Evaluation of the antimicrobial effect of silver ion tubing on dental unit waterlines.

PURPOSE: To assess the antimicrobial effects of silver ion tubing (ST) on dental unit waterlines (DUWLs) and their sustainability over time. METHODS: Six dental chair units (DCUs) equipped with ST and four with common tubing (CT) were included in the study. Repeated flushing with phosphate-buffered saline (PBS) was conducted to dislodge biofilms. Then, genetic analysis of the PBS was performed. The tubing was also detached and scanned under a scanning electron microscope (SEM) to observe the adherent biofilm on the lumen walls. RESULTS: Low bacterial levels were noted in both the CT and ST groups, but biofilm attachment was only observed in the CT group. CLINICAL SIGNIFICANCE: Silver ion tubing exhibited high antibacterial activity by reducing the colonization of pathogens in the dental unit water inhibiting biofilm formation, and showing promise as an efficient infection control method for dental unit waterlines.