Citation Information :
Nayakar RP, Rane DJ, Patil RA. Evaluation of the Effect of Sterilization and Disinfection of Rotary Diamond Burs on their Cutting Efficiency: An in vitro Study. World J Dent 2018; 9 (2):95-100.
Aim: This study aims to evaluate the effect of sterilization and disinfection of rotary diamond burs on their cutting efficiency.
Materials and methods: A total of 20 freshly extracted intact premolar teeth were subjected to tooth preparation using rotary diamond burs. Group I (n = 10) teeth were subjected to electroplated burs and group II (n = 10) teeth were subjected to welded diamond and vacuum diffusion technology (WDVDT) burs. They were further subdivided into two subgroups, groups I1 and I2, and II1 and II2 (n = 5 each), depending on different sterilization procedures. Each bur was then subjected to the stereomicroscopic examination, preusage and after the first usage, 5th and 10th subsequent usages. Each tooth was also measured for its weight using a digital weighing machine (preand post-preparation) to assess the cutting efficiency.
Results: On statistical comparison, the results of the study revealed that there is a definitive correlation between groups I and II specimens (p = 0.0002*, F = 17.7172). However, there was no statistical significance observed within the subgroups (p = 1.0000, F = 0.00001).
Conclusion: The conventional electroplated burs, when subjected to different sterilization procedures, resulted in greater structural alterations with a reduced cutting efficiency when compared with WDVDT burs.
Clinical significance: Diamond rotary burs should be sterilized and disinfected to prevent cross-contamination between the dentist and dental personnel. However, different sterilization and disinfection methods can have undesirable effects on the ability of the burs to effectively reduce the tooth structure. Irrespective of the type of bur and sterilization process used, the cutting efficiency decreases.
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