“Elegant, Autoclavable, Ergonomic, Affordable, Easy to Use, Adaptable, Systemmatic.”

Each and every hole, grips any type of bur, in any order you choose.

BurButlerThe Dental Bur Management System

“Love Your Burs”

GATE DENTAL SERVICES LTD, DOCK ROAD, GALWAY, IRELANDContact tel: 00353 91 547592 email: drpmoore@mac.com web: www.thedentalorganiser.com

The Story

For 30 years as a dentist, the storage and organisation of dental burs had never quite ever been able to suit my needs. Some of the most common problems we wanted to address included: A. Simple systems don’t grip the burs and they are lost down the drain, requiring a visit from the Plumber and a lost bur. B. The metal holders with “gripping” inserts wear and need replenishment. C. I had to have different blocks for different shanks. D. Solid lids prevented me from seeing what was in the Bur Block until the sterilisation pouch was opened and the lid lifted.

We set about to find a simple, elegant, versatile, durable solution and we feel that we have a totally new concept that you will enjoy. If you have any suggestions or comments please contact me at drpmoore@mac.com and I would love to hear from you.

The nurses in our practice love these. Once the burs are placed in the blocks in the order you want, your staff can wash them, bag them and autoclave them IN SITU. The colour coding allows each operatory to have their own colour and the same burs are always returned to the same dentist!

We keep our central stock on the 60 holes boards, and can then easily visualise how many of each we have remaining. Great for stock control!

Included at the back of this document are the results of the research in Oral Microbiology and Material Science(Head of Division – Professor David Coleman) Dublin Dental Hospital.

Dr Paul Moore BDS works as a general practitioner in Galway Ireland.

Requirements for Ideal Bur Block

Look good. Work well.

Each hole should hold the burs whatever the type, in the order that the dentist chooses; fiction grip, latch grip or laboratory.

All the burs should be visible to the dentist, with or without lid present.

The burs should not dislodge, but should be easy to insert and remove.

The burs should not be magnetised.

The assistants should be able to identify any discarded burs, and replace them in the same order for each dentist in the practice.

The bur block should be washable, baggable, autoclavable, WITHOUT removing the burs each time.

The blocks must be able to be colour coded and labelled for each surgery in the practice, and each proceedure

It should be durable, no moving parts to break, perish or be replaced.

Must be cost effective.

Eleven Good Reasons to Upgrade

1. UniqueEvery bur fits any hole whatever the shank diameter. Fiction grip, Latch grip, Laboratory... The tapered orifice will bind at the diameter of the bur.

2. Personalised to YouThe silicon Butler will flex as you insert your bur. The same force will remove it.

3. Autoclavable. Washable. DurableTested and documented for efficacy, microbiology and electron surface deterioration by Professor David Coleman Dublin Dental Hospital, Oral Microbiology and Material Science.

4. Variety of SizesSizes 5, 10, 20, 40 (splitable into 2) and 60.

5. Variety of 7 ColoursBlue, Silver, White, Green, Gold, Orange, Pink. We recommend one colour for each dentist and one colour for central storage (60 holes).

6. LabellingButler labels may be marked (cd marker) for procedures. E.g. veneer prep...composite...

7. Systematic Organisation and EfficiencyBurs do not have to be removed for disinfector/washer or autoclaving. Burs will not fall into drain causing blockage, plumber, engineer repairs and lost burs. Your Burs is always on your chosen coloured Butler so it always comes back to you in the order you placed them.

8. Saves Time, Money and MoreYour time is precious, your staff time and efficiency is essential. Make your nurses a day: save their time, effort, and make them HAPPY!!

9. Central Storage and Stock Control60 Holes Universal Butler: Store you stock centrally, Allows visible stock control. You can see at a glance what you have and what you need.

10. Versatile60 Holes Universal Butler can be sectioned into unlabelled smaller units with blade for insertion into surgical or restorative trays.

11. ImaginativeWe also use BurButler for storage of post and drill systems, e.g. parapost. ENA. Opodo. Allows simple assessment of availability. Easy to manipulate chair side.

Available with lids or without (lids separate)

5 Holes BurButlerIdeal for hygienist

and simple procedures

10 Holes BurButlerPre-arrange your favourite burs for each and every procedure

40 Holes BurButler You can fit either two

20 holes lids or one 60 holes lids

20 Holes BurButlerArrange your favourite burs

Available with lids or without (lids separate)

Universal Block

• Sectioning the 60 holes block allows you to customise your own needs further giving variety of sizes: 2 x 30, 4 x 15, 5 x 12, 6 x 10, 10 x 6, 20 x 3.

• Specifically for customising your requirements to fit inside you system / surgical trays.

• Option of lids available for full block

• Also excellent for Central Stock control. E.g. 6 rows of ten burs.

To order your BurButler dental bur management system today, please find your nearest dealer at

www.thedentalorganiser.comOr email us at drpmoore@mac.com for further information.

The Design

The Secret is in the combination of design and material.

The Material

The Silicon is autoclavable- similar to the “cookie” silicon trays. It resists high temperature and distortion and has a firm consistency. We researched to give the resilience and resistance. It also gives a “nonslip” surface for the BurButler.

The Lids

Designed to “float” on the blocks with multiple grip points to allow easy removal and placement. It is a transparent Polycarbonate. Can be bought separately.

The Hole Design

The patented hole design allows any bur to grip the block. The diameter of the shank will bind at the diameter of the cone that matches. The reverse fluting keeps the bur centralised and supported.The through and through holes allow for drainage.The resilience of the silicon means the force the individual dentist inserts the drill is the same force required to remove it. Thus customising the bur block to the dentist.The spacing of the holes allows even large fingers to grip the burs with ease.

Dr Paul Moore BDS works as a general practitioner in Galway Ireland.

Bacteriological Studies Oral Biosciences

This division is responsible for Laboratory based research in Oral Microbiology and Material Science (Head of Division – Professor David Coleman)

http://www.dentalhospital.ie/clinicalacademic-divisions-and-hospital-departments/oral-biosciences/

Report on the “ BurButler” Gate Dental Services Ltd

Repeated autoclaving of BurButler:

A BurButler packaged in a separate porus load self sealing sterilisation pouch (Defend, Mydent International, New York, USA) on each occasion was subject to 40 consecutive rounds of autoclaving at 121°C with a hold time of 16 minutes in an independently validated vacuum steam steriliser in ac-cordance with the requirements of the standards EN 285 and EN ISO 17665, part 1. Following completion of each cycle, where sterilisation conditions were achieved, the BurButler was removed from its packaging and examined for integrity. On each occasion, no detectable damage to the BurButler was observed following careful physical examination. Similar results were observed following 10 separate sterilisation cycles at 134-137°C with a minimum 3 minute hold time.

Washer-disinfector:

A BurButler was processed in a washer-disinfector conforming to EN15883. Twenty consecutive cycles were performed with thermal disinfection at 90°C for 1 minute on each occasion. Following processing, the BurButler examined for integrity. On each occasion, no detectable damage to the BurButler was observed following careful physical examination.

Removal of contamination from a BurButler by a washer-disinfector.

For convenience of processing, a BurButler was separated into its two constituent halves using a sterile scalpel. The halves were used for the experiments described below. Standard cell suspensions of Pseudomonas aeruginosa strain PAO1 (108 cfu/mL) prepared from fresh overnight (15 h) cultures grown on Columbia Blood Agar (CBA) medium at 30°C were made in sterile phosphate buffered saline (PBS) (Sigma-Aldrich, Ireland Ltd.) and 100 μl aliquots inoculated onto the surface of a BurButler and allowed to dry at ambient temperature for 20 min. Immediately afterwards, the BurButler was processed through a washerdisinfector. Following processing, the BurButler was completely immersed in sterile PBS in a sterile plastic beaker containing a stirring flea and stirred on a magnetic stirrer at room temperature for 30 min. Then the liquid was centrifuged to recover any bacterial cells, the supernatant discard-ed and 1 ml of sterile PBS added to resuspend the pelleted material. Ten-fold dilutions were prepared in sterile PBS and aliquots plated onto CBA followed by incubation overnight at 30°C. Following incubation, plates were examined for viable colonies. Experiments were repeated on 10 separate occasions.

Similar experiments to the above were undertaken (n=10), except the bacterial cells were resuspended in PBS supplemented with 2 mg/ml bovine serum albumin (Sigma-Aldrich) prior to inoculation onto BurButler halves.

No viable P. aeruginosa were recovered following washer-disinfection in any of the experiments described above.

BurButler processing by steam sterilisation

BurButler halves inoculated with P. aeruginosa PAO1 resuspended in PBS supplemented with BSA (2 mg/ml) were packaged in autoclave pouches and processed in a steam steriliser (121°C with a hold time of 16 minutes) in accordance with the requirements of the standards EN 285 and EN ISO 17665, part 1. Following processing, BurButler halves were removed from their pouches and subjected to immersion in sterile PBS as described in the preceding paragraph. No viable P. aeruginosa were recovered in each of 15 separate experiments.

Separate experiments were undertaken with BurButler halves containing 8 steel burs, the shanks of which had been dipped into a suspension of P. aerug-inosa PAO1 (108 cfu/mL) in PBS supplemented with BSA (2 mg/ml). The BurButler halves were immediately packaged in sterilisation pouches and and processed in a steam steriliser (121°C with a hold time of 16 minutes). Following processing, each bur was removed and placed aseptically into 5 ml of Trypticase Soy Broth in a sterile plastic test tube and incubated overnight with shaking at 150 rpm. Following incubation, each tube was examined for viable P. aeruginosa by culture on CBA medium.

No viable P. aeruginosa were recovered from each of the 8 burs tested on 8 separate occasions. Furthermore, no viable P. aeruginosa were recovered from the BurButler halves from which the steel burs had been removed following immersion in PBS as described above.

Conclusion: The BurButler is a robust item that retains its integrity following repeated steam sterilisation and processing through a washer-disinfector. Washer-disinfection is ideal for removal of microbial contamination and in the presence of protein. The BurButler is ideal for sterilisation by steam sterili-sation. I recommend that the BurButler should be cleaned and disinfected regularly by washer- disinfection. The BurButler can then be loaded with clean burs and sterilised by processing in a steam steriliser.

Pseudomonas aeruginosa strain PAO1(American Type Culture Culture strain 15692) (http://www.uniprot.org/taxonomy/208964) is routinely used for testing the efficacy of disinfectants and disinfection processes.

BurButlerThe Dental Bur Management System

“Love Your Burs”

BY DENTISTS FOR DENTISTSTHANK YOU

GATE DENTAL SERVICES LTD, DOCK ROAD, GALWAY, IRELANDContact tel: 00353 91 547592 email: drpmoore@mac.com web: www.thedentalorganiser.com