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洗浄滅菌処理による歯科用バーの表面劣化

机译:由于清洁和消毒导致牙棒的表面变质

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摘要

Recently, the number of accidents, involving dental bur break has increased in our hospital. It has been thought that one of the causes of the accident might be the deterioration of dental burs by the repeated washing and sterilizing.Purpose:This study aims to clarify the cause of the deterioration of dental burs in the process of washing or sterilizing.Materials and methods: The burs examined were the Zekrya burs made of tungsten carbide. The burs were washed by ultrasonic cleaner or- by washer-disinfector,or sterilized by autoclave or by the HPDS (Hydrogen peroxide/Plasma Discharging Sterilization at low temperature).After repeating the washing or sterilizing process 30 times,the surface of each bur was observed by the EPMA (Electron Probe Micro-Analyzer) by 7,000-time magnification.Results:1.The EPMA analysis showed that the surfaces of the blade of the dental burs treated by the HPDS contained many cracks.2.The surfaces of the blade of the dental burs that were treated by the autoclave showed a porous aspect.3.Ultrasonic cleaner and washer-disinfector did not influence the surfaces of the blade of the dental burs.4.At macroscopic level,the level of the surface deterioration may be distinguished by the darkening tendency of the bur's color.
机译:最近,在我院涉及牙钻断裂的事故数量有所增加。有人认为,事故发生的原因之一可能是反复清洗和消毒后牙钻变质的目的。目的:本研究旨在弄清在清洗或消毒过程中牙钻的变质的原因。方法:所检查的车针是由碳化钨制成的Zekrya车针。车针用超声波清洗机或清洗消毒器清洗,或用高压灭菌器或HPDS(低温过氧化氢/等离子灭菌)消毒。重复清洗或消毒过程30次后,将每个车针表面结果:1.EPMA分析表明,经HPDS处理的牙钻的刀片表面有许多裂纹。2。高压灭菌器处理过的牙钻表面呈多孔状。3。超声波清洗机和清洗消毒器对牙钻刀片的表面没有影响。4。在宏观层面上,表面变质的程度可能是通过车针颜色的变黑趋势来区分。

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