TY - JOUR
T1 - Effectiveness and safety of low-concentrated ozonized water for the reduction of contamination in dental unit water lines
AU - Okubo, Keisuke
AU - Ito, Takashi
AU - Shiota, Yasuyoshi
AU - Kawata, Yusuke
AU - Yamamoto, Tadashi
AU - Takashiba, Shogo
N1 - Funding Information:
This work was supported by Organization for Research Promotion & Collaboration in Okayama University. The authors are grateful to Mr. Takashi Tonomura (Sakuragawa Pump Co. Ltd. Osaka, Japan), Mr. Ichiro Yamamoto, and Mr. Hajime Mizutani (Takara Belmont Co. Ltd. Osaka, Japan) for their cooperation.
Funding Information:
This work was supported by Organization for Research Promotion & Collaboration in Okayama University .
Publisher Copyright:
© 2019 The Authors
PY - 2019/8
Y1 - 2019/8
N2 - Contamination of dental unit waterlines (DUWL) with heterotrophic bacteria can cause problems in immune compromised patients (aged, tumor and organ transplantation-patients). We focused on the use of low-concentrated ozonized water (OZW) as the biofilm formation restraint system for DUWL. Here, we examined the effects of low-concentrated OZW on the growth of bacteria and related biofilm formation and harmfulness to dental unit components (DUCs) in vitro. Objectives: To evaluate the bactericidal effects of OZW on biofilms in DUWL and DUC in vitro. Methods: Low-concentrated OZW (0.4 mg/L) was generated using an OZS-PTDX generator. Heterotrophic bacterial biofilms in old DUWL tubes and Candia albicans solution (control microbe) were treated with OZW for 1 h with gentle agitation before static culturing for 96 h in Reasoner's 2A liquid media. The control solutions were 0.1% cetylpyridinium chloride (CPC), chlorinated tap water (TW), and phosphate-buffered saline (PBS). Adenosine triphosphate (ATP) amounts of the microbes were measured and the biofilms of these microbes were observed using scanning electron microscopy (SEM). Moreover, surfaces of DUC soaked in OZW and TW were observed by SEM. Results: The OZW reduced ATP levels in microbes to 50% compared to TW and PBS treatment, although CPC reduced it below detection limits. SEM observation revealed deformation of microbes cultured with OZW, whereas no changes were seen on DUC surfaces. Conclusions: Low-concentrated OZW is bactericidal against heterotrophic bacteria biofilms and it is not harmful to DUC, suggesting that it might be useful in preventing DUWL contamination.
AB - Contamination of dental unit waterlines (DUWL) with heterotrophic bacteria can cause problems in immune compromised patients (aged, tumor and organ transplantation-patients). We focused on the use of low-concentrated ozonized water (OZW) as the biofilm formation restraint system for DUWL. Here, we examined the effects of low-concentrated OZW on the growth of bacteria and related biofilm formation and harmfulness to dental unit components (DUCs) in vitro. Objectives: To evaluate the bactericidal effects of OZW on biofilms in DUWL and DUC in vitro. Methods: Low-concentrated OZW (0.4 mg/L) was generated using an OZS-PTDX generator. Heterotrophic bacterial biofilms in old DUWL tubes and Candia albicans solution (control microbe) were treated with OZW for 1 h with gentle agitation before static culturing for 96 h in Reasoner's 2A liquid media. The control solutions were 0.1% cetylpyridinium chloride (CPC), chlorinated tap water (TW), and phosphate-buffered saline (PBS). Adenosine triphosphate (ATP) amounts of the microbes were measured and the biofilms of these microbes were observed using scanning electron microscopy (SEM). Moreover, surfaces of DUC soaked in OZW and TW were observed by SEM. Results: The OZW reduced ATP levels in microbes to 50% compared to TW and PBS treatment, although CPC reduced it below detection limits. SEM observation revealed deformation of microbes cultured with OZW, whereas no changes were seen on DUC surfaces. Conclusions: Low-concentrated OZW is bactericidal against heterotrophic bacteria biofilms and it is not harmful to DUC, suggesting that it might be useful in preventing DUWL contamination.
KW - Biofilm
KW - Dental chair unit water line (DUWL)
KW - Heterotrophic bacteria
KW - Low-concentration
KW - Materials science
KW - Ozonized water
UR - http://www.scopus.com/inward/record.url?scp=85070906689&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85070906689&partnerID=8YFLogxK
U2 - 10.1016/j.heliyon.2019.e02306
DO - 10.1016/j.heliyon.2019.e02306
M3 - Article
AN - SCOPUS:85070906689
VL - 5
JO - Heliyon
JF - Heliyon
SN - 2405-8440
IS - 8
M1 - e02306
ER -