Effectiveness of Disinfection in Dental Unit Irrigation Systems Using 5% Sodium Hypochlorite and 15% Peracetic Acid

Authors

DOI:

https://doi.org/10.18537/fouc.v03.n02.a01

Keywords:

sodium hypochlorite, peracetic acid, disinfection, colony-forming unit assay

Abstract

Introduction: In the dental field, the disinfection
of irrigation systems is crucial for eliminating
microbial loads. Objective: To evaluate the disinfection
effectiveness in dental unit irrigation
systems using 5 % sodium hypochlorite and 15
% peracetic acid at the third-level clinic of the
Faculty of Dentistry of the Central University of
Ecuador. Materials and Methods: Experimental,
comparative, in vitro study. The sample
was selected by non-probabilistic convenience
sampling and consisted of 16 dental unit irrigation
systems, which were randomLy assigned to two
groups: Group A: 8 irrigation systems disinfected
with 5 % sodium hypochlorite. Group B: 8 irrigation
systems disinfected with 15 % peracetic acid.
The study was conducted in two phases: Pretest
phase: Collection and analysis of water samples
before disinfection. Posttest phase: Collection
and analysis of water samples after disinfection to
assess process effectiveness. A 20 mL water sample
was taken from the dental chair at the tip of the
triple syringe. Samples were collected in sterile
plastic vials and transported to the UCE Chemistry
Laboratory for processing and plating. Once results
were obtained, statistical analysis was performed.
Results: The initial aerobic mesophilic bacteria
count averaged 7 617.50 ± 13 681.79 CFU/mL. After
disinfection in both groups, no viable microorganisms
were detected. Conclusions: The disinfection process achieved 100 % effectiveness in eliminating microorganisms from dental unit irrigation systems for both disinfectants compared to the initial data

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References

Morillo J, Vega V, Sánchez B, Sánchez Martínez, B. Enfermedades transmitidas por el consumo de agua de mala calidad. Revista Universidad y Sociedad. 2021; 13(S2):513-520 https://www. researchgate.net/publication/355174514_ Enfermedades_transmitidas_por_el_ consumo_de_agua_de_mala_calidad

Campuzano S, Jiménez L, Hernández D. La formación de biopelículas y la calidad del agua en la consulta odontológica. Revista Nova. 2018; 16(29): 39-49.

Ramos M, Valdez G, Luengo J, Reyes H, Alvarez M, Zambrano O. Biofilm: factor etiológico de enfermedades bucales y alternativas para su manejo. Revista Latinoamericana de Ortodoncia y Odontopediatría. 2022: https:// www.ortodoncia.ws/publicaciones/2022/ art-57/

Rivas-Domínguez KS, Ruiz-Jácome XH, Galindo-Reyes EL, Pérez-Mayorga O. Eficacia del Hipoclorito de Sodio en la Desinfección de las Líneas de Agua de la Jeringa Triple de Unidades Dentales. Rev Mex Med Forense, 2021; 5(S3):33-6.

Figueiredo-Filho AO, Bem JS, Weber Sobrinho CR, Souza FBD. Microbiological Water Evaluation from Biofilm Adhered to Dental Unit Waterlines. Int J Odontostomat. 2019; 13(3):357-62.

Díaz CG. La evaluación de la calidad microbiológica del agua en unidades dentales. Revista Cubana de Higiene y Epidemiología. 2009; 47(3). https://revepidemiologia.sld.cu/index. php/hie/article/view/587

Redondo M, Perea B, Labajo E. Dental Unit Waterlines en Odontología. Gaceta dental. 2013; 250:2-14.

World Health Organization. Guías para la calidad del agua de consumo humano: Cuarta edición que incorpora la primera adenda. 2025: https://www.who.int/es/publications/i/ item/9789241549950

Sánchez Ruiz F, Furuya Meguro A, Arroniz Padilla S, Gómez Moreno A, Gómez L. Comparación de la acción bactericida de hipoclorito de sodio y Microcyn. Rev. Odont. Mex. 2009; 13(1): 9-16. https://doi.org/10.22201/ fo.1870199xp.2009.13.1.15613.

Ocampo-Rodríguez DB, Vázquez-Rodríguez GA, Martínez-Hernández S, Iturbe-Acosta U, Coronel-Olivares C. Desinfección del agua: una revisión a los tratamientos convencionales y avanzados con cloro y ácido peracético. Ingeniería del Agua. 2022; 26(3):185-204.

Kyanko MV, Russo ML, Fernández M, Pose G. Efectividad del ácido Peracético sobre la reducción de la carga de Esporas de Mohos causantes de Pudrición Poscosecha de Frutas y Hortalizas.. Información tecnológica. 2010; 21(4):125-30.

Farinelli G, Coha M, Vione D, Minella M, Tiraferri A. Formation of Halogenated Byproducts upon Water Treatment with Peracetic Acid. Environ Sci Technol. 2022; 56(8):5123-31.

Diomedi A, Chacón E, Delpiano L, Hervé B, Jemenao M, Irene M, Medel M, Quintanilla M, Riedel G, Tinoco J, Cifuentes M. Antisépticos y desinfectantes: apuntando al uso racional. Recomendaciones del Comité Consultivo de Infecciones Asociadas a la Atención de Salud, Sociedad Chilena de Infectología. Rev. chil. infectol. 2017; 34( 2 ): 156-174. http://dx.doi. org/10.4067/S0716-10182017000200010.

Marino F, Mazzotta M, Pascale MR, Derelitto C, Girolamini L, Cristino S. First water safety plan approach applied to a Dental Clinic complex: identification of new risk factors associated with Legionella and P. aeruginosa contamination, using a novel sampling, maintenance and management program. J Oral Microbiol. 2023;15(1):2223477.

Bayani M, Raisolvaezin K, Almasi-Hashiani A, Mirhoseini SH. Bacterial biofilm prevalence in dental unit waterlines: a systematic review and meta-analysis. BMC Oral Health. 2023; 23(1):158.

Khajezadeh M, Mohseni F, Khaledi A, Firoozeh A. Contamination of dental unit water lines (DUWL) with Legionella pneumophila and Pseudomonas aeruginosa; A Middle East systematic review and meta-analysis. Eur J Microbiol Immunol (Bp). 2023; 12(4):93-9.

Mohammadi Z. Sodium hypochlorite in endodontics: an update review. Int Dent J. 2008; 58(6):329-41.

Chang Calderin O, Álvarez González Y, Toaquiza Gallo D, Murillo Pulgar T. Hipoclorito de sodio al 5 % Vs digluconato de clorhexidina. Desinfectantes antimicrobianos del sistema de irrigación odontológico. Revista Eugenio Espejo. 2018; 12(1), 44-52. https://doi. org/10.37135/ee.004.04.05

Qiu Y, Xu J, Xu Y, Shi Z, Wang Y, Zhang L, Fu B. Disinfection efficacy of sodium hypochlorite and glutaraldehyde and their effects on the dimensional stability and surface properties of dental impressions: a systematic review. PeerJ. 2023; 20;11:e14868. 10.7717/peerj.14868.

Patil R, Hindlekar A, Jadhav GR, Mittal P, Humnabad V, Di Blasio M, Cicciù M, Minervini G. Comparative evaluation of effect of sodium hypochlorite and chlorhexidine in dental unit waterline on aerosolized bacteria generated during dental treatment. BMC Oral Health. 2023; 23(1):865. doi: 10.1186/ s12903-023-03585-9.

Gomes BP, Ferraz CC, Vianna ME, Berber VB, Teixeira FB, Souza-Filho FJ. In vitro antimicrobial activity of several concentrations of sodium hypochlorite and chlorhexidine gluconate in the elimination of Enterococcus faecalis. Int Endo. 2023; 34(6):424-8.

Zehnder M. Root canal irrigants. J Endod. 2006; 32(5):389-98.

Boeing, C., Sandten, C., Hrincius, ER., Anhlan, D., Dworog, A., Hanning, S., Kuennemann, T., Niehues, C., Schupp, T., Stec, E., Thume, J., Triphaus, D., Wilkens, M., Uphoff, H., Zuendorf, J., Jacobshagen, A., Kreyenschmidt, M., Ludwig, S., Mertins, HC., Mellmann, A. (2021). “Decontamination of disposable respirators for reuse in a pandemic employing in-situ-generated peracetic acid”. Am J Infect Control. 50(4):420-426. doi: 10.1016/j.ajic.2021.09.017.

Zhang N, Guo J, Liu L, Wu H, Gu J. Study on the Efficacy of Peracetic Acid Disinfectant (Type III) on Gastrointestinal Endoscopy Disinfection. Surg Laparosc Endosc Percutan Tech. 2021; 31(4):395-8.

Published

2025-07-29

How to Cite

Sosa Lema, J. A., & Zambrano Gutiérrez, M. I. (2025). Effectiveness of Disinfection in Dental Unit Irrigation Systems Using 5% Sodium Hypochlorite and 15% Peracetic Acid. Revista De La Facultad De Odontología De La Universidad De Cuenca, 3(2), 6–15. https://doi.org/10.18537/fouc.v03.n02.a01