• Journal of Oral Medicine and Pain
• /
• 제21권1호
• /
• pp.123-131
• /
• 1996

Bacteremia occurs in a wide variety of clinical procedures in oral cavity. Reduction of the number of causative microorganisms of infective endocarditis in oral cavity by local administration of antimicrobial agents decreases the magnitude of bacteremia and possibility of infective endocarditis. The effects of chlorhexidine on Streptococcus sanguis, Streptococcus mitis, Streptococcus mutans, Streptococcus oralis, Streptococcus gordonii, Staphylococcus aureus, and Staphylococcus epidermis were investigated by measurement of turbidity. The effects of 0.1% chlorhexidine gargling for 7 days on oral bacterial flora, total streptococci, S. mutans, S. aureus, and S. epidermis in whole saliv a of 7 healthy human subjects, were investigated by measurement of Colony Forming Units (CFU). The obtained results were as follows : 1. Chlorhexidine showed significant antimicrobial effects on Streptococcus snaguis, Streptococcus mitis, Streptococcus mutans, Streptococcus oralis, Streptococcus gordonii, Staphylococcus aureus, and Staphylococcus epidermis. However, the effects on S. sanguis and S. gordonii were not apparent compared with other microorganisms. 2. Oral gargling of 0.1% chlorhexidine decreased the CFU values of normal oral bacterial flora, total streptococci, S. mutans, S. aureus, and S. epidermis in whole saliva. The antimicrobial effects were significant after 4 days of chlorhexidine gargling. 3. Local antimicrobial administration in addition to systemic antibiotic prophylaxis can be highly recommended as an effective adjunct regimen for prevention of infective endocarditis.

• 대한임상검사과학회지
• /
• 제55권3호
• /
• pp.151-158
• /
• 2023

에리스리톨은 4탄당의 당알코올에 해당되며 포도당을 원료로 효모에 의해 생산되는 발효 감미료제로 버섯, 포도주, 과실류, 청주, 간장 등의 발효식품에 함유되어 있는 천연당이다. 에리스리톨과 다른 감미제에서 Streptococcus mutans (S. mutans)의 glucosyl transferase (GTF)와 fructosyl transferase (FTF)의 유전자 발현 양상을 확인하여 치아우식 예방을 위한 제품을 생산하거나 활용 시 올바른 정보와 기초자료를 제공하고자 시행하였다. 연구결과 에리스리톨은 치아우식에 관여하는 S. mutans의 생육을 억제하는 것으로 나타났으며 자당(설탕) 대체 감미제로서 우식예방 효과가 우수한 것으로 확인이 되었다. 특히 세포외다당류 합성에 관련된 gtf B, gtf C, gtf D, ftf 의 발현이 낮게 나타나 세포외부에 다당류의 합성을 억제하여 치면세균막 형성과 치면에 세균의 부착률을 감소시킬 수 있을 것으로 생각된다. 따라서 Streptococci에 의한 우식기전에 에리스리톨이 효과적으로 항우식 감미제로서 사용될 수 있다고 생각된다.

• 대한치과교정학회지
• /
• 제53권6호
• /
• pp.345-357
• /
• 2023

Enamel demineralization represents the most prevalent complication arising from fixed orthodontic treatment. Its main etiology is the development of cariogenic biofilms formed around orthodontic appliances. Ordinarily, oral biofilms exist in a dynamic equilibrium with the host's defense mechanisms. However, the equilibrium can be disrupted by environmental changes, such as the introduction of a fixed orthodontic appliance, resulting in a shift in the biofilm's microbial composition from non-pathogenic to pathogenic. This alteration leads to an increased prevalence of cariogenic bacteria, notably mutans streptococci, within the biofilm. This article examines the relationships between oral biofilms and orthodontic appliances, with a particular focus on strategies for effectively managing oral biofilms to mitigate enamel demineralization around orthodontic appliances.

• International Journal of Oral Biology
• /
• 제40권2호
• /
• pp.79-83
• /
• 2015

The purpose of the study was to investigate the antimicrobial activity of the methanol extract of Coptidis rhizome against the type strains of cariogenic bacteria, Streptococcus mutans and Streptococcus sobrinus, and the periodontopathogens, Porphyromonas gingivalis, Prevotella intermedia, Treponema denticola and Aggregatibacter actinomycetemcomitans. The antimicrobial activities of the crude extract and the methanol extract fractions of Coptidis rhizome separated by silica gel chromatography were evaluated by determining the minimal bactericidal concentration (MBC) values, using the microdilution method. The cell viability test of the extracts of Coptidis rhizome on the KB cells was also studied by methyl thiazolyl tetrazolium (MTT) assay. Our results showed that the 11th fraction (F11) of the methanol extract had the greatest antimicrobial activity against the tested bacteria, with no associated cytotoxicity on the KB cells, upto a concentration of $50{\mu}g/ml$. These results suggest that the silica gel chromatography fraction F11 of the methanol extract of Coptidis rhizome, could be useful in the development of oral hygiene products as an antimicrobial agent for the prevention of dental caries and periodontal diseases.

• Restorative Dentistry and Endodontics
• /
• 제17권1호
• /
• pp.115-125
• /
• 1992

It is advisable to use irrigation solutions which have strong antibacterial effect and weak cytotoxic effect on treating root infections. Streptococci are ones of the most frequently isolated microorganisms in infected root canals. The antibacterial effect of ten irrigation solutions were investigated on S. mutans (19449), S. sanguis. )10556) and 4 streptococci isolated from saliva of healthy persons. These streptococci were exposured to irrigation solutions during 10 sec, 30 sec,. 1 min, 3 min, 5 min, 10 min, 30 min and 2hrs respectively. Four irrigation solutions which showed strong antibacterial activity were diluted to 1 : 1 to 1 : 10,000. Then they were subcultured on blood agar plate an observed after 1 day. 5.25% NaOC1 had the strongest antibacterial effect. 30% urea and normal saline showed no antibacterial effect. 50 % citric acid and 3% $H_2O_2$ showed relatively weak antibacterial effect. 15 % EDTA had very weak antibacterial effect.

• 대한소아치과학회지
• /
• 제31권4호
• /
• pp.605-616
• /
• 2004

아저해농도(亞沮害濃度)란 세포의 성장을 저해하는 최소 저해 농도(minimum inhibitory concentrations; MIC)이하의 농도를 말하는데, 적용된 화학물질의 동력학에 따라 항균물질은 반드시 이러한 농도로 존재하는 시기를 거치게 되며, 아저해농도의 항균물질은 세포의 성장을 저해하지는 않지만 세균의 대사와 성장에 스트레스로 작용하게 되어 세포의 성질과 독력인자 발현에 영향을 줄 수 있을 것이다. 본 연구는 여러 항균물질의 최소저해농도를 결정하고 아저해농도의 항균물질이 존재 시 세포 성질과 독력 인자에 미치는 영향을 알아보고, 치아우식증의 예방에 대한 화학적 접근법의 효용성을 조사하기 위해 계획되었다. 연구대상 세균으로는 mutans그룹 streptococci 중 두 가지 대표적인 세균종인 S. mutans (S. mutans Ingbritt)와 S. sobrinus (S. sobrinus 6715-7)를 사용하였고 화학물질 8종 (Sanguinaria extract; SG. Chlorhexidine digluconate; CHX, Fluoride; F, Propolis; PP, Hydrogen peroxide HP, Triclosan; TC, Sodium dodecyl sulfate: SDS, Cetylpyridinium chloride; CC) 을 단계 희석하여 배지에 첨가하여 최소저해농도를 구하였으며 아저해농도의 항균물질을 배지에 첨가하여 5% $CO_2$ 존재 하에 $37^{\circ}C$에서 배양하여 이러한 항균물질을 첨가하지 않은 배지에서 배양한 세균과 성장속도, 산생성능, 체표소수성, 수산화인회석에의 부착능, glucan생성능, 세균응집능 등을 비교 관찰하였다. 아저해농도의 항균물질은 세포의 성장과 체표소수성, 타액으로 처리한 수산화인회석에 대한 세균의 부착과 glucan합성에 영향을 주는 것이 관찰되었다. 또한 12시간 배양 후 S. mutans와 S. sobrinus 모두에서 대조군에 비해 통계적으로 유의하게 최종 pH가 높게 나타나 산생성능이 억제되는 것이 관찰되었다 (p<0.05). 세균을 proteinase K로 전처리한 경우 처리하지 않았을 때 보다 세균응집역가가 증가하거나 응집이 관찰되지 않았다. 본 연구의 결과에 따르면, 각각의 항균물질은 아저해농도에서도 알려진 작용기전과 유사하게 세균의 성질에 영향을 주었고 이러한 농도에서도 지속적으로 세균을 억제할 수 있었다. 따라서 이러한 항균물질의 사용은 치아우식증의 효과적 예방법의 하나가 될 수 있다

• 대한치과교정학회지
• /
• 제42권2호
• /
• pp.87-93
• /
• 2012

Objective: The purpose of this study was to investigate the antimicrobial effect of silverized elastomers on mutans streptococci in dental plaque. Methods: Forty patients undergoing orthodontic treatment were randomly placed into 1 of 2 groups. We examined the maxillary right and left central incisors and premolars, and the mandibular right and left canines of all participants. We ligated the right maxillary and left mandibular teeth of the participants in group 1 with silverized elastomers and ligated their contralateral teeth with conventional elastomers. We ligated the left maxillary teeth and right mandibular teeth of group 2 participants with silverized elastomers. Each participant visited the clinic 4 times at 3-week intervals. We applied the elastomers to the teeth on one side of each patient's mouth during their first visit. During the second visit, the elastomers were removed for microbiological analysis and replaced with steel ligatures. During the third visit, we used silverized elastomers to ligate the teeth contralateral to those treated on the first visit. The elastomers were removed during the fourth visit, and microbiological analyses were performed. We compared the quantity of bacteria on silverized and conventional elastomers at the 0.05 level of significance. Results: The percentage of mutans streptococci was not significantly different in cultures of dental plaque from the silverized and the conventional elastomers (p > 0.05). Conclusions: There was no significant difference between the antimicrobial effect of the silverized elastomers and that of the conventional elastomers.

• International Journal of Oral Biology
• /
• 제33권4호
• /
• pp.197-203
• /
• 2008

It has been reported that the antimicrobial susceptibility patterns of viridans streptococci vary according to geographical region. Although several studies on the antibiotic resistance of viridans streptococci in foreign countries have been reported, little is known about the distribution of resistance among viridans streptococci in Korea. In this study, 88 isolates of viridans streptococci from Korean students' dental plaque were identified as 12 different species. The susceptibility of these isolates to 8 antibiotics was investigated. The in vitro antibiotic activity of penicillin G, ampicillin, vancomycin, streptomycin, gentamicin, erythromycin, amoxicillin, and tetracycline was measured by the broth microdilution method. The range of the minimum inhibitory concentrations (MIC), MIC50, MIC90, and the percentage of the susceptible isolates were determined. Streptococcus mutans and Streptococcus salivarius were susceptible to the 8 antibiotics. Isolates with resistance to vancomycin, streptomycin, and amoxicillin were not found. The overall resistance rates of the 88 isolates to penicillin G, ampicillin, gentamicin, erythromycin, and tetracycline were 12.5%, 62.5%, 62.5%, 26.1%, and 26.1%, respectively.

• International Journal of Oral Biology
• /
• 제36권1호
• /
• pp.7-11
• /
• 2011

Ursolic acid is a triterpenoid compound present in many plants. This study examined the antimicrobial activity of ursolic acid against mutans streptococci (MS) isolated from the Korean population. The antimicrobial activity was evaluated by the minimum inhibitory concentration (MIC) and time kill curves of MS. The cytotoxicity of ursolic acid against KB cells was tested using an MTT assay. The $MIC_{90}$ values of ursolic acid for Streptococcus mutans and Streptococcus sobrinus isolated from the Korean population were $2 {\mu}g$/ml and $4 {\mu}g$/ml, respectively. Ursolic acid had a bactericidal effect on S. mutans ATCC $25175^T$ and S. sobrinus ATCC $33478^T$ at > $2 \;{\times}\; MIC (4 {\mu}g$/ml) and $4 \;{\times}\; MIC (8 {\mu}g$/ml), respectively. Ursolic acid had no cytotoxic effect on KB cells at concentrations at which it exerted antimicrobial effects. The results suggest that ursolic acid can be used in the development of oral hygiene products for the prevention of dental caries.