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评价变形链球菌和内氏放线菌在修复材料表面的黏附与生长。

Evaluation of in vitro Streptococcus mutans and Actinomyces naeslundii attachment and growth on restorative materials surfaces.

机构信息

Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China.

出版信息

Aust Dent J. 2019 Dec;64(4):365-375. doi: 10.1111/adj.12715. Epub 2019 Oct 10.

Abstract

BACKGROUND

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.

METHODS

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.

RESULTS

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).

CONCLUSION

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.

摘要

背景

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。

方法

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。

结果

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)。

结论

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。

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