Abstract

The oral environment affects not only oral health, but also general health, and the importance of oral self-care has recently been recognised. Although toothbrushes are the most important self-care product, there are few toothbrushes that have an inhibitory effect on oral bacteria. In the present study, monofilaments used for toothbrushes containing surface pre-reacted glass-ionomer (S-PRG) filler (a component recently applied to various dental materials) were developed. Among nylon and polyester monofilaments commonly used for toothbrushes, nylon monofilaments can accommodate more S-PRG filler than polyester monofilaments, resulting in greater release of ions from the S-PRG filler. These monofilaments containing S-PRG filler formed less biofilm containing Streptococcus mutans, a major pathogen of dental caries, than monofilaments without S-PRG filler. Moreover, S. mutans adhering to monofilaments containing S-PRG filler were more easily exfoliated and eliminated than those adhering to monofilaments without S-PRG filler. Such inhibitory effects on S. mutans were more marked in nylon monofilaments than in polyester monofilaments. These findings that monofilaments containing S-PRG filler can release ions and have an inhibitory effect on S. mutans suggest that they may be an effective material for toothbrushes.

Highlights

  • Oral health has recently been recognised as being closely associated with general health and quality of l­ife[1]

  • The clear nylon monofilaments changed to a white colour with the addition of surface pre-reacted glass-ionomer (S-PRG) filler, while no colour change was observed in the white polyester monofilaments with or without S-PRG filler

  • The particles included some elements corresponding to ions released from the S-PRG filler; this was confirmed by energy dispersive X-ray spectroscopy analysis (Supplementary Tables 1, 2)

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Summary

Introduction

Oral health has recently been recognised as being closely associated with general health and quality of l­ife[1]. Most oral self-care products such as toothpastes and mouthwashes contain various components with an inhibitory effect on oral ­bacteria[4,5]. Self-care using a toothbrush is one of the most important methods of reducing oral bacterial ­colonisation[6,7]. S-PRG filler has been added to some dental materials, such as tooth surface coating materials and resin sealants, for caries p­ revention[18,20]. S-PRG filler has been added to various professional care dental materials, it has not yet been added to self-care products. We developed a toothbrush monofilament containing S-PRG filler as a novel self-care product with anti-cariogenic properties. The inhibitory effect of monofilaments containing S-PRG filler on S. mutans was analysed

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