Objectives. The purpose of this study was to determine ii ethylene oxi
de could sterilize extracted human teeth to be used in research. Metho
ds. An occlusal preparation was cut in freshly extracted molars, and a
small hole was drilled into the pulp chamber. A suspension of Bacillu
s subtilis (globigii) endospores, the standard biological monitor used
for ethylene oxide sterilization, was injected into the pulp cavity,
and the pulp cavity access was filled with composite material and seal
ed with a light-cured sealant. The teeth were exposed to either a 30 d
egrees C or 63 degrees C ethylene oxide sterilization process. Followi
ng exposure, the teeth were aseptically split and cultured to reveal v
iable spores. Results. Sixty-four percent of the teeth exposed to ''co
ld'' ethylene oxide treatment and 80% of the teeth exposed to the ''wa
rm'' treatment still contained viable spores. Significance. Ethylene o
xide cannot be relied on to sterilize extracted human teeth. Therefore
, before they are used in research, other methods should be used to en
sure killing of bloodborne pathogens that may be present within the te
eth.