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Fulltext Light Curing Units: Tips For Orthodontists

Radzi, Z., Yahya, N.A., Zamzam, N., Wood, D.J.

Ann Dent, 2004;11(1):-.
MyJurnal

Choosing the right light-curing unit can be a very difficult task for some orthodontists. Currently, there are various types of light curing units available in the market with various trade names and specifications. Most of the time information regarding light curing units is obtained from advertisements, websites or manufacturers’ catalogues. Sometimes such information can be misleading. This article attempts to provide several tips for orthodontists in selecting light curing units.

Matched MeSH terms: Dental Equipment
Fulltext Fake braces by quacks in Malaysia: an expert opinion

Nor Azlida Mohd Nor, Zamros Yuzadi Mohd Yusof, Wan Nurazreena Wan Hassan, Mohd ZambriMohamed Makhbul

Ann Dent, 2020;27(1):33-40.
MyJurnal

Dental quackery has been a problem for decades and is becoming a major concern in many countries, including Malaysia. Recent development of a new service offered by quacks in Malaysia is “fake braces”, which alarmed dental professionals. The fake braces appear similar to the professionally fitted orthodontic appliances comprising of archwires that are secured on brackets by coloured ligatures except they are fitted by unqualified individuals who have no formal clinical training. In addition, the orthodontic materials and dental equipment used for this illegal service were substandard and unregulated. Therefore, such fitted appliances are harmful to the teeth and oral health. Efforts to record the extent of fake braces practice and its oral health consequences have been challenging as they are marketed through the social media, and the victims were either reluctant to come forward or did not know the appropriate channel to file a complaint to the health authority. This is an expert opinion paperwith theaimsto highlight typical presentation of fake braces, modus operandi of fake braces providers, the harmful effects of fake braces on the patient’s oral health, the role of social media advertising in promoting fake braces, and the impacts to the illegal providers.

Matched MeSH terms: Dental Equipment
Fulltext A survey on light intensity outputs of QTH, cabled and cordless LED light curing units

Athirah Ab Rahman, Adam Husein, Hany Mohamed Aly Ahmed, Dasmawati Mohamad, Wan Zaripah Wan Bakar, Manal Farea, et al.

Archives of Orofacial Sciences, 2014;9(2):85-90.
MyJurnal

Light intensity output is one of the determinants for adequate curing of visible light-cured materials. The aim of this survey was to evaluate the light intensity outputs (LIOs) of light curing units (LCUs) in dental clinics of Hospital Universiti Sains Malaysia (HUSM) and School of Dental Sciences, Universiti Sains Malaysia (USM). The respective LIOs of all functioning Quartz Tungsten Halogen (QTH) and Light Emitting Diode (LED) LCUs were tested using two light radiometers. For cordless LED LCUs, the testing procedure was done in situ and after being fully charged. Statistical analysis using Kruskal Wallis and Wilcoxon signed ranks tests were performed to compare the LIOs between groups and between the LIOs of in situ and post-charged cordless LED LCUs, respectively. The level of significance was set at 0.05 (p

Matched MeSH terms: Dental Equipment
Fulltext The effect of dental unit waterline flushing on the quality of water in dental teaching center in Malaysia

Sa’adiah Shahabudin, Rohayu Hami, Lim, Lee-Sim, Amalina Salleh

Journal of Biomedical and Clinical Sciences, 2018;3(1):72-74.
MyJurnal

The aim of this study to assess the efficiency of flushing
method of Dental Unit Waterline (DUWL) system in reducing the
number of microorganism. Water samples were taken before and after
two minutes of flushing from air-water syringes system in ten randomly
selected dental units in a Dental Teaching Centre. These samples
were immediately transferred to the microbiology laboratory in the cool
box within 8 hours for the heterotrophic plate count (HPC) test. Paired
t-test was used to analyse number of microbe before and after flushing.
The numbers of colony forming unit (CFU) ranged from 13,000 to
120,000CFU/ml in unflushed samples, and 3,000 to 15,000CFU/ml in
flushed samples. The mean HPC post-flushing was lower than preflushing [8360.00 (4561.48) vs 63300.00 (44587.12) CFU/ml]. The
mean HPC between pre- and post-flushing was significantly different
(P=0.004, 95% CI 22039.52, 87840.48). The coliform count from the
control was 140 CFU/ml. In conclusion, flushing method of DUWL
system significantly reduces the number of microorganisms in the
dental unit. However, the level of microorganisms still does not meet
the standard guideline by Environmental Protection Agency for safe
drinking water, which should be below 500 CFU/ml. In our opinion, the
duration of flushing should be increased and additional chemical
treatments of the dental units should be implemented to ensure the
safety of patients and dental personnel.

Matched MeSH terms: Dental Equipment
Effect of various infection-control methods for light-cure units on the cure of composite resins

Chong SL, Lam YK, Lee FK, Ramalingam L, Yeo AC, Lim CC

Oper Dent, 1998 Mar-Apr;23(3):150-4.
PMID: 9656927

This study (1) compared the curing-light intensity with various barrier infection-control methods used to prevent cross contamination, (2) compared the Knoop hardness value of cured composite resin when various barrier control methods were used, and (3) correlated the hardness of the composite resin with the light-intensity output when different infection-control methods were used. The light-cure unit tips were covered with barriers, such as cellophane wrap, plastic gloves, Steri-shields, and finger cots. The control group had no barrier. Composite resins were then cured for each of the five groups, and their Knoop hardness values recorded. The results showed that there was significant statistical difference in the light-intensity output among the five groups. However, there was no significant statistical difference in the Knoop hardness values among any of the groups. There was also no correlation between the Knoop hardness value of the composite resin with the light-intensity output and the different infection-control methods. Therefore, any of the five infection-control methods could be used as barriers for preventing cross-contamination of the light-cure unit tip, for the light-intensity output for all five groups exceeded the recommended value of 300 W/m2. However, to allow a greater margin of error in clinical situations, the authors recommend that the plastic glove or the cellophane wrap be used to wrap the light-cure tip, since these barriers allowed the highest light-intensity output.

Matched MeSH terms: Dental Equipment
Green dentistry: the art and science of sustainable practice

Mulimani P

Br Dent J, 2017 Jun 23;222(12):954-961.
PMID: 28642517 DOI: 10.1038/sj.bdj.2017.546

Dentistry is highly energy and resource intensive with significant environmental impact. Factors inherent in the profession such as enormous electricity demands of electronic dental equipment, voluminous water requirements, environmental effects of biomaterials (before, during and after clinical use), the use of radiation and the generation of hazardous waste involving mercury, lead etc have contributed towards this. With rising temperatures across the world due to global warming, efforts are being made worldwide to mitigate the effects of environmental damage by resorting to sustainability concepts and green solutions in a myriad of ways. In such a scenario, a professional obligation and social responsibility of dentists makes it imperative to transform the practice of dentistry from a hazardous to a sustainable one, by adopting environmental-friendly measures or 'green dentistry'. The NHS in the UK has been proactive in implementing sustainability in healthcare by setting targets, developing guidance papers, initiating steering groups to develop measures and implementing actions through its Sustainable Development Unit (SDU). Such sustainable frameworks, specific to dentistry, are not yet available and even the scientific literature is devoid of studies in this field although anecdotal narratives abound. Hence this paper attempts to present a comprehensive evaluation of the existing healthcare sustainability principles, for their parallel application in the field of dentistry and lays out a blueprint for integrating the two main underlying principles of sustainability - resource use efficiency and eliminating or minimising pollution - in the day-to-day practice. The article also highlights the importance of social values, community care, engaging stakeholders, economic benefits, developing policy and providing leadership in converting the concept of green dentistry into a practised reality.

Matched MeSH terms: Dental Equipment
Fulltext Cost analysis of periodontitis management in public sector specialist dental clinics

Mohd-Dom T, Ayob R, Mohd-Nur A, Abdul-Manaf MR, Ishak N, Abdul-Muttalib K, et al.

BMC Oral Health, 2014 May 20;14:56.
PMID: 24884465 DOI: 10.1186/1472-6831-14-56

BACKGROUND: The objective of this paper is to quantify the cost of periodontitis management at public sector specialist periodontal clinic settings and analyse the distribution of cost components.
METHODS: Five specialist periodontal clinics in the Ministry of Health represented the public sector in providing clinical and cost data for this study. Newly-diagnosed periodontitis patients (N = 165) were recruited and followed up for one year of specialist periodontal care. Direct and indirect costs from the societal viewpoint were included in the cost analysis. They were measured in 2012 Ringgit Malaysia (MYR) and estimated from the societal perspective using activity-based and step-down costing methods, and substantiated by clinical pathways. Cost of dental equipment, consumables and labour (average treatment time) for each procedure was measured using activity-based costing method. Meanwhile, unit cost calculations for clinic administration, utilities and maintenance used step-down approach. Patient expenditures and absence from work were recorded via diary entries. The conversion from MYR to Euro was based on the 2012 rate (1€ = MYR4).
RESULTS: A total of 2900 procedures were provided, with an average cost of MYR 2820 (€705) per patient for the study year, and MYR 376 (€94) per outpatient visit. Out of this, 90% was contributed by provider cost and 10% by patient cost; 94% for direct cost and 4% for lost productivity. Treatment of aggressive periodontitis was significantly higher than for chronic periodontitis (t-test, P = 0.003). Higher costs were expended as disease severity increased (ANOVA, P = 0.022) and for patients requiring surgeries (ANOVA, P dental treatment for periodontitis patients at public sector specialist settings were substantial and comparable with some non-communicable diseases. These findings provide basis for identifying potential cost-reducing strategies, estimating economic burden of periodontitis management and performing economic evaluation of the specialist periodontal programme.

Matched MeSH terms: Dental Equipment/economics