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| Content Provider | Taylor & Francis Online |
|---|---|
| Author | O’Donnell, Lindsay Bradshaw, David Sherry, Leighann Culshaw, Shauna Jose, Anto Bagg, Jeremy MacInnes, Andrew Cross, Laura McKenzie, Debbie Brown, Clare Pereira, Paola Gomez Varghese, Roshan Sanyal, Susmita Czesnikiewicz-Guzik, Marta Robertson, Douglas Ramage, Gordon |
| Abstract | Objective: Robust scientific and clinical evidence of how to appropriately manage denture plaque is lacking. This two-part study (i) developed an in vitro model of denture plaque removal, and (ii) assessed effectiveness of these approaches in a randomised clinical trial.Method: (i) a complex denture plaque model was developed using the dominant microbial genera from a recent microbiome analyses. Biofilms formed on polymethylmethacrylate were brushed daily with a wet toothbrush, then either treated daily for 5 days or only on Days 1 and 5 with Polident® denture cleanser tablets (3 min soaking). Quantitative and qualitative microbiological assessments were performed. (ii), an examiner-blind, randomised, crossover study of complete maxillary denture wearers was performed (n = 19). Either once-daily for 7 days or on Day 7 only, participants soaked dentures for 15 min using Corega® denture cleansing tables, then brushed. Denture plaque microbiological assessment used sterilized filter paper discs.Results: The in vitro model showed daily cleaning with denture cleanser plus brushing significantly reduced microbial numbers compared to intermittent denture cleaning with daily brushing (p < 0.001). The clinical component of the study showed a statistically significant reduction in denture plaque microbial numbers in favour of daily versus weekly treatment (aerobic bacteria p = 0.0144). Both in vitro and in vivo studies showed that denture plaque biofilm composition were affected by different treatment arms.Conclusions: This study demonstrated that daily denture cleansing regimens are superior to intermittent denture cleansing, and that cleansing regimens can induce denture plaque compositional changes. Clinicaltrials.gov registration: NCT02780661. |
| File Format | PDF HTM / HTML |
| ISSN | 20002297 |
| DOI | 10.1080/20002297.2018.1538437 |
| Journal | Journal of Oral Microbiology |
| Volume Number | 11 |
| Issue Number | 1 |
| Language | English |
| Publisher | Taylor & Francis |
| Publisher Date | 2018-10-29 |
| Access Restriction | Open |
| Subject Keyword | Denture Plaque Microbiology Denture cleansing Oral microbiome Antimicrobials |
| Content Type | Text |
| Resource Type | Article |
| Subject | Microbiology (medical) Dentistry Infectious Diseases 3500/3501 |
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