玻璃离子黏结材料中添加的不同抗生素粉末组合的微硬度和溶解度的比较评估:体外研究。

Tanya L Benson, Suma Sogi, Mansi Jain, Prinka Shahi, Saru Dhir, Jisbinsha C Shaju
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引用次数: 0

摘要

简介再矿化和脱矿化之间的不平衡会导致继发性龋的形成。释放氟化物的能力一直是玻璃离子水泥(GIC)的特点,但目前还不能确定仅凭这一特性是否足以阻止生物体的生长。目的:评估传统 GIC 添加不同抗生素粉末组合后的微硬度和溶解度:在这项研究中,三组分别为常规 GIC(I 组)、GIC + 甲硝唑 + 环丙沙星(II 组)和 GIC + 甲硝唑 + 阿莫西林/克拉维酸(III 组)。双抗生素组合的浓度保持在 1.5% w/w。将抗生素粉末添加到 GIC 中,评估试样的显微硬度和溶解度:第二组的平均显微硬度水平最高,采用方差分析(ANOVA),P 值为 0.022,具有统计学意义。各组在不同溶液中的溶解度比较无统计学意义:结论:除了 GIC 的传统特性外,还可以通过加入各种抗生素组合获得额外的治疗效果,从而在感染部位阻止龋病的发展:这种新方法将有助于社区卫生计划,在这种计划中,需要在短时间内对大量人群进行治疗,并阻止深龋中龋坏活动的发展:Benson TL, Sogi S, Jain M, et al. 玻璃离子水泥中添加不同抗生素粉末组合的显微硬度和溶解度的比较评估:体外研究。Int J Clin Pediatr Dent 2024;17(6):619-624.
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Comparative Evaluation of Microhardness and Solubility of Different Combinations of Antibiotic Powders Added to Glass Ionomer Cement: An In Vitro Study.

Introduction: The imbalance between remineralization and demineralization leads to the formation of secondary caries. Fluoride-releasing ability has been the characteristic property of glass ionomer cement (GIC), but it is uncertain if this property alone will be sufficient for the cessation of the growth of the organisms. Therefore, a restorative material with additional bacteriostatic properties needs to be introduced.

Aim: To evaluate the microhardness and solubility of the conventional GIC after adding different combinations of antibiotic powders.

Materials and methods: In this study, the three groups were conventional GIC (group I), GIC + metronidazole + ciprofloxacin (group II), and GIC + metronidazole + amoxicillin/clavulanic acid (group III). The concentration of the double antibiotic combination was maintained at 1.5% w/w. The antibiotic powders were added to the GIC and evaluated for microhardness and solubility of the specimens.

Results: The mean microhardness level of group II was the highest, which was statistically significant using analysis of variance (ANOVA) with a p-value of 0.022. The comparison of each group's solubility in different solutions was not statistically significant.

Conclusion: Along with the conventional properties of GIC, an additional therapeutic gain can also be obtained by incorporating various combinations of antibiotics, thereby arresting the progression of caries at the site of infection itself.

Clinical significance: This new approach shall help in community health programs, where treatment of a large population needs to be done within a short span of time and arrest the progression of caries activity in deep caries.

How to cite this article: Benson TL, Sogi S, Jain M, et al. Comparative Evaluation of Microhardness and Solubility of Different Combinations of Antibiotic Powders Added to Glass Ionomer Cement: An In Vitro Study. Int J Clin Pediatr Dent 2024;17(6):619-624.

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