Assessment of the Heterotrophic Bacterial Contamination in Waterlines of Dental Units as a Potential Health Risk Factor in Occupational and Patient’s Exposures

Background: Waterlines in dental units can harbor various types of bacteria and microorganisms, including heterotrophic bacteria, which can pose a health risk to patients and dental personnel. This study aimed to investigate the extent of heterotrophic bacterial contamination in the waterlines of de...

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Main Authors: Ali Shahryari, Amineh Zahed, Abdolhalim Rajabi, Maryam Shafipour, Niloufar Emrani, Hadi Rahimzadeh, Hamidreza Heidari
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2025-01-01
Series:Journal of Health Sciences and Surveillance System
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Online Access:https://jhsss.sums.ac.ir/article_50676_fe4257ec611d35c15d9a83a80ca52dac.pdf
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author Ali Shahryari
Amineh Zahed
Abdolhalim Rajabi
Maryam Shafipour
Niloufar Emrani
Hadi Rahimzadeh
Hamidreza Heidari
author_facet Ali Shahryari
Amineh Zahed
Abdolhalim Rajabi
Maryam Shafipour
Niloufar Emrani
Hadi Rahimzadeh
Hamidreza Heidari
author_sort Ali Shahryari
collection DOAJ
description Background: Waterlines in dental units can harbor various types of bacteria and microorganisms, including heterotrophic bacteria, which can pose a health risk to patients and dental personnel. This study aimed to investigate the extent of heterotrophic bacterial contamination in the waterlines of dental units and evaluate its potential as a health risk factor for occupational and patient exposure.Methods: This cross-sectional study selected four active departments at the Faculty of Dentistry, Golestan University of Medical Sciences (Gorgan, Iran). Bacterial contamination in the waterlines, dental handpieces, and other water-related components of dental units was investigated and analyzed in terms of Colony-Forming Units per milliliter (CFU/ml). The data were analyzed using the Kruskal-Wallis and Wilcoxon signedrank tests using SPSS version 23.Results: The mean and standard deviation of bacterial contamination across all studied departments were significantly higher than the recommended limit of 500 CFU/ml (ranging from 10,250.00±8,924.28 CFU/ml for the inlet to the water tank in the pediatric department to 275,625.00±41,520.86 CFU/ml for the air-water syringe before flushing in the surgery department). No significant differences were observed between departments (P>0.05). Furthermore, there were no significant differences in bacterial contamination between different days and hours of sampling (P>0.05), although bacterial levels were higher on Saturdays and mornings. Flushing the waterlines for 30 seconds reduced bacterial contamination (P<0.05).Conclusion: Stagnation of water in dental unit waterlines, particularly over weekends or after working hours, using reserve water during dental procedures, and insufficient flushing of dental handpieces resulted in consistently high bacterial contamination levels. Therefore, using fresh water and performing proper flushing in dental handpieces is strongly recommended to mitigate the risks associated with bacterial contamination.
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institution Kabale University
issn 2345-2218
2345-3893
language English
publishDate 2025-01-01
publisher Shiraz University of Medical Sciences
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series Journal of Health Sciences and Surveillance System
spelling doaj-art-268f1e3e7fe241b49751c77ffc9c55612025-02-02T06:03:20ZengShiraz University of Medical SciencesJournal of Health Sciences and Surveillance System2345-22182345-38932025-01-0113110010610.30476/jhsss.2024.100477.183850676Assessment of the Heterotrophic Bacterial Contamination in Waterlines of Dental Units as a Potential Health Risk Factor in Occupational and Patient’s ExposuresAli Shahryari0Amineh Zahed1Abdolhalim Rajabi2Maryam Shafipour3Niloufar Emrani4Hadi Rahimzadeh5Hamidreza Heidari6Environmental Health Research Center, Department of Environmental Health Engineering, Faculty of Health, Golestan University of Medical Sciences, Gorgan, IranEnvironmental Health Research Center, Department of Environmental Health Engineering, Faculty of Health, Golestan University of Medical Sciences, Gorgan, IranEnvironmental Health Research Center, Department of Biostatistics and Epidemiology, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran.Environmental Health Research Center, Department of Environmental Health Engineering, Faculty of Health, Golestan University of Medical Sciences, Gorgan, IranDepartment of Pediatric Dentistry, Faculty of Dentistry, Golestan University of Medical Sciences, Gorgan, IranEnvironmental Health Research Center, Department of Environmental Health Engineering, Faculty of Health, Golestan University of Medical Sciences, Gorgan, IranEnvironmental Health Research Center, Department of Environmental Health Engineering, Faculty of Health, Golestan University of Medical Sciences, Gorgan, IranBackground: Waterlines in dental units can harbor various types of bacteria and microorganisms, including heterotrophic bacteria, which can pose a health risk to patients and dental personnel. This study aimed to investigate the extent of heterotrophic bacterial contamination in the waterlines of dental units and evaluate its potential as a health risk factor for occupational and patient exposure.Methods: This cross-sectional study selected four active departments at the Faculty of Dentistry, Golestan University of Medical Sciences (Gorgan, Iran). Bacterial contamination in the waterlines, dental handpieces, and other water-related components of dental units was investigated and analyzed in terms of Colony-Forming Units per milliliter (CFU/ml). The data were analyzed using the Kruskal-Wallis and Wilcoxon signedrank tests using SPSS version 23.Results: The mean and standard deviation of bacterial contamination across all studied departments were significantly higher than the recommended limit of 500 CFU/ml (ranging from 10,250.00±8,924.28 CFU/ml for the inlet to the water tank in the pediatric department to 275,625.00±41,520.86 CFU/ml for the air-water syringe before flushing in the surgery department). No significant differences were observed between departments (P>0.05). Furthermore, there were no significant differences in bacterial contamination between different days and hours of sampling (P>0.05), although bacterial levels were higher on Saturdays and mornings. Flushing the waterlines for 30 seconds reduced bacterial contamination (P<0.05).Conclusion: Stagnation of water in dental unit waterlines, particularly over weekends or after working hours, using reserve water during dental procedures, and insufficient flushing of dental handpieces resulted in consistently high bacterial contamination levels. Therefore, using fresh water and performing proper flushing in dental handpieces is strongly recommended to mitigate the risks associated with bacterial contamination.https://jhsss.sums.ac.ir/article_50676_fe4257ec611d35c15d9a83a80ca52dac.pdfbacteriacontaminationdental unitheterotrophicwaterline
spellingShingle Ali Shahryari
Amineh Zahed
Abdolhalim Rajabi
Maryam Shafipour
Niloufar Emrani
Hadi Rahimzadeh
Hamidreza Heidari
Assessment of the Heterotrophic Bacterial Contamination in Waterlines of Dental Units as a Potential Health Risk Factor in Occupational and Patient’s Exposures
Journal of Health Sciences and Surveillance System
bacteria
contamination
dental unit
heterotrophic
waterline
title Assessment of the Heterotrophic Bacterial Contamination in Waterlines of Dental Units as a Potential Health Risk Factor in Occupational and Patient’s Exposures
title_full Assessment of the Heterotrophic Bacterial Contamination in Waterlines of Dental Units as a Potential Health Risk Factor in Occupational and Patient’s Exposures
title_fullStr Assessment of the Heterotrophic Bacterial Contamination in Waterlines of Dental Units as a Potential Health Risk Factor in Occupational and Patient’s Exposures
title_full_unstemmed Assessment of the Heterotrophic Bacterial Contamination in Waterlines of Dental Units as a Potential Health Risk Factor in Occupational and Patient’s Exposures
title_short Assessment of the Heterotrophic Bacterial Contamination in Waterlines of Dental Units as a Potential Health Risk Factor in Occupational and Patient’s Exposures
title_sort assessment of the heterotrophic bacterial contamination in waterlines of dental units as a potential health risk factor in occupational and patient s exposures
topic bacteria
contamination
dental unit
heterotrophic
waterline
url https://jhsss.sums.ac.ir/article_50676_fe4257ec611d35c15d9a83a80ca52dac.pdf
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