Attempts to produce resin composite with antibacterial properties by i
ncorporation of an antibacterial agent such as chlorhexidine have been
reported, but problems can arise due to release of the inhibitory age
nt from the composite, Such problems may include toxic effects, influe
nce on mechanical properties, and loss of effectiveness. A new monomer
, methacryloyloxydodecylpyridinium bromide (MDPB), was synthesized by
combining an antibacterial agent and methacryloyl group. The monomer w
as incorporated into resin composite to develop a non-releasing antiba
cterial composite. The ability of composite incorporating MDPB to inhi
bit growth and plaque accumulation by Streptococcus mutans in. vitro w
as assayed, elution of antibacterial components from the material was
investigated, and the influence of incorporation of MDPB on the mechan
ical properties of composite was studied. Uncured MDPB revealed antiba
cterial activity against S. mutans and six other species of oral strep
tococci, with the minimum inhibitory concentration for S. mutans being
comparable with that of triclosan. After composite incorporating MDPB
was cured, no elution of the antibacterial components was observed fr
om the material, even after 90 days' immersion in water or other solve
nts. Growth of S. mutans on agar under specimens of MDPB-containing co
mposite was inhibited compared with controls. In a bacterial accumulat
ion study, S. mutans accumulated to a lesser degree on the surface of
composite incorporating MDPB (p < 0.05) than on control. Incorporation
of MDPB had no significant influence on the mechanical properties of
the composite.