Background: This study explores the effectiveness and in vitro safety of chlorine dioxide disinfectants in the disinfection of dental chair unit waterlines (DUWLs). DUWLs are prone to biofilm formation and bacterial proliferation due to their unique structure and usage, necessitating efficient disinfection methods to ensure diagnostic and treatment safety.The study aims to assess the effectiveness of chlorine dioxide disinfectants in removing biofilms of Staphylococcus aureus and Escherichia coli in DUWLs, while also examining their impact on cell safety and metal corrosion for dental practice use.
Materials:Chlorine dioxide disinfectants at concentrations of 5, 20, and 80 mg/L were used to treat biofilms of S. aureus and E. coli cultured in DUWLs. The disinfection effectiveness was assessed through bacterial counts and culturing. Simultaneously, human skin fibroblast cells were treated with the disinfectant to observe changes in cell morphology and cytotoxicity. Additionally, the study included corrosion tests on various metals (carbon steel, brass, stainless steel, aluminum, etc.).
Results: Experimental results showed that chlorine dioxide disinfectants at concentrations of 20 mg/L and 80 mg/L significantly reduced the bacterial count of S. aureus and E. coli, indicating effective disinfection. In terms of cytotoxicity, higher concentrations were more harmful to cellular safety, but even at 80 mg/L, the cytotoxicity of chlorine dioxide remained within controllable limits. Corrosion tests revealed that chlorine dioxide disinfectants had a certain corrosive effect on carbon steel and brass, and the degree of corrosion increased with the concentration of the disinfectant.
Conclusion: The study demonstrates that chlorine dioxide disinfectants at certain concentrations significantly eradicate bacterial biofilms in DUWLs. However, they also present certain cytotoxicity and metal corrosiveness, necessitating consideration of these potential safety issues during use.