Abstract
The water used in dental unit waterlines (DUWLs) acts as a coolant for the high-speed equipments and as an irrigant during dental treatments. There are kind of water tanks. DUWLs provide a favorable environment for microbial biofilm and multiplation primarily due to the high surface in the tubing and the character of fluid dynamics in narrow, smooth-walled waterlines. Biofilms can harbour opportunist pathogens such as Legionella sp., Pseudomonas sp. Several studies have shown that DUWLs have high levels of microbial contamination. Presence of high level of microbial contamination is an important problem for dentists and dental patients who are immunocompromised. We collected water samples from DUWLs of 20 private dental offices. We have determined that only 2 (3.4%) out of 59 dental unit water samples were found to meet the standard (<200 CFU·ml−1) for DUWLs water quality by American Dental Association (ADA). Of the 59 water samples examined, 14 (24%) were positive for Pseudomonas sp. and 18 (30.5%) were positive for fungi. The most common 14 bacterial strains and seven fungi were isolated. Of bacterial strains, 57.1% were identified: Majority of the bacterial species isolated from our samples was identified as Pseudomonas fluorescens, Pasteurella haemolytica, Photobacterium damsela, Ochrobacter anthropi, Moraxella sp., Aspergillus flavus, Penicillium expansum. Legionella sp. were not detected in all water samples.
Similar content being viewed by others
References
Al shorman, H., Nabaa, L. A., Coulter, W. A., Pankhurst, C. L., & Lynch, E. (2002). Management of dental unit waterlines. Dental Update, 29(6), 292–298.
Anonymous. (1996). ADA statement on dental unit waterlines. JADA, 127, 185–186.
Asan, A. (2004). Aspergillus, Penicillium and related species reported from Turkey [online], Mycotaxon, 89(1), 155–157. Full text: http://www.mycotaxon.com/resources/checklists/asan-v89-checklist.pdf.
Asan, A., Kirgiz, T., Sen, B., Camur-Elipek, B., Guner, U., & Guher, H. (2003). Isolation, identification and seasonal distribution of airborne and waterborne fungi in Terkos lake (Istanbul-Turkey). Journal of Basic Microbiology, 43(2), 83–95.
Atlas, R. M. (1999). Legionella: From environmental habitats to disease pathology, detection and control. Environmental Microbiology, 1(4), 283–293.
Atlas, R. M., Williams, J. F., & Huntington, M. K. (1995). Legionella contamination of dental-unit waters. Applied and Environmental Microbiology, 61(4), 1208–1213.
Barbeau, J., Tanguay, R., Faucher, E., Avezard, C., Trudel, L., Cote, L., et al. (1996). Multiparametric analysis of waterline contamination in dental units. Applied and Environmental Microbiology, 62(11), 3954–3959.
Barbeau, J., Gauthier, C., & Payment, P. (1998). Biofilms, infectious agents, and dental unit waterlines: A review. Canadian Journal of Microbiology, 44, 1019–1028.
Bartie, C., Venter, S. N., & Nel, L. H. (2003). Identification methods for Legionella from environmental samples. Water Research, 37, 1362–1370.
Challacombe, S. J., & Fernandes, L. L. (1995). Detecting Legionella pneumophila in water systems: A comparison of various dental units. JADA, 126, 603–608.
Cotuk, A., Dogruoz, N., Zeybek, Z., Kimiran-Erdem, A., & Ilhan-Sungur, E. (2005). The effects of Pseudomonas and Aeromonas strains on Legionella pneumophila growth. Annals of Microbiology, 55(3), 219–224.
Demirtola, N., & Misirligil, A. (1987). Diş ünitleri su sistemlerinin bakteri kontaminasyonlarının araştırılması. Ankara Univ Dis Hek Fak Derg, 14(3), 269–272.
Dennis, P. J. L. (1988). Isolation of Legionellae from environmental specimens. In: T. G. Harrison & A. G. Taylor (Eds.), A laboratory manual for Legionella (pp. 31–57). Wiley, New York, ISBN 047191861X.
Fotos, P. G., Westfall, H. N., Snyder, I. S., Miller, R. W., & Mutchler, B. M. (1985). Prevalence of Legionella-specific IgG and IgM antibody in a dental clinic population. Journal of Dental Research, 64(12), 1382–1385.
Furuhashi, M., & Miyamae, T. (1985). Prevention of bacterial contamination of water in dental units. Journal of Hospital Infection, 6, 81–88.
Genc, A., Kadir, T., Ercalık, S., Erdem, H., & Demirbas, B. (1997). The probability of microbial contamination by the internal water/air lines of turbines. Paper presented at Turkish Dental Assciation 4th International Dental Congress, Istanbul.
International Organization for Standardization (ISO). (1998). Water quality-detection and enumeration of Legionella, ISO 11731 (E).
Luck, M. C. P., Bender, L., Ott, M., Helbig, J. H., & Hacker, J. (1991). Analysis of Legionella pneumophila serogrup 6 strains isolated from a hospital warm water supply over a three-year period by using genomic long-range mapping techniques and monoclonal antibodies. Applied and Environmental Microbiology, 57(11), 3226–3231.
Martin, M. V. (1987). The significance of the bacterial contamination of dental unit water systems. British Dental Journal, 163, 152–154.
Pankhurst, C. L., Coulter, W., Philpott-howard, J. J., Harrison, T., Warburton, F., Platt, S., et al. (2003). Prevalence of Legionella waterline contamination and Legionella pneumophila antibodies in general dental practitioners in London and rural northern Ireland. British Dental Journal, 195, 591–594.
Szymanska, J. (2003). Biofilm and dental unit waterlines. Annals of Agricultural and Environmental Medicine, 10, 151–157.
Toze, S., Sly, L. I., Macrae, I. C., & Fuerst, J. A. (1990). Inhibition of growth of Legionella species by heterotrophic plate count bacteria isolated from chlorinated drinking water. Current Microbiology, 21, 139–143.
Walker, J. T., Bradshaw, D. J., Bennett, A. M., Fulford, M. R., Martin, M. V., & Marsh, P. D. (2000). Microbial biofilm formation and contamination of dental-unit water systems in general dental practice. Applied and Environmental Microbiology, 66(8), 3363–3367.
Walker, J. T., Bradshaw, D. J., Finney, M., Fulford, M. R., Frandsen, E., Qstergaard, E., et al. (2004). Microbiological evaluation of dental unit water systems in general dental practice in Europe. European Journal of Oral Sciences, 112, 412–418.
Williams, J. F., Johnston, A. M., Johnston, B., Hungtington, M. K., & Mackenzie, C. D. (1993). Microbial contamination of dental unit waterlines: Prevalence, intensity and microbiological characteristics. JADA, 124(10), 59–65.
Zanetti, F., Stampi, S., De Luca, G., Fateh-Moghadam, P., Bucci Sabattini, M. A., & Checchi, L. (2000). Water characteristics associated with the occurrence of Legionella pneumophila in dental units. European Journal of Oral Science, 108, 22–28.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Göksay, D., Çotuk, A. & Zeybek, Z. Microbial contamination of dental unit waterlines in Istanbul, Turkey. Environ Monit Assess 147, 265–269 (2008). https://doi.org/10.1007/s10661-007-0118-0
Received:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1007/s10661-007-0118-0