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“Conventional dental units cannot reliably deliver sterile water even when equipped with independent water reservoirs because the water-bearing pathway cannot be reliably sterilized. Delivery of sterile water or other solutions can only be achieved by using single-use disposable or sterilizable tubing.”

(MMWR Morbidity and Mortality Weekly Report, Page 29, December 2003).

These CDC Guidelines specifically state that sterile solutions should be used as a coolant/irrigation in the performance of oral surgery procedures.

Examples of these procedures include; incision, excision, or reflection of tissue that exposes the normally sterile areas of the oral cavity; biopsy; periodontal surgery; apical surgery, implant surgery; and surgical extractions of teeth.

CDC Guidelines for Infection Control in Dental Health-Care Settings

CDC Oral Health Resources
The Dental Unit Waterline Controversy, from JADA
Biofilms, A Growing Problem - Bill Costerton, PhD
Montana State University, Center for Biofilm Engineering Proceedings

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CDC Guidelines
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