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      Bacterial adhesion on fissure sealants: Effects of exposure to acidic drink

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          Abstract

          Background

          Adherence of bacteria to teeth surface is considered an important step in the development of caries and the use of fissure sealants is crucial for the prevention of caries in occlusal surfaces of molars and premolars. The aim of this study was to investigate and compare the adherence of Streptococcus mutans to different fissure sealants, after acidic drink exposure.

          Material and Methods

          The tested materials were Fissurit, Fissurit FX, Grandio Seal, Fuji Triage, Constic. Bacterial suspension was deposited onto each material and the adhesion was evaluated trough the colony forming units (CFUs) determination with or without acidic drink exposure.

          Results

          The tested materials showed different behaviors with significant differences. Bacterial adherence values of the untreated materials were very dissimilar: Fuji Triage and Constic materials showed the better results ( P<0.05).

          Conclusions

          Surface alteration after acidic drink exposure, changed the bacterial adhesion (except for Grandio Seal): Fissurit, Fissurit FX and Fuji Triage decreased their susceptibility to be colonized by S. mutans ( P<0.05); on the contrary, Constic increased up to ~4 times the bacterial adhesiveness respected to the untreated control ( P<0.05).

          Key words:Acidic drinks, bacterial adhesion, fissure sealants, Streptococcus mutans.

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          Most cited references31

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          Sealants for preventing dental decay in the permanent teeth.

          Dental sealants were introduced in the 1960s to help prevent dental caries in the pits and fissures of mainly the occlusal tooth surfaces. Sealants act to prevent the growth of bacteria that can lead to dental decay. There is evidence to suggest that fissure sealants are effective in preventing caries in children and adolescents when compared to no sealants. Their effectiveness may be related to the caries prevalence in the population.
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            Mechanisms of adhesion by oral bacteria.

            Adherence to a surface is a key element for colonization of the human oral cavity by the more than 500 bacterial taxa recorded from oral samples. Three surfaces are available: teeth, epithelial mucosa, and the nascent surface created as each new bacterial cell binds to existing dental plaque. Oral bacteria exhibit specificity for their respective colonization sites. Such specificity is directed by adhesin-receptor cognate pairs on genetically distinct cells. Colonization is successful when adherent cells grow and metabolically participate in the oral bacterial community. The potential roles of adherence-relevant molecules are discussed in the context of the dynamic nature of the oral econiche.
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              The effectiveness of sealants in managing caries lesions.

              A barrier to providing sealants is concern about inadvertently sealing over caries. This meta-analysis examined the effectiveness of sealants in preventing caries progression. We searched electronic databases for comparative studies examining caries progression in sealed permanent teeth. We used a random-effects model to estimate percentage reduction in the probability of caries progression in sealed vs. unsealed carious teeth. Six studies, including 4 randomized-controlled trials (RCT) judged to be of fair quality, were included in the analysis (384 persons, 840 teeth, and 1090 surfaces). The median annual percentage of non-cavitated lesions progressing was 2.6% for sealed and 12.6% for unsealed carious teeth. The summary prevented fraction for RCT was 71.3% (95%CI: 52.8%-82.5, no heterogeneity) up to 5 years after placement. Despite variation among studies in design and conduct, sensitivity analysis found the effect to be consistent in size and direction. Sealing non-cavitated caries in permanent teeth is effective in reducing caries progression.
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                Author and article information

                Journal
                J Clin Exp Dent
                J Clin Exp Dent
                Medicina Oral S.L.
                Journal of Clinical and Experimental Dentistry
                Medicina Oral S.L.
                1989-5488
                1 June 2018
                June 2018
                : 10
                : 6
                : e574-e578
                Affiliations
                [1 ]Department of Clinical-Surgical, Diagnostic and Pediatric Sciences – Section of Dentistry, University of Pavia, Pavia, Italy
                [2 ]Department of Molecular Medicine, Unit of Biochemistry, University of Pavia, Pavia, Italy
                Author notes
                Department of Clinical-Surgical Diagnostic and Pediatric Sciences – Section of Dentistry Policlinico “San Matteo” Piazzale Golgi 3, 27100 Pavia, Italy , E-mail: claudio.poggio@ 123456unipv.it

                Conflict of interest statement: The authors have declared that no conflict of interest exist.

                Article
                54818
                10.4317/jced.54818
                6005089
                9369102a-4c07-45d0-a985-3118afb23756
                Copyright: © 2018 Medicina Oral S.L.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 11 April 2018
                : 12 March 2018
                Categories
                Research
                Community and Preventive Dentistry

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