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  • Title: Biofilm formation and release of fluoride from dental restorative materials in relation to their surface properties.
    Author: Hahnel S, Ionescu AC, Cazzaniga G, Ottobelli M, Brambilla E.
    Journal: J Dent; 2017 May; 60():14-24. PubMed ID: 28212980.
    Abstract:
    OBJECTIVES: To elucidate the impact of surface properties and the release of fluoride from different glass ionomer cements on biofilm formation. METHODS: Standardized specimens manufactured from various classes of glass ionomer cements (GICs), a resin-based composite (RBC), and human enamel were subjected to surface analyses. Subsequent to simulation of salivary pellicle formation, Streptococcus mutans biofilm formation was initiated using a drip flow reactor for 48h and 96h. Biofilms were characterized by determining viable bacterial biomass and 3D biofilm architecture using SEM and CLSM; the release of fluoride from the specimens was measured using the ion selective micro method in dependence on various experimental conditions (incubation with sterile broth/bacteria/acid). RESULTS: Surface properties and biofilm formation correlated poorly, while the release of fluoride correlated well with viable streptococcal biomass and SEM/CLSM analyses. For all investigated materials, biofilm formation was lower than on enamel. The release of fluoride showed a significant dependency on the experimental conditions applied; the presence of biofilms reduced fluoride release in comparison to sterile incubation conditions. CONCLUSIONS: Within the limitations of a laboratory study, the results suggest that biofilm formation on GICs cannot be easily predicted as a function of substratum surface parameters. The release of fluoride from glass ionomer cements contributes to control biofilm formation particularly in its early phases. CLINICAL SIGNIFICANCE: Glass ionomer cements can actively control microbial biofilm formation, while biofilms modulate the release of fluoride from GIC materials.
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