Anti-cariogenic effect of a cetylpyridinium chloride-containing nanoemulsion

J Dent. 2010 Sep;38(9):742-9. doi: 10.1016/j.jdent.2010.06.001. Epub 2010 Jun 17.

Abstract

Objectives: The aim of this pilot study was to investigate the anticaries activity of a nanoemulsion composed of soybean oil, water, Triton X-100 and cetylpyridinium chloride.

Methods: Tooth blocks (3 mm length x 3 mm width x 2 mm thickness) were cut from smooth surfaces of selected molar teeth using a water-cooled diamond wire saw. The blocks were randomly assigned to three experimental groups: (A) nanoemulsion, (B) 0.12% chlorhexidine gluconate, and (C) no treatment. The formation of dental caries in human tooth enamel was tested using a continuous flow dual-organism (Streptococcus mutans and Lactobacillus casei), biofilm model, which acts as an artificial mouth and simulates the biological and physiological activities observed within the oral environment. Experimental groups A and B were treated with their respective solutions once daily for 30 s on each occasion, while group C received no treatment. 10% sucrose was supplied every 6 h for 6 min to simulate meals and pH cycling. The experiment lasted for 5 days, and the tooth blocks were harvested and processed for demineralization assessment using transverse microradiography (TMR).

Results: For both lesion depth and mineral loss, statistical analysis indicated that Emulsion was significantly lower than Control and Chlorhexidine, and Chlorhexidine was significantly lower than Control.

Conclusions: We conclude that cetylpyridinium-containing nanoemulsions appear to present a feasible means of preventing the occurrence of early caries.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Anti-Infective Agents, Local / pharmacology*
  • Biofilms / drug effects
  • Cariogenic Agents / adverse effects
  • Cariostatic Agents / pharmacology*
  • Cetylpyridinium / pharmacology*
  • Chlorhexidine / analogs & derivatives
  • Chlorhexidine / pharmacology
  • Dental Caries / microbiology
  • Dental Caries / prevention & control
  • Dental Enamel / drug effects*
  • Dental Enamel / microbiology
  • Dental Plaque / microbiology
  • Emulsions
  • Feasibility Studies
  • Humans
  • Hydrogen-Ion Concentration
  • Lacticaseibacillus casei / physiology
  • Materials Testing
  • Microbial Viability / drug effects
  • Microradiography
  • Nanocomposites
  • Octoxynol / pharmacology
  • Pilot Projects
  • Soybean Oil / pharmacology
  • Streptococcus mutans / physiology
  • Sucrose / adverse effects
  • Surface-Active Agents / pharmacology
  • Tooth Demineralization / prevention & control
  • Water

Substances

  • Anti-Infective Agents, Local
  • Cariogenic Agents
  • Cariostatic Agents
  • Emulsions
  • Surface-Active Agents
  • Water
  • Sucrose
  • Soybean Oil
  • Octoxynol
  • Cetylpyridinium
  • chlorhexidine gluconate
  • Chlorhexidine