Dan Sebring, Nils-Gunnar Pehrsson, Kåre Buhlin, Peter Jonasson, Henrik Lund, Thomas Kvist
{"title":"A Weighted Composite of Endodontic Inflammatory Disease is Linked to a First Myocardial Infarction.","authors":"Dan Sebring, Nils-Gunnar Pehrsson, Kåre Buhlin, Peter Jonasson, Henrik Lund, Thomas Kvist","doi":"10.3290/j.ohpd.b4586815","DOIUrl":"10.3290/j.ohpd.b4586815","url":null,"abstract":"<p><strong>Purpose: </strong>To explore a weighted composite of endodontic inflammatory disease (EID) as a risk factor for suffering a first myocardial infarction (MI).</p><p><strong>Materials and methods: </strong>Seven tooth-specific conditions related to EID were assessed radiographically in 797 patients suffering a first MI and 796 controls. A weighted composite of EID was calculated as the sum of all teeth, excluding third molars. Using maximum likelihood estimation, each condition was assigned a specific weight. With multivariable conditional regression, EID variables, periodontal disease, and missing teeth were assessed as predictors of a first MI.</p><p><strong>Results: </strong>Periodontal disease (OR 1.38; 95% CI 1.13-1.69, p = 0.0016) and missing teeth (OR 1.03; 95% CI 1.002-1.05, p = 0.034) were related to the risk of a first MI, while none of the EID-related conditions individually were. However, when assessed as an aggregate, a weighted composite of EID (OR 1.97; 95% CI 1.23-3.17, p = 0.0050) and periodontal disease (OR 1.34; 95% CI 1.09-1.63, p = 0.0046) was associated with the risk of MI. Missing teeth did not remain a statistically significant predictor of MI in the final model.</p><p><strong>Conclusions: </strong>A weighted composite of EID was associated with the risk of MI and strengthens the evidence for a direct connection between oral inflammatory diseases and cardiovascular disorders.</p>","PeriodicalId":19696,"journal":{"name":"Oral health & preventive dentistry","volume":"21 1","pages":"375-382"},"PeriodicalIF":1.4,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71425751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abid Bossouf, Céline Sabourin, Carina Pop, Nicolas Giraudeau, Camille Inquimbert
{"title":"Interprofessional Survey on Knowledge and Attitudes on Oral Health among Nurses in France.","authors":"Abid Bossouf, Céline Sabourin, Carina Pop, Nicolas Giraudeau, Camille Inquimbert","doi":"10.3290/j.ohpd.b4586807","DOIUrl":"10.3290/j.ohpd.b4586807","url":null,"abstract":"<p><strong>Purpose: </strong>Healthcare professionals (HCPs) play a key role in improving the health literacy of patients. Since oral health is an essential part of overall health, the objective of this study was to assess the knowledge and attitudes about oral health among registered nurses.</p><p><strong>Materials and methods: </strong>A four-component questionnaire was used to assess the oral health training, oral health knowledge and attitudes of registered nurses. Participants were recruited from the city of Montpellier, France, and the surrounding area between May and June 2022 via e-mail and social media.</p><p><strong>Results: </strong>In total, 416 responses were included in our study. Only 35.8% of nurses reported that they had received specific training on oral health and 24.3% had never advised patients to consult a dentist. Participants demonstrated good overall knowledge, but stated there were weaknesses in a variety of areas, such as oral health in children. The nurses proposed methods to improve understanding of the importance of oral health, namely by setting up training courses and better interdisciplinary collaboration.</p><p><strong>Conclusion: </strong>Our study showed that some aspects of oral health are not well understood by nurses. Initial training should be improved and supplemental training should be offered to improve the knowledge, attitude and practices of nurses in order to improve patient care.</p>","PeriodicalId":19696,"journal":{"name":"Oral health & preventive dentistry","volume":"21 1","pages":"365-374"},"PeriodicalIF":1.4,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71425752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Knowledge and Practice Behaviours of Obstetricians/Gynecologists and Midwives Concerning Periodontal Health and Pregnancy.","authors":"Camille Bechina, Guillaume Bonvillain, Gildas Rethore, Assem Soueidan, Norbert Winer, Yoann Maitre, Xavier Struillou","doi":"10.3290/j.ohpd.b4586823","DOIUrl":"10.3290/j.ohpd.b4586823","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the present study was to evaluate the level of knowledge of prenatal health professionals concerning the relationship between periodontal diseases and pregnancy complications, as well as their professional implications in the oral health field.</p><p><strong>Materials and methods: </strong>A questionnaire was distributed to obstetricians/gynecologists, interns specialised in obstetrics/gynecology, midwives, and student midwives at Loire Atlantique and Vendée hospitals (France). The questionnaire included 5 sociodemographic questions and 14 questions regarding the level of knowledge about the relationship between periodontal diseases and pregnancy complications as well as the professionals' level of involvement in oral health care.</p><p><strong>Results: </strong>Twenty-three obstetricians/gynecologists and 55 midwives responded to the questionnaire. Preterm delivery and chorioamnionitis were the most frequently mentioned complications of pregnancy, whereas the risk of pre-eclampsia was rarely mentioned. Half of the professionals said they were aware of the oral manifestations of pregnancy. Gingivitis and an increased risk of caries were the most frequently mentioned items, whereas epulis was the least frequently mentioned item. The level of involvement of prenatal care practitioners in oral health care was limited due to a lack of competence and time. Nevertheless, 64% of the participants discussed the risks of poor oral hygiene with their patients.</p><p><strong>Conclusion: </strong>There is good knowledge among French gynecologists/obstetricians and midwives regarding the oral manifestations of pregnancy. However, there is still a lack of knowledge concerning the links between periodontal diseases and pregnancy complications. The involvement and behaviour of pregnancy professionals in the oral health field is inadequate. The present survey highlights the need to improve the initial and continuing education of obstetricians and midwives on this topic.</p>","PeriodicalId":19696,"journal":{"name":"Oral health & preventive dentistry","volume":"21 1","pages":"383-390"},"PeriodicalIF":1.4,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71425753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Konstantina Chatzidimitriou, Kyriaki Seremidi, Maria G Balta, Victoria Katechi, Konstantina Petroleka, Sotiria Gizani
{"title":"Vital Pulp Therapy of Young First Permanent Molars: A Retrospective Study on Radiographic Findings 24 Months Post-treatment.","authors":"Konstantina Chatzidimitriou, Kyriaki Seremidi, Maria G Balta, Victoria Katechi, Konstantina Petroleka, Sotiria Gizani","doi":"10.3290/j.ohpd.b4586789","DOIUrl":"10.3290/j.ohpd.b4586789","url":null,"abstract":"<p><strong>Purpose: </strong>With success rates comparable to that of root canal treatment, vital pulp therapy (VPT) has gained clinical interest and has been used in the management of young permanent teeth with inflamed pulps. The aim of the present study was to retrospectively evaluate the radiographic success of VPT in young first permanent molars 24 months post-treatment and correlate findings with tooth and treatment-related characteristics.</p><p><strong>Materials and methods: </strong>Dental records of all patients with first permanent molars which received VPT in the Department of Paediatric Dentistry (National and Kapodistrian University of Athens) were retrieved. Demographic characteristics and data regarding the treatment performed were recorded. Patients' radiographs were evaluated at 6, 12 and 24 months post-treatment by two qualified paediatric dentists blinded regarding the treatment performed. Radiographic success, reasons for failure and continuation of root development were evaluated. Differences were tested using the Χ2 and Student's t-test, and possible correlations were determined by calculating the odds ratio.</p><p><strong>Results: </strong>Overall radiographic success rate at 24 months was 77%, ranging between 50% for direct pulp capping and 92% for full pulpotomy. Differences were not statistically significant. Continuation of root development was recorded in almost 1/3 of the teeth and completion in almost 1/5. No statistically significant association was recorded between the outcome and any tooth and treatment-related variables.</p><p><strong>Conclusion: </strong>VPT seems to be a reliable option in the long term for the treatment of deep carious lesions in young permanent molars.</p>","PeriodicalId":19696,"journal":{"name":"Oral health & preventive dentistry","volume":"21 1","pages":"357-364"},"PeriodicalIF":1.4,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71425756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reduced Use of Antibiotics and Nasal Decongestants During Treatment with a Mouthwash Containing Delmopinol.","authors":"Torgny Sjödin, Rolf Movert, Mikael Åström","doi":"10.3290/j.ohpd.b4586769","DOIUrl":"10.3290/j.ohpd.b4586769","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the use of concomitant medication in combination with a mouthwash of delmopinol HCl 0.2% based on data from 8 phase III efficacy studies on the mouthwash.</p><p><strong>Materials and methods: </strong>Clinical data obtained from 8 previously performed phase III studies, carried out to document the clinical efficacy of a mouthwash of delmopinol HCl 0.2% with respect plaque and gingivitis, were used to analyse the use of concomitant medication. In these 8 randomised double-blind clinical phase III studies the patients were - in addition to their normal oral hygiene measures - treated for 2-6 months with mouthwashes containing delmopinol HCl 0.2%, delmopinol HCl 0.1%, chlorhexidine digluconate 0.2% or placebo. The number of visits in each study was three. Each time the patients visited the dentist for efficacy determinations, other data were also recorded. One of these was whether the patient had used any other medication during the study. In this paper, the number of treatments of different types of concomitant medication (antibiotics, nasal decongestants and others) was used as a basis for statistical comparisons between the different test groups.</p><p><strong>Results: </strong>For antibiotics (all indications), a 27% lower number of treatments was obtained in the delmopinol 0.2% group in comparison with the placebo group, and a 41% decrease was observed for treatments with antibiotics for respiratory infections. For nasal decongestants, the number of treatments was 53% lower in the delmopinol 0.2% group.</p><p><strong>Conclusions: </strong>The delmopinol HCl 0.2% solution in patients with gingivitis provided a statistically significant reduction of concomitant use of antibiotics and nasal decongestants.</p>","PeriodicalId":19696,"journal":{"name":"Oral health & preventive dentistry","volume":"21 1","pages":"347-356"},"PeriodicalIF":1.4,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71425754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicolai Blatter, Blend Hamza, Thomas Attin, Florian J Wegehaupt
{"title":"Supplementation of Energy Drinks with Green Tea Extract: Effect on In Vitro Abrasive/Erosive Dentin Wear.","authors":"Nicolai Blatter, Blend Hamza, Thomas Attin, Florian J Wegehaupt","doi":"10.3290/j.ohpd.b4586835","DOIUrl":"10.3290/j.ohpd.b4586835","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the effect of the supplementation of energy drinks with green tea extract on abrasive and erosive dentin wear.</p><p><strong>Materials and methods: </strong>Six groups, each comprising 15 bovine dentin samples, were prepared, yielding a total of 90 samples. Erosion was performed by immersing the samples in Red Bull and Red Bull light with and without green tea extract. Tap water with and without green tea extract was used as the control groups. The samples were subjected to abrasive/erosive cycling for five days. The following cycling was performed daily: toothbrush abrasion (20 brushstrokes; 2.5 N); eight erosive cycles (2 min storage in the respective solutions); in between the erosive cycles, storage in artificial saliva (60 min) and again toothbrush abrasion (20 brushstrokes; 2.5 N). During the night, samples were again stored in artificial saliva. Abrasive/erosive dentin wear was measured using a stylus profilometer (µm, accuracy = 40 nm). The measured dentin loss results from the vertical position shift on the y-axis from base to final profile after the wear process in 2D. Pairwise comparisons between the groups were carried out using Wilcoxon signed-rank test.</p><p><strong>Results: </strong>The following dentin wear (median [IQR]) was measured: Red Bull: 1.9 µm (0.5); Red Bull Light: 1.3 µm (0.3); Red Bull with green tea extract: 0.8 µm (0.3); Red Bull Light with green tea extract: 0.3 µm (0.5); Tap water with green tea extract: -0.2 µm (0.7); Tap water: -1.0 µm (1.2). The comparison of all tested groups to each other proved to be statistically significant (p < 0.05).</p><p><strong>Conclusion: </strong>The supplementation of energy drinks with green tea extract provide a protective effect against erosive/abrasive wear in vitro.</p>","PeriodicalId":19696,"journal":{"name":"Oral health & preventive dentistry","volume":"21 1","pages":"391-396"},"PeriodicalIF":1.4,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71425755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Associations between Plasma Antibody Levels against Porphyromonas gingivalis and Atrial Fibrillation among Community-Dwelling Older Individuals in Japan: A Cross-Sectional Study.","authors":"Takashi Hoshino, Noboru Kaneko, Akihiro Yoshihara, Masanori Iwasaki, Kana Suwama, Yumi Ito, Junta Tanaka, Ichiei Narita, Hiroshi Ogawa","doi":"10.3290/j.ohpd.b4528813","DOIUrl":"10.3290/j.ohpd.b4528813","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the association between plasma antibody levels against Porphyromonas gingivalis (PG) and atrial fibrillation (AF) history in community-dwelling older individuals in Japan.</p><p><strong>Materials and methods: </strong>This study was a subset of the Uonuma cohort study, including 3091 participants aged 60-79 years. Data were collected, including AF history as a dependent variable, plasma immunoglobulin G antibody levels against PG as an independent variable, and previously reported AF risk factors and demographic information as covariates.</p><p><strong>Results: </strong>The median age of the participants was 69 years. Of the 3091 participants, 1411 (45.6%) were men, and 56 (1.8%) had an AF history. AF prevalence was significantly higher in participants with higher antibody levels against PG than in those with lower antibody levels (3.0% vs 1.4%; p = 0.005). Multivariable logistic regression analysis showed that participants with higher antibody levels against PG had twofold higher odds of having AF (odds ratio = 2.13; 95% confidence interval = 1.23-3.69). Restricted cubic spline analysis indicated a nonlinear relationship between antibody levels against PG and AF history.</p><p><strong>Conclusion: </strong>Plasma antibody levels against PG were associated with AF history in community-dwelling older individuals in Japan.</p>","PeriodicalId":19696,"journal":{"name":"Oral health & preventive dentistry","volume":"21 1","pages":"339-346"},"PeriodicalIF":1.4,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49680758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jelena Petrovic, Caroline Sekundo, Holger Gehrig, Sarah Rampf, Shirin El-Sayed, Alexander Ritz, Johannes Mente
{"title":"Outcome after Partial Pulpotomy: Long-term Results of the Prospective Clinical MMP-9 Study.","authors":"Jelena Petrovic, Caroline Sekundo, Holger Gehrig, Sarah Rampf, Shirin El-Sayed, Alexander Ritz, Johannes Mente","doi":"10.3290/j.ohpd.b4438901","DOIUrl":"10.3290/j.ohpd.b4438901","url":null,"abstract":"<p><strong>Purpose: </strong>While the objective of partial pulpotomy is to preserve the vitality and function of the pulp tissue, the preopera-tive pulp status is the main prognostic factor for its success. To date, however, there is little data on long-term success rates. Therefore, the aim of this prospective pilot study was to assess the long-term outcome of partial pulpotomy in per-manent teeth after carious pulp exposure without signs or symptoms of irreversible pulpitis, verified clinically, radio-graphically, and via MMP-9 levels.</p><p><strong>Materials and methods: </strong>Patients in whom permanent teeth with extremely deep carious lesions were diagnosed as com-pletely asymptomatic (n = 8) or with signs of reversible pulpitis (n = 10) underwent non-selective caries removal followed by a blood test to assess the level of MMP-9. The teeth were thereafter partially pulpotomised, MTA-capped, and immedi-ately restored with composite resin. Follow-up examinations were performed by endodontically experienced examiners focusing on clinical and radiographic assessment.</p><p><strong>Results: </strong>One patient could not be contacted and was lost to follow-up. Overall, the follow-up period ranged from 2-8 years (mean = 4.4 years). The majority of teeth remained functional and without pathology; one tooth was classified as having failed because of a vertical root fracture. There was no statistically significant difference in the groups' success rate (p = 0.3). The estimated overall survival rate was 94.1% (95% CI: 0.84-1.00) after 4 years according to the Kaplan-Meier method.</p><p><strong>Conclusion: </strong>Pulp vitality in permanent teeth can be preserved with high success rates by means of partial pulpotomy after carious pulp exposure in asymptomatic teeth or in teeth with reversible pulpitis.</p>","PeriodicalId":19696,"journal":{"name":"Oral health & preventive dentistry","volume":"21 1","pages":"331-338"},"PeriodicalIF":1.4,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41159829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adrian Kahn, Daya Masri, Lazar Kats, Roni Kolerman, Sarit Naishlos, Tom Shmuly, Dror Allon, Liat Chaushu
{"title":"Referral Patterns of General Dental Practitioners for Implant Surgery Procedures.","authors":"Adrian Kahn, Daya Masri, Lazar Kats, Roni Kolerman, Sarit Naishlos, Tom Shmuly, Dror Allon, Liat Chaushu","doi":"10.3290/j.ohpd.b4438887","DOIUrl":"10.3290/j.ohpd.b4438887","url":null,"abstract":"<p><strong>Purpose: </strong>The growing demand for implants has led to their implementation by general dental practitioners (GDPs) in clinical practice. The present study assessed referral patterns of GDPs for the surgical phase of implant dental treatment.</p><p><strong>Materials and methods: </strong>One hundred fifty GDPs were asked to fill out a structured questionnaire containing their demographic data and answer six questions characterising their referral patterns for implant dentistry.</p><p><strong>Results: </strong>Forty-one (41%) percent performed the surgical phase, and 87% provided implant restoration. Gender was the only influencing factor for the surgical phase, as 51.4% of male GDPs and 6.5% of female GDPs performed implant surgery themselves. Experience and practice set-up did not influence the referring decision. Fifty-four percent of the practitioners referred 0 to 5 patients per month, and the chosen specialists were: 80% oral and maxillofacial surgeon, 11% periodontist, and 9% selected a specialist depending on the individual case. The major reasons influencing the referral pattern were the complexity of the surgical procedure, followed by systemic medical compromise of the patient.</p><p><strong>Conclusions: </strong>Most implant surgeries in Israel are still performed by specialists.</p>","PeriodicalId":19696,"journal":{"name":"Oral health & preventive dentistry","volume":"21 1","pages":"325-330"},"PeriodicalIF":1.4,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41143582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dominique Tobler, Olivier Braissant, Tuomas Waltimo, Michael M Bornstein, Monika Astasov-Frauenhoffer
{"title":"Stannous Source in Toothpastes Leads to Differences in Their Antimicrobial Efficacy.","authors":"Dominique Tobler, Olivier Braissant, Tuomas Waltimo, Michael M Bornstein, Monika Astasov-Frauenhoffer","doi":"10.3290/j.ohpd.b4424911","DOIUrl":"10.3290/j.ohpd.b4424911","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this in-vitro study was to investigate the antimicrobial efficacy of identical experimental toothpastes with different stannous sources.</p><p><strong>Materials and methods: </strong>Streptococcus mutans biofilms were grown on protein-coated glass disks in static conditions for 24 h and thereafter exposed to toothpaste slurries or physiological saline (negative control; n = 15) for 30 s. Four experimental toothpastes were applied in this study, containing either stannous chloride (SnCl2; B: 3500 ppm Sn2+, and D: 3600 ppm Sn2+) or stannous fluoride (SnF2; C: 3500 ppm Sn2+, and E: 3600 ppm Sn2+). Marketed toothpaste meridol® (A: 3300 ppm SnF2) served as control. All five toothpastes contained amine fluoride (AmF). The biofilms were placed on agar surface and their metabolic activity was assessed by isothermal microcalorimetry over 96 h. The heat flow data was analysed for growth rate and lag time using grofit package in software R. Additionally, reduction of active biofilm compared to untreated control was calculated.</p><p><strong>Results: </strong>All toothpastes significantly prolong the lag time of treated biofilms in comparison to negative control (p < 0.05). Toothpastes containing SnF2 (C and E) prolonged the lag time statistically significantly compared to toothpastes containing SnCl2 (B and D) (p < 0.05). The maximum growth rate was statistically significantly reduced by all tested toothpastes compared to the untreated control group (p < 0.05). Toothpastes containing SnF2 (A, C and E) reached 59.9 ± 7.8, 61.9 ± 7.7, and 55.6 ± 7.0% reduction of active biofilm, respectively. Thus, they exhibit statistically significantly better results than toothpastes B (52.9 ± 9.9%) and D (44.7 ± 7.6%). Toothpaste D, which contains a slightly higher concentration of Sn2+, was the least effective in reducing active biofilm.</p><p><strong>Conclusion: </strong>The toothpastes containing SnF2 combined with AmF had the highest antimicrobial efficacy in this study.</p>","PeriodicalId":19696,"journal":{"name":"Oral health & preventive dentistry","volume":"21 1","pages":"319-324"},"PeriodicalIF":1.4,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41133309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}