CREATING A SAFE ENVIRONMENT FOR YOUR PATIENTS, YOUR TEAM AND YOU

CLINICAL RISKS
Like every conscientious dentist, you care about your staff and your patients. You do everything you can to keep your instruments sterile and the working environment safe. Good intentions aside, many dentists do not realize that the water used through the dental unit water line (DUWL) in their office is not even considered safe for drinking under the EPA Safe Water Act.

BACTERIAL RISKS
The environment found in DUWLs encourages growth of biofilm and bacteria. Although the EPA standard for drinking water allows 500 colony forming units of bacteria per ml (cfu/ml) of water, studies have shown that the colony count found in an average dental water supply is in the hundred's of thousands! These bacteria include TB, Legionella pneumonia, E. Coli, Staphylococcus spp., Klebsiella pneumoniae, Salmonella, Moraxella spp. and Pseudomonas aeruginosa1.

ACCOMPANYING RISKS
Because of the bacteria in your dental unit water lines, we can virtually guarantee bacteria are present in the aerosol generated by your dental unit devices. This means they are probably living elsewhere, colonizing in your body or on countertop and equipment surfaces. Studies show that dental teams suffer more respiratory infections than their medical colleagues or the general public. Additionally, an abnormal type of nasal flora found in dental personnel has been linked to exposure to contaminated water lines1. Your practice is at risk should a patient or a member of your dental staff fall ill due to contamination in the workplace.
1. Microbial Biofilm Formation and Contamination of Dental-Unit Water Systems in General Practice, JT Walker, DJ Bradshaw, AM Bennett, MR Fulford, MV Martin, PD Marsh (Published in Applied & Environmental Microbiology August 2000 p. 3363-3367) Microbial Contamination of Dental Unit Waterlines: The Scientific Argument, Dr C Pankhurst, Dr R Woods, Prof N Johnson (International Dental Journal (1998) 48:359-368)

DUWL BIOFILMS ARE DIFFICULT TO REMOVE, RESISTANT TO MOST DISINFECTANTS AND CAN HAVE OVER 100 TIMES THE 500 CFU/ML BACTERIA COUNT LIMIT MANDATED BY THE GOVERNMENT FOR DRINKING WATER.

THE TRANSMISSION OF PATHOGENS TO HEALTHCARE PROVIDERS OCCURS PRIMARILY THROUGH THE INHALATION OF INFECTIOUS AEROSOLS FROM DENTAL UNIT WATER LINES.

BIOFILM CONTINUALLY CONTAMINATE THE DUWLS, MEANING THEY ARE ALSO CONTAMINATING YOU, YOUR STAFF, AND YOUR PATIENTS.

INTRODUCING STERILOX
HELPING TO ELIMINATE RISK
Sterilox is a safe, effective system that goes beyond the ADA and CDC recommended guidelines. The unique patented technology of the Sterilox generator is an innovative electrolytic treatment system. It produces a safe, fast-acting, effective broad spectrum biocide for decontamination of dental unit water lines in a closed bottle system. The Sterilox generator produces hypochlorous acid by means of electrolysis through a proprietary electrochemical cell on-site and on demand. The super-oxidized solution takes colony forming units from thousands to virtually zero. In addition, the solution can be used in its concentrated form as a non-hazardous, hard surface disinfectant with an effectiveness that rivals even the most aggressive (and toxic) disinfectant. And in a 10% solution, Sterilox can safely be used for your dental impressions, breaking the chain of cross contamination!

STERILOX ELECTROCHEMICAL CELL

STERILOX CONCENTRATE

MINIMAL SPACE IS REQUIRED FOR THE 12.7 X 8.11 X 15 STERILOX UNIT FOOTPRINT.

ONE 1 - GALLON BOTTLE OF THE ELECTROLYTIC SOLUTION WILL SUPPLY DISINFECTANT FOR ABOUT 175-250 DENTAL UNIT BOTTLES.

Sterilox Electrolyte Solution

THE STERILOX CONCENTRATE IS EASILY DISPENSED INTO A COLLECTING CONTAINER WITH A TOUCH OF A PANEL BUTTON.

IMPRESSION DECONTAMINATION
DILUTE THE STERILOX CONCENTRATE IN WATER.

DILUTE TO 10% SOLUTION EG: 100ML STERILOX SOLUTION TO ONE LITER OF WATER.

IMMERSE AND SOAK IMPRESSIONS FOR 10 MINUTES AND RINSE.

BAG AND SEAL. REPLACE THE BOTTLE AND CONTINUE TO WORK AS USUAL WITH SAFE STERILOX WATER.

THE STERILOX SOLUTION

Sterilox solution is a safe non-toxic broad spectrum biocide, eliminating the need to use toxic chemicals detrimental to both the dental unit and users. The main active ingredient in Sterilox solution is hypochlorous acid at a concentration of 200ppm of available free chlorine. Sterilox solution has the highest biocidal efficacy in the 5 -6.5 pH range. Hypochlorous acid has been reported to be many times more effective than hypochlorite (bleach) as a biocide. Sterilox solution has approximately 85-98% hypochlorous acid. Sterilox solution can be produced at much lower and safe concentrations than bleach and still be an effective disinfectant. Tests prove Sterilox solution is safe to use, non-toxic, non-sensitizing, non-irritating, non-staining, non-mutogenic and requires no special disposal precautions.
Chlorine (CI2)

Chlorine Species Curve

Sterilox has 85-98% hypochlorous acid

pH
Sterilox (Hypochlorous Acid HOCl)
Hypochlorite (Bleach OCl-)

Useful References
The significance of the bacterial Contamination of Dental Unit Water Systems MV Martin, Br Dent J 1987

of water sample from Dental Unit Water Line Results are shown 20 days after treatment to illustrate continued maintenance of disinfection of water line when using Sterilox protocols.
Evaluation of the antimicrobial activity of new super oxidised water Sterilox for the disinfection of endoscopes. JB Selkon, JR Babb and R Morris. J Hoop Inf (1999) 41:59-70

TYPICAL DIP SLIDE TESTS

Microbial Biofilm Formation and Contamination of Dental-Unit Water Systems in General Dental Practice JT Walker, DJ Bradshaw, AM Bennett, MR Fulford, MV Martin and PD Marsh CAMR Porton Down, Salisbury, SP4 0JG, Dental Practice, Town Street, Shepton Mallet BA45 BE, Department of Clinical Sciences, University of Liverpool, Liverpool L69 3BX and Leeds Dental Institute, Leeds LS2 9LU, UK. (Published in Applied & Environmental Microbiology August 2000 p.3363-3367)
09.06.03 (Before) 30.06.03 (After)

To Examine The Efficacy of Biocides in the Inactivation and Removal of Biofilm in Dental Unit Water Lines JT Walker, President of the Internat. Biodet. Soc. CAMR, Porton Down, Salisbury, SP4 0JG, UK

Causes and Prevention of Microbial Contamination of Dental Unit Water CL Pankhurst, London, UK; RG Woods, Sydney, Australia; NW Johnson, London, UK (FDI Commission approved and first published in the International Dental Journal (1998) 48:359-368)

Sterilox
Organism Adenovirus Aspergillus niger B. subtillis var.niger spores Candida albicans Enterococcus faecalis Escherichia coli HIV Legionella pneumophila MR Staphylococcus aureus (MRSA) Mycobacterium avium intracellulare* Mycobacterium chelonae* Mycobacterium Tuberculosis* Poliovirus Pseudomonas aeruginosa
Hypochlorous acid - a new potential for dentistry

30 sec 5 min 5 min 5 min 30 sec 30 sec 5 min 5 min 30 sec 5 min 5 min 5 min 5 min 5 min

MV Martin Department of Clinical Dental Sciences, University of Liverpool, Liverpool L69 3BX (Published in Dentistry 20.11.03)

Sterilox for controlling CFU and Reducing Biofilms in DUWLs W Zhang, O Onyango, Z Lin, CM Carino, NS Arora, CA Forde, SS Lee, Y Li. (Abstract) J Dent Res 84 (Spec Iss A): 1033, 2005

An investigation of the efficacy of super-oxidised (Optident/Sterilox) water for the disinfection of dental unit water lines MV Martin, MA Gallagher. BR Dent J 2005 Mar;198(6):353-354

Parts of this generator and the proper operation covered by one or more claims in the U.S. by patents including U.S. Patent 6,528,214 and U.S. Patent 6,632,347.

C A L L F O R M O R E I N F O R M AT I O N

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