Direct and transdentinal (indirect) antibacterial activity of commercially available dental gel formulations against Streptococcus mutans

Med Princ Pract. 2013;22(4):397-401. doi: 10.1159/000347234. Epub 2013 Mar 7.

Abstract

Objective: To evaluate the direct and transdentinal (indirect) agar diffusion antibacterial activity of different commercially available antibacterial dental gel formulations against Streptococcus mutans.

Materials and methods: The commercially available dental gel formulations were Corsodyl® (COG, 1% chlorhexidine), Cervitec® (CEG, 0.2% chlorhexidine + 0.2% sodium fluoride), Forever Bright® (FOB, aloe vera), Gengigel® (GEG, 0.2% hyaluronic acid), 35% phosphoric acid gel and distilled water (control). Direct agar diffusion was performed by isolating three wells from brain-heart infusion agar plates using sterile glass pipettes attached to a vacuum pump and adding 0.1 ml of the gels to each well. Transdentinal (indirect) agar diffusion was performed by applying gel to 0.2- and 0.5-mm-thick human dentin discs previously etched with phosphoric acid and rinsed with distilled water. Zones formed around the wells and the dentin discs were measured and analyzed using Kruskal-Wallis and Mann-Whitney U tests with Bonferroni correction (p < 0.01).

Results: Direct agar diffusion tests showed significant differences among all gel formulations (p < 0.01) except for COG and CEG (p > 0.01). COG and CEG exhibited higher antibacterial effects compared to FOB and GEG (p < 0.01) in both direct and transdentinal (indirect) testing procedures. GEG did not show any antimicrobial activity in transdentinal (indirect) testing.

Conclusion: Commercially available dental gels inhibited S. mutans, which may indicate their potential as cavity disinfectants.

MeSH terms

  • Aloe
  • Anti-Infective Agents, Local / pharmacology*
  • Chlorhexidine / pharmacology
  • Dentin / drug effects
  • Drug Combinations
  • Gels
  • Humans
  • Hyaluronic Acid / pharmacology
  • Plant Extracts / pharmacology
  • Streptococcus mutans / drug effects*
  • Thymol / pharmacology

Substances

  • Anti-Infective Agents, Local
  • Drug Combinations
  • Gels
  • Plant Extracts
  • chlorhexidine, thymol drug combination
  • Thymol
  • Hyaluronic Acid
  • Chlorhexidine