title: Mutans streptococci and incipient caries adjacent to glass ionomer cement or resin-based composite in orthodontics.
abstract: Levels of mutans streptococci in plaque adjacent to orthodontic brackets retained with a glass ionomer cement (GIC) (Ketac-Cem) and a resin-based composite (CR) (Concise) were investigated, using the split mouth technique in 11 patients who, before treatment, had more than 10(5) CFU of these microorganisms. After full-term orthodontic treatment (mean 9.5 months), the percentage of mutans streptococci of total CFU count in plaque was lower adjacent to GIC-retained brackets (mean 3.9) than adjacent to CR-retained brackets (6.7), but the difference was not statistically significant. Two subjects harbored S. sobrinus. These subjects were the only ones who developed incipient caries during the orthodontic treatment. Incipient lesion formation occurred only adjacent to CR-retained brackets. This suggests that in patients who have relatively high salivary levels of mutans streptococci before treatment and especially in those who harbor S. sobrinus, the use of GIC for bonding may prevent incipient caries formation during orthodontic treatment.
authors.affiliation: Department of Orthodontics, Faculty of Odontology, University of Göteborg, Sweden.
authors.forename: T
authors.initials: T
authors.lastname: Ortendahl
authors.forename: B
authors.initials: B
authors.lastname: Thilander
authors.forename: M
authors.initials: M
authors.lastname: Svanberg
mesh_terms: D000293:Adolescent; D017438:Bisphenol A-Glycidyl Methacrylate; D002648:Child; D015169:Colony Count, Microbial / Q000706:statistics & numerical data; D003731:Dental Caries / Q000517:prevention & control; D003732:Dental Caries Activity Tests / Q000706:statistics & numerical data; D003773:Dental Plaque / Q000382:microbiology*; D005899:Glass Ionomer Cements; D006801:Humans; D008277:Magnesium Oxide; D008311:Malocclusion, Angle Class I / Q000382:microbiology / Q000628:therapy; D009967:Orthodontic Appliances / Q000706:statistics & numerical data; D011076:Polycarboxylate Cement; D018709:Statistics, Nonparametric; D013295:Streptococcus mutans / Q000302:isolation & purification*; D016986:Streptococcus sobrinus / Q000302:isolation & purification; D015034:Zinc Oxide
chemical_list: D005899:Glass Ionomer Cements; D011076:Polycarboxylate Cement; D008277:Magnesium Oxide; D017438:Bisphenol A-Glycidyl Methacrylate; C040235:Ketac-cem; D015034:Zinc Oxide