Comparative Study on The Remineralizing and Antimicrobial Effect of Naturally and Synthetically based Agents

M. Sadik, W. jamil, Asmaa Mosleh
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Abstract

Purpose : This study aimed to evaluate and compare the remineralizing and antimicrobial effect of chitosan-based agent and Flavonoid. Materials and methods: This study was carried out in two phases; remineralization phase and antimicrobial phase. Ninety (90) bovine mandibular incisors were used in the study with forty-five (45) teeth in each phase. Teeth were prepared and randomized into three groups according to treatment material (n=15 samples) as follows; group I; control group (being immersed in artificial saliva), group II; treated with flavonoid and finally group III; treated with chitosan-based agent. Each agent was applied for 10 minutes six times/day. In phase (1) remineralizing effect was measured through recording radiodenisty (by using digital radiography) at baseline, after creation of lesion and after treatment. In phase (2) antimicrobial effect was measured (by using colony forming unit test and lactic acid production test) at baseline and after treatment. Data were obtained and the differences between groups were estimated by ANOVA test followed by Tukey’s post hoc test. Results : Statistical analysis by ANOVA test revealed that there was high statistically significant difference between the study groups. Dentin blocks treated by chitosan-based agent showed greater remineralizing effect than flavonoid. Dentin blocks with 1,4 and 7 days biofilms treated with Flavonoids showed greater inhibition of Lactic acid production and Colony forming unit. Conclusion :- Chitosan-based agent can be used as remineralizing agent while flavonoid can be used as antimicrobial agent against S.mutans by inhibiting colony forming unit and lactic acid production..
天然与合成药物再矿化及抗菌效果的比较研究
目的:评价和比较壳聚糖基药剂和类黄酮的再矿化和抗菌效果。材料与方法:本研究分两期进行;再矿化阶段和抗菌阶段。在研究中使用了90(90)个牛下颌门牙,每个阶段45(45)个牙齿。制备牙体,根据治疗材料随机分为3组(n=15个样本):组我;对照组(浸泡人工唾液),II组;黄酮处理组和ⅲ组;用壳聚糖基药剂处理。每剂应用10分钟/天6次。在第(1)阶段,通过记录基线、病变产生后和治疗后的放射密度(使用数字放射照相)来测量再矿化效果。在第(2)阶段,采用菌落形成单元试验和乳酸生成试验测定基线和治疗后的抗菌效果。采用方差分析和Tukey事后检验估计组间差异。结果:经方差分析(ANOVA),各研究组间差异有显著统计学意义。壳聚糖基牙本质阻断剂处理后的再矿化效果优于类黄酮。黄酮生物膜处理1、4和7 d的牙本质阻滞对乳酸生成和菌落形成单位的抑制作用更大。结论:壳聚糖类药物可作为再矿化剂,而黄酮类药物可通过抑制菌落形成单元和乳酸生成来作为抗变形链球菌的抗菌药物。
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