In vitro analysis of inhibitory effects of the antibacterial monomer MDPB-containing restorations on the progression of secondary root caries.
OBJECTIVE
This study aimed to analyze in vitro inhibitory effects of restorative materials containing the antibacterial monomer 12-methacryloyloxydodecylpyridinium bromide (MDPB) on the formation of artificial secondary root caries lesions.


METHODS
Class V cavities (2mmx2mm) were prepared in 75 human root fragments. Specimens were randomly divided into five groups (n=15 fragments per group) and restored as follows: (I) MDPB-free adhesive system+MDPB-free composite (negative control); (II) resin modified glass ionomer (RM-GIC; positive control); (III) MDPB-free adhesive system+MDPB-containing composite (2.83% MDPB); (IV) MDPB-containing adhesive system+MDPB-free composite; (V) MDPB-containing adhesive system+MDPB-containing composite. Artificial secondary root caries lesions were produced by a biological artificial caries challenge. The restored specimens were immersed into a culture medium containing Streptococcus mutans and sucrose for 15 days. Histological slices (80+/-20 microm) of the specimens were used for measuring the mean depths of the artificial lesions produced in both margins of the restorations using polarized light microscopy. Results were expressed in percentage related to the mean depth of the negative control, considered 100%. Data were compared by ANOVA followed by the Tukey's test (p< or =0.05).


RESULTS
The depths of lesions adjacent to cavities filled with RM-GIC (GII; 85.17+/-15.2%) were significantly (p<0.01) shallower than those adjacent to restorations with MDPB-free composite (GI; 100.00+/-10.04%), despite the presence of MDPB in the adhesive system (GIV; 101.95+/-21.32%). The depths of lesions adjacent to cavities restored with MDPB-containing composite (GIII; 82.68+/-12.81% and GV; 85.65+/-15.42%), despite the adhesive system used, were similar to those of RM-GIC (GII). Mean lesions depths in these groups decreased from 13% (GV) to 17% (GIII) in relation to the negative control (GI).


CONCLUSIONS
MDPB-containing composite inhibits the progression of artificial secondary root caries lesions regardless of adhesive systems.
Thomé
Thaís
T
Departamento de Dentística, Faculdade de Odontologia, Universidade de São Paulo, São Paulo, Brazil.
Mayer
Marcia P A
MP
Imazato
Satoshi
S
Geraldo-Martins
Vinícius R
VR
Marques
Márcia M
MM
D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D015169:Colony Count, Microbial; D003188:Composite Resins / Q000737:chemistry*; D003793:Dental Restoration, Permanent / Q000379:methods*; D005899:Glass Ionomer Cements / Q000737:chemistry; D006801:Humans; D011726:Pyridinium Compounds / Q000008:administration & dosage / Q000627:therapeutic use*; D019279:Resin Cements / Q000737:chemistry; D017213:Root Caries / Q000517:prevention & control*; D013295:Streptococcus mutans / Q000187:drug effects
D000900:Anti-Bacterial Agents; D003188:Composite Resins; D005899:Glass Ionomer Cements; D011726:Pyridinium Compounds; D019279:Resin Cements; C089392:methacryloyloxydodecylpyridinium bromide