Mycobiology of Dental Unit Water: A Systematic Scoping Review

Fungi present in Dental Unit Water (DUW) can pose a health hazard to patients and dental personnel. Yet, the issue of fungal contamination of DUW and their conduits, DUW Lines (DUWLs) has been poorly addressed despite a growing body of data on the subject. In this comprehensive review, we aim to add...

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Main Authors: Norbert Soboń, Kausar Sadia Fakhruddin, Lakshman Samaranayake, Nabiha Belkacem Remmani, Marwan Mansoor Mohammed, Thantrira Porntaveetus
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:International Dental Journal
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Online Access:http://www.sciencedirect.com/science/article/pii/S0020653924015892
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author Norbert Soboń
Kausar Sadia Fakhruddin
Lakshman Samaranayake
Nabiha Belkacem Remmani
Marwan Mansoor Mohammed
Thantrira Porntaveetus
author_facet Norbert Soboń
Kausar Sadia Fakhruddin
Lakshman Samaranayake
Nabiha Belkacem Remmani
Marwan Mansoor Mohammed
Thantrira Porntaveetus
author_sort Norbert Soboń
collection DOAJ
description Fungi present in Dental Unit Water (DUW) can pose a health hazard to patients and dental personnel. Yet, the issue of fungal contamination of DUW and their conduits, DUW Lines (DUWLs) has been poorly addressed despite a growing body of data on the subject. In this comprehensive review, we aim to address this gap by examining the diverse fungal contaminants found in DUW, the challenges associated with controlling their growth within waterline biofilms, and the various measures employed for fungal decontamination. The review underscores the intricate fungal ecosystems that exist within DUWLs and emphasizes the importance of implementing targeted antimicrobial strategies to uphold waterline hygiene. However, it is important to note that complete eradication of fungi in DUWLs has proven elusive, even with the application of disinfectants at varying concentrations, types, and frequencies. This highlights the pressing need for continued research efforts to develop new and optimized treatment protocols that are specifically tailored to eradicate fungi from DUWLs. Finally, it was notable that there are currently no specific regulations by any dental authority on permissible levels of fungi, as opposed to bacteria, in DUWLs. Legislation developed based on our findings can contribute to the standardization of practices and the formulation of effective control strategies for fungal contamination in DUWLs. It can also guide dental professionals in implementing regular monitoring, proper maintenance, and targeted disinfection protocols to minimize fungal contamination and ensure optimal water quality for patient safety.
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spelling doaj-art-8912b1ed3adf439980fa61e00b94f0f02025-01-21T04:12:47ZengElsevierInternational Dental Journal0020-65392025-02-017518699Mycobiology of Dental Unit Water: A Systematic Scoping ReviewNorbert Soboń0Kausar Sadia Fakhruddin1Lakshman Samaranayake2Nabiha Belkacem Remmani3Marwan Mansoor Mohammed4Thantrira Porntaveetus5Medical University of Lodz, Lodz, PolandUWA Dental School, University of Western Australia, Perth, Western Australia, AustraliaFaculty of Dentistry, Hong Kong and the Faculty of Dentistry, University of Hong Kong, Chulalongkorn University, Bangkok, Thailand; Center of Excellence in Genomics and Precision Dentistry, Department of Physiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand; Corresponding author: Faculty of Dentistry Hong Kong, University of Hong Kong, Hospital Road; Faculty of Dentistry, Chulalongkorn University, Henri-Dunant Rd., Bangkok 10330, Thailand.Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah, UAEDepartment of Oral and Craniofacial Health Sciences, College of Dental Medicine, University of Sharjah, Sharjah, UAECenter of Excellence in Genomics and Precision Dentistry, Department of Physiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, ThailandFungi present in Dental Unit Water (DUW) can pose a health hazard to patients and dental personnel. Yet, the issue of fungal contamination of DUW and their conduits, DUW Lines (DUWLs) has been poorly addressed despite a growing body of data on the subject. In this comprehensive review, we aim to address this gap by examining the diverse fungal contaminants found in DUW, the challenges associated with controlling their growth within waterline biofilms, and the various measures employed for fungal decontamination. The review underscores the intricate fungal ecosystems that exist within DUWLs and emphasizes the importance of implementing targeted antimicrobial strategies to uphold waterline hygiene. However, it is important to note that complete eradication of fungi in DUWLs has proven elusive, even with the application of disinfectants at varying concentrations, types, and frequencies. This highlights the pressing need for continued research efforts to develop new and optimized treatment protocols that are specifically tailored to eradicate fungi from DUWLs. Finally, it was notable that there are currently no specific regulations by any dental authority on permissible levels of fungi, as opposed to bacteria, in DUWLs. Legislation developed based on our findings can contribute to the standardization of practices and the formulation of effective control strategies for fungal contamination in DUWLs. It can also guide dental professionals in implementing regular monitoring, proper maintenance, and targeted disinfection protocols to minimize fungal contamination and ensure optimal water quality for patient safety.http://www.sciencedirect.com/science/article/pii/S0020653924015892Dental Unit Water Lines (DUWLs)BiofilmsAntimicrobialYeastsMold
spellingShingle Norbert Soboń
Kausar Sadia Fakhruddin
Lakshman Samaranayake
Nabiha Belkacem Remmani
Marwan Mansoor Mohammed
Thantrira Porntaveetus
Mycobiology of Dental Unit Water: A Systematic Scoping Review
International Dental Journal
Dental Unit Water Lines (DUWLs)
Biofilms
Antimicrobial
Yeasts
Mold
title Mycobiology of Dental Unit Water: A Systematic Scoping Review
title_full Mycobiology of Dental Unit Water: A Systematic Scoping Review
title_fullStr Mycobiology of Dental Unit Water: A Systematic Scoping Review
title_full_unstemmed Mycobiology of Dental Unit Water: A Systematic Scoping Review
title_short Mycobiology of Dental Unit Water: A Systematic Scoping Review
title_sort mycobiology of dental unit water a systematic scoping review
topic Dental Unit Water Lines (DUWLs)
Biofilms
Antimicrobial
Yeasts
Mold
url http://www.sciencedirect.com/science/article/pii/S0020653924015892
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