ObjectiveThis study evaluated the efficacy of NitrAdineTM-based disinfecting
cleaning tablets for complete denture, in terms of denture biofilm removal and
antimicrobial action. Material and methodsForty complete denture wearers (14 men and 26 women) with a mean age of 62.3±9.0
years were randomly assigned to two groups and were instructed to clean their
dentures according to two methods: brushing (control) - 3 times a day with denture
brush and tap water following meals; brushing and immersion (experimental) -
brushing the denture 3 times a day with denture brush and tap water following
meals and immersion of the denture in NitrAdineTM-based denture tablets
(Medical InterporousTM). Each method was used for 21 days. Denture
biofilm was disclosed by a 1% neutral red solution and quantified by means of
digital photos taken from the internal surface before and after the use of the
product. Microbiological assessment was conducted to quantify Candida
sp.
ResultsAn independent t-test revealed a significant lower biofilm percentage for the
experimental group (4.7, 95% CI 2.4 to 7.9) in comparison with the control group
(mean 37.5, 95% CI 28.2 to 48.1) (t38=7.996, p<0.001). A significant reduction
of yeast colony forming units could be found after treatment with Medical
InterporousTM denture tablets as compared to the control group
(Mann-Whitney test, Z=1.90; p<0.05). ConclusionThe present findings suggest that NitrAdineTM-based disinfecting
cleaning tablets are efficient in removal of denture biofilm. In addition, a clear
antimicrobial action was demonstrated. Therefore, they should be recommended as a
routine denture maintenance method for the prevention of the development of
microbial biofilm-induced denture stomatitis.
This study evaluated in vitro the antimicrobial activity of irreversible hydrocolloids (one containing an antimicrobial agent) prepared with water or with a 0.2% chlorhexidine digluconate solution against 12 strains of the oral microbiota. Twenty specimens (0.5x1.0 cm) for each group (1. Jeltrate mixed with water; 2. Jeltrate mixed with 0.2% chlorhexidine digluconate solution; 3. Greengel mixed with water; 4. Greengel mixed with 0.2% chlorhexidine digluconate solution) were prepared under sterile conditions and placed in culture media inoculated with the indicator strains. After incubation in aerobiosis or microaerophilia, inhibition of the microbial growth was measured and the results were interpreted. The normal adherence curve revealed a non-normal distribution of the data, so the non-parametric Friedman Test was performed (p<0.05). The antimicrobial activity of the groups was classified in the following order: 1, 3, 4, and 2. The results suggest that the method of preparing irreversible hydrocolloids with a 0.2% digluconate chlorhexidine solution is more effective than the incorporation of an antimicrobial agent in the powder to reduce cross-contamination caused by impressions.
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