Managing Saliva and Surface Contamination in Dental Clinics: A Hypochlorous acid -Based Approach to Sustainable Infection Control
DOI:
https://doi.org/10.17159/sadj.v80i05.20784Keywords:
Hypochlorous acid, Infection control, Sustainable disinfectants, Surface contamination, Eco-friendly disinfectants, SDG 3 (Good Health and Well-Being), SDG 12 (Responsible Consumption and Production)Abstract
Effective microbial control in dental clinics is crucial to preventing healthcare-associated infections, particularly during aerosol-generating procedures. This study evaluates the efficacy of vaporized hypochlorous acid (HOCl) in reducing microbial contamination from saliva on surfaces under various conditions. This study aligns with the Sustainable Development Goals (SDGs) by contributing
to SDG 3 (Good Health and Well-Being) and SDG 12(Responsible Consumption and Production). This novel
disinfection technique promotes sustainable, eco-friendly
disinfectant solutions by offering an alternative to harsher
disinfectants.
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References
1. Van der Weijden F. (2023). Aerosol in the oral health-care setting: a misty topic. Clinical oral investigations, 27(Suppl 1), 23–32. https://doi.org/10.1007/s00784-023-05034-x DOI: https://doi.org/10.1007/s00784-023-05034-x
2. Lahdentausta, L., Sanmark, E., Lauretsalo, S., Korkee, V., Nyman, S., Atanasova,N., Oksanen, L., Zhao, J., Hussein, T., Hyvärinen, A., & Paju, S. (2022). Aerosol concentrations and size distributions during clinical dental procedures. Heliyon, 8(10). https://doi.org/10.1016/ J.HELIYON.2022.E11074 DOI: https://doi.org/10.1016/j.heliyon.2022.e11074
3. Malmgren, R., Välimaa, H., Oksanen, L., Sanmark, E., Nikuri, P., Heikkilä, P., Hakala,J., Ahola, A., Yli-Urpo, S., Palomäki, V., Asmi, E., Sofieva, S., Rostedt, A., Laitinen, S.,Romantschuk, M., Sironen, T., Atanasova, N., Paju, S., & Lahdentausta-Suomalainen,L. (2023). High-volume evacuation mitigates viral aerosol spread in dental procedures.Scientific Reports 2023 13:1, 13(1), 1–8. https://doi.org/10.1038/s41598-023-46430-3 DOI: https://doi.org/10.1038/s41598-023-46430-3
4. World Health Organisation. (2021). Hypochlorous acid: Expert review for the 202 Essential Medicines List. World Health Organisation.
5. Cerghizan, D., Jánosi, K. M., Ciurea, C. N., Popelea, O., Baloș, M. D., Crăciun, A. E.,Hantoiu, L. G., & Albu, A. I. (2023). The efficacy of three types of disinfectants on themicrobial flora from the surface of impression materials used in dentistry—An in vitrostudy. Applied Sciences, 13(2), 1097. https://doi.org/10.3390/app13021097
6. Matys, J., Gedrange, T., Dominiak, M., & Grzech-Leśniak, K. (2023). QuantitativeEvaluation of Aerosols Produced in the Dental Office during Caries Treatment:A Randomized Clinical Trial. Journal of Clinical Medicine, 12(14). https://doi.org/10.3390/JCM12144597 DOI: https://doi.org/10.3390/jcm12144597
7. Centers for Disease Control and Prevention (CDC). (2024). Chemical disinfectants:Disinfection & sterilization guidelines. Retrieved from https://www.cdc.gov
8. World Health Organisation (WHO). (2024). Cleaning and disinfection of environmental surfaces in the context of COVID-19. Retrieved from
9. Mupparapu, M., & Kothari, K. R. M. (2019). Review of surface disinfection protocolsin dentistry: A 2019 update. Quintessence International, 50(1), 58–65. https://doi.org/10.3290/j.qi.a41337
10. Allison, J. R., Currie, C. C., Edwards, D. C., Bowes, C., Coulter, J., Pickering, K.,Kozhevnikova, E., Durham, J., Nile, C. J., Jakubovics, N., Rostami, N., & Holliday, R.(2021). Evaluating aerosol and splatter following dental procedures: Addressing new challenges for oral health care and rehabilitation. Journal of Oral Rehabilitation, 48(1),61–72. https://doi.org/10.1111/joor.13098 DOI: https://doi.org/10.1111/joor.13098
11. Fujinami, W., Nishikawa, K., Ozawa, S., Hasegawa, Y., & Takebe, J. (2021).Correlation between the relative abundance of oral bacteria and Candida albicans indenture and dental plaques. Journal of Oral Biosciences, 63(2), 175–183. https://doi.org/10.1016/j.job.2021.02.003 DOI: https://doi.org/10.1016/j.job.2021.02.003
12. Cerghizan, D., Jánosi, K. M., Ciurea, C. N., Popelea, O., Balos, M. D., Craciun, A. E.,Hanjoiu, L. G., & Albu, A. I. (2023). The efficacy of three types of disinfectants on themicrobial flora from the surface of impression materials used in dentistry—An in vitrostudy. Applied Sciences, 13(2), 1097. https://doi.org/10.3390/app13021097 DOI: https://doi.org/10.3390/app13021097
13. Sinha, D., Kumar, C., Gupta, A., Nayak, L., Subhash, S., & Kumari, R. (2020).Knowledge and practices about sterilization and disinfection. Journal of FamilyMedicine and Primary Care, 9(2), 793–798. https://doi.org/10.4103/jfmpc.jfmpc_1069_19 DOI: https://doi.org/10.4103/jfmpc.jfmpc_1069_19
14. Adachi, T., Kawanishi, N., Ichigaya, N., Sugimoto, M., Hoshi, N., & Kimoto, K.(2022). A preliminary pilot study: Metabolomic analysis of saliva in oral candidiasis.Metabolites, 12(12), 1250. https://doi.org/10.3390/metabo12121294 DOI: https://doi.org/10.3390/metabo12121294
15. Maillard, J. Y., & Centeleghe, I. (2023). How biofilm changes our understanding ofcleaning and disinfection. Antimicrobial Resistance & Infection Control, 12, 95. https://doi.org/10.1186/s13756-023-01290-4 DOI: https://doi.org/10.1186/s13756-023-01290-4
16. Oliveira, I. M., Gomes, I. B., Simões, L. C., & Simões, M. (2024). A review ofresearch advances on disinfection strategies for biofilm control in drinking waterdistribution systems. Water Research, 253, 121273. https://doi.org/10.1016/j.watres.2024.121273 DOI: https://doi.org/10.1016/j.watres.2024.121273
17. Atukorallaya, D. S., & Ratnayake, R. K. (2021). Oral Mucosa, Saliva, and COVID-19Infection in Oral Health Care. Frontiers in medicine, 8, 656926. https://doi.org/10.3389/fmed.2021.656926 DOI: https://doi.org/10.3389/fmed.2021.656926
18. Lauritano, D., Moreo, G., Limongelli, L., Nardone, M., & Carinci, F. (2020).Environmental disinfection strategies to prevent indirect transmission of SARS-CoV-2in healthcare settings. Applied Sciences, 10(18), 6291. https://doi.org/10.3390/app10186291 DOI: https://doi.org/10.3390/app10186291
19. Jasim, Z. M., & Abass, S. M. (2022). The Effect of Hypochlorous Acid Disinfectanton the Reproduction of Details and Surface Hardness of Type III DentalStone. Cureus, 14(11), e32061. https://doi.org/10.7759/cureus.32061 DOI: https://doi.org/10.7759/cureus.32061
20. Cheng-Feng, T., Jia-Jia, C., Shinn-Jyh, D., & Chun-Cheng, C. (2024). In vitrocytotoxicity and antibacterial activity of hypochlorous acid antimicrobial agent. Journalof Dental Sciences, 19(1), 345–356. https://doi.org/10.1016/j.jds.2023.07.007 DOI: https://doi.org/10.1016/j.jds.2023.07.007
21. Gumru, B., Tarcin, B., & Idman, E. (2021). Cross-contamination and infection controlin intraoral digital imaging: a comprehensive review. Oral Radiology, 37(2), 180–188.https://doi.org/10.1007/S11282-020-00452-Z DOI: https://doi.org/10.1007/s11282-020-00452-z
22. Holliday, R., Allison, J. R., Currie, C. C., Edwards, D. C., Bowes, C., Pickering, K.,Reay, S., Durham, J., Lumb, J., Rostami, N., Coulter, J., Nile, C., & Jakubovics, N.(2021). Evaluating contaminated dental aerosol and splatter in an open plan clinicenvironment: Implications for the COVID-19 pandemic. Journal of Dentistry, 105.https://doi.org/10.1016/J.JDENT.2020.103565 DOI: https://doi.org/10.1016/j.jdent.2020.103565
23. Kameda, T., Oka, S., Igawa, J. I., Sakamoto, M., & Terada, K. (2022). Can hypochlorousacid be a powerful sanitizer to replace alcohol for disinfection? -Its bactericidal,degradation of the solutions under various storage condition, and steel rust effects.
Dental materials journal, 41(1), 167–183. https://doi.org/10.4012/dmj.2021-146 DOI: https://doi.org/10.4012/dmj.2021-146
24. Kundra, P., Goswami, S., & Parameswari, A. (2020). Advances in vaporisation: Anarrative review. Indian Journal of Anaesthesia, 64(3), 171. https://doi.org/10.4103/IJA.IJA_850_19 DOI: https://doi.org/10.4103/ija.IJA_850_19
25. Mehendale, F. V., Clayton, G., Homyer, K. M., & Reynolds, D. M. (2023). HOCl vsOCl−: clarification on chlorine-based disinfectants used within clinical settings. Journalof Global Health Reports, 7, e2023052. https://doi.org/10.29392/001C.84488 DOI: https://doi.org/10.29392/001c.84488
26. Merk (2024) Merk XTT Available at: https://www.sigmaaldrich.com/ZA/en/product/roche/11465015001 (Accessed 5 December 2024)
27. Motwani, N., Ikhar, A., Chandak, M., & Gondivkar, S. (2021). Disinfection Measuresduring COVID-19 for Dental Operatories. The Open Dentistry Journal, 14(1), 305–309.https://doi.org/10.2174/1874210602115010305 DOI: https://doi.org/10.2174/1874210602115010305
28. Mupparapu, M., & Kothari, K. R. M. (2019). Review of surface disinfection protocols indentistry: a 2019 update. Quintessence International (Berlin, Germany : 1985), 50(1),58. https://doi.org/10.3290/J.QI.A41337
29. Nguyen, K., Bui, D., Hashemi, M., Hocking, D. M., Mendis, P., Strugnell, R. A.,& Dharmage, S. C. (2021). The Potential Use of Hypochlorous Acid and a SmartPrefabricated Sanitising Chamber to Reduce Occupation-Related COVID-19Exposure. Risk Management and Healthcare Policy, 14, 247. https://doi.org/10.2147/RMHP.S284897 DOI: https://doi.org/10.2147/RMHP.S284897
30. WHO. (2020). Cleaning and disinfection of environmental surfaces in the context ofCOVID-19: interim guidance, 15 May 2020. Accessed in 15.5.2024. https://iris.who.int/handle/10665/332096
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