title: Effects of a small electric current on sterilization of a dental unit water line.
abstract: In the present study, water was circulated in a simulated dental unit water line with electrifying a small current. The morphology of the biofilm developed on inner surface of the water line and the number of heterotrophic bacteria were investigated to elucidate the effect of a low level electric current on the biofilms formation associated with bacteria reproduction. Destruction and malconformation of biofilms by electrification was observed using SEM, in addition to deformation and hypertrophy of the bacteria. By naked eye observation, small pieces, which were possibly exfoliated biofilms, were detected in electrified water. While an adherent, yellow gel was demonstrated on the inner surface of the water line without electrification. With electrification, the number of bacteria decreased during the first week, however the bacteria increased gradually after that. The number of bacteria without electrification was consistently greater than that with electrification and the difference was statistically significant (P<0.05). The predominant bacteria were identified as Sphingomonas paucimobilis. The excess chlorine levels decreased to a minimum value within one week. The small current appeared to have effects on biofilm formation of heterotrophic bacteria that resulted in enhanced chlorine sterilization of dental unit water. Thus, electrification has considerable potential for the extermination of bacterial biofilms in dental unit water lines.
authors.affiliation: General Dentistry, Department of Comprehensive Oral Health Care, Division of Comprehensive Patient Care, Graduate School, Tokyo Medical and Dental University, Japan. takayuki.gend@tmd.ac.jp
authors.forename: Takayuki
authors.initials: T
authors.lastname: Tanahashi
authors.forename: Ken-ichi
authors.initials: K
authors.lastname: Tonami
authors.forename: Kouji
authors.initials: K
authors.lastname: Araki
authors.forename: Norimasa
authors.initials: N
authors.lastname: Kurosaki
mesh_terms: D018441:Biofilms / Q000254:growth & development; D017606:Chlorine Compounds / Q000008:administration & dosage / Q000627:therapeutic use; D015169:Colony Count, Microbial; D019551:Dental Disinfectants / Q000008:administration & dosage / Q000627:therapeutic use; D003748:Dental Equipment / Q000382:microbiology*; D004560:Electricity; D004866:Equipment Contamination / Q000517:prevention & control; D006801:Humans; D008422:Materials Testing; D008855:Microscopy, Electron, Scanning; D020578:Sphingomonas / Q000502:physiology; D013242:Sterilization / Q000379:methods*; D013499:Surface Properties; D014871:Water Microbiology; D018508:Water Purification
chemical_list: D017606:Chlorine Compounds; D019551:Dental Disinfectants