"Preclinical in vitro study of streptococcus mutans accumulation in three fixed retainer designs: microbiological assay"
"Biofilm; Fixed retainer; Orthodontic Retainer; Streptococcus mutans"
"Introduction: The use of fixed retainers in the lower arch is frequent; however, its presence increases the accumulation of biofilm and dental calculus. Objective: The objective of this research was to evaluate, in vitro, the accumulation of Streptococcus mutans (S. mutans) in 3 designs of fixed retainers. Method: Nine models were reproduced in heat-cured acrylic resin and divided into groups: straight retainer (SR), retainer with vertical strap (RVL), retainer with horizontal strap (RHL). The accumulation of S. mutans was assessed using the MTT assay (3-4,5-dimethyl-thiazol-2-yl-2,5- diphenyltetrazolium bromide) and then measured using an automated reader. Result: The RHL group showed less biofilm accumulation compared to the other groups (p<0.05). The distance between the tooth surface and the retainer showed a strong negative correlation with biofilm accumulation (rs=- 0.79, p=0.00037). Conclusion: The RHL showed significantly less accumulation of S. mutans due to the distance between the retainer and the tooth surface. This research provides relevant data for a future randomized clinical trial.”