Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China.
Aust Dent J. 2019 Dec;64(4):365-375. doi: 10.1111/adj.12715. Epub 2019 Oct 10.
Restorative materials have varying surface characteristics from natural tooth, which may affect oral-bacterial surface attachment/growth. This study examined 48-h Streptococcus mutans (Sm) or Actinomyces naeslundii (An) growth on various restorative materials and tooth surfaces.
The quantity and viability of 48-hour-old Sm and An growth on polished (180- or 1200-grits), saliva-coated resin composite (RC), glass ionomer cements (GIC), resin-modified GIC (R-GIC), GIC containing casein phosphopeptide-amorphous calcium phosphate (3% (w/w), CPP-ACP GIC), amalgam or tooth blocks (5 × 5 × 1 mm ) were examined.
Rough-polished (arithmetical mean deviation of the assessed surface roughness profile (Ra): 1.50-1.75 µm) material surfaces revealed relatively higher proportion of inorganic, positively charged surface components ((Si + Al)/C) and greater quantity of surface attached bacteria than smooth polished (Ra: 0.20-0.35 µm) material groups (P < 0.001). Less Sm and An were observed on tooth, and smooth polished GIC and CPP-ACP GIC surfaces than on resin-based materials (RC, R-GIC) and amalgam (P ≤ 0.003). Viability of Sm was found to be lower on amalgam surfaces (P < 0.001), whereas that of An appeared lower on both amalgam surfaces and rough CPP-ACP GIC surfaces (P ≤ 0.033).
Surface roughness exerted a pronounced effect on in vitro growth/attached Sm/An quantity but may not have an impact on bacteria viability. Interestingly, despite smoother surfaces of various materials tested, fewer Sm/An were observed attaching on tooth surfaces.
修复材料的表面特性与天然牙齿不同,这可能会影响口腔细菌的表面附着/生长。本研究检测了不同修复材料和牙面在 48 小时内变形链球菌(Sm)或内氏放线菌(An)的生长情况。
检测经抛光(180 或 1200 目砂纸)、唾液包被的树脂复合材料(RC)、玻璃离子水门汀(GIC)、树脂改性玻璃离子水门汀(R-GIC)、含酪蛋白磷酸肽-无定形磷酸钙(3%(w/w),CPP-ACP GIC)、汞合金或牙块(5×5×1mm)上 48 小时的 Sm 和 An 生长的数量和活力。
粗抛光(评估表面粗糙度轮廓的算术平均值偏差(Ra):1.50-1.75μm)材料表面显示出相对较高比例的无机、带正电荷的表面成分((Si+Al)/C)和更多的表面附着细菌,而光滑抛光(Ra:0.20-0.35μm)材料组(P<0.001)。与基于树脂的材料(RC、R-GIC)和汞合金相比,牙、光滑抛光的 GIC 和 CPP-ACP GIC 表面上观察到的 Sm 和 An 较少(P≤0.003)。发现 Sm 在汞合金表面的活力较低(P<0.001),而 An 的活力在汞合金表面和粗糙 CPP-ACP GIC 表面均较低(P≤0.033)。
表面粗糙度对体外生长/附着 Sm/An 的数量有显著影响,但可能对细菌活力没有影响。有趣的是,尽管测试的各种材料表面更光滑,但在牙表面观察到的 Sm/An 附着量较少。