Effects of mouthwash on periodontal pathogens and glycemic control in patients with type 2 diabetes mellitus.

Periodontitis is known to be associated with type 2 diabetes mellitus (T2DM), and gargling with mouthwash is known to reduce the incidence of periodontitis by inhibiting periodontal pathogens. However, the effects of mouthwash on oral and systemic conditions in patients with T2DM remain unknown. In this study, we investigated the effects of gargling with mouthwash on the number of red complex species, including Porphyromonas gingivalis, Treponema denticola, and Tannerella forsythia, and HbA1c levels in patients with T2DM. Patients were instructed to gargle with water for 6 months, followed by gargling with mouthwash containing chlorhexidine gluconate for the subsequent 6 months. At each clinic visit, saliva was collected and bacterial DNA was extracted to detect red complex species using the polymerase chain reaction technique. The HbA1c level was determined using a blood sample. The number of red complex species significantly decreased in younger or male patients who gargled with mouthwash. Furthermore, HbA1c levels significantly decreased in younger patients or patients with higher HbA1c levels who gargled with mouthwash. These results suggest that gargling with mouthwash reduces the number of red complex species and improves the hyperglycemic status in patients with T2DM, especially younger patients.

Effect of PMMA filler particles addition on the physical properties of resin composite.

The aim of this study was to evaluate the effect of additional polymethyl methacrylate (PMMA) fillers on the physical properties of experimental resin composites. PMMA particles (d=30 µm) were added to an experimental methacrylate-based resin composite in five concentrations of 0, 2.0, 4.8, 9.1, and 23.1 wt%. Properties such as contact angle, water sorption and compressive strength were measured and the fractured specimens were observed with a scanning electron microscope. The results showed that a small amount (2 wt%) of additional PMMA fillers inhibited the crack propagation and enhanced compressive strengths of the resin composites, without a significant change in water contact angle of surface or increased water sorption. However, in higher portions, the mechanical properties were not improved as a debonding at the interface between untreated fillers and the matrix, or failure within the organic filler could reduce the compressive yield strength of the composite.

Microtensile bond strengths to cavity floor dentin in indirect composite restorations using resin coating.

PURPOSE: The aims of this study were (1) to evaluate the effect of a resin coating on the microtensile bond strengths (mu-TBSs) of indirect composite restorations bonded to dentin with resin cement and (2) to compare the mu-TBSs with that of a directly placed composite. MATERIALS AND METHODS: Class I cavities were prepared in extracted human molars. The specimens were divided into five groups: For the indirect restorations, the cavity surfaces of the control group were left uncoated (group 1), while the surfaces of the experimental groups were resin coated with a dentin bonding system, Clearfil Protect Bond (PB; groups 2 and 3), or with a combination of PB and a flowable resin composite, Protect Liner F (PLF; group 4). The cavities were temporized for 1 day. Indirect composite restorations (Estenia) were cemented with a resin cement (Panavia F). Pretreatment with ED Primer II was performed in the groups 1, 3, and 4. For the direct restorations, the cavities were restored with PB and a direct composite (Clearfil AP-X; group 5). After 24 hours of water storage, mu-TBSs were measured at a crosshead speed of 1 mm/min. The data were analyzed with one-way analysis of variance and Sheffe's test (p < 0.05). In addition, fracture modes were determined visually and by scanning electron microscopy. RESULTS: A combination of PB and PLF showed significantly higher bond strengths compared with the original bond strength of Panavia F and the single use of PB (p < 0.05). However, the highest bond strengths were obtained when PB was used for direct composite restorations (p < 0.05). CONCLUSION: The application of a resin coating consisting of a self-etching primer dentin bonding system and a flowable resin composite significantly improved the mu-TBS of indirect restorations bonded to dentin using resin cement. CLINICAL SIGNIFICANCE: A resin coating should be required to improve dentin bonding performance of Panavia F in indirect restorations. However, direct composite restorations still provide higher bond strength compared to indirect restorations.