Hegna IK, Kardel K, Kardel M. Autoclaving of lubricated dental instruments. Scand J Dent Res. 1978; 86:130-134
Nolte WA, Arnim SS. Sterilization, lubrication and rustproofing of dental instruments and handpieces with a water-oil emulsion: laboratory and clinical study. J Am Dent Assoc. 1955; 50:133-146
Edwardsson S, Svensater G, Birkhed D. Steam sterilization of air turbine dental handpieces. Acta Odontol Scand. 1983; 41:321-326
Hausler WJ, Madden RM. Microbiologic comparison of dental handpieces. 2. Aerosol decay and dispersion. J Dent Res. 1966; 45:52-58
Barnes CM, Andersen NA, Li Y, Caulfield PW. Effectiveness of steam sterilization in killing spores of Bacillus stearothermophilus in prophylaxis angles. Gen Dent. 1994; 42:456-458
Kellett M, Holbrook WP. Bacterial contamination of dental handpieces. J Dent. 1980; 8:249-253
Larsen T, Andersen HK, Fiehn NE. Evaluation of a new device for sterilizing dental high-speed handpieces. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997; 84:513-516
Epstein JB, Rea G, Sibau L, Sherlock CH. Rotary dental instruments and the potential risk of transmission of infection: herpes simplex virus. J Am Dent Assoc. 1993; 124:55-59
Andersen HK, Fiehn NE, Larsen T. Effect of steam sterilization inside the turbine chambers of dental turbines. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999; 87:184-188
Mills SE, Kuehne JC, Bradley DV Bacteriological analysis of high-speed handpiece turbines. J Am Dent Assoc. 1993; 124:59-62
Silverstone SE, Hill DE. Evaluation of sterilization of dental handpieces by heating in synthetic compressor lubricant. Gen Dent. 1999; 47:158-160
Pedrazzi ME. Oiling and handpiece sterilization?. J Gen Orthod. 1995; 6:8-9
Young JM. Handpiece sterilization: is it really necessary?. J Calif Dent Assoc. 1996; 24:34-37
Vickery K, Pajkos A, Cossart Y. Evaluation of the effectiveness of decontamination of dental syringes. Br Dent J. 2000; 189:620-624
Dreyer AG, Hauman CH. Bacterial contamination of dental handpieces. J Dent Assoc S Afr. 2001; 56:510-512
Fulford MR, Ireland AJ, Main BG. Decontamination of tried-in orthodontic molar bands. Eur J Orthod. 2003; 25:621-622
Wirthlin MR, Shklair IL, Northerner RA, Shelton SW, Bailey GL. The performance of autoclaved high-speed dental handpieces. J Am Dent Assoc. 1981; 103:584-587
Hauman CH. Cross-infection risks associated with high-speed dental handpieces. J Dent Assoc S Afr. 1993; 48:389-391
Ohsuka S, Ohta M, Masuda K, Kaneda T, Ueda M. Microbiological evaluation of a newly designed dental air-turbine handpiece for anti-cross contaminations. Int J Prosthodont. 1994; 7:201-208
Halleck FE, Mizuba S, Zimmer DI, Woodrow J. Criteria for determining steam sterilization cycles for lubricated and nonlubricated mechanical equipment. Med Instrum. 1979; 13:168-171
Rutala WA, Gergen MF, Weber DJ. Impact of an oil-based lubricant on the effectiveness of the sterilization processes. Infect Control Hosp Epidemiol. 2008; 29:69-72
A literature search revealed six laboratory-based microbial challenge studies which support the opinion that oil contamination does not prevent successful sterilization of the lumen of dental handpieces. However, a detailed appraisal of these papers revealed lack of detail in the cleaning methods used prior to sterilization and none of the papers considered the risks of prion contamination.
Clinical Relevance: An examination of the evidence base on sterilization of oil-lubricated handpieces is of potential value to dental clinicians and their teams.
Article
A literature search was performed with the assistance of librarians at the BDA Information Centre using OVID search facility on Medline, EMBASE, CINALH and The Cochrane Library.
On the suggestion of the reviewer, the BDA Information Centre provided a list of publications on the subject of the history of sterilization from the Index of Dental Literature from 1896 to 1949. This produced key papers from the Lancet and the authors, Perkins and Fallon.
A12 BDA advice sheet produced guidance on infection control from the devolved countries forming the UK.
Two search parameters are listed in Table 1. The selected papers produced 21 references. The reference lists of each of the 21 papers were consulted and further papers selected. The references of the references were examined.
An internet search of PubMed and Google Scholar was performed using the keywords ‘sterilization’, ‘decontamination’, ‘dental’, ‘handpiece’, ‘lumen’, ‘prion’, ‘internal’, ‘disinfection’. This led to a number of useful lectures published online.
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