The polymerizable monomer methacryloyloxydodecylpyridinium bromide (MD
PB) shows antibacterial activity when immobilized in a resin-based mat
erial. In this study, the antibacterial effect of a dentin primer inco
rporating MDPB was investigated. The influence of incorporation of MDP
B on bond strength to dentin and on the curing performance of the adhe
sive system was also evaluated. Experimental primers were prepared by
addition of MDPB into a proprietary primer at 1, 2, or 5%. Antibacteri
al effects of experimental primers were compared with those of control
primer and two other proprietary primers by an agar disc-diffusion me
thod and bactericidal activity test. Experimental primers produced gre
ater inhibition zones against Streptococcus mutans, Actinomyces viscos
us, and Lactobacillus casei than any of three proprietary primers, and
inhibition increased as the concentration of MDPB was increased. Bact
ericidal activity of MDPB-containing primers against Streptococcus mut
ans was greater than those of the other three primers, with incorporat
ion of MDPB at 5% showing complete killing of bacteria after 30 s cont
act. No decrease in tensile bond strength was observed for materials c
ontaining MDPB. On the contrary, the primer incorporating 1 and 20% MD
PB showed higher bond strength than all the others, including the cont
rol (p < 0.05). When the degree of conversion of the complex of primer
and adhesive resin was determined with Fourier Transform Infrared Spe
ctroscopy, there were no significant differences between any of the ex
perimental primers and the control (p > 0.05). These results indicate
that incorporation of the antibacterial monomer MDPB enhanced the anti
bacterial effect of a proprietary dentin primer before curing, and had
no adverse influence on bond strength to dentin and curing of the adh
esive system.