A survey of the use of matrix bands and their decontamination in general dental practice

Lowe, A H; Burke, F. J. T.; McHugh, S.; Bagg, J.

doi:10.1038/sj.bdj.4801286

Cited by 15 publications

(18 citation statements)

References 7 publications

(4 reference statements)

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“…This shows that there has been a considerable improvement in glove wearing over 15 years as Evans 4 found only 21% of British orthodontists wore gloves for all patients and 33% never wore gloves. This figure is also comparable with a recent report that 91% of Scottish general dental practitioners 7 wore gloves for all procedures. Compliance with the wearing of masks and eye protection for clinicians, especially dental nursing assistants was lower than with glove wearing, although eye protection was provided for the majority of patients.…”

Section: Discussionsupporting

confidence: 81%

“…This compares favorably with the 92% of Scottish GDPs who provide formal training for their nurses. 7 The majority of orthodontists in the survey were complying with the decontamination guidelines for their instruments. 1 It is considered essential to remove blood and saliva before placement in an autoclave otherwise Figure 4 Reasons given by specialists for not discarding orthodontic molar bands after trying them for size (more than one answered allowed) (x axis5methods used by respondents; y axis5% respondents) the effectiveness of the sterilization procedure is reduced.…”

Section: Discussionmentioning

confidence: 99%

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Molar Band Re-use and Decontamination: a survey of specialists

Dowsing

Benson²

2006

Journal of Orthodontics

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Objective: To determine the pattern of use and re-use of orthodontic molar bands, and examine infection control measures in a sample of UK orthodontists.Design: Questionnaire survey. Subjects and methods:Questionnaires were sent to 204 individuals selected at random from the UK Specialist Orthodontist list. Follow-up questionnaires were sent to those that had not replied within 8 weeks. An overall response rate of 74.5% was achieved. Main outcome measures:Orthodontic band use and re-use and cross-infection control.Results: The reported rates of pre-sterilization cleaning and sterilization of orthodontic instruments were 92 and 100%, respectively. Of the respondents, 90% were using bands for molar teeth with the remainder routinely used bonded attachments. Most clinicians (95%) using bands routinely re-used them after being tried-in with 5% discarding them. Pre-sterilization cleaning of re-used molar bands was carried out by 92% of respondents who reclaimed bands. Sterilization of these bands was then carried out by most specialists apart from 2. Conclusions:The majority of UK specialist orthodontists who responded to the questionnaire are adhering to universal precautions for cross-infection control and are carrying out approved decontamination procedures. The majority are also reusing orthodontic bands that have been tried in the mouth, but found to be the wrong size. The great diversity of reported procedures for decontamination of instruments and bands suggest that more research is required to provide guidelines into the most effective method.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Molar Band Re-use and Decontamination: a survey of specialists

Dowsing

Benson²

2006

Journal of Orthodontics

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“…However, the need for more detailed practical guidance to dental personnel on implementation of the technical requirements implicit in high quality decontamination cannot be overstressed. 18,19 . Although guidance has been issued 20 recommending that the matrix bands must not be re-used there are a number of practitioners who continue to decontaminate and re-use assembled bands for treatment of multiple patients.…”

Section: Resultsmentioning

confidence: 99%

Decontamination in primary care practice - a curate's egg, good in most parts

Martin¹

2008

Br Dent J

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“…The Siqveland matrix is currently the most popular choice in general dental practice 12 and the findings of this study are therefore applicable to a large number of practising clinicians. When compared with other systems, the intricate design of Siqveland matrices may facilitate the ingress of fluid into the internal surfaces and reduce effectiveness of cleaning procedures.…”

Section: Discussionmentioning

confidence: 98%

“…In Scotland, the Siqveland matrix band is used by most dental practices 12 and dental teaching institutions. It comprises a thin steel…”

Section: And S Mchughmentioning

confidence: 99%

A study of blood contamination of Siqveland matrix bands

Lowe¹,

Bagg²,

Burke

et al. 2002

Br Dent J

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AimsTo use a sensitive forensic test to measure blood contamination of used Siqveland matrix bands following routine cleaning and sterilisation procedures in general dental practice. Materials and methods Sixteen general dental practices in the West of Scotland participated. Details of instrument cleaning procedures were recorded for each practice. A total of 133 Siqveland matrix bands were recovered following cleaning and sterilisation and were examined for residual blood contamination by the Kastle-Meyer test, a wellrecognised forensic technique. Results Ultrasonic baths were used for the cleaning of 62 (47%) bands and retainers and the remainder (53%) were hand scrubbed prior to autoclaving. Overall, 21% of the matrix bands and 19% of the retainers gave a positive Kastle-Meyer test, indicative of residual blood contamination, following cleaning and sterilisation. In relation to cleaning method, 34% of hand-scrubbed bands and 32% of handscrubbed retainers were positive for residual blood by the Kastle-Meyer test compared with 6% and 3% respectively of ultrasonically cleaned bands and retainers (P < 0.001). Conclusions If Siqveland matrix bands are re-processed in the assembled state, then adequate pre-sterilisation cleaning cannot be achieved reliably. Ultrasonic baths are significantly more effective than hand cleaning for these items of equipment.

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A survey of the use of matrix bands and their decontamination in general dental practice

Cited by 15 publications

References 7 publications

Molar Band Re-use and Decontamination: a survey of specialists

Molar Band Re-use and Decontamination: a survey of specialists

Decontamination in primary care practice - a curate's egg, good in most parts

A study of blood contamination of Siqveland matrix bands

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