Hengtrakool, Chanotai; (2001) A study of the interactions between glass-ionomer cement and S. sanguis biofilms. Doctoral thesis (Ph.D), UCL (University College London).

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Abstract

Glass-ionomer cements (GIC) have been used for dental procedures for many years and more recently in other medical applications such as bone cements, for bone reconstruction and also as drug release agents. The postulated caries-preventive activities of GIC are thought to result from their sealing ability, remineralization potential and antibacterial effects. Extensive 'in vitro' investigations have attempted to quantify these effects. In this study, an artificial mouth model, simulating 'in vivo' conditions at the tooth surface, was used to achieve a better understanding of the interaction of oral bacteria with the cements. This study investigated the interaction of Streptococcus sanguis, a common mouth commensal, with two glass-ionomer formulations (one containing fluoride and the other without fluoride ion) with particular reference to bacterial growth, changes in surface roughness and hardness of the glass-ionomer cement with respect to time. Restorative materials with rough surfaces will promote bacterial accumulation 'in vivo' and plaque formation is one factor in surface degradation. The constant depth film fermenter (CDFF) permits the examination of these phenomena and was used to investigate glass-ionomer/S. sanguis biofilm interaction over periods up to 14 days. In conjunction with these studies, surface roughness was measured using a 3-dimension laser profilometer and the surface hardness evaluated using a micro-indenter. Fluoride release from the cement was measured over 84 days. The results showed that autoclaving the CDFF prior to bacterial innoculate did not appear to affect the long-term fluoride release of the GIC. Laser profilometry revealed that the initial roughness and surface area of the GICs was significantly greater than the hydroxyapatite control. S. sanguis viable counts were significantly reduced for both glass-ionomer formulations in the shortterm, the greater reduction being with fluoride-GIC. S. sanguis biofilms produced similar hardness reduction on the surface of GIC:A to those observed with lactic acid pH 5 and artificial saliva whereas the effect on GIC:B was equivalent to that of lactic acid pH between 4 and 5. GICs showed changes in surface roughness after removal the biofilms. This indicates that while S. sanguis biofilm is affected by the GIC, there is also an increase in roughness of the cement indicating some degradation.

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