Should Surgical Burs Be Used as Single-Use Devices to Avoid Cross Infection? A Case-Control Study

Med Princ Pract. 2016;25(2):159-62. doi: 10.1159/000442166. Epub 2015 Nov 4.

Abstract

Objective: The purpose of this study was to evaluate and compare the rate of bacterial contamination of reused and new unused burs after different sterilization sessions.

Materials and methods: The test group consisted of 40 used fissure burs, and the control group of 40 unused new fissure burs (total n = 80). The burs from both groups were precleaned according to standard protocols and then subjected to two sterilization sessions (high- and low-steam pressure autoclaving). After each sterilization session, the burs were transferred into incubation tubes which contained thioglycollate culture medium and were monitored daily for a period of 48 h to detect any bacterial growth. Data were collected and statistical analysis was done using Fisher's exact test.

Results: Of the 40 burs of the test group, 2 burs (5%) showed positive bacterial growth, whereas no bur from the control group showed any sign of bacterial growth after high-pressure autoclaving. The colony structure and Gram staining were compatible with the growth of Staphylococcus epidermis. After a second sterilization session at low-pressure steam autoclaving, no bacterial growth was observed for the test group, but 1 bur (2.5%) from the control group showed bacterial growth and Gram-positive staining matched well with the growth of Brevibacterium species.

Conclusions: The new and unused burs were 100% sterile after high-pressure steam autoclaving, whereas 5% of the reused burs appeared positive with bacterial contamination. After low-pressure steam autoclaving, reused burs were 100% sterile, but 1 new bur demonstrated bacterial contamination.

MeSH terms

  • Bacteria / isolation & purification*
  • Case-Control Studies
  • Colony Count, Microbial
  • Cross Infection / prevention & control*
  • Dental Cavity Preparation / methods*
  • Dental Disinfectants / therapeutic use
  • Disinfection / methods
  • Equipment Contamination / prevention & control*
  • Humans
  • Root Canal Preparation / instrumentation
  • Root Canal Preparation / methods*
  • Sterilization / methods

Substances

  • Dental Disinfectants