Objective: To study the effect of experimental antibacterial fluoride-releasing dental materials (composite and bonding agent) to inhibit secondary caries using an in vitro artificial bacteria-induced caries model. Method: Class 5 cavities (3 mm high, 3-4 mm wide, 2-3 mm deep, n=8) were prepared near enamel-cementum junction on the buccal and palatal surfaces of each tooth. The prepared teeth were restored with three groups of materials: Group 1: Experimental antibacterial fluoride-releasing bonding agent and composite, Group 2: commercial fluoride-releasing materials (Xeno IV bonding agent and EsthetX composites, Caulk/Dentsply), Group 3: commercial non-fluoride-releasing materials (Adper Scotchbond MP bonding agent and Filtek Supreme Plus composites, 3M-ESPE). The composites were applied and light-cured (40s) layer-by-layer or following manufacturers' instructions. After restoration, the specimens were painted with nail polish with 1.5 mm of enamel exposed around the restoration margin, incubated in Brain Heart Infusion broth containing 1% sucrose and inoculated with Streptococcus mutans UA159 and Lactobacillus casei at 37°C for 8 days, with the medium changed every two days. Then the specimens were removed from the culture medium, cleaned, air dried, imbedded in epoxy resin, sectioned and polished to less than 0.25 mm, photographed under a Nikon i50 polarized light. The wall lesions depth from the enamel surface was measured at 25 μm distance from the adhesive-enamel interface. The data were analyzed using ANOVA and post hoc Tukey test (a=0.05).
Result: Table 1. Wall lesion depth of artificial caries (mean±SD).
Materials | Wall lesion depth (μm) |
Group 1: Experimental antibacterial fluoride-releasing materials | 137.14±29.06A |
Group 2: commercial fluoride-releasing materials. | 168.00±31.12B |
Group3: commercial non-fluoride-releasing materials | 235.64±19.60C |
The groups with different superscript letters have significant difference (p<0.05).
Conclusion: The experimental antibacterial fluoride-releasing dental materials have significantly higher inhibition effect to secondary caries than commercial F-releasing or non-F-releasing dental materials. (Supported by NIH/NIDCR grant R01DE019203).