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J Contemp Dent Pract ; 15(5): 534-42, 2014 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-25707822

RESUMEN

AIM: This study evaluated the antibiofilm effect of an experimental solution of 2% Ricinus communis (R. communis) on a silicone-based denture liner by means of a randomized clinical trial, as well as the integrity of such liner following a cleansing regimen with such solution. MATERIALS AND METHODS: About 30 complete denture wearers had their lower dentures relined with a silicone-based denture liner and randomly allocated to cleanse their dentures by means of: (A) a specific toothbrush for complete dentures and dentifrice; (B) soaking in an experimental 2% R. communis solution; and (C) association of A and B. Considered outcomes were biofilm coverage area (%), microbial counts by means of the deoxy-ribonucleic acid (DNA) checkerboard hybridization technique and physical integrity of the soft liner, assessed during a time interval of 60 days. Mean group values were compared by analysis of variance (ANOVA) and Tukey tests or generalized linear method (α = 0.05). RESULTS: The mechanical method presented the lowest biofilm percentage (1.45 ± 1.03) if compared to the chemical method (2.96 ± 1.98) and the associated one (2.71 ± 1.76). After 60 days (3.37 ± 2.04), biofilm accumulation was higher than at 15 days (1.28 ± 0.77) and 30 days (2.46 ± 1.54). The denture liner was less deteriorated and kept its physical integrity when the mechanical method was applied. The chemical method presented higher effectiveness against microorganisms, including some Candida species. CONCLUSION: The 2% R. communis solution presented stronger antimicrobial capacity than brushing on a silicone-based denture liner after immersion. However, it was not superior to the mechanical method in preserving the physical integrity of the material and in biofilm removal. CLINICAL SIGNIFICANCE: Soft denture liners hygiene is a very important issue and not conclusive in the literature. The experimental solution of 2% R. communis evaluated presented promising antimicrobial potential and should be more explored to be recommended as cleanser.


Asunto(s)
Biopelículas/efectos de los fármacos , Placa Dental/prevención & control , Limpiadores de Dentadura/uso terapéutico , Alineadores Dentales , Siliconas/química , Anciano , Antibacterianos/uso terapéutico , Bacterias/efectos de los fármacos , Carga Bacteriana/efectos de los fármacos , Candida/efectos de los fármacos , Placa Dental/microbiología , Dentífricos/uso terapéutico , Dentadura Completa Inferior , Estudios de Seguimiento , Humanos , Inmersión , Persona de Mediana Edad , Fitoterapia/métodos , Extractos Vegetales/uso terapéutico , Ricinus , Streptococcus/efectos de los fármacos , Propiedades de Superficie , Cepillado Dental/instrumentación , Resultado del Tratamiento
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