Municipal water quality is highly variable depending on your location. This chemical variability can undermine the effectiveness of microbial treatment products like straws and tablets and potentially reduce the life of your instruments.
Dental unit waterline (DUWL) management is vital in dentistry to control biofilm buildup, minimize the risk of waterborne infections, and maintain the quality of the dental water supply to ensure safe and effective dental treatment for patients.
NXT DryVac is a tankless dry vacuum system that provides superior performance with low acquisition costs and virtually no maintenance, all in a compact footprint for easy installation.
Featuring top-tier technology, the NXT Hg5 represents the gold standard in amalgam separation for your office. Our signature separator—the NXT Hg5—comes in several sizes to fit the needs of your practice.
Waste management is essential in dentistry to reduce the environmental impact of dental practices, prevent the spread of infectious diseases, and comply with regulatory requirements.
Solmetex provides dental practices with simple, safe, and effective solutions for removing harmful contaminants from their water supply, enabling safe disposal and recycling of hazardous waste, and best-in-class products for wastewater evacuation.
Sterisil ensures water for non-surgical procedures is clean and safe by offering effective, and convenient water purification, treatment, and testing solutions.
DryShield leads the market in providing clinicians with isolation technology that maximizes ease, comfort, safety, and productivity.
Expand your dental water safety education with resources like CE courses, tutorials and videos, and the Water Matters blog.
Specifically amalgam separators, with a primary focus on ensuring dental practices remain compliant with the ever-changing regulatory environment.
Solmetex recognizes that without the loyal support of our dental suppliers, much of our success would not be possible.
Find our current promotions for Solmetex, Sterisil and DryShield in one place.
Make sure your office stays compliant with EPA and state regulations.
Keep track of your amalgam waste recycling certificates.
Log, trend, and respond to ongoing bacteria testing efforts.
Schedule your orders to ensure you are never without products.
Register your water safety products and receive proof of installation certificates.
Request customer support and track your case to its resolution.
We have extensive experience in
water chemistry, chemical separation science, process engineering,
high performance manufacturing, as well as federal, state and local
regulations governing water and hazardous wastes.
Print and place your shipping label on the box containing your recyclables.
Print and place your recycling certificate on your full amalgam separator canister, or lead buckets to be EPA-compliant.
Purchase products for all your dental water management needs from Solmetex, Sterisil, and DryShield.
Water quality is a relative assessment. It can be hard to say with confidence, “my water is clean enough.” A lot of clinicians just assume their water quality meets some unknown standard of quality and have no inclination on how to verify their water quality is up to par. Water quality exists on a spectrum and depending on what kind of procedure is being performed, your water quality may not be up to snuff.
There are three primary grades of water quality when it comes dentistry: distilled, dental, and sterile. Each have their own specific qualities and specified uses. In this entry, we will quantify these grades of water and how different procedures will necessitate the use of different grades of water.
Oh, distilled quality water. Your subtle portrayal of cleanliness has led many a clinician a stray over the years. Distilled quality water is indeed cleaner than tap water. But technically speaking, what is distilled quality water? And, what is it suitable for use in a dental practice? Let’s find out!
Distilled quality water is not “distilled water,” rather it refers to the relative purity in relation to distilled water. Distilled quality water, by Sterisil® standards, is water containing <10 parts per million (ppm) total dissolved solids (TDS).
Often, distilled and distilled quality water is used in instrument washers and autoclaves. Its low contaminate level ensures that no dried deposits are left on sterilized or sanitized equipment after cleaning.
By itself, distilled quality water is not suitable for use in the dental unit due to several factors we have covered ad nauseum on this blog. (see The Bacteria Problem). However, distilled quality water is an excellent base water for use with dental bottles in conjunction with tablets and straws. This is a powerful, proven formula for effective dental water production at the operatory.
Dental water contains a residual chemical treatment, thus mitigating microbial content to <500 colony forming units (CFU). According to OSAP, dental water is suitable for all nonsurgical dental procedures that do not involve the “incision, excision, or reflection of tissue that exposes the normally sterile areas of the oral cavity.” For most routine dental procedures, this grade of water is suitable.
There are ample commercially available options for clinicians to ensure their water meets this standard. As a clinician, keep in mind the effective limitations of dental water: not sterile and not suitable for use in surgical
procedures. A routine procedure can unexpectedly end up in surgical territory. Recognizing this and acting accordingly will protect the patients from an infection and the practice from a potential liability claim.
Sterile water in the context of dentistry should conform to sterile water standards for irrigation or sterile saline solution from the United States Pharmacopeia (USP). You can find a very detailed description of sterile solutions here.
According to OSAP, sterile solutions should be used in the following instances:
Biopsy
Periodontal surgery
Apical endodontic surgery
Implant surgery
Surgical extractions of teeth (e.g., removal of erupted or nonerupted tooth requiring elevation of mucoperiosteal flap, removal of bone or section of tooth, and suturing if needed.)
There are many other instances where discretion should be applied. Procedures such as nonsurgical tooth extractions, gingival procedures, and nonsurgical endodontic procedures are listed by OSAP as having the potential to warrant a sterile solution to lower the possibility of infection.
Sterile solutions should never be considered “sterile” if they are delivered through the dental unit. It is well documented that the dental unit is unsuitable for delivery of sterile solutions. It might be sterile going in, but it will most certainly develop some level of contamination before it leaves a handpiece. Always consult the manufacturers labeling for delivery of sterile solutions.
Understanding the nature of the procedure to be performed, and the limitations of the water quality necessitated by that procedure, will help you as a clinician minimize the risk of water related infections. What’s acceptable for one procedure may not be acceptable for another. Always prepare accordingly and be ready should a procedure drift into a category that demands a higher standard of water purity.