Abstract

Objective: The present study aimed to compare the efficacy of two disinfectants against Gram-positive bacteria, particularly Streptococcus mutans,for use as a disinfectant for dental retainers.Methods: In total, 35 thermoplastic retainers in this study were categorized into three immersion groups: control group; mouthwash group, usingchlorhexidine 0.1%; and denture cleanser tablet group. The retainers were worn for 15 days, and Gram-positive bacteria were enumerated before andafter the retainers were immersed.Results: We found a significant difference in bacterial numbers between the two disinfectant groups and the non-disinfectant or control group. Bothdisinfectant groups had decreased numbers of Gram-positive bacteria.Conclusions: Disinfectant use is effective in decreasing the load of Gram-positive bacteria on thermoplastic retainers.

Highlights

  • The retention phase is the final phase of orthodontic treatment, which aims to maintain the achieved esthetic and functional alignment of teeth [1]

  • Low et al demonstrated that a bacterial colony had already developed on the surface of a thermoplastic orthodontic device after the first 6 h of use [11]

  • The efficacy of the disinfectants was determined in terms of the number of S. mutans colonies on TYSB20 agar before and after immersion

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Summary

Introduction

The retention phase is the final phase of orthodontic treatment, which aims to maintain the achieved esthetic and functional alignment of teeth [1]. The stabilization of teeth during the retention phase is obtained using an orthodontic device known as a retainer. Singh et al showed that the most popular retainers for the maxilla and mandible are thermoplastic retainers [2]. Low et al demonstrated that a bacterial colony had already developed on the surface of a thermoplastic orthodontic device after the first 6 h of use [11]. Bacterial load is directly proportional to the duration of retainer use [11]. Turkoz showed that a thermoplastic retainer is an ideal surface for the attachment of Streptococcus mutans and Lactobacillus bacteria. Lessa et al studied bacterial contamination of removable orthodontic acrylic and showed that a retainer was gets contaminated by S. mutans, within a week of its use [9,12]. It is important to maintain the retainer and oral hygiene while using the retainer, to decrease the risk of poor oral hygiene

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