know)