Document Detail


A triclosan-containing compomer reduces Lactobacillus spp. predominant in advanced carious lesions.
MedLine Citation:
PMID:  15876453     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To assess the antimicrobial effect of acid etching or a triclosan-containing compomer on the cultivable microflora of incompletely excavated dentinal carious lesions. METHODS: Thirty detinal lesions were opened with a diamond burr. Subsequent to removal of the softened biomass a sample of dentin was taken from the cavity floor with a round bur. Ten cavities each were treated with 36% phosphoric acid (PH) for 15s, covered with a triclosan-containing compomer (TC) or received no treatment as control (CO). All lesions were restored with a compomer composite. Sampling was performed directly after etching in the PH group and at re-entry after 6 weeks in all groups. Aliquots were plated on blood agar and selective media for Lactobacilli (Rogosa) and mutans Streptococci (MSB). Cultures were incubated anaerobically for 7 days at 37 degrees C prior to quantitative assessment and biotyping of the isolates. RESULTS: Application of phosphoric acid resulted in initial reduction of the totally cultivable microflora (p=0.006). Evaluation of the total number of cultivable microflora after 6 weeks revealed no differences between the groups (p>0.05). Lactobacilli counts were significantly lower in the TC group compared to the PH and CO groups (p<0.05). No difference was detected between the PH and CO groups after 6 weeks. SIGNIFICANCE: Phosphoric acid initially reduces the number of microorganisms in carious dentin but not in the longer term. The experimental triclosan composite suppresses Lactobacilli species over a period of 6 weeks.
Authors:
Michael J Wicht; Rainer Haak; Susanne Kneist; Michael J Noack
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Dental materials : official publication of the Academy of Dental Materials     Volume:  21     ISSN:  0109-5641     ISO Abbreviation:  Dent Mater     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-08-09     Completed Date:  2006-07-24     Revised Date:  2010-08-26    
Medline Journal Info:
Nlm Unique ID:  8508040     Medline TA:  Dent Mater     Country:  England    
Other Details:
Languages:  eng     Pagination:  831-6     Citation Subset:  D    
Affiliation:
Center of Dental Medicine, Policlinic of Operative Dentistry and Periodontology, University of Cologne, Kerpener Str. 32, D-50931 Köln, Germany. michael.wicht@medizin.uni-koeln.de
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MeSH Terms
Descriptor/Qualifier:
Acid Etching, Dental
Actinomyces / drug effects
Adult
Anti-Infective Agents, Local / administration & dosage,  therapeutic use*
Colony Count, Microbial
Compomers* / chemistry
Composite Resins / chemistry
Dental Caries / microbiology*,  therapy
Dental Restoration, Permanent
Dentin / microbiology*
Female
Follow-Up Studies
Humans
Lactobacillus / drug effects*
Male
Phosphoric Acids / pharmacology
Polymethacrylic Acids / chemistry
Streptococcus / drug effects
Triclosan / administration & dosage,  therapeutic use*
Chemical
Reg. No./Substance:
0/Anti-Infective Agents, Local; 0/Compomers; 0/Composite Resins; 0/Dyract; 0/Phosphoric Acids; 0/Polymethacrylic Acids; 0/Prime and Bond NT; 3380-34-5/Triclosan; 7664-38-2/phosphoric acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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