Search Results (772)

Background: Dental caries remains one of the most prevalent childhood diseases worldwide, with Streptococcus mutans playing a major etiological role. Coffee contains bioactive compounds, including chlorogenic acid and trigonelline, which have demonstrated antimicrobial and anticariogenic properties. Limited evidence exists on the preventive potential of coffee in Saudi adolescents. This study was designed to assess the benefits of coffee consumption in reducing dental caries among adolescents aged 12 to 16 years. Methods: A retrospective cohort study was conducted among 375 participants aged 12–16 years in Saudi Arabia. Participants were recruited from dental records and allocated into two cohorts: (1) consuming coffee at least twice weekly, subcategorized as sweetened versus unsweetened coffee consumers, and (2) non-coffee consumers. Clinical assessment included the Decayed, Missing, and Filled Teeth (DMFT) index, which was assessed at variable follow-up times up to 5 years. Caries increment (ΔDMFT) was compared using independent samples t-tests and one-way ANOVA with Tukey’s post hoc tests. Multivariable linear regression adjusted for tooth brushing frequency, dietary habits, and oral hygiene status was performed. Results: Coffee consumers had significantly lower caries increment than non-consumers (0.78 ± 0.65 vs. 1.34 ± 0.88; mean difference −0.56; 95% CI −0.71 to −0.41; p < 0.001; Hedges’ g = −0.71). Among coffee consumers, unsweetened coffee was associated with a lower increment than sweetened coffee (0.52 ± 0.48 vs. 1.09 ± 0.71; mean difference −0.57; 95% CI −0.76 to −0.38; p < 0.001) and non-consumers (mean difference −0.82; 95% CI −0.98 to −0.66; p < 0.001). After adjusting for oral hygiene and dietary factors, the protective associations remained significant for both unsweetened (adjusted mean difference −0.51; 95% CI −0.70 to −0.33; p < 0.001) and sweetened coffee (adjusted mean difference −0.22; 95% CI −0.41 to −0.04; p = 0.019). Conclusions: Within the limitations of this retrospective exploratory design, habitual coffee consumption, particularly that of unsweetened coffee, was associated with lower caries increment. These findings are hypothesis-generating and require confirmation in prospective studies with standardized exposure assessment and biological outcome measures. Full article

Dental caries, one of the most prevalent diseases worldwide, poses a significant threat to oral health. Streptococcus mutans is one of the key pathogenic bacteria associated with dental caries. Numerous Chinese botanical products (CBPs) have been shown to possess antibacterial effects against S. mutans. However, given the wide variety of CBPs that have been investigated, a systematic summary of their effects is needed. To address this need, in the present review, CBPs are categorized into five groups based on their major bioactive components: organic acid-based CBPs, alkaloid-based CBPs, phenol-based CBPs, anthraquinone-based CBPs, and other types. In addition to their chemical composition, the conventional use, pharmacological effects, and toxicity of these CBPs are also discussed, followed by an exploration of their anti-S. mutans mechanisms, including the synthesis of biofilm scaffolds and water-insoluble glucans, energy metabolism and soluble glucan production, acid generation and tolerance, bacterial cell integrity, remineralization processes, and intercellular communication via quorum sensing (QS). In summary, it is suggested that CBPs have considerable benefits in caries prevention and could be promisingly applied in clinical treatments. Full article

Antimicrobial resistance (AMR) threatens global health, particularly through the rise of multidrug-resistant tuberculosis (MDR-TB) and other critical bacterial infections such as methicillin-resistant Staphylococcus aureus (MRSA). Rifamycins remain frontline antibiotics but are increasingly undermined by resistance. Here, we introduce a click-enabled platform for the synthesis of C8-functionalized rifamycins, which can be converted in a single additional step into efficacious 3′-hydroxy-5′-aminobenzoxazinorifamycins (bxRifs) and enzymatically into 25-deacetylated rifamycins (deAcRifs), providing access to novel antibacterial scaffolds that expand beyond the scope of traditional C8 modifications. Accordingly, we establish a modular strategy for late-stage analog development of the complex natural product rifamycin S, wherein azido and alkyne functionalities are installed via tailored core chemistry and converted into 1,2,3-triazoles through copper(I)-catalyzed click chemistry. Another key feature of this work is the development of systematic HPLC purification methods, enabling the isolation of analytically pure compounds despite structural complexity. The resulting analogs exhibit distinct antibacterial profiles, notably against Gram-positive bacteria including MRSA and Streptococcus mutans, informing structure–activity relationships and offering a foundation for further optimization. This approach supports the rapid diversification of rifamycin scaffolds to combat the escalating threat of AMR, while also establishing a foundation for future discovery through bioorthogonal applications. Full article

Background/Objectives: The transformation of multifunctioning nanomaterials, incorporating antimicrobial activity and regenerative incompatibility, is becoming even more significant in the modern dental therapeutic context. Streptococcus mutans (S. mutans) is primarily linked to dental caries and pulp inflammation and requires new strategies that would be efficient at controlling the infection and promoting tissue repair. The objectives of the present research were to synthesize and critique the use of chitosan–eugenol carbon dots (CECDs) as a versatile nanoplatform in the field of dentistry to implement antimicrobial and regenerative dentistry. Methods: CECDs synthesized from biocompatible chitosan and eugenol were characterized by Scanning Electron Microscopy (SEM) and Energy Dispersive X-ray (EDX), evaluated from S. mutans inhibition via MIC/MBC, and assessed from cytocompatibility using 3T3-L1 fibroblast viability, morphology, and migration assays. Results: The resultant CECDs had a spherical morphology and a size of 5 ± 2 nm. The EDX analysis established the existence of carbon, nitrogen and oxygen labeling successful incorporation of heteroatoms, as well as surface functionalization. CECDs exhibited greater antibacterial effects against S. mutans through a concentration-dependent approach with MIC and MBC of 125 and 250 µg/mL respectively. Cytotoxicity assays indicated that the cells were viable, their morphology was intact, and that the cells moved more vigorously, which confirmed excellent biocompatibility. Conclusions: The synergistic combination of chitosan and eugenol into the carbon dot structure produced CECDs that had strong biomarker along with antibacterial activity and desirable cytocompatibility. These results indicate that CECDs are an attractive multifunctional nanoplatform in the treatment of oral infections and help with wound healing. Full article

Background/Objectives: Chlorhexidine (CHX) and alcoholic (A+) mouthwashes are associated with adverse oral effects. Therefore, this study compared the efficacies of non-alcoholic mouthwashes, including fluoride (A−) and herbal (Hr) rinses, for preventing bacterial accumulation and enamel demineralization around metal brackets (MBs), ceramic brackets (CBs), and resin composite attachments (RCAs). Methods: Following the exposure to CHX, A+, A−, and Hr rinses for 1 min, the growth of Streptococcus mutans on MB, CB, and RCA was assessed using colony-forming units and scanning electron microscopy (SEM). Controls included attachments without intervention. In another setting, enamel with bonded attachments was exposed to mouthwashes for 1 min and subjected to cariogenic demineralization for 24 h. Enamel’s Vickers microhardness was measured before and after the demineralization challenge. Data were analyzed using paired t-tests and one-/two-way ANOVA with Tukey’s tests. Results: CHX mouthwash demonstrated superior antimicrobial efficacy against S. mutans biofilms across all orthodontic attachments (p < 0.05). On metallic brackets, CHX (0 ± 0 log₁₀) and A− (1.7 ± 0.4 log₁₀) significantly (p < 0.001) outperformed controls (6.9 ± 0.1 log₁₀), Hr (6.08 ± 0.2 log₁₀), and A+ (6.2 ± 0.6 log₁₀). Similar patterns emerged for ceramic brackets, with CHX (0 ± 0 log10) and A− (1.4 ± 0 log10) superior to controls (6.6 ± 0.4 log₁₀). On resin composite attachments, CHX (2.9 ± 0.05 log₁₀) and Hr (3.4 ± 0.08 log₁₀) exceeded controls (5.4 ± 0.09 log₁₀) in inhibiting the biofilm growth (p < 0.05). Enamel microhardness reduction was significantly influenced by attachment type (p < 0.0001) and mouthwash type (p = 0.0063), with significant interaction between variables (p = 0.0052). Conclusions: CHX and A− mouthwashes effectively inhibited S. mutans biofilms on orthodontic attachments, while attachment type and mouthwash significantly influenced enamel microhardness reduction. Full article

Objectives: Combining mechanical plaque control, the physical removal of oral biofilm, with chemical plaque control, the use of agents to inhibit biofilm formation, is effective in preventing periodontal disease. Chlorogenic acid (CGA) found in coffee beans has medicinal effects, such as anti-inflammatory and antibacterial properties. Periodontal pathogens are difficult to reach in certain areas with traditional self-care tools, such as toothbrushes. Additionally, the viscous biofilm is difficult to remove using mechanical plaque control alone. Therefore, this study aimed to evaluate the efficacy of CGA in chemical plaque control. Methods: The mRNA and protein expression of inflammatory cytokines in lipopolysaccharide (LPS)-stimulated human gingival fibroblasts (HGFs) and human periodontal ligament fibroblasts (HPDLs) in the presence of CGA were analyzed using reverse transcription-qPCR and enzyme-linked immunosorbent assay. Additionally, the proliferation levels of oral bacteria in the presence of CGA were evaluated. Results: CGA suppressed mRNA and protein expression levels of the inflammatory cytokines, interleukin (IL)-1β and IL-8, in HGFs and HPDLs stimulated with Porphyromonas gingivalis LPS. Furthermore, CGA inhibited bacterial proliferation of Streptococcus mutans, Aggregatibacter actinomycetemcomitans, P. gingivalis, and Fusobacterium nucleatum. Conclusions: This study demonstrated that CGA exhibits anti-inflammatory effects on gingiva and periodontal ligaments, and antibacterial effects against oral bacteria. These results indicate the potential application of CGA in chemical plaque control and suggest its use in preventing periodontal disease progression. Full article

Dental caries is an example of an oral infectious disease that affects many people worldwide, but it is not well studied in deterministic mathematical modeling. Therefore, we are interested in studying the dynamics of tooth cavity disease using a deterministic modeling approach. We propose a delay differential equation system (DDEs) to describe the phenomenon. The breakthrough of the constructed model is the formulation of the recovery rate as a saturation function constrained by healthcare capacity and the plausibility of caries reformation. In addition, we consider two controls, such as a health campaign and a post-treatment intervention. The mathematical analysis yields equilibrium solutions and their stability, which is determined by the basic reproduction number $\left({\mathfrak{R}}_0\right)$. Furthermore, backward bifurcation occurs as the medical facility’s capacity decreases, driven by an increasing infectious population. The sensitivity analysis results indicate that both considered controls are the most influential parameters. The optimal control problem is formulated using the Pontryagin Maximum Principle to obtain an optimal solution in suppressing the number of caries formation cases. At the end, a numerical simulation shows that interventions reduce the risk of transmission and suppress the number of infectious individuals. The constructed model has excellent future potential, such as generating a function for relapse cases or other preventive actions into an optimal control problem. Full article

White Mustard (Sinapis alba) seeds contain glucosinolates, mainly sinigrin and sinalbin. Isothiocyanate metabolites, together with flavonoids and tocopherols, present anti-inflammatory, antimicrobial, and antioxidant activities. This narrative review is a result of a literature search in PubMed, Scopus, and Google Scholar, spanning in vitro, in vivo. and clinical studies. The presented data highlight that mustard-derived products suppress pro-inflammatory cytokines such as TNF-α and inhibit a broad spectrum of pathogens at micromolar concentrations. In the largest (n = 113) double-blind dental trial to date, a white-mustard toothpaste reduced the mean value of Silness-Löe plaque index by −2.43 vs. −1.95 placebo and bleeding on probing by 30.6% vs. 26.8% within four weeks, while salivary Streptococcus mutans and Porphyromonas gingival colony counts decreased by 40%. A six-month follow-up study with a sinigrin-rich “Bamberka” extract confirmed these gains and selectively suppressed red-complex periopathogens. Clinical translation is limited by heterogeneous extraction methods, a lack of phytochemical standardization, and an unresolved allergenic risk linked to seed proteins Sin a 1 and Sin a 2. Mustard, therefore, emerges as a promising phytotherapeutic adjunct for controlling inflammation, infection, and oxidative stress, but widespread use awaits harmonized manufacturing guidelines, comprehensive allergological screening, and rigorously designed randomized trials benchmarked against chlorhexidine. Full article

Background/Objectives: In the context of minimally invasive dentistry, photodynamic therapy (PDT) is regarded as a biologically oriented method for controlling microbial activity during caries excavation. Brix 3000 is a modern material used in chemo-mechanical removal of carious lesions, enabling selective elimination of infected dentin. The present study compares the antimicrobial effectiveness of Brix 3000 and adjunctive PDT performed with the FotoSan 630 Intro Kit. Methods: This study included 30 children aged 4–7 years with carious lesions on primary molars classified as ICDAS II code 06. The lesions were allocated into two groups: Group 1 (the control group), encompassing 15 lesions excavated using Brix 3000 only, and Group 2 (the experimental group), encompassing 15 lesions excavated with Brix 3000 followed by adjunctive PDT with the FotoSan 630 Intro Kit. A total of 75 microbiological samples were collected: 30 from infected dentin before excavation, 30 from partially infected dentin after Brix 3000, and 15 (experimental group only) after subsequent PDT. Results: The results revealed a wide diversity of cariogenic microorganisms in the infected dentin, with S. mutans being the most frequently isolated and present in the highest quantities. Using Brix 3000 reduced microbial diversity and quantity following excavation of partially infected dentin, although S. mutans persisted at lower levels. Conclusions: After the additional photodynamic disinfection, no microorganisms were isolated from the partially infected dentin. Adjunctive PDT provides localized, non-invasive antimicrobial disinfection and can be integrated into minimally invasive caries management in primary teeth. Full article

Spent coffee grounds (SCGs), as a by-product, represent a sustainable source of bioactive components. Herein, the ethanol extract of SCGs was examined for its chemical characteristics and antimicrobial effect. The extract was incorporated into novel frankincense-based gums at concentrations of 0% (T0), 15% (T15), 20% (T20), and 25% (T25). The physicochemical properties and the antibacterial activity of the SCG-enriched gums against oral pathogens were assessed. SCG extract showed a total phenolic content of 999.38 ± 2.63 μg/g and demonstrated antioxidant activity with a 50% inhibitory concentration (IC₅₀) of 107.28 ± 1.90 μL/mL. T25 showed the highest phenolic content (256.66 ± 2.93 μg/g) and enhanced scavenging activity IC₅₀ = 211.05 ± 0.65 (DPPH) and 128.52 ± 4.05 μL/mL (ABTS). T25 demonstrated superior antimicrobial effects against Streptococcus mutans and Enterococcus faecalis at 400 µL/mL, with inhibition zones of 33.33 ± 2.89 and 20.33 ± 0.58 mm compared to T0. Both T25 and T0 inhibited Lactobacillus acidophilus similarly. Overall, incorporating SCG extract into natural frankincense-based gum presents a promising biodegradable functional gum with potential oral health benefits. Full article

Thuja arborvitae are widely grown in North America and East Asia for their ornamental value, and their leaf oil extracts have been used to treat bacterial infections. This study aimed to identify antibacterial compounds from Thuja leaves. The methanol extract of Thuja leaves exhibited strong antibacterial activity against Gram-positive (Staphylococcus aureus and Streptococcus mutans) and Gram-negative (Acinetobacter baumannii, Pseudomonas aeruginosa) bacteria. The major compounds in the active fractions were isolated and identified as apigenin-7-di-p-coumarylglucoside and eicosapentaenoic acid. The identified compounds showed potent antibacterial activity against the four tested microorganisms with IC50 values of 10 to 50 µg/mL. More importantly, these compounds showed potent inhibitory activity (IC50: 10 μg/mL) against the multidrug-resistant bacterial strain Acinetobacter baumannii. Two antibacterial compounds are now being reported for the first time in Thuja arborvitae, and they may have potential for the treatment of bacterial infections. Full article

Background: Orthodontic appliances introduce new surfaces into the oral cavity that can modulate biofilm formation and potentially increase the risk of white spot lesions. Material-dependent differences in surface roughness, wettability and geometry may influence early colonization by Streptococcus mutans, a key cariogenic pathogen. Objectives: To compare early adhesion and biofilm formation of Streptococcus mutans on five commonly used orthodontic materials: stainless-steel (SS) and nickel–titanium (NiTi) archwires, metallic and ceramic brackets, polymethyl methacrylate (PMMA) acrylic resin. Materials and Methods: Standardized specimens were prepared, polished when applicable, sterilized, and conditioned in artificial saliva. The tested materials included SS and NiTi archwires (3M Unitek, Monrovia, CA, USA), metallic and ceramic brackets (Ormco, Orange, CA, USA), and PMMA acrylic resin (GC Corporation, Tokyo, Japan). Early adhesion (CFU), biofilm biomass (crystal violet), and metabolic activity (XTT) were quantified after incubation with S. mutans. Surface roughness (Ra) and contact angle were measured, and correlations with microbiological endpoints were assessed. Results: A clear material-dependent gradient was observed. Stainless steel showed the lowest early adhesion and biofilm formation (5.20 ± 0.28 log₁₀ CFU·cm⁻²; CV OD₅₉₀ = 0.60 ± 0.14), followed by NiTi, metallic brackets, and ceramic brackets, while PMMA exhibited the highest bacterial load and biofilm biomass (6.09 ± 0.32 log₁₀ CFU·cm⁻²; CV OD₅₉₀ = 1.10 ± 0.17). Overall differences between materials were statistically significant (p < 0.0001). Surface roughness and contact angle positively correlated with bacterial colonization. Conclusions: Early S. mutans colonization is strongly influenced by orthodontic material properties, with smoother and less hydrophobic surfaces showing reduced biofilm formation. PMMA and bracket structures may pose higher cariogenic risk during treatment. These findings support the development of surface-engineered or biofilm-resilient orthodontic materials. Full article

Background/Objectives: Oral infections are caused by a wide spectrum of bacterial and fungal species and remain clinically challenging, particularly against the background of increasing antimicrobial resistance and efforts to reduce antibiotic use in dentistry. Platelet concentrates are widely applied in periodontal and oral surgery due to their regenerative and immunomodulatory properties, and accumulating evidence suggests additional antimicrobial effects. This study evaluated the antimicrobial activity of platelet-rich plasma (PRP), platelet-rich fibrin (PRF), and injectable PRF (i-PRF) against clinically relevant oral microorganisms. Methods: PRP, PRF, and i-PRF were prepared from venous blood of five healthy donors and evaluated using diffusion-dependent, qualitative-semiquantitative agar diffusion assays against Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, Staphylococcus aureus, Streptococcus mutans, Streptococcus mitis, Enterococcus faecalis, and Candida albicans, with inhibition zones assessed after species-specific incubation times. Chlorhexidine (2%) and amoxicillin served as positive controls and NaCl (0.9%) as negative control. Inhibition zones were digitally quantified and analyzed using non-parametric statistics (Kruskal–Wallis, Friedmann) due to skewed distributions and frequent zero values. Results: All platelet concentrates demonstrated microorganism-dependent inhibition zones in vitro. Overall, i-PRF demonstrated the strongest inhibitory effect across all pathogens (p < 0.001). Significant differences were detected for E. faecalis and C. albicans, where i-PRF produced markedly larger inhibition zones compared to PRP and PRF. Descriptively, anaerobic periodontal pathogens and S. aureus tended to be more susceptible, while streptococci and C. albicans demonstrated lower inhibition. Conclusions: These findings support a potential adjunctive antimicrobial role of platelet-derived preparations in dental infection management but should be interpreted with caution, as agar diffusion results do not necessarily reflect clinical performance. Full article

Background: Early childhood caries is closely associated with oral dysbiosis and the proliferation of Streptococcus mutans. Oral probiotics, particularly Lactobacillus reuteri and Lactobacillus rhamnosus, have been proposed as ecological modulators capable of reducing cariogenic microorganisms. Objective: To evaluate the efficacy of orally administered L. reuteri and L. rhamnosus in reducing salivary S. mutans levels in children aged 6 months to 12 years through a systematic review and meta-analysis. Methods: This review followed the PRISMA 2020 guidelines and was prospectively registered in PROSPERO (CRD420251086304). Searches were conducted in MEDLINE/PubMed, CENTRAL, Embase, Scopus and LILACS without language or date restrictions. Randomized controlled trials administering the target probiotic strains for ≥30 days were included. Risk of bias was assessed using RoB 2, and certainty of evidence using GRADE. Random-effects meta-analyses were performed for continuous and dichotomous outcomes. Results: Six randomized controlled trials were included (N = 1362). Only two trials reported continuous outcomes in comparable log₁₀ CFU/mL format and could therefore be pooled for the continuous meta-analysis. This analysis showed a significant reduction in salivary S. mutans levels (MD = −0.65 log₁₀ CFU/mL; 95% CI: −0.97 to −0.34; p < 0.0001; I² = 19%), although the pooled estimate was largely driven by one study and should be interpreted cautiously. Four trials contributed to the dichotomous meta-analysis, which showed a non-significant trend toward risk reduction (OR = 0.73; 95% CI: 0.51–1.06; p = 0.10; I² = 35%). Short-term interventions using high oral-retention formulations demonstrated the most consistent microbiological effects. Conclusions: Oral probiotics may significantly reduce salivary S. mutans in the short-term, especially when delivered through slow-dissolving formulations. However, their effects vary according to strain, vehicle, and intervention duration. Larger, standardized, and longer-term clinical trials are needed to determine the sustainability and clinical relevance of these effects. Full article

Background: Blue laser light has been the subject of research regarding the inactivation of microorganisms as a possible alternative to chemical treatment methods for a number of years. In dentistry, blue light could be used, for example, in the treatment of periodontitis/peri-implantitis, as well as in endodontics and against caries. It could serve as an alternative or supplement to traditional chemical and/or invasive methods. The antimicrobial effectiveness of a blue laser in relation to the speed of treatment is investigated using three different microbial test organisms in order to identify possible species differences. Methods: The test organisms Enterococcus faecalis, Streptococcus mutans, and Candida albicans were applied to smooth zirconium discs and treated twice with a diode laser at 445 nm wavelength with a traversing speed of 1, 2, and 4 mm/s. The antimicrobial effect was analysed based on the resulting colony-forming units on agar plates. The temperature was measured during the treatment. Preliminary tests were carried out using the MTT dye test to determine relevant setting parameters and the required energy dose. Results: Statistically significant differences were found between the negative control and the treated samples for all three tested organisms, with a maximum viability reduction of 1.8 log₁₀ CFU/mL for Enterococcus faecalis, 2.5 log₁₀ CFU/mL for Streptococcus mutans, and 1.0 log₁₀ CFU/mL for Candida albicans at 1 mm/s traversing speed, regarding estimated marginal means (p < 0.001). The temperature on the substrate surface reached 30 to 42 °C for all samples evaluated. Conclusions: Blue laser light (445 nm) demonstrates antimicrobial activity, which increases with prolonged exposure. Further research is needed to assess all key influencing parameters and define possible clinical applications. Full article