Early plaque formation on fibre-reinforced composites in vivo

In the present study, two different fibre-reinforced composites (FRCs) (glass and polyethylene FRC), dental ceramic and restorative composite were compared with respect to early plaque formation in vivo. Disc-shaped specimens were randomly distributed among the upper first and second molars of 14 healthy adult volunteers. Plaque samples were collected 24 h after the attachment of the specimens. Mutans streptococci (MS), non-mutans streptococci and total facultative bacteria were cultured. The plaque recovered from polyethylene FRC harboured significantly more MS than the plaque of ceramic, restorative composite and glass FRC. For the counts of non-mutans streptococci and total facultative bacteria, polyethylene FRC showed the highest counts, and ceramic showed a trend towards lower counts. The amount of plaque accumulation showed an association to the earlier reported surface roughness values of the studied materials. It was concluded that in the oral environment, polyethylene FRC promotes plaque accumulation and adhesion of MS more than glass FRC, restorative composite and dental ceramic. Glass FRC resembles restorative composite with respect to plaque accumulation and the adherence of MS.