Hansel C, Leyhausen G, Mai U E, Geurtsen W
Department of Conservative Dentistry and Periodontology, Medical University Hannover, Germany.
J Dent Res. 1998 Jan;77(1):60-7. doi: 10.1177/00220345980770010601.
Previous studies have shown that extracts of various filling materials, e.g., resin composites, may influence the growth of cariogenic micro-organisms. The purpose of this study was to examine the effects of important resin composite (co)monomers (Bis-GMA, UDMA, TEGDMA, EGDMA) and extracts of two commercial dental composites with similar composition (composite A, Arabesk; composite S, Superlux) on the growth of the two cariogenic bacterial pathogens Streptococcus sobrinus and Lactobacillus acidophilus. It was found that neither the monomers Bis-GMA and UDMA, nor the comonomer EGDMA, nor the extract of composite A influenced the growth of S. sobrinus in the log phase. The comonomer TEGDMA and the extract of composite S were found to stimulate growth in the log phase, but this stimulation was not statistically significant. However, EGDMA, TEGDMA, and the extract of composite S did stimulate the total growth of S. sobrinus. In the assays with L. acidophilus, Bis-GMA, UDMA, and the extract of composite A inhibited the growth in the log phase, whereas TEGDMA stimulated it. Furthermore, EGDMA, TEGDMA, and the extract of composite S stimulated the biomass production of L. acidophilus. We conclude from our results that a release of EGDMA and TEGDMA from resin composites should be avoided due to their growth-stimulating effects on the caries-associated micro-organisms S. sobrinus and L. acidophilus.
先前的研究表明,各种填充材料的提取物,例如树脂复合材料,可能会影响致龋微生物的生长。本研究的目的是检测重要的树脂复合材料(共)单体(双酚A-甲基丙烯酸缩水甘油酯、二甲基丙烯酸氨基甲酸酯、二缩三乙二醇二甲基丙烯酸酯、乙二醇二甲基丙烯酸酯)以及两种成分相似的商用牙科复合材料(复合材料A,Arabesk;复合材料S,Superlux)的提取物对两种致龋病原菌——远缘链球菌和嗜酸乳杆菌生长的影响。研究发现,单体双酚A-甲基丙烯酸缩水甘油酯和二甲基丙烯酸氨基甲酸酯、共聚单体乙二醇二甲基丙烯酸酯以及复合材料A的提取物均未影响远缘链球菌对数期的生长。共聚单体二缩三乙二醇二甲基丙烯酸酯和复合材料S的提取物在对数期可刺激其生长,但这种刺激在统计学上并不显著。然而,乙二醇二甲基丙烯酸酯、二缩三乙二醇二甲基丙烯酸酯和复合材料S的提取物确实刺激了远缘链球菌的总体生长。在嗜酸乳杆菌的检测中,双酚A-甲基丙烯酸缩水甘油酯、二甲基丙烯酸氨基甲酸酯和复合材料A的提取物在对数期抑制其生长,而二缩三乙二醇二甲基丙烯酸酯则刺激其生长。此外,乙二醇二甲基丙烯酸酯、二缩三乙二醇二甲基丙烯酸酯和复合材料S的提取物刺激了嗜酸乳杆菌的生物量产生。我们从研究结果得出结论,应避免树脂复合材料释放乙二醇二甲基丙烯酸酯和二缩三乙二醇二甲基丙烯酸酯,因为它们对与龋齿相关的微生物——远缘链球菌和嗜酸乳杆菌具有生长刺激作用。