Research Article
BibTex RIS Cite

Evaluation of the Antimicrobial Activity of Glass Ionomer Luting Cement with Chlorhexidine Diacetate

Year 2025, Volume: 35 Issue: 4, 326 - 330, 21.10.2025
https://doi.org/10.17567/currresdentsci.1433375

Abstract

Backrounds: This study aimed to evaluate the antimicrobial activities of glass ionomer luting cements modified with chlorhexidine diacetate.
Methods: Chlorhexidine diacetate (CXD) was incorporated into glass ionomer luting powder at 0 %, 1 %, 2 %, 3 % concentration and 120 round-shaped samples were prepared. Antimicrobial properties against Streptococcus mutans (S. mutans), Enterococcus faecalis(E. faecalis), and Candida albicans (C. albicans) were assessed with MTT [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide] and Cristal Violet Assay. Biofilms on samples were also observed by Scanning Electron Microscopy. One-way ANOVA and Tukey Tests were used for statistical analysis.
Results: The highest amount of antimicrobial activity was found in samples with 3 % added CXD. The proportion of viable pathogens were reduced significantly with the addition of 2 % and 3 % CXD (p < 0.05). A noticeable reduction of S. mutans amount was seen with incorporation of 3 % CXD (p < 0.05). S. mutans and C. albicans were inhibited significantly by all the samples when compared to control groups.
Conclusions: Addition of 2 %- 3 % CXD to glass ionomer luting cements increased the antimicrobial properties. As, microorganisms’ growth rate was inhibited in 3% CXD group, CXD added glass ionomer luting cement can be suggested in endodontically treated teeth, in high caries-risk patients, also in immunocompromised patients.

References

  • 1. Rosenstiel SF, Land MF, Crispin BJ. Dental luting agents: A review of the current literature. J Prosthet Dent. 1998;80(3):280-301.
  • 2. Daugela P, Oziunas R, Zekonis G. Antibacterial potential of contemporary dental luting cements. Stomatologija. 2008;10(1):16-21.
  • 3. Sidhu SK, Nicholson JW. A Review of Glass-Ionomer Cements for Clinical Dentistry. J Funct Biomater. 2016;7(3):16. doi:10.3390/jfb7030016
  • 4. Wiegand A, Buchalla W, Attin T. Review on fluoride-releasing restorative materials--fluoride release and uptake characteristics, antibacterial activity and influence on caries formation. Dent Mater. 2007;23(3):343-362.
  • 5. Chen J, Zhao Q, Peng J, Yang X, Yu D, Zhao W. Antibacterial and mechanical properties of reduced graphene-silver nanoparticle nanocomposite modified glass ionomer cements. J Dent. 2020;96:103332. doi:10.1016/j.jdent.2020.103332
  • 6. Yesilyurt C, Er K, Tasdemir T, Buruk K, Celik D. Antibacterial activity and physical properties of glass-ionomer cements containing antibiotics. Oper Dent. 2009;34(1):18-23.
  • 7. Tüzüner T, Dimkov A, Nicholson JW. The effect of antimicrobial additives on the properties of dental glass-ionomer cements: a review. Acta Biomater Odontol Scand. 2019;5(1):9-21.
  • 8. Maluf CV, Peroni LV, Menezes LR, Coutinho W, Lourenço EJV, Telles DM. Evaluation of the physical and antifungal effects of chlorhexidine diacetate incorporated into polymethyl methacrylate. J Appl Oral Sci. 2020;28:e20190039. doi:10.1590/1678-7757-2019-0039
  • 9. Lila-Krasniqi ZD, Bajrami Halili R, Hamza V, Krasniqi S. Evaluation of Antimicrobial Effectiveness of Dental Cement Materials on Growth of Different Bacterial Strains. Med Sci Monit Basic Res. 2022;28:e937893. doi:10.12659/MSMBR.937893
  • 10. Prada I, Micó-Muñoz P, Giner-Lluesma T, Micó-Martínez P, Collado-Castellano N, Manzano-Saiz A. Influence of microbiology on endodontic failure. Literature review. Med Oral Patol Oral Cir Bucal. 2019;24(3):e364-e372.
  • 11. Elbishari H, Silikas N, Satterthwaite JD. Is Deterioration of Surface Properties of Resin Composites Affected by Filler Size?. Int J Dent. 2020;2020:2875262. doi:10.1155/2020/2875262
  • 12. Jin Y, Samaranayake LP, Samaranayake Y, Yip HK. Biofilm formation of Candida albicans is variably affected by saliva and dietary sugars. Arch Oral Biol. 2004;49(10):789-798.
  • 13. He Z, Wang Q, Hu Y, et al. Use of the quorum sensing inhibitor furanone C-30 to interfere with biofilm formation by Streptococcus mutans and its luxS mutant strain. Int J Antimicrob Agents. 2012;40(1):30-35.
  • 14. Mittal S, Soni H, Sharma DK, Mittal K, Pathania V, Sharma S. Comparative evaluation of the antibacterial and physical properties of conventional glass ionomer cement containing chlorhexidine and antibiotics. J Int Soc Prev Community Dent. 2015;5(4):268-275.
  • 15. Duque C, Aida KL, Pereira JA, et al. In vitro and in vivo evaluations of glass-ionomer cement containing chlorhexidine for Atraumatic Restorative Treatment. J Appl Oral Sci. 2017;25(5):541-550.
  • 16. Joshi JS, Roshan NM, Sakeenabi B, Poornima P, Nagaveni NB, Subbareddy VV. Inhibition of Residual Cariogenic Bacteria in Atraumatic Restorative Treatment by Chlorhexidine: Disinfection or Incorporation. Pediatr Dent. 2017;39(4):308-312.
  • 17. Türkün LS, Türkün M, Ertuğrul F, Ateş M, Brugger S. Long-term antibacterial effects and physical properties of a chlorhexidine-containing glass ionomer cement. J Esthet Restor Dent. 2008;20(1):29-45.
  • 18. Hu J, Du X, Huang C, Fu D, Ouyang X, Wang Y. Antibacterial and physical properties of EGCG-containing glass ionomer cements. J Dent. 2013;41(10):927-934.
  • 19. Marti LM, Da Mata M, Ferraz-Santos B, Azevedo ER, Giro EM, Zuanon AC. Addition of chlorhexidine gluconate to a glass ionomer cement: a study on mechanical, physical and antibacterial properties. Braz Dent J. 2014;25(1):33-37.
  • 20. Krzyściak W, Jurczak A, Kościelniak D, Bystrowska B, Skalniak A. The virulence of Streptococcus mutans and the ability to form biofilms. Eur J Clin Microbiol Infect Dis. 2014;33(4):499-515.
  • 21. Davidovich E, Weiss E, Fuks AB, Beyth N. Surface antibacterial properties of glass ionomer cements used in atraumatic restorative treatment. J Am Dent Assoc. 2007;138(10):1347-1352.
  • 22. Kwon TY, Hong SH, Kim YK, Kim KH. Antibacterial effects of 4-META/MMA-TBB resin containing chlorhexidine. J Biomed Mater Res B Appl Biomater. 2010;92(2):561-567.
  • 23. Grönroos L, Mättö J, Saarela M, et al. Chlorhexidine susceptibilities of mutans streptococcal serotypes and ribotypes. Antimicrob Agents Chemother. 1995;39(4):894-898.
  • 24. Takahashi K, Yamanaka S. Induction of pluripotent stem cells from mouse embryonic and adult fibroblast cultures by defined factors. Cell. 2006;126(4):663-676.
  • 25. Frencken JE, Imazato S, Toi C, et al. Antibacterial effect of chlorhexidine- containing glass ionomer cement in vivo: a pilot study. Caries Res. 2007;41(2):102-107.
  • 26. Charannya S, Duraivel D, Padminee K, Poorni S, Nishanthine C, Srinivasan MR. Comparative Evaluation of Antimicrobial Efficacy of Silver Nanoparticles and 2% Chlorhexidine Gluconate When Used Alone and in Combination Assessed Using Agar Diffusion Method: An In vitro Study. Contemp Clin Dent. 2018;9(Suppl 2):S204-S209.
  • 27. Hoszek A, Ericson D. In vitro fluoride release and the antibacterial effect of glass ionomers containing chlorhexidine gluconate. Oper Dent. 2008;33(6):696-701.
  • 28. Du X, Huang X, Huang C, Frencken JE, Yang T. Inhibition of early biofilm formation by glass-ionomer incorporated with chlorhexidine in vivo: a pilot study. Aust Dent J. 2012;57(1):58-64.
  • 29. Paes Leme AF, Koo H, Bellato CM, Bedi G, Cury JA. The role of sucrose in cariogenic dental biofilm formation--new insight. J Dent Res. 2006;85(10):878-887.
  • 30. lla RK, Vineeth G, Kandi V, Swamy KNR, Vyas R, Narasimha Rao G. Evaluation of the antimicrobial activity of heat-cure denture base resin materials incorporated with silver nanoparticles. Int J Dent Mater. 2019;1(2):40-47.

Year 2025, Volume: 35 Issue: 4, 326 - 330, 21.10.2025
https://doi.org/10.17567/currresdentsci.1433375

Abstract

References

  • 1. Rosenstiel SF, Land MF, Crispin BJ. Dental luting agents: A review of the current literature. J Prosthet Dent. 1998;80(3):280-301.
  • 2. Daugela P, Oziunas R, Zekonis G. Antibacterial potential of contemporary dental luting cements. Stomatologija. 2008;10(1):16-21.
  • 3. Sidhu SK, Nicholson JW. A Review of Glass-Ionomer Cements for Clinical Dentistry. J Funct Biomater. 2016;7(3):16. doi:10.3390/jfb7030016
  • 4. Wiegand A, Buchalla W, Attin T. Review on fluoride-releasing restorative materials--fluoride release and uptake characteristics, antibacterial activity and influence on caries formation. Dent Mater. 2007;23(3):343-362.
  • 5. Chen J, Zhao Q, Peng J, Yang X, Yu D, Zhao W. Antibacterial and mechanical properties of reduced graphene-silver nanoparticle nanocomposite modified glass ionomer cements. J Dent. 2020;96:103332. doi:10.1016/j.jdent.2020.103332
  • 6. Yesilyurt C, Er K, Tasdemir T, Buruk K, Celik D. Antibacterial activity and physical properties of glass-ionomer cements containing antibiotics. Oper Dent. 2009;34(1):18-23.
  • 7. Tüzüner T, Dimkov A, Nicholson JW. The effect of antimicrobial additives on the properties of dental glass-ionomer cements: a review. Acta Biomater Odontol Scand. 2019;5(1):9-21.
  • 8. Maluf CV, Peroni LV, Menezes LR, Coutinho W, Lourenço EJV, Telles DM. Evaluation of the physical and antifungal effects of chlorhexidine diacetate incorporated into polymethyl methacrylate. J Appl Oral Sci. 2020;28:e20190039. doi:10.1590/1678-7757-2019-0039
  • 9. Lila-Krasniqi ZD, Bajrami Halili R, Hamza V, Krasniqi S. Evaluation of Antimicrobial Effectiveness of Dental Cement Materials on Growth of Different Bacterial Strains. Med Sci Monit Basic Res. 2022;28:e937893. doi:10.12659/MSMBR.937893
  • 10. Prada I, Micó-Muñoz P, Giner-Lluesma T, Micó-Martínez P, Collado-Castellano N, Manzano-Saiz A. Influence of microbiology on endodontic failure. Literature review. Med Oral Patol Oral Cir Bucal. 2019;24(3):e364-e372.
  • 11. Elbishari H, Silikas N, Satterthwaite JD. Is Deterioration of Surface Properties of Resin Composites Affected by Filler Size?. Int J Dent. 2020;2020:2875262. doi:10.1155/2020/2875262
  • 12. Jin Y, Samaranayake LP, Samaranayake Y, Yip HK. Biofilm formation of Candida albicans is variably affected by saliva and dietary sugars. Arch Oral Biol. 2004;49(10):789-798.
  • 13. He Z, Wang Q, Hu Y, et al. Use of the quorum sensing inhibitor furanone C-30 to interfere with biofilm formation by Streptococcus mutans and its luxS mutant strain. Int J Antimicrob Agents. 2012;40(1):30-35.
  • 14. Mittal S, Soni H, Sharma DK, Mittal K, Pathania V, Sharma S. Comparative evaluation of the antibacterial and physical properties of conventional glass ionomer cement containing chlorhexidine and antibiotics. J Int Soc Prev Community Dent. 2015;5(4):268-275.
  • 15. Duque C, Aida KL, Pereira JA, et al. In vitro and in vivo evaluations of glass-ionomer cement containing chlorhexidine for Atraumatic Restorative Treatment. J Appl Oral Sci. 2017;25(5):541-550.
  • 16. Joshi JS, Roshan NM, Sakeenabi B, Poornima P, Nagaveni NB, Subbareddy VV. Inhibition of Residual Cariogenic Bacteria in Atraumatic Restorative Treatment by Chlorhexidine: Disinfection or Incorporation. Pediatr Dent. 2017;39(4):308-312.
  • 17. Türkün LS, Türkün M, Ertuğrul F, Ateş M, Brugger S. Long-term antibacterial effects and physical properties of a chlorhexidine-containing glass ionomer cement. J Esthet Restor Dent. 2008;20(1):29-45.
  • 18. Hu J, Du X, Huang C, Fu D, Ouyang X, Wang Y. Antibacterial and physical properties of EGCG-containing glass ionomer cements. J Dent. 2013;41(10):927-934.
  • 19. Marti LM, Da Mata M, Ferraz-Santos B, Azevedo ER, Giro EM, Zuanon AC. Addition of chlorhexidine gluconate to a glass ionomer cement: a study on mechanical, physical and antibacterial properties. Braz Dent J. 2014;25(1):33-37.
  • 20. Krzyściak W, Jurczak A, Kościelniak D, Bystrowska B, Skalniak A. The virulence of Streptococcus mutans and the ability to form biofilms. Eur J Clin Microbiol Infect Dis. 2014;33(4):499-515.
  • 21. Davidovich E, Weiss E, Fuks AB, Beyth N. Surface antibacterial properties of glass ionomer cements used in atraumatic restorative treatment. J Am Dent Assoc. 2007;138(10):1347-1352.
  • 22. Kwon TY, Hong SH, Kim YK, Kim KH. Antibacterial effects of 4-META/MMA-TBB resin containing chlorhexidine. J Biomed Mater Res B Appl Biomater. 2010;92(2):561-567.
  • 23. Grönroos L, Mättö J, Saarela M, et al. Chlorhexidine susceptibilities of mutans streptococcal serotypes and ribotypes. Antimicrob Agents Chemother. 1995;39(4):894-898.
  • 24. Takahashi K, Yamanaka S. Induction of pluripotent stem cells from mouse embryonic and adult fibroblast cultures by defined factors. Cell. 2006;126(4):663-676.
  • 25. Frencken JE, Imazato S, Toi C, et al. Antibacterial effect of chlorhexidine- containing glass ionomer cement in vivo: a pilot study. Caries Res. 2007;41(2):102-107.
  • 26. Charannya S, Duraivel D, Padminee K, Poorni S, Nishanthine C, Srinivasan MR. Comparative Evaluation of Antimicrobial Efficacy of Silver Nanoparticles and 2% Chlorhexidine Gluconate When Used Alone and in Combination Assessed Using Agar Diffusion Method: An In vitro Study. Contemp Clin Dent. 2018;9(Suppl 2):S204-S209.
  • 27. Hoszek A, Ericson D. In vitro fluoride release and the antibacterial effect of glass ionomers containing chlorhexidine gluconate. Oper Dent. 2008;33(6):696-701.
  • 28. Du X, Huang X, Huang C, Frencken JE, Yang T. Inhibition of early biofilm formation by glass-ionomer incorporated with chlorhexidine in vivo: a pilot study. Aust Dent J. 2012;57(1):58-64.
  • 29. Paes Leme AF, Koo H, Bellato CM, Bedi G, Cury JA. The role of sucrose in cariogenic dental biofilm formation--new insight. J Dent Res. 2006;85(10):878-887.
  • 30. lla RK, Vineeth G, Kandi V, Swamy KNR, Vyas R, Narasimha Rao G. Evaluation of the antimicrobial activity of heat-cure denture base resin materials incorporated with silver nanoparticles. Int J Dent Mater. 2019;1(2):40-47.
There are 30 citations in total.

Details

Primary Language English
Subjects Prosthodontics
Journal Section Research Articles
Authors

Secil Ozkan Ata 0000-0003-1756-4390

Canan Akay 0000-0003-2781-8710

Emre Mumcu 0000-0002-3791-6472

Demet Erdönmez 0000-0003-3955-1734

Publication Date October 21, 2025
Submission Date February 7, 2024
Acceptance Date March 15, 2024
Published in Issue Year 2025 Volume: 35 Issue: 4

Cite

AMA Ozkan Ata S, Akay C, Mumcu E, Erdönmez D. Evaluation of the Antimicrobial Activity of Glass Ionomer Luting Cement with Chlorhexidine Diacetate. Current Research in Dental Sciences. October 2025;35(4):326-330. doi:10.17567/currresdentsci.1433375

Current Research in Dental Sciences is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.                34333

29936