Gulzar Shabnam, Arora Ruchi, Shah Altaf H, Bhardwaj Bhupendra, Abusalim Ghadah, Khalil Hesham S, Wyne Amjad H
Pediatric Dentistry Division, Department of Preventive Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh Kingdom of Saudi Arabia, Phone: +00966114949160, e-mail:
Department of Pedodontics and Preventive Dentistry, Darshan Dental College and Hospital, Udaipur, Rajasthan, India.
J Contemp Dent Pract. 2016 Dec 1;17(12):1027-1032.
INTRODUCTION: Chemomechanical caries removal (CMCR) is an effective method of caries removal especially for primary teeth as they cause less discomfort when compared with conventional caries removal. The most significant thing about caries removal is the elimination of cariogenic bacteria. This study compares the antibacterial activity of two CMCR gels. MATERIALS AND METHODS: A total of 40 primary molar teeth with carious dentin were split along the long axis in a laboratory. Total viable count (TVC) was taken for the teeth before splitting as a measure of colony-forming units per milliliter (CFU/mL). Each half was treated with either Carisolv or Carie-Care CMCR gels. Clean dentin samples were evaluated for Streptococcus mutans (SM) and Lactobacillus acidophilus (LB) after removal of carious tissue using the caries removal gels using serial dilutions and incubating on specific agar plates. RESULTS: The results showed significant reduction in mean TVC after use of both the CMCR gels. Both gels reduced the CFU/mL of SM and LB to a significant level (p < 0.05). However, there was no significant difference between the antibacterial activities of the two CMCR gels. CONCLUSION: The CMCR gels (Carisolv and Carie-Care) significantly reduced the residual TVC as well as SM and LB in carious primary dentin. Both CMCR gels had a similar antibacterial activity on the carious dentin of primary teeth. CLINICAL SIGNIFICANCE: The CMCR gels tested have a significant antibacterial activity and can be effectively used for elimination of caries-causing bacteria in primary teeth.
引言:化学机械去龋(CMCR)是一种有效的去龋方法,尤其对于乳牙而言,因为与传统去龋方法相比,它引起的不适更少。去龋最重要的是消除致龋细菌。本研究比较了两种CMCR凝胶的抗菌活性。 材料与方法:在实验室中,将40颗患有龋坏牙本质的乳磨牙沿长轴劈开。劈开前对牙齿进行总活菌计数(TVC),作为每毫升菌落形成单位(CFU/mL)的测量指标。每一半牙齿分别用Carisolv或Carie-Care CMCR凝胶处理。使用去龋凝胶去除龋坏组织后,通过系列稀释并在特定琼脂平板上培养,对清洁的牙本质样本进行变形链球菌(SM)和嗜酸乳杆菌(LB)的评估。 结果:结果显示,使用两种CMCR凝胶后,平均TVC均显著降低。两种凝胶均将SM和LB的CFU/mL降低到显著水平(p < 0.05)。然而,两种CMCR凝胶的抗菌活性之间没有显著差异。 结论:CMCR凝胶(Carisolv和Carie-Care)显著降低了龋坏乳牙本质中的残余TVC以及SM和LB。两种CMCR凝胶对乳牙龋坏牙本质具有相似的抗菌活性。 临床意义:所测试的CMCR凝胶具有显著的抗菌活性,可有效用于消除乳牙中的致龋细菌。
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