Antibacterial activity and physicochemical properties of light-curable fluoride varnishes containing strontium phosphate-based glass.

OBJECTIVES

Light-curable fluoride varnishes (LCFVs) have demonstrated enhanced long-term protection of the enamel compared to conventional fluoride varnishes. Strontium-containing phosphate-based glass (Sr-PBG) exhibits antibacterial activity and promotes remineralization through sustained release of calcium, phosphate, and strontium ions. This study aimed to evaluate the antibacterial efficacy and physicochemical properties of LCFVs containing various concentrations of Sr-PBG.

METHODS

Experimental LCFVs were formulated by incorporating Sr-PBG powder at concentrations of 0 (control), 1.0, 5.0, and 10.0 wt%. Antibacterial effects were assessed by colony-forming units (CFU) of Streptococcus mutans (S. mutans) after 24 and 48 h of incubation, and bacterial adhesion was examined by scanning electron microscopy (SEM). The physicochemical properties, including the degree of conversion, film thickness, contact angle, SEM, and ion release, were evaluated. Data were analyzed using one-way analysis of variance and Tukey's post-hoc tests (α = 0.05).

RESULTS

All Sr-PBG groups exhibited significantly reduced S. mutans CFU compared to the control (p < 0.05), with antibacterial effects enhanced by longer incubation. Sr-PBG incorporation did not significantly alter the degree of conversion or film thickness (p > 0.05). The contact angle significantly decreased only for 5.0 wt% Sr-PBG (p < 0.05). SEM analysis showed slight particle agglomeration at higher Sr-PBG concentrations, whereas the ion release of Sr and P significantly increased (p < 0.05).

CONCLUSIONS

Incorporating ≥ 1.0 wt% Sr-PBG into LCFVs significantly enhanced antibacterial activity against S. mutans without compromising physicochemical properties.

CLINICAL RELEVANCE: Sr-PBG-containing LCFVs may offer improved clinical efficacy for caries prevention compared with conventional fluoride varnishes, providing enhanced antibacterial performance and promoting an environment favorable for remineralization.