Technical paper 04-010417 Morten Miller, PhD – BactiQuant Page 1:4
Measurements of bacteria in dental units using BactiQuant ®-Water SUMMARY:
In general, water contaminated with bacteria can
BactiQuant ®-water provides a rapid screening tool for
lead to smell and discoloration. In water samples with
verification of Water System Hygiene in dental units
high bacterial loads the risk of finding the bacterial
and allows professionals to monitor water quality at
toxin – endotoxin increases (Evans et al., 1978; Martin
regular intervals in near real time.
and Daley., 2001). Endotoxin is a heat stable toxin which is present when gram-negative bacterial cells
HYGIENE IN DENTAL CHAIRS:
are disrupted, and can cause adverse health effects if
Many investigations have shown that water systems
swallowed or inhaled as bio aerosols. In large quanti-
in dental units can be heavily contaminated with high
ties endotoxin can cause hemorrhagic shock and se-
concentrations of bacteria (Coleman et al., 2009,
vere diarrhea, in smaller quantities it can cause fever.
2010; Larsen et al., 2008). This is mainly due to a
Endotoxin has also been implicated in development of
complex design of the water system with many pos-
astma in dentists (Pankhurst and Coulter, 2005).
sibilities for accumulation of particles and dirt, as well as formation of biofilm in water hoses and connec-
High bacterial loads in water systems associated with
tions. Besides that, water will frequently be stagnant
poor water quality, also increase the risk of Legionella
in periods where the dental chairs are not in function
(Bartram (Ed) et al.,2007) and other opportunis-
in weekends and during vacations.
tic and pathogenic bacteria such as Pseudomonas
Measurements of bacteria in dental units using BactiQuant®-Water Copyright © BactiQuant, April 2017, first edition, version 2017.4 • www.bactiquant.com