An in vitro study on the secondary caries-prevention properties of three restorative materials.

STATEMENT OF PROBLEM: Secondary caries is considered to be the most important and common reason for the replacement of all types of restorations. PURPOSE: The purpose of the study was to evaluate in vitro both the anticaries efficacy and marginal integrity of amalgam, glass ionomer cement, and composite resin restorations in a cariogenic condition. MATERIAL AND METHODS: Class II cavities were prepared on 60 extracted teeth, which were assigned to 3 groups and restored either with amalgam, glass ionomer, or composite resin. After thermal cycling and sterilization, the teeth were set in an artificial carious environment for 10 days. The bacteria from the margin of the restorations were then collected, and microleakage was evaluated by means of dyeing. According to the locations, the demineralization of tooth tissue around the restoration was divided into 3 parts: artificial outer lesion, artificial enamel wall lesion, and artificial dentin wall lesion. The depths of the artificial outer lesion and the areas of the artificial enamel and dentin wall lesions were investigated with a confocal laser scanning microscope after all the specimens had been stained with 0.1 mM Rhodamine B. Statistical analyses consisted of 1-way ANOVA and Kruskal-Wallis tests (α=.05). RESULTS: No significant difference was noted in terms of the number of bacteria around the restorations for the 3 materials; the microleakage of amalgam was the least among the 3 types of restorations; the outer enamel lesion depth around the glass ionomer cement was the lowest, and the wall lesion area around the amalgam was the smallest. CONCLUSIONS: No definite inhibitory effect of fluoride releasing restorative materials (glass ionomer) was apparent on Lactobacillus acidophilus in this study. The amalgam restorations showed the best marginal integrity and the smallest artificial wall lesion among the 3 types of restorations.

The microfloral analysis of secondary caries biofilm around Class I and Class II composite and amalgam fillings.

BACKGROUND: Secondary caries is responsible for 60 percent of all replacement restorations in the typical dental practice. The diversity of the bacterial sources and the different types of filling materials could play a role in secondary caries. The aim of this study was to determine and compare the microbial spectrum of secondary caries biofilms around amalgam and composite resin restorations. METHODS: Clinical samples were collected from freshly extracted teeth diagnosed with clinical secondary caries. Samples were categorized into four groups according to the types of restoration materials and the classification of the cavity. Biofilms were harvested from the tooth-restoration interface using a dental explorer and after dilution were incubated on special agars. The bacteria were identified using the biochemical appraisal system. Statistical calculations were carried out using SPSS11.5 software to analyze the prevalence of the bacteria involved in secondary caries. RESULTS: Samples from a total of four groups were collected: two groups were collected from amalgam restorations, each had 21 samples from both Class I and Class II caries; and the other two groups were from composite resin restorations, each had 13 samples from both class I and class II caries. Our results showed: (1) Anaerobic species were dominant in both restoration materials. (2) In terms of the types of individual bacteria, no significant differences were found among the four groups according to the geometric mean of the detected bacteria (P > 0.05). However, there were significant differences among the detected bacteria within each group (P < 0.05). The composition of each bacterium had no statistical difference among the four groups (P > 0.05), but showed significant differences among the detected bacteria in each group (P < 0.05). (3) Among the four groups, there were no significant differences for the detection rate of each bacterium (P > 0.05), however, the detection rate of each bacterium within each group was statistically different among the detected bacteria (P < 0.05). CONCLUSIONS: The proportion of obligatory anaerobic species was much greater than the facultative anaerobic species in the biofilm of secondary caries. Statistically, the materials of restoration and the location of secondary caries did not show any significant effects on the composition of the microflora.

The inhibition of dentifrice containing the lotus leaf-derived inhibitor on periodontitis-related bacteria in vitro.

OBJECTIVES: To search for a substance in lotus leaf that could efficiently be used in toothpaste for preventing periodontal disease. METHODS: Dried lotus leaves were hydrated and fractionated using 40% butanol and 40% ethanol extraction. The extracts and the residue were evaluated by antimicrobial sensitivity tests of broth micro-dilution methods on 96-microwell plates for inhibition of five species of oral bacteria: Actinobacillus actinomycetemcomitans Y4, Actinomyces viscosus 19246, Porphyromonas gingivalis 33277, Fusobacterium nucleatum 25586, and Actinomyces naeslundii wvl 45. The most active antimicrobial extract was then ready to use in toothpaste. A water extract of the toothpaste was prepared and its inhibitory activity tested. The potency of the lotus leaf extracts was compared to inhibition observed by three commercially available toothpastes. RESULTS: The butanol-extracted material was separated into four fractions on silica gel. Fraction #3, the fraction containing the most potent inhibitor, was formulated into toothpaste. The toothpaste containing the extract showed an inhibition effect on suspicious peridontitis-causing bacteria. CONCLUSION: An extract from the lotus leaf is effective in inhibiting peridontitis-causing bacteria. The toothpaste containing the lotus leaf-derived inhibitor could be useful in preventing periodontal disease.

[The efficacy of cold-light tooth bleaching on the formation of bacteria biofilm on the enamel surfaces].

PURPOSE: To evaluate the efficacy of Beyond cold-light tooth bleaching on the formation of main cariogenic bacteria biofilm on enamel surfaces. METHODS: Twenty enamel discs with the size of 4 mm×4 mm×1 mm in size, were made. The enamel discs were divided into 4 groups randomly: cold-light bleaching group, bleaching gel group, cold-light group and control group. Five discs were in each group. Cold-light bleaching group was whitened 3 times with bleaching gel and cold-light, and 12 min per session. Bleaching gel was smeared on the surface of enamel in bleaching gel group for 3 times and 12 min per session. Enamel discs of cold-light group were treated with cold-light for 12 min and 3 sessions. Control group was treated without any processing. The 4 groups were incubated in mixed bacteria liquid, including Streptococcus mutans(SM), Actinomyces viscosus (Av) and Fusobacterium nucleatum (Fn), within the artificial oral cavity model. After 36 h, the samples were observed under confocal laser scanning microscopy(CLSM). The data was analyzed with SAS8.2 software package. RESULTS: The biofilms in 3 experimental groups were sparser than the control group under CLSM, and the thickness significantly decreased after treatment (P<0.05), while no significant difference was found among 3 experimental groups (P>0.05).Compared with the control group, the percentage of vital bacteria in biofilm of the experimental groups decreased significantly after treatment (P<0.001). CONCLUSIONS: Cold-light tooth bleaching can inhibit the formation of mixed bacteria biofilm, damage the structure of biofilm and reduce the number of vital bacteria. Supported by Research Fund of Ninth People's Hospital of Shanghai Jiao Tong University School of Medicine (2013-06).

Effect of a dentifrice containing the peptide of streptococcal antigen I/II on the adherence of mutans streptococcus.

OBJECTIVE: Antigen I/II of mutans streptococcus (MS) is a surface protein, which binds to salivary receptors. The objective of this study was to study the effect of a peptide corresponding to residues 1025-1044 of antigen I/II and a dentifrice containing peptide on the adherence of MS. METHODS: The peptide was synthesized and included into dentifrice. Anti-adherence experiments of the peptide and a dentifrice containing it were processed in vitro and in vivo. RESULTS: The results showed that the adherence of MS to hydroxyapatite was inhibited by synthetic antigen I/II peptide and also by a dentifrice containing the peptide in vitro. The numbers of MS in plaque from subjects treated with dentifrices containing the peptide for 1 month was significantly reduced compared to baseline (log 3.11+/-0.80 vs log 4.09+/-0.90, P<0.01), whereas the control group showed no reduction. CONCLUSION: The adherence of MS to hydroxyapatite was inhibited by both a synthetic peptide and a dentifrice containing the peptide. The peptide dentifrice produced a significant reduction of MS in dental plaque in vivo.

[The antibacterial activity of plasma sprayed silver-containing hydroxyapatite coatings].

PURPOSE: To study the antibacterial activity of plasma sprayed silver-containing hydroxyapative(HA) coatings. METHODS: Silver-containing HA coatings were prepared on titanium substrated by vacuum plasma spraying (VPS). The samples were divided into 4 groups according to weight percent of the antimicrobial: group HA0 (0%),group HA1 (1%),group HA3 (3%) and group HA5 (5%). The antimicrobial properties against Streptococcus mutans were assayed with the pellicle-sticking method. RESULTS: When the weight percent of the silver was >3%, the silver-containing HA coatings exhibited significant anti-bacterial effects against Streptococcus mutans. CONCLUSION: The silver-containing HA coating has good inhibitory effect on Streptococcus mutans.

[Inhibition of extracts from 17 Chinese herbs on periodontal pathogenic microbes].

PURPOSE: To evaluate the efficiency of 17 Chinese herbs on periodontal pathogenic microbes. METHODS: 17 efficient substances from Chinese herbs were purchased from Chinese Drug Identification Bureau, including magnesium lithospermate B, magnolol, tetramethyl pyrazine, matrine, dycyrrhizin, gentiopicrin, aloperin, baicalin, oleanolic acid, ginkgo seed, total glucosides of paeony capsules, anisldehyde, archin, cablin patchouli, hydrochloric acid Berberine, forsythin, and kakonein. Antimicrobial sensitivity tests of broth microdilution methods on 96-microwell plate were carried out for identification of the antimicrobial activity of extracts against six species of microorganisms: Actinobacillus actinomycete mitans(Aa) Y4, Actinomycetes viscosus(Av) 19246, Porphyromonas gingivalis(Pg) 33277, Fusobacterium necrophorum(Fn) 25286, Actinomyces naeslundii(An) wvl 45 and Prevotella nigrescens(Pn). RESULTS: It was found that magnesium lithospermate B and magnolol showed the most efficient inhibition on microorganism of Pn and Fn, with the MIC being 0.053 and 0.313 mg/ml for Pn and Fn, respectively. Tetramethyl pyrazine, matrine, dycyrrhizin, gentiopicrin, aloperin, baicalin, and oleanolic acid had better inhibition than total glucosides of paeony capsules, anisldehyde, archin, cablin patchouli, hydrochloric acid berberine, forsythin, and kakonein. CONCLUSION: The Chinese herbs, magnesium lithospermate B and magnolol are efficient agents for inhibition against periodontal pathogenic microbes.

[The comparative study of the effect of silica and calcium carbonate based dentifrice on dentine abrasives in vitro].

PURPOSE: To evaluate the effect of Silica (SiO(2)) and Calcium Carbonate (CaCO(3)) based dentifrice on their dentine abrasives. METHODS: Microscope, environmental electron scanning electron microscope (SEM) and radioactive Dentine Abrasion (RDA) assay were used to quantitatively measure the wear of dentine. RESULTS: The mechanical brushing assay showed severe dentine abrasion with CaCO(3) based dentifrices. There were only minor scratches on the specimens brushed with SiO(2) dentifrices. Analysis of the thin section by SEM after exposure to dentifrices showed that NaF/SiO(2) produced significant remineralization whereas MFP/CaCO(3) system resulted in little remineralization. RDA values were 86.17 and 98.61 for SiO(2) based dentifrices and 222.85 and 253.84 for CaCO(3) based dentifrices, respectively. The morphology of the irregular shaped CaCO(3) with sharp points/edges further explained the brushing and RDA results. CONCLUSION: These results indicate that abrasive in dentifrice, e.g. CaCO(3), can cause severe abrasion of dentine in vitro.