Evaluation of Cylindrical Asymmetric Surface Dielectric Barrier Discharge Actuators for Surface Decontamination and Mixing

Surface dielectric barrier discharge (SDBD) was used to evaluate cylindrical plasma actuators for inactivation of Salmonella enterica. A cylindrical SDBD configuration was evaluated to determine if the inherent induced body force could be leveraged to impel plasma species, such as reactive oxygen and nitrogen species (RONS), as an apparatus to sterilize surfaces. The cylindrical structure is evaluated in this study to observe whether an increase in mixing is possible to efficiently distribute the plasma species, thereby improving bacterial inactivation efficiency. The increase in induced airflow of SDBD actuators with increased numbers of electrodes correlates with increased bacterial inactivation. These results suggest that improving the particle velocity, airflow mixing tendencies, and plasma volume for the same power inputs (same net power to the actuators) results in increased surface decontamination efficiency.

The Effect of Implant Surface Design and Their Decontamination Methods in Peri-Implantitis Treatment

Different titanium implant surfaces are prone to microbial colonization and dental plaque accumulation contributing to peri-implantitis pathogens adherence and growth. In conjunction with systemic, local, and implant-based factors such as micro- and macro-designs, implant location, and region, these pathogens can cause a complex inflammatory response resulting in peri-implantitis and deleterious bone loss. Implant surface decontamination plays a crucial and important step in peri-implantitis therapy. The primary goal of implant surface decontamination is to eradicate bacteria and their products outside of implant pits and grooves reducing inflammation and promoting tissue regeneration and/or reparation. Various implant surface decontamination methods such as mechanical, chemical or physical methods have been proposed to prevent bacterial resistance development or/and surface damage. The chapter aimed to assess if implant microdesign could influence the decontamination method choice.

Adjuvant Effect of Titanium Brushes in Peri-Implant Surgical Treatment: A Systematic Review

Background: the prognosis of peri-implant surgery can be affected by poor decontamination of the implant surface, which could be improved with the use of titanium brushes. The objectives of this systematic review were to evaluate the effectiveness of titanium brushes in the decontamination of the implant surface in terms of plaque index, probing depth, bleeding on probing and bone loss/gain; as well as its effectiveness according to the type of peri-implant bone defect. Methods: an electronic search was carried out in the PubMed, Scopus, Cochrane and Embase databases, as well as a manual search. The search strategy included four keywords: “Peri-implantitis”, “Periimplantitis”, “Implant Surface Decontamination” and “Titanium Brush”. Randomized controlled studies published in the last 10 years were included and systematic reviews, in vitro studies and animal studies were excluded. Results: 142 references were found, from which only four articles met the inclusion criteria. All of the studies included in the present review reported beneficial results in terms of probing depth, gingival index and radiographic bone loss and gain after implant surface decontamination adjuvated by titanium brushes. Conclusions: titanium rotary brushes show improvements in the evolution and prognosis of peri-implant surgery, although more long-term studies are needed to draw more solid conclusions.

Accidental Exposure to Ultraviolet-C (UVC) Germicidal Lights: A Case Report and Recommendations in Orthodontic Clinical Settings

An emergent health crisis, coronavirus disease 2019 (COVID-19), has demanded strict disinfection and sterilization protocols to limit the spread. One such approach is the use of ultravioletC (UVC) radiation for surface decontamination in hospital settings. UVC is the most powerful of the UV wavelengths and, therefore, the most damaging. The radiation is used for sterilization of workplaces and objects, and although there is no current evidence, perhaps it may eradicate airborne coronavirus. Humans should not be subjected to this form of irradiation. This form of radiation comes with a health warning, and humans should not be in the vicinity when UVC sterilization is occurring. This case report deals with the unfortunate incidence of an operator affected by UVC radiation while working on a patient in an orthodontic clinic. The article will serve as a timely warning to clinicians that awareness of the safety protocols should be observed. Besides, we present some recommendations for the use of UVC depuration of dental operatories.