The Clinical Pattern and Prevalence of Streptococcus mutans and Streptococcus sobrinus among Adult and Children Patients with Dental Caries

Abstract Objective: To explore the clinical pattern, host factors, and presentation of Streptococcus mutans related to caries incidence among children and adults visiting Universitas Airlangga dental clinic. Material and Methods: This was an observational study with a cross-sectional approach with 50 patients in each group of carious children (6-12 years) and adults (18-35 years). Dental decay samples were taken by sterile excavator, put in a BHI's transport medium, and directly incubated overnight at 37 ºC. The next day, they were sub-cultured microbiologically in Tryptone Yeast Cystine Sucrose Bacitracin (TYCSB) selective medium. Bacterial species and serogroups were examined by PCR. All patient's data were collected from medical records and direct observation. Results: Caries were mostly media type in both children and adults. Oral hygiene (OHIS) in children was higher than in adults but not significantly different according to their DMFT. The highest scores for decay, missed and filled teeth were 16, 8 and 7, with an average of 6.82, 1.22 and 0.63, considered quite high. Conclusion: The prevalence of S. mutans was higher in children's caries than in adults, but among the adult patients the co-incidence of S. mutans and S. sobrinus was associated with higher DMFT. The mutans serotypes e, f, and d were more prevalent among children than adults.

Sucrose, Lactose, and Xylitol Exposures Affect Biofilm Formation of Streptococcus mutans

Abstract Objective: To determine the level of biofilm formation of S. mutans after being exposed to 5% sucrose, 8% lactose, or 1% xylitol. Material and Methods: This research was a laboratory-based experimental study with post-test only control group design. S. mutans was grown in test tubes containing tryptose soy broth (TSB) medium supplemented with 1% glucose. They were incubated at 37° C for 24 hours to grow the biofilms. The culture was then exposed to 5% sucrose, 8% lactose or 1% xylitol, incubated for 24 hours at 37° C, and examined using ELISA at a wavelength of 625 nm. The statistical analysis was performed using a one-way analysis of variance followed by the least significant difference test (a=0.05). Results: There were some differences in the biofilm formation of S. mutans after exposure to 5% sucrose, 8% lactose, or 1% xylitol (p<0.05). An LSD test indicated significant differences among the biofilm formations after exposure to 5% sucrose and 8% lactose and between 5% sucrose and 1% xylitol. In comparison, there were no significant differences (p>0.05) between 8% lactose and 1% xylitol. Conclusion: Sucrose, lactose and xylitol can form biofilms and the formation of lactose biofilms is the same as xylitol.

The Potential of Red Dragon Fruit (Hylocereuspolyrhizus) Rind Extract Accelerates Wound Healing Process Post Tooth Extraction

@#Introduction: Biological process of wound healing in soft tissue injury which include some phase that its highly organized cascade, such as haemostasis, inflammation, proliferation and remodeling. Healing process will be impaired when there is an interference with one of the four of the phase not going well. This study is aimed to proving the role of dragon fruit peel extract towards the interpretation of TGF- β, fibroblast cell and formation of new blood vessels during wound healing process. Methods: 20 rattus norwegicus wistar strain rats are separated into four groups. The one lower incisor is extracted, afterward the wound post extraction of the treatment group was treated with dragon fruit peel extract gel with the concentration of 15%, 30% and 60%, meanwhile, for the control groups, they are treated with polyethylene glycol gel. On the fourth day, the rats were sacrificed and preparation of immunohistochemical and histopathology are made. Observe under the light microscope with 400x magnification. Results: This study shows that the 30% concentration increase the expression of TGF- β (16.6±2.07), fibroblast proliferation (77.6±5.27) and new blood vessels (33.8±2.28) compare to the control group, 15% and 60% concentration in a meaningful way (p=0.00, p=0.00 and p=0.00). Conclusions: The dragon fruit peel extract gel may affect the wound healing process of extraction by increasing the expression of TGF- β, number of fibroblast and formation of new blood vessels.