Chlorhexidine Versus Organoselenium for Inhibition of S.Mutans Biofilm, an Invitro Study

Background: White Spot Lesions are a common misharp during fixed orthodontic appliance therapy which creates the need for non-compliance based prevention methods. S.mutans is considered the main etiologic factor for caries. This was an in vitro study to compare between the efficacy of chlorohexidine diaceteate varnish, and an organoselenium sealant, to prevent S.mutans biofilm formation on human teeth. Methods: : Fourty five premolars extracted for orthodontic purposes were randomly divided into 3 groups of 15 teeth each. One control group and two test groups, chlorohexidine diaceteate varnish and an organoselenium sealant. The teeth were autoclaved before S. mutans biofilm was induced on to each in their respective groups. The reading T1 was taken for each tooth to assess the number of S.mutans attached in order to compare for differences in surface area among the 3 groups. The respective test materials were applied onto the teeth and biofilm induced onto them in their respective groups. The reading T2 was taken for the 2 test groups .The 3 groups were then subjected to aging for a period equivalent to 5 months before the biofilm was induced to take the reading T3 for the number of S.mutans. We used vortexing of the teeth to disrupt the biofilm at time points T1, T2 and T3. S. mutans count was then done using PCR. Results: : There were significantly lower S. mutans counts in the control group as compared to the chlorhexidine diacetate group at T3.There were no other statistically significant differences found. Conclusion: Both organoselenium and Chlorhexidine diacetate do not inhibit S.mutans biofilm attachment onto the teeth.