Abstract
BackgroundTriclosan is a broad-spectrum antimicrobial agent used in toothpaste to reduce dental plaque, gingivitis and oral malodor. This community-level assessment evaluated the susceptibility of dental plaque bacteria to triclosan in samples collected over 19 years.MethodsA total of 155 dental plaque samples were collected at eleven different times over 19 years from 58 adults using 0.3% triclosan, 2% copolymer, 0.243% sodium fluoride toothpaste and from 97 adults using toothpaste without triclosan. These included samples from 21 subjects who used triclosan toothpaste for at least five years and samples from 20 control subjects. The samples were cultured on media containing 0, 7.5 or 25 μg/ml triclosan. Descriptive statistics and p values were computed and a linear regression model and the runs test were used to examine susceptibility over time.ResultsGrowth inhibition averaged 99.451% (91.209 - 99.830%) on media containing 7.5 μg/ml triclosan and 99.989% (99.670 - 100%) on media containing 25 μg/ml triclosan. There was no change in microbial susceptibility to triclosan over time discernible by regression analysis or the runs test in plaque samples taken over 19 years including samples from subjects using a triclosan-containing dentifrice for at least five years.ConclusionsThis community-level assessment of microbial susceptibility to triclosan among supragingival plaque bacteria is consistent with the long-term safety of a 0.3% triclosan, 2% copolymer, 0.243% sodium fluoride dentifrice.
Highlights
Triclosan is a broad-spectrum antimicrobial agent used in toothpaste to reduce dental plaque, gingivitis and oral malodor
Triclosan is a broad-spectrum antimicrobial agent developed over 40 years ago [1] that is added to toothpaste to reduce dental plaque, gingivitis and oral malodor beyond that achieved using toothpastes without triclosan [2,3]
The present study examined supragingival dental plaque bacteria in samples collected over nineteen years for changes in susceptibility to triclosan
Summary
Triclosan is a broad-spectrum antimicrobial agent used in toothpaste to reduce dental plaque, gingivitis and oral malodor. This community-level assessment evaluated the susceptibility of dental plaque bacteria to triclosan in samples collected over 19 years. Triclosan is a broad-spectrum antimicrobial agent developed over 40 years ago [1] that is added to toothpaste to reduce dental plaque, gingivitis and oral malodor beyond that achieved using toothpastes without triclosan [2,3]. Several studies have examined the effects of the 0.3% triclosan, 2% copolymer and 0.243% sodium fluoride dentifrice on dental plaque bacteria [8,9,10,11,12,13] and did not find the emergence of triclosan resistant bacteria in oral samples. The present study examined supragingival dental plaque bacteria in samples collected over nineteen years for changes in susceptibility to triclosan
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