Review Article

Sterilisation in Dentistry: A Review of the Literature

Table 2

The complete list of the 15 articles eligible for the qualitative analysis, with an appropriate description of their topics and their results.

Author(s) and date of publicationTitlePaperType of studyTopic/results of the study

Condrin, 2014 [1]Disinfection and Sterilisation in DentistryTexas Dental JournalReviewReview of the literature

Arancegui, 1994 [3]Biological Safety in Dentistry: Development of a Useful Method for Quality Control of SterilisationRevista Argentina de MicrobiologíaIn vitro study534 autoclave cycles tested. The results showed that 86.90% of the autoclaves lacked thermometers, 76.60% lacked manual thermostats, 83.33% were automatic and 58.80% did not sterilise

Ling, 2018 [5]APSIC Guidelines for Disinfection and Sterilisation of Instruments in Health-Care FacilitiesAntimicrobial Resistance & Infection ControlGuidelinesGuidelines for disinfection and sterilisation of instruments in health-care facilities

Chidambaranathan, 2017 [6]Comprehensive Review and Comparison of the Disinfection Techniques Currently Available in the LiteratureJournal of ProsthodonticsReviewThis article critically analyzes the various published methods of dental impression disinfection in dentistry

Lacerda, 2015 [9]Evaluation of Two Disinfection/Sterilisation Methods on Silicon Rubber-Based Composite Finishing InstrumentsAmerican Journal of DentistryIn vitro studyBoth sterilisation/disinfection methods were efficient against oral cultivable organisms, and no deleterious modification was observed to point surface

Costa, 2017 [11]Alcohol Fixation of Bacteria to Surgical Instruments Increases Cleaning Difficulty and May Contribute to Sterilisation InefficacyAmerican Journal of Infection ControlIn vitro studyTreating contaminated instruments with alcohol, drying them, or soaking them in water for prolonged periods increases cleaning difficulty and should be discouraged

Healy, 2004 [19]Autoclave Use in Dental Practice in the Republic of IrelandInternational Dental JournalIn vitro studyTo assess, by postal questionnaire, cross-infection control methods, especially sterilisation procedures, of 700 general dental practitioners in the Republic of Ireland and to biologically monitor steam pressure sterilizers or autoclaves in their practices

Edwardsson, 1983 [20]Steam Sterilisation of Air-Turbine Dental HandpiecesActa Odontologica ScandinavicaIn vitro studyThe results indicate that the instrument autoclaves with built-in programs for 120–124°C/20 min and 134–136 C/10 min could have insufficient capacity to sterilise lubricated or unlubricated dental handpieces

Andersen, 1999 [15]Effect of Steam Sterilisation inside the Turbine Chambers of Dental TurbinesOral Surgery, Oral Medicine, Oral Pathology, and Oral RadiologyIn vitro studyResults indicate that cleaning before sterilisation is essential for safe use of high-speed dental turbines and that small nonvacuum autoclaves should be carefully evaluated before being used for the reprocessing of hollow instruments such as high-speed turbines

Palenik, 1994 [16]Effectiveness of Two Types of Sterilisation on the Contents of Sharps ContainersAmerican Journal of DentistryIn vitro studyThe purpose of this study was to evaluate the killing effect that a gravity steam autoclave or a high-vacuum steam sterilizer or an unsaturated chemical vapor sterilizer had on endospores present on strips or their effect if applied to dental needles within three sizes of sharps containers

Sheldrake, 1995 [17]Effectiveness of Three Types of Sterilisation on the Contents of Sharps ContainersQuintessence InternationalIn vitro studyThe purpose of this study was to test the effect of treatment in a gravity steam autoclave, high-vacuum steam autoclave, or an unsaturated chemical vapor sterilizer on endospores present on strips or placed inside of dental anaesthetic cartridges held within sharps containers

Thomas, 2005 [46]Methods of Dental Instrument Processing, Sterilisation, and Storage: A ReviewTexas Dental JournalReviewReview of the literature
Smith, 2007 [22]Sterilisation of ReUsable Instruments in General Dental PracticeBritish Dental JournalReviewTo examine the methods used for sterilisation of reusable instruments in general dental practice, including the installation, commissioning, and testing of benchtop steam sterilizers

Mathivanan, 2017 [23]Evaluation of Efficiency of Different Decontamination Methods of Dental Burs: An In Vivo StudyJournal of Pharmacy and Bioallied SciencesIn vitro studyThe present study was done to quantitatively and qualitatively assess the pathogenic contamination of dental burs used for tooth preparation and to determine the effective method of sterilisation (autoclave, glass bead sterilizer, hot air oven, and surgical spirit immersion) of burs used for crown preparation

Apinhasmit, 2003 [24]Effects of Autoclave Sterilisation on Properties of Dental Rubber Dam as Related to Its Use as Barrier Membrane in Guided Tissue RegenerationJournal of Periodontal ResearchIn vitro studyThese results suggest that the autoclave sterilisation deteriorated the physical properties of rubber dams even though they seemed to be compatible to the cultured human cells. Therefore, the sterilisation method should be taken into consideration when rubber dams are utilized as barrier membranes