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Updated: Jan 14, 2026

Systematic Approach to Identify Novel Antimicrobial and Antibiofilm Molecules from Plants' Extracts and Fractions to Prevent Dental Caries
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Caries Control by CAPE Toothpaste: In Vitro, In Vivo, and In Situ Analysis.

Y F Wang1,2, S S Dong1,2, Y Chen1,2

  • 1State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China.

Journal of Dental Research
|October 18, 2025
PubMed
Summary
This summary is machine-generated.

A new caffeic acid phenethyl ester (CAPE) toothpaste effectively combats dental caries by inhibiting cariogenic bacteria and promoting enamel repair. This novel formulation shows promising results in reducing caries development and modulating oral microbiome balance.

Keywords:
Streptococcus mutanscaffeic acid phenethyl esterclinical studydental plaquefluoridesmicrobiota

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Area of Science:

  • Biomaterials Science
  • Microbiology
  • Dental Research

Background:

  • Dental caries is linked to microbiome dysbiosis.
  • Antimicrobial agents can boost fluoride toothpaste efficacy.
  • Caffeic acid phenethyl ester (CAPE), from propolis, inhibits cariogenic bacteria.

Purpose of the Study:

  • Formulate a novel CAPE-containing fluoridated toothpaste.
  • Evaluate its caries-controlling efficacy through a multistage system.

Main Methods:

  • In vitro antimicrobial assays (suspension, checkerboard microdilution) against Streptococcus mutans.
  • In vivo rat caries model assessing anticaries efficacy and biosafety.
  • In situ enamel repair and plaque microbiome modulation studies.

Main Results:

  • CAPE toothpaste demonstrated stable physicochemical properties.
  • Significant in vitro inhibition of S. mutans and additive antibacterial effects with fluoride.
  • In vivo reduction in caries severity and in situ enamel remineralization.
  • Oral microbiome analysis showed preserved diversity and reduced cariogenic bacteria.

Conclusions:

  • The novel CAPE-fluoridated toothpaste effectively inhibits caries onset and progression.
  • The formulation supports enamel repair and favorable microbiome modulation.
  • Further extensive clinical trials are warranted to confirm long-term efficacy.