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Lagowski M, Gouveia Z, Yang M, Finer Y, Santerre JP. Synthesis and challenges of fluorinated divinyl urethane monomers as a strategy for masking hydrolytic sensitive methacrylate groups in resin composites. Dent Mater 2024; 40:1624-1634. [PMID: 39084955 DOI: 10.1016/j.dental.2024.07.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2024] [Revised: 07/15/2024] [Accepted: 07/23/2024] [Indexed: 08/02/2024]
Abstract
OBJECTIVE The biodegradation of methacrylate (MA)-based dental restoratives has been suggested to contribute to a loss of adhesion and subsequent detachment, or secondary caries, both major causes of restoration failure. Previous studies have demonstrated that intermolecular interactions between resin monomers may affect the hydrolytic-susceptibility of composites. Altering the intermolecular interactions by shielding or masking the hydrolytically-susceptible ester groups found in MA monomers could be an effective strategy to mitigate the biodegradation of resin composites. The objective of this work was to assess whether shielding/masking MAs using fluorinated groups could improve the biostability of experimental composites. METHODS Eight fluorinated monomers (FM) were synthesized, characterized (1H NMR), and formulated into experimental resin composites (FC, 65 wt%, microfill). FCs were assessed for interactions with water (water contact angle, water sorption, gel fraction), mechanical properties (both compressive and flexural strength and modulus), cytocompatibility, resistance to biodegradation using simulated human salivary esterase (SHSE) and compared to a control composite (CC) without FM. RESULTS Integration of FMs was found to generally decrease both the physical and mechanical properties under all incubation conditions when compared to the CC. Additionally, all FCs had a negative influence on composite biodegradation following immersion in SHSE when compared to the CC. SIGNIFICANCE Shielding/masking MA-esters inherently inserts molecular spaces between the polymer chains within the resin network, and shielding is likely not possible while also maintaining the necessary cohesive forces that regulate the physical and mechanical properties of resin composites. Novel dental resin development should seek to remove/replace vulnerable ester-containing MAs rather that adopting a shielding/masking approach.
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Affiliation(s)
- Michael Lagowski
- Institute of Biomedical Engineering, University of Toronto, Ontario, Canada
| | - Zach Gouveia
- Faculty of Dentistry, University of Toronto, Canada
| | - Meilin Yang
- Faculty of Dentistry, University of Toronto, Canada
| | - Yoav Finer
- Institute of Biomedical Engineering, University of Toronto, Ontario, Canada; Faculty of Dentistry, University of Toronto, Canada.
| | - J Paul Santerre
- Institute of Biomedical Engineering, University of Toronto, Ontario, Canada; Faculty of Dentistry, University of Toronto, Canada; Translational Biology and Engineering Program, University of Toronto, Canada; Department of Chemical Engineering and Applied Chemistry, University of Toronto, Canada.
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2
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Pereira RP, Oliveira DD, Rocha MG, Correr-Sobrinho L, Roulet JF, Sinhoreti MAC. Physicochemical properties of flowable composites using isobornyl methacrylate as diluent monomer. J Appl Oral Sci 2024; 32:e20240172. [PMID: 39319906 PMCID: PMC11464074 DOI: 10.1590/1678-7757-2024-0172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2024] [Revised: 07/17/2024] [Accepted: 08/05/2024] [Indexed: 09/26/2024] Open
Abstract
OBJECTIVE this study sought to evaluate the effect of isobornyl methacrylate (IBOMA) as a diluent monomer on the physicochemical properties of experimental flowable resin composites. METHODOLOGY the organic resin matrix of a modal flowable resin composite was formulated with 50 wt.% of bisphenol-A-glycidyl methacrylate (Bis-GMA) and 50 wt.% of a diluent monomer, in which IBOMA was used as a combining or substituent diluent monomer to triethylene glycol dimethacrylate (TEGDMA). The resin matrices were filled with 55 wt.% particles, of which 10 wt.% was 0.05-μm fumed silica, and 45 wt.% was 0.7-μm BaBSiO2 glass. Polymerization shrinkage stress (PSS; n=10), degree of conversion (DC; n=3), maximum rate of polymerization (Rpmax; n=3), film thickness (FT; n=10), sorption (Wsp; n=10), solubility (Wsl; n=10), flexural strength (FS; n=10), flexural modulus (FM; n=10), Knoop microhardness (KH; n=10), and microhardness reduction after chemical softening (HR; n=10) were evaluated. Data were analyzed using one-way ANOVA, followed by Tukey's test (α=0.05; β=0.2). RESULTS the results showed that the substitution or addition of IBOMA reduced FT (p=0.001), PSS (p=0.013), Rpmax (p=0.001), DC (p=0.001), FM (p=0.006) Wsp (p=0.032), and Wsl (p=0.021). However, when used as a complete substituent, IBOMA demonstrated significantly lower FS (p=0.017) and KH (p=0.008), while TEGDMA demonstrated significantly lower HR (p=0.022). CONCLUSION the flowable composite containing IBOMA combined with TEGDMA showed no effect in KH and FS and effectively reduced the PSS, RP, FT, Wsp, and Wsl. However, it showed a reduction in DC, FS, and an increase in HR.
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Affiliation(s)
- Roberta Pinto Pereira
- Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba, Departamento de Odontologia Restauradora, Piracicaba, SP, Brasil
| | - Dayane de Oliveira
- University of Florida, College of Dentistry, Department of Restorative Dental Sciences, Gainesville, FL, United States
| | - Mateus Garcia Rocha
- University of Florida, College of Dentistry, Department of Restorative Dental Sciences, Gainesville, FL, United States
| | - Lourenço Correr-Sobrinho
- Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba, Departamento de Odontologia Restauradora, Piracicaba, SP, Brasil
| | - Jean-François Roulet
- University of Florida, College of Dentistry, Department of Restorative Dental Sciences, Gainesville, FL, United States
| | - Mario Alexandre Coelho Sinhoreti
- Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba, Departamento de Odontologia Restauradora, Piracicaba, SP, Brasil
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Zaborowicz K, Firlej M, Firlej E, Zaborowicz M, Bystrzycki K, Biedziak B. Use of Computer Digital Techniques and Modern Materials in Dental Technology in Restoration: A Caries-Damaged Smile in a Teenage Patient. J Clin Med 2024; 13:5353. [PMID: 39336840 PMCID: PMC11432073 DOI: 10.3390/jcm13185353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2024] [Revised: 09/06/2024] [Accepted: 09/09/2024] [Indexed: 09/30/2024] Open
Abstract
Prosthodontic treatment of developmental age patients presents a significant challenge to the dentist. The growth and development of the stomatognathic system must be considered in treatment planning. Temporary prosthetic restorations must be regularly inspected and recemented, and final prosthetic restoration should not be delivered until the growth of the body is complete. In addition, due to the complex nature of morphological and functional disorders during the developmental period, simultaneous prosthetic and orthodontic treatment may be required. The case presented in this article is a 16-year-old boy with severe tooth destruction caused by untreated caries disease and poor oral hygiene. The patient required conservative, endodontic, and surgical treatment to restore the occlusion and aesthetics to allow the proper development of the masticatory organ. This article also presents the treatment case of a young patient with damaged crowns in the upper arch, which were restored with standard root-crown posts and cores and temporary 3D-printed composite crowns.
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Affiliation(s)
- Katarzyna Zaborowicz
- Department of Orthodontics and Facial Malformations, Poznan University of Medical Sciences, Bukowska 70, 60-812 Poznań, Poland; (M.F.); (E.F.); (B.B.)
| | - Marcel Firlej
- Department of Orthodontics and Facial Malformations, Poznan University of Medical Sciences, Bukowska 70, 60-812 Poznań, Poland; (M.F.); (E.F.); (B.B.)
| | - Ewa Firlej
- Department of Orthodontics and Facial Malformations, Poznan University of Medical Sciences, Bukowska 70, 60-812 Poznań, Poland; (M.F.); (E.F.); (B.B.)
| | - Maciej Zaborowicz
- Department of Biosystems Engineering, Poznan University of Life Sciences, Wojska Polskiego 50, 60-637 Poznań, Poland
| | - Kamil Bystrzycki
- Poznan University of Medical Sciences, Collegium Maius ul. Fredry 10, 61-701 Poznań, Poland;
| | - Barbara Biedziak
- Department of Orthodontics and Facial Malformations, Poznan University of Medical Sciences, Bukowska 70, 60-812 Poznań, Poland; (M.F.); (E.F.); (B.B.)
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Ilie N, Högg C. Kinetic of Light Transmission during Setting and Aging of Modern Flowable Bulk-Fill Composites. MATERIALS (BASEL, SWITZERLAND) 2024; 17:4292. [PMID: 39274681 PMCID: PMC11396306 DOI: 10.3390/ma17174292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/18/2024] [Revised: 08/23/2024] [Accepted: 08/28/2024] [Indexed: 09/16/2024]
Abstract
The current development of dental materials aims to improve their properties and expand their clinical application. New flowable bulk-fill composites have been released which, unlike what was previously common in this material category, are intended to be used alone and without a top layer, in various cavities. The study compares their kinetic of light transmission during monomer-to-polymer conversion on a laboratory-grade spectrometer, as well as their elastoplastic and aging behavior under simulated clinical conditions. Major differences in the kinetic of light transmission was observed, which is related to the degree of mismatch between the refractive indices of filler and polymer matrix during polymerization and/or the type of initiator used. Compared to the literature data, the kinetic of light transmission do not always correlate with the kinetic of functional group conversion, and therefore should not be used to assess polymerization quality or to determine an appropriate exposure time. Furthermore, the initial mechanical properties are directly related to the volumetric amount of filler, but degradation during aging must be considered as a multifactorial event.
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Affiliation(s)
- Nicoleta Ilie
- Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig Maximilians University, Goethestr. 70, D-80336 Munich, Germany
| | - Christof Högg
- Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig Maximilians University, Goethestr. 70, D-80336 Munich, Germany
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Namsoy E, Sadikoglu IS, Ozverel CS, Erdag E. Computational analysis of 3D printing: Selecting the better among newly released materials. Eur J Oral Sci 2024; 132:e12987. [PMID: 38616404 DOI: 10.1111/eos.12987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2023] [Accepted: 03/27/2024] [Indexed: 04/16/2024]
Abstract
Resin-based three-dimensional (3D) printing finds extensive application in the field of dentistry. Although studies of cytotoxicity, mechanical and physical properties have been conducted for newly released 3D printing resins such as Crowntec (Saremco), Temporary Crown Resin (Formlabs) and Crown & Bridge (Nextdent), the resistance of these materials to esterases in saliva has not been demonstrated at the molecular level. Therefore, in this study, the binding affinities and stability of these new 3D printing resins to the catalytic sites of esterases were investigated using molecular docking and molecular mechanics with Poisson-Bolzmann and surface area solvation (MM/PBSA) methods after active pocket screening. Toxicity predictions of the materials were also performed using ProTox-II and Toxtree servers. The materials were analyzed for mutagenicity, cytotoxicity, and carcinogenicity, and LD50 values were predicted from their molecular structures. The results indicated that out of the three novel 3D printing materials, Nexdent exhibited reduced binding affinity to esterases, indicating enhanced resistance to enzymatic degradation and possessing a superior toxicity profile.
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Affiliation(s)
- Ege Namsoy
- Department of Endodontics, Faculty of Dentistry, European University of Lefke, Mersin, Turkey
| | - Ismail Serhat Sadikoglu
- Department of Restorative Dentistry, Faculty of Dentistry, Cyprus International University, Nicosia, Cyprus
| | - Cenk Serhan Ozverel
- Department of Basic Medical Sciences, Faculty of Dentistry, Near East University, Nicosia, Cyprus
- DESAM Research Institute, Near East University, Nicosia, Cyprus
| | - Emine Erdag
- Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Near East University, Nicosia, Cyprus
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Radhakrishnan L, K N, Jassim A, Mohamed Ali Kp A. Effect of Three Different Liquid Medias in the Sorption and Solubility of Luting Cements: An In Vitro Study. Cureus 2023; 15:e47311. [PMID: 38021495 PMCID: PMC10656749 DOI: 10.7759/cureus.47311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Accepted: 10/05/2023] [Indexed: 12/01/2023] Open
Abstract
Background Among the various mechanical and biological properties of luting cement, the most important are its resistance to disintegration, degradation, and stability in the oral cavity. The sorption and solubility of cement alter the mechanical properties by impeding the half-life of the filling. It also leads to variations in dimensions, discoloration, and margin breakage. It is, therefore, essential to choose a low-solubility cement since there is always an interaction between teeth and restorative margins. The aim of this study is to assess and compare the solubility and sorption values of three different luting cements in three liquid media. Materials and methods Three luting cements were used for the investigation. Disc-shaped specimens of the cement, which were of 10 mm diameter and 2 mm height, were prepared. The sample included a total of 126 disc-shaped specimens made up of three materials, glass ionomer cement (GIC), resin cement, and resin-modified GIC, which were used in three liquid media (14 of each material in each medium). Fourteen specimens of each material were placed in glass vials containing 20 ml of each medium: distilled water, artificial saliva, and carbonated water. The samples were then put in an incubator at 37 °C. The measurements and masses of the samples were documented on days one, three, seven, 14, 21, 28, and 35. The samples were taken out of the solution after five weeks and stored in a desiccator with calcium sulphate for another five weeks. The weight and dimensional changes were estimated on days one, three, seven, 14, 21, 28, and 35. The values of water sorption (WSO) and solubility (WSL) were estimated. To determine the mean and standard deviation of each cohort, descriptive statistics were employed. Utilizing the Shapiro-Wilkinson test, the normality was determined. An independent test was used to determine the difference between all pairs of groups, while one-way ANOVA, Dunn test, and post hoc analysis were used to establish the distinction between the three groups. Results One-way ANOVA showed that significant differences existed among the groups: resin cement showed the least sorption and solubility, resin-modified GIC showed the highest solubility in distilled water (0.40 ± 0.03), and GIC showed the highest solubility in both artificial saliva (0.36 ± 0.03) and carbonated water (0.04 ± 0.05). Conclusion Considering the experimental outcomes and the limitations of an in vitro investigation, it was concluded that in the complex setting of the oral environment, this selection procedure is crucial for maintaining mechanical strength and for the long lifespan of dental restorations.
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Affiliation(s)
- Lakshmi Radhakrishnan
- Department of Prosthodontics, The Muslim Educational Society (MES) Dental College, Perinthalmanna, IND
| | - Nandakumar K
- Department of Prosthodontics, The Muslim Educational Society (MES) Dental College, Perinthalmanna, IND
| | - Amal Jassim
- Department of Prosthodontics, The Muslim Educational Society (MES) Dental College, Perinthalmanna, IND
| | - Aysha Mohamed Ali Kp
- Department of Prosthodontics, The Muslim Educational Society (MES) Dental College, Perinthalmanna, IND
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7
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Ilie N, Ionescu AC, Huth KC, Moldovan M. Light Transmission Characteristics and Cytotoxicity within A Dental Composite Color Palette. MATERIALS (BASEL, SWITZERLAND) 2023; 16:ma16103773. [PMID: 37241400 DOI: 10.3390/ma16103773] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 05/08/2023] [Accepted: 05/15/2023] [Indexed: 05/28/2023]
Abstract
Modern light-cured, resin-based composites are offered in a wide range of shades and translucencies. This large variation, created by varying the amount and type of pigmentation and opacifiers, is essential to enable an esthetic restoration in each patient situation, but may affect light transmission in the deeper layers during curing. We quantified optical parameters and their real-time variation during curing for a 13-shade composite palette of identical chemical composition and microstructure. Incident irradiance and real-time light transmission through 2 mm thick samples were recorded to calculate absorbance, transmittance, and the kinetic of transmitted irradiance. Data were supplemented by the characterization of cellular toxicity to human gingival fibroblasts up to 3 months. The study highlights a strong dependence of light transmission and its kinetic as a function of shade, with the largest changes occurring within the first second of exposure; the faster changes, the darker and more opaque the material. Transmission differences within progressively darker shades of a pigmentation type (hue) followed a hue-specific, non-linear relationship. Shades with similar transmittance but belonging to different hues were identified, while the corresponding kinetic was identical only up to a transmittance threshold. A slight drop in absorbance was registered with increasing wavelength. None of the shades were cytotoxic.
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Affiliation(s)
- Nicoleta Ilie
- Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians University, Goethestrasse 70, D-80336 Munich, Germany
| | - Andrei Cristian Ionescu
- Oral Microbiology and Biomaterials Laboratory, Department of Biomedical, Surgical and Dental Sciences, Università Degli Studi di Milano, Via Pascal, 36, 20133 Milano, Italy
| | - Karin Christine Huth
- Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians University, Goethestrasse 70, D-80336 Munich, Germany
| | - Marioara Moldovan
- Institute of Chemistry Raluca Ripan, Babes-Bolyai University, 30 Fantanele St., 400294 Cluj-Napoca, Romania
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Berghaus E, Klocke T, Maletz R, Petersen S. Degree of conversion and residual monomer elution of 3D-printed, milled and self-cured resin-based composite materials for temporary dental crowns and bridges. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2023; 34:23. [PMID: 37173418 PMCID: PMC10182118 DOI: 10.1007/s10856-023-06729-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Accepted: 04/17/2023] [Indexed: 05/15/2023]
Abstract
The aim of this work was to investigate the elution of residual monomers as a function of the manufacturing process, which are CAD/CAM manufacturing, self-curing and 3D printing. The experimental materials used consisted of the base monomers TEGDMA, Bis-GMA and Bis-EMA and 50 wt.% fillers. Additionally, a 3D printing resin without fillers was tested. The elution of the base monomers into the different media (water, ethanol and ethanol/water (75/25 vol. %)) at 37 °C over a period of up to 120 d as well as the degree of conversion (DC) by FTIR were investigated. No monomer elution could be detected in water. Most residual monomers in both other media were released from the self-curing material whereas the 3D printing composite released relatively little. The CAD/CAM blanks released hardly any quantitatively detectable amounts of monomers. Relative to the base composition, TEGDMA eluted less than Bis-GMA and Bis-EMA. DC did not correlate with residual monomer release; thus, leaching was determined not only by the amount of residual monomers present but by further factors as possibly network density and structure. The CAD/CAM blanks and the 3D printing composite showed similar high DC but lower residual monomer release from the CAD/CAM blank, likewise the self-curing composite and the 3D printing resin exhibited similar DC but different monomer elution. In terms of residual monomer elution and DC, the 3D printing composite seems promising as a new material class for the use as temporary dental crowns and bridges.
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Affiliation(s)
- Eva Berghaus
- Laboratory of Chemistry and Surface Modification, University of Applied Sciences Osnabrück, Osnabrück, Germany
| | - Thorsten Klocke
- Laboratory of Chemistry and Surface Modification, University of Applied Sciences Osnabrück, Osnabrück, Germany
| | - Reinhard Maletz
- Department of Material Science and Medical Engineering, Faculty of Mechanical Engineering and Marine Technology, University of Rostock, Rostock, Germany
| | - Svea Petersen
- Laboratory of Chemistry and Surface Modification, University of Applied Sciences Osnabrück, Osnabrück, Germany.
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9
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Mokeem LS, Garcia IM, Melo MA. Degradation and Failure Phenomena at the Dentin Bonding Interface. Biomedicines 2023; 11:biomedicines11051256. [PMID: 37238927 DOI: 10.3390/biomedicines11051256] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2023] [Revised: 04/20/2023] [Accepted: 04/22/2023] [Indexed: 05/28/2023] Open
Abstract
Damage in the bonding interface is a significant factor that leads to premature failure of dental bonded restorations. The imperfectly bonded dentin-adhesive interface is susceptible to hydrolytic degradation and bacterial and enzyme attack, severely jeopardizing restorations' longevity. Developing caries around previously made restorations, also called "recurrent or secondary caries," is a significant health problem. The replacement of restorations is the most prevailing treatment in dental clinics, leading to the so-called "tooth death spiral". In other words, every time a restoration is replaced, more tooth tissue is removed, increasing the size of the restorations until the tooth is eventually lost. This process leads to high financial costs and detriment to patients' quality of life. Since the complexity of the oral cavity makes prevention a challenging task, novel strategies in Dental Materials and Operative fields are required. This article briefly overviews the physiological dentin substrate, features of dentin bonding, challenges and clinical relevance. We discussed the anatomy of the dental bonding interface, aspects of the degradation at the resin-dentin interface, extrinsic and intrinsic factors affecting dental bonding longevity, perspectives on resin and collagen degradation and how these subjects are connected. In this narrative review, we also outlined the recent progress in overcoming dental bonding challenges through bioinspiration, nanotechnology and advanced techniques to reduce degradation and improve dental bonding longevity.
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Affiliation(s)
- Lamia Sami Mokeem
- Ph.D. Program in Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, MD 21201, USA
| | - Isadora Martini Garcia
- Division of Operative Dentistry, Department of General Dentistry, University of Maryland School of Dentistry, Baltimore, MD 21201, USA
| | - Mary Anne Melo
- Division of Operative Dentistry, Department of General Dentistry, University of Maryland School of Dentistry, Baltimore, MD 21201, USA
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Chen CC, Mondal K, Vervliet P, Covaci A, O'Brien EP, Rockne KJ, Drummond JL, Hanley L. Logistic Regression Analysis of LC-MS/MS Data of Monomers Eluted from Aged Dental Composites: A Supervised Machine-Learning Approach. Anal Chem 2023; 95:5205-5213. [PMID: 36917068 DOI: 10.1021/acs.analchem.2c04362] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/16/2023]
Abstract
Compound identification by database searching that matches experimental with library mass spectra is commonly used in mass spectrometric (MS) data analysis. Vendor software often outputs scores that represent the quality of each spectral match for the identified compounds. However, software-generated identification results can differ drastically depending on the initial search parameters. Machine learning is applied here to provide a statistical evaluation of software-generated compound identification results from experimental tandem MS data. This task was accomplished using the logistic regression algorithm to assign an identification probability value to each identified compound. Logistic regression is usually used for classification, but here it is used to generate identification probabilities without setting a threshold for classification. Liquid chromatography coupled with quadrupole-time-of-flight tandem MS was used to analyze the organic monomers leached from resin-based dental composites in a simulated oral environment. The collected tandem MS data were processed with vendor software, followed by statistical evaluation of these results using logistic regression. The assigned identification probability to each compound provides more confidence in identification beyond solely by database matching. A total of 21 distinct monomers were identified among all samples, including five intact monomers and chemical degradation products of bisphenol A glycidyl methacrylate (BisGMA), oligomers of bisphenol-A ethoxylate methacrylate (BisEMA), triethylene glycol dimethacrylate (TEGDMA), and urethane dimethacrylate (UDMA). The logistic regression model can be used to evaluate any database-matched liquid chromatography-tandem MS result by training a new model using analytical standards of compounds present in a chosen database and then generating identification probabilities for candidates from unknown data using the new model.
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Affiliation(s)
- Chien-Chia Chen
- Chemistry, University of Illinois Chicago, Chicago, Illinois 60607, United States
| | - Karabi Mondal
- Materials and Environmental Engineering, University of Illinois Chicago, Chicago, Illinois 60607, United States
| | | | - Adrian Covaci
- Toxicological Center, University of Antwerp, 2610 Wilrijk, Belgium
| | - Evan P O'Brien
- Materials and Environmental Engineering, University of Illinois Chicago, Chicago, Illinois 60607, United States
| | - Karl J Rockne
- Materials and Environmental Engineering, University of Illinois Chicago, Chicago, Illinois 60607, United States
| | - James L Drummond
- Restorative Dentistry, University of Illinois Chicago, Chicago, Illinois 60607, United States
| | - Luke Hanley
- Chemistry, University of Illinois Chicago, Chicago, Illinois 60607, United States
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Pieniak D, Niewczas AM, Pikuła K, Gil L, Krzyzak A, Przystupa K, Kordos P, Kochan O. Effect of Hydrothermal Factors on the Microhardness of Bulk-Fill and Nanohybrid Composites. MATERIALS (BASEL, SWITZERLAND) 2023; 16:2130. [PMID: 36903245 PMCID: PMC10004216 DOI: 10.3390/ma16052130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 02/27/2023] [Accepted: 03/03/2023] [Indexed: 06/18/2023]
Abstract
This study evaluates the effect of aging in artificial saliva and thermal shocks on the microhardness of the bulk-fill composite compared to the nanohybrid composite. Two commercial composites, Filtek Z550 (3M ESPE) (Z550) and Filtek Bulk-Fill (3M ESPE) (B-F), were tested. The samples were exposed to artificial saliva (AS) for one month (control group). Then, 50% of the samples from each composite were subjected to thermal cycling (temperature range: 5-55 °C, cycle time: 30 s, number of cycles: 10,000) and another 50% were put back into the laboratory incubator for another 25 months of aging in artificial saliva. The samples' microhardness was measured using the Knoop method after each stage of conditioning (after 1 month, after 10,000 thermocycles, after another 25 months of aging). The two composites in the control group differed considerably in hardness (HK = 89 for Z550, HK = 61 for B-F). After thermocycling, the microhardness decrease was for Z550 approximately 22-24% and for B-F approximately 12-15%. Hardness after 26 months of aging decreased for Z550 (approximately 3-5%) and B-F (15-17%). B-F had a significantly lower initial hardness than Z550, but it showed an approximately 10% lower relative reduction in hardness.
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Affiliation(s)
- Daniel Pieniak
- Tribology Center, Łukasiewicz Research Network-Institute for Sustainable Technologies (L-ITEE), Ul. Pułaskiego 6/10, 26-600 Radom, Poland
- Faculty of Transport and Computer Science, WSEI University, Projektowa 4, 20-209 Lublin, Poland
| | - Agata M. Niewczas
- Department of Conservative Dentistry with Endodontics, Medical University of Lublin, W. Chodźki 6, 20-093 Lublin, Poland
| | - Konrad Pikuła
- Department of Conservative Dentistry with Endodontics, Medical University of Lublin, W. Chodźki 6, 20-093 Lublin, Poland
| | - Leszek Gil
- Faculty of Transport and Computer Science, WSEI University, Projektowa 4, 20-209 Lublin, Poland
| | - Aneta Krzyzak
- Faculty of Aeronautics, Military University of Aviation in Dęblin, 35 Dywizjonu 303, 08-521 Deblin, Poland
| | - Krzysztof Przystupa
- Department of Automation, Lublin University of Technology, Nadbystrzycka 36, 20-618 Lublin, Poland
| | - Paweł Kordos
- Institute of Transport, Combustion Engines and Ecology, Lublin University of Technology, Nadbystrzycka 36, 20-618 Lublin, Poland
| | - Orest Kochan
- School of Computer Science, Hubei University of Technology, Wuhan 430068, China
- Department of Measuring Information Technologies, Lviv Polytechnic National University, Bandery Str. 12, 79013 Lviv, Ukraine
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Ilie N. Cytotoxic, Elastic-Plastic and Viscoelastic Behavior of Aged, Modern Resin-Based Dental Composites. Bioengineering (Basel) 2023; 10:bioengineering10020235. [PMID: 36829729 PMCID: PMC9952265 DOI: 10.3390/bioengineering10020235] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 02/02/2023] [Accepted: 02/06/2023] [Indexed: 02/12/2023] Open
Abstract
The development of resin-based composites (RBCs) is a delicate balance of antagonistic properties with direct clinical implications. The clear trend toward reducing filler size in modern RBCs solves esthetic deficiencies but reduces mechanical properties due to lower filler content and increases susceptibility to degradation due to larger filler-matrix interface. We evaluated a range of nano- and nano-hybrid RBCs, along with materials attempting to address shrinkage stress issues by implementing an Ormocer matrix or pre-polymerized fillers, and materials aiming to provide caries-protective benefit by incorporating bioactive fillers. The cytotoxic response of human gingival fibroblast (HGF) cells after exposure to the RBC eluates, which were collected for up to six months, was analyzed using a WST-1 assay. The microstructural features were characterized using a scanning electron microscopy and were related to the macroscopic and microscopic mechanical behaviors. The elastic-plastic and viscoelastic material behaviors were evaluated at the macroscopic and microscopic levels. The data were supplemented with fractography, Weibull analysis, and aging behavioral analysis. The results indicate that all RBCs are non-cytotoxic at adequate exposure. The amount of inorganic filler affects the elastic modulus, while only to a limited extent the flexural strength, and is well below the theoretical estimates. The nanoparticles and the agglomeration of nanoparticles in the RBCs help generate good mechanical properties and excellent reliability, but they are more prone to deterioration with aging. The pre-polymerized fillers lower the initial mechanical properties but are less sensitive to aging. Only the Ormocer retains its damping ability after aging. The strength and modulus of elasticity on the one hand and the damping capacity on the other are mutually exclusive and indicate the direction in which the RBCs should be further developed.
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Affiliation(s)
- Nicoleta Ilie
- Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-University, D-80336 Munich, Germany
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13
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Alia A, Gao F, Mitchell JC, Gasiorowski J, Ciancio M, Kuppast B, Pfeifer C, Carrilho MR. Dentin primer based on a highly functionalized gelatin-methacryloyl hydrogel. Dent Mater 2023; 39:192-203. [PMID: 36641338 PMCID: PMC11391902 DOI: 10.1016/j.dental.2022.12.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Accepted: 12/24/2022] [Indexed: 01/13/2023]
Abstract
Gelatin-methacryloyl hydrogels (GelMA) have demonstrated their utility as scaffolds in a variety of tissue engineering applications. OBJECTIVES In this study, a highly functionalized GelMA hydrogel was synthesized and assessed for degree of functionalization. As the proposed GelMA hydrogel was coupled to a visible-light photoinitiator, we hypothesized it might serve as base to formulate a model dentin primer for application in restorative dentistry. METHODS GelMA was mixed with photoinitiator lithium phenyl-2,4,6-trimethylbenzoylphosphinate (LAP), photopolymerized for 0-40 s using a dental light-curing device and tested for extrudability, degree of photo-crosslinking (DPxlink), water sorption/solubility/swelling (WS/SL/SW) and apparent modulus of elasticity (AE). Model dentin primer was prepared by mixing GelMA+LAP with a primer of a commercial three-step etch-and-rinse adhesive. After application of GelMA-based primer to acid-etched dentin, samples were bonded with correspondent adhesive agent, photopolymerized and had their immediate bond strength compared to control samples primed and bonded with the same commercial material. RESULTS Extrudability of hydrogel was confirmed using a microsyringe to write the acronym "CDMI". DPxlink of GelMA+LAP changed significantly as a function of photopolymerization time (20 s < 30 s ≤ 40 s). WS, SL and SW were significantly reduced in hydrogels polymerized for 30 and 40 s. AE of hydrogels varied significantly as a function of photopolymerization time (20 s < 30 s ≤ 40 s; 20 s ‡ 40 s). Bond strength of dentin primed with GelMA-based primer was lower (∼29.3 MPa) but not significantly of that of control (∼34.6 MPa). CONCLUSIONS Optimization of a GelMA-based dentin primers can lead to the development of promising biomimetic adhesives for dentin rehabilitation.
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Affiliation(s)
- Ala Alia
- Midwestern University, College of Graduate Studies, Biomedical Sciences Program, Downers Grove, IL, USA; Midwestern University, College of Dental Medicine-Illinois, Downers Grove, IL, USA
| | - Feng Gao
- Midwestern University, College of Dental Medicine-Illinois, Downers Grove, IL, USA
| | - John C Mitchell
- Midwestern University, College of Dental Medicine-Illinois, Downers Grove, IL, USA; Midwestern University, College of Dental Medicine-Arizona, Glendale, IL, USA
| | - Joshua Gasiorowski
- Midwestern University, College of Graduate Studies, Biomedical Sciences Program, Downers Grove, IL, USA
| | - Mae Ciancio
- Midwestern University, College of Graduate Studies, Biomedical Sciences Program, Downers Grove, IL, USA
| | - Bhimanna Kuppast
- Midwestern University, Chicago College of Pharmacy, Pharmaceutical Sciences, Downers Grove, IL, USA
| | - Carmem Pfeifer
- Oregon Health & Science University, School of Dentistry, Biomaterials and Biomechanics, Portland, OR, USA
| | - Marcela R Carrilho
- Midwestern University, College of Dental Medicine-Illinois, Downers Grove, IL, USA.
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14
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Raju, Loy CW, Cho K, Farrar P, Prusty BG. Design and tribological performance of short S-Glass fibre reinforced biocomposites on the influence of fibre length and concentration. Sci Rep 2023; 13:1397. [PMID: 36697465 PMCID: PMC9876894 DOI: 10.1038/s41598-023-28645-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Accepted: 01/23/2023] [Indexed: 01/27/2023] Open
Abstract
Fibre-reinforced biocomposites usage has gained prominence over the past decade. Although higher fracture toughness was observed when fibres were added to biocomposites, material degradation could occur due to filler and fibre content intolerance in the biocomposite matrix. Optimisation of resin-fibre-filler ratios helps in increasing the tribological performance of high load-bearing applications. However, the tribological performance is less understood due to limited in-vitro studies on the effect of fibre microstructures. A comprehensive investigation of the reciprocating and rotary wear behaviour of different compositions was carried out by varying fibre (0%, 5%, 10% and 15%) to particulate filler (40%, 45%, 50%, and 55%) weight fractions. The investigation aimed to identify the optimal composition of fibre-reinforced biocomposites based on the in-vitro ball-on-disc reciprocating and rotary wear tests in the presence of modified Fusayama solution. The cross-sectional areas of wear tracks were analysed using laser microscopy and scanning electron microscopy techniques to assess the surface morphology and subsurface damage of the wear tracks on biocomposites and the antagonist. The numerical results were statistically analysed using two-way ANOVA followed by a posthoc Tukey's test (p = 0.05). The results showed a combination of adhesive, abrasive and fatigue wear for all the tested Groups. The friction coefficient had a longer transient period for the 5 wt% and 10 wt% Groups. Based on the surface roughness, coefficient of friction, SEMs, specific wear rate, and ease of manufacturing, the threshold limit for fibre loading was found to be 10 wt%. The rotary test had a considerably lower specific wear rate compared to the reciprocating test. Fibre weight fraction was found to be the influencing factor of the abrasive wear behaviour compared to fibre length for the tested Groups.
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Affiliation(s)
- Raju
- School of Mechanical and Manufacturing Engineering, UNSW Sydney, Sydney, NSW, 2052, Australia. .,ARC Training Centre for Automated Manufacture of Advanced Composites, UNSW Sydney, Sydney, NSW, 2052, Australia.
| | - Chee Wah Loy
- School of Mechanical and Manufacturing Engineering, UNSW Sydney, Sydney, NSW, 2052, Australia
| | - Kiho Cho
- Dental Materials Science, Division of Applied Oral Sciences and Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China
| | - Paul Farrar
- SDI Limited, Bayswater, VIC, 3153, Australia
| | - B Gangadhara Prusty
- School of Mechanical and Manufacturing Engineering, UNSW Sydney, Sydney, NSW, 2052, Australia.,ARC Training Centre for Automated Manufacture of Advanced Composites, UNSW Sydney, Sydney, NSW, 2052, Australia
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15
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Gouveia Z, Finer Y, Santerre JP. Towards the development of biostable dental resin systems - design criteria and constraints beyond ester-free chemistries. Dent Mater 2022; 38:1827-1840. [DOI: 10.1016/j.dental.2022.09.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Revised: 09/20/2022] [Accepted: 09/23/2022] [Indexed: 11/03/2022]
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16
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Biodegradation of Dental Resin-Based Composite—A Potential Factor Affecting the Bonding Effect: A Narrative Review. Biomedicines 2022; 10:biomedicines10092313. [PMID: 36140414 PMCID: PMC9496159 DOI: 10.3390/biomedicines10092313] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Revised: 09/04/2022] [Accepted: 09/15/2022] [Indexed: 12/02/2022] Open
Abstract
In recent years, although resin composite has played an important role in the restoration of tooth defects, it still has several disadvantages, including being biodegraded by saliva, bacteria and other enzymes in the oral cavity, which may result in repair failure. This factor is not conducive to the long-term survival of the prosthesis in the mouth. In this article, we review the causes, influencing factors and prevention methods of resin biodegradation. Biodegradation is mainly caused by esterase in saliva and bacteria, which breaks the ester bond in resin and causes the release of monomers. The mechanical properties of the prosthesis can then be affected. Meanwhile, cathepsin and MMPs are activated on the bonding surface, which may decompose the dentin collagen. In addition, neutrophils and residual water on the bonding surface can also aggravate biodegradation. Currently, the primary methods to prevent biodegradation involve adding antibacterial agents to resin, inhibiting the activity of MMPs and enhancing the crosslinking of collagen fibers. All of the above indicates that in the preparation and adhesion of resin materials, attention should be paid to the influence of biodegradation to improve the prosthesis’s service life in the complex environment of the oral cavity.
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17
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De Angelis F, Sarteur N, Buonvivere M, Vadini M, Šteffl M, D'Arcangelo C. Meta-analytical analysis on components released from resin-based dental materials. Clin Oral Investig 2022; 26:6015-6041. [PMID: 35870020 PMCID: PMC9525379 DOI: 10.1007/s00784-022-04625-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2022] [Accepted: 07/11/2022] [Indexed: 12/24/2022]
Abstract
OBJECTIVES Resin-based materials are applied in every branch of dentistry. Due to their tendency to release substances in the oral environment, doubts have been raised about their actual safety. This review aims to provide a comprehensive analysis of the last decade literature regarding the concentrations of elutable substances released from dental resin-based materials in different type of solvents. MATERIALS AND METHODS All the literature published on dental journals between January 2010 and April 2022 was searched using international databases (PubMed, Scopus, Web of Science). Due to strict inclusion criteria, only 23 papers out of 877 were considered eligible. The concentration of eluted substances related to surface and volume of the sample was analyzed, considering data at 24 h as a reference. The total cumulative release was examined as well. RESULTS The most eluted substances were HEMA, TEGDMA, and BPA, while the less eluted were Bis-GMA and UDMA. Organic solvents caused significantly higher release of substances than water-based ones. A statistically significant inverse correlation between the release of molecules and their molecular mass was observed. A statistically significant positive correlation between the amount of released molecule and the specimen surface area was detected, as well as a weak positive correlation between the release and the specimen volume. CONCLUSIONS Type of solvent, molecular mass of eluates, and specimen surface and volume affect substances release from materials. CLINICAL RELEVANCE It could be advisable to rely on materials based on monomers with a reduced elution tendency for clinical procedures.
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Affiliation(s)
- Francesco De Angelis
- Unit of Restorative Dentistry and Endodontics, Department of Medical, Oral and Biotechnological Sciences, School of Dentistry, "G. D'Annunzio" University Chieti-Pescara, Via dei Vestini, 31, 66100, Chieti, Italy.
| | - Nela Sarteur
- Unit of Restorative Dentistry and Endodontics, Department of Medical, Oral and Biotechnological Sciences, School of Dentistry, "G. D'Annunzio" University Chieti-Pescara, Via dei Vestini, 31, 66100, Chieti, Italy
| | - Matteo Buonvivere
- Unit of Restorative Dentistry and Endodontics, Department of Medical, Oral and Biotechnological Sciences, School of Dentistry, "G. D'Annunzio" University Chieti-Pescara, Via dei Vestini, 31, 66100, Chieti, Italy
| | - Mirco Vadini
- Unit of Restorative Dentistry and Endodontics, Department of Medical, Oral and Biotechnological Sciences, School of Dentistry, "G. D'Annunzio" University Chieti-Pescara, Via dei Vestini, 31, 66100, Chieti, Italy
| | - Michal Šteffl
- Department of Physiology and Biochemistry, Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic
| | - Camillo D'Arcangelo
- Unit of Restorative Dentistry and Endodontics, Department of Medical, Oral and Biotechnological Sciences, School of Dentistry, "G. D'Annunzio" University Chieti-Pescara, Via dei Vestini, 31, 66100, Chieti, Italy
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18
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Release of Bisphenol A from Pit and Fissure Sealants According to Different pH Conditions. Polymers (Basel) 2021; 14:polym14010037. [PMID: 35012059 PMCID: PMC8747188 DOI: 10.3390/polym14010037] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Revised: 12/10/2021] [Accepted: 12/15/2021] [Indexed: 11/16/2022] Open
Abstract
Changes in intraoral pH can cause changes in the chemical decomposition and surface properties of treated resin-based pits and fissure sealants (sealant). The purpose of this study is to evaluate the release of bisphenol A (BPA) from sealants under three different pH conditions over time. The test specimen was applied with 6 sealants 5 mg each on a glass plate (10 × 10 mm) and photopolymerized. The samples were immersed for 10 min, 1 h, and 24 h in solutions of pH 3.0, 6.5, and 10.0 at 37 °C. BPA release was measured using a gas chromatography-mass spectrometer. A statistical analysis was performed by two-way ANOVA and one-way ANOVA to verify the effect of pH conditions and time on BPA release. The BPA concentration in the pH 3.0 group was higher at all points than with pH 6.5 and pH 10.0 (p < 0.05), and gradually increased over time (p < 0.05). As a result, it was confirmed that low pH negatively influences BPA release. Therefore, frequent exposure to low pH due to the consumption of various beverages after sealant treatment can negatively affect the sealant’s chemical stability in the oral cavity.
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19
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Feddersen S, Kern G, Berghaus E, Kommerein N, Winkel A, Eisenburger M, Petersen S. Antimicrobial agents in dental restorative materials: a on polymerization, short-term drug release and biological impact. Eur J Oral Sci 2021; 130:e12839. [PMID: 34935205 DOI: 10.1111/eos.12839] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Accepted: 10/22/2021] [Indexed: 11/29/2022]
Abstract
With the aim to design bioactive dental restorative material, the present study investigated the influence of the antimicrobial agents chlorhexidine diacetate (CHX) and octinidine (di)hydrochloride (ODH) when incorporated in two different materials. Selected parameters were polymerization enthalpy, short-term drug release, and the effect on Streptococcus mutans as well as human gingival fibroblasts. Samples were made by mixing a nano-hybrid ormocer (O) and a methacrylate-based nano-hybrid composite (C), each with a mass fraction of 2% CHX or ODH. Release profiles and concentrations of active agents from the resins were assessed, and the cell proliferation of human gingival fibroblasts as well as Streptococcus mutans cultured with the eluates were evaluated. The influence on polymerization was assessed by means of differential scanning calorimetry. Both drugs, especially ODH, showed a decreasing effect on polymerization enthalpies associated with a lowered crosslinking degree. At the same time ODH appeared to be released more persistently than CHX. Moreover, ODH was more efficient with regard to bacteria growth inhibition but also more cytotoxic in terms of reduction of cell viability. ODH is deemed more appropriate for application in a dental resin-based drug delivery system, because of the more persistent drug release than seen for CHX.
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Affiliation(s)
- Silas Feddersen
- Department of Prosthetic Dentistry and Biomedical Materials Science, Hannover Medical School, Hannover, Germany
| | - Gabriela Kern
- Department of Genetics, Molecular Biology, Microbiology and Toxicology, UNISINOS University, Sao Leopoldo, Brazil
| | - Eva Berghaus
- Laboratory of Chemistry and Surface Modification, University of Applied Sciences, Osnabrueck, Germany
| | - Nadine Kommerein
- Department of Prosthetic Dentistry and Biomedical Materials Science, Hannover Medical School, Hannover, Germany
| | - Andreas Winkel
- Department of Prosthetic Dentistry and Biomedical Materials Science, Hannover Medical School, Hannover, Germany
| | - Michael Eisenburger
- Department of Prosthetic Dentistry and Biomedical Materials Science, Hannover Medical School, Hannover, Germany
| | - Svea Petersen
- Laboratory of Chemistry and Surface Modification, University of Applied Sciences, Osnabrueck, Germany
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20
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Rios-Madrigal AM, Orea-Vega DC, Vega-González M, Espinosa-Cristóbal LF, Arenas-Arrocena MC, Castro-Ruiz JE, Correa-Prado R, Domínguez-Pérez RA. Effect of Streptococcus mutans on surface-topography, microhardness, and mechanical properties of contemporary resin composites. J Appl Biomater Funct Mater 2021; 19:22808000211065260. [PMID: 34915756 DOI: 10.1177/22808000211065260] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE Dental caries is the most prevalent disease globally, and Streptococcus mutans (S. mutans) is a common associated oral bacteria. Additionally, S. mutans possess esterase activity capable of degrading resin composites (RC). However, the effect of degradation on the physical-mechanical properties of the RC has not been extensively studied. We evaluated the flexure strength (FS), the diametral tensile strength (DTS), the modulus of elasticity (ME), and the microhardness of three contemporary RC to establish if S. mutans could affect them. METHODS One hundred thirty-eight bar-shaped and 276 disc-shaped specimens were fabricated with Enamel Plus HRi, IPS Empress Direct, and Clearfil AP-X, and physical-mechanical testing was done after been incubated during 30 and 60 days in culture media with or without S. mutans. Also, a scanning electron microscope was used to identify surface changes. RESULTS None of the tested RC were affected in their mechanical properties (FS, ME, and DTS). However, Clearfil AP-X and Enamel Plus HRI showed eroded surfaces and a decreased microhardness after 30 and 60 days S. mutans incubation. IPS Empress Direct presented the lowest values in all the tests, but its physical-mechanical features and surface were not affected by bacteria's exposure. CONCLUSIONS Exposure to S. mutans could affect some contemporary RC; however, the effect seems superficial since its mechanical features were not affected.
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Affiliation(s)
| | - Dulce Carolina Orea-Vega
- Prostodontic Specialization Program, Facultad de Medicina, Universidad Autónoma de Querétaro, Santiago de Querétaro, México
| | - Marina Vega-González
- Centro de Geociencias, Universidad Nacional Autónoma de México, Campus Juriquilla, Santiago de Querétaro, México
| | - León Francisco Espinosa-Cristóbal
- Master Program in Dental Sciences, Stomatology Department, Institute of Biomedical Sciences, Autonomous University of Juarez, Ciudad Juárez, México
| | - Ma Concepción Arenas-Arrocena
- Escuela Nacional de Estudios Superiores, Unidad León, Licenciatura en Odontología, Universidad Nacional Autónoma de México, León Guanajuato, México
| | - Jesus Eduardo Castro-Ruiz
- Prostodontic Specialization Program, Facultad de Medicina, Universidad Autónoma de Querétaro, Santiago de Querétaro, México
| | - Rodrigo Correa-Prado
- Prostodontic Specialization Program, Facultad de Medicina, Universidad Autónoma de Querétaro, Santiago de Querétaro, México
| | - Rubén Abraham Domínguez-Pérez
- Prostodontic Specialization Program, Facultad de Medicina, Universidad Autónoma de Querétaro, Santiago de Querétaro, México.,Laboratory of Multidisciplinary Dentistry Research, Facultad de Medicina, Universidad Autónoma de Querétaro, Santiago de Querétaro, México
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21
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Oweis Y, El-Hadad A, Mezour M, Abdallah MN, Retrouvey J, El-Khoury R, Cerruti M, Tamimi F. Disclosing Agent for Resin Composite Based on Adsorption Surface Treatment. ACS APPLIED BIO MATERIALS 2021; 4:7222-7233. [DOI: 10.1021/acsabm.1c00734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Yara Oweis
- Faculty of Dentistry, McGill University, Montreal, Quebec H3A 1G1, Canada
- School of Dentistry, University of Jordan, Amman 19328, Jordan
| | - Amir El-Hadad
- Faculty of Dentistry, McGill University, Montreal, Quebec H3A 1G1, Canada
| | - Mohamed Mezour
- Faculty of Dentistry, McGill University, Montreal, Quebec H3A 1G1, Canada
| | - Mohamed-Nur Abdallah
- Faculty of Dentistry, McGill University, Montreal, Quebec H3A 1G1, Canada
- Faculty of Dentistry, University of Toronto, Toronto, Ontario M5G 1G6, Canada
| | - Jean Retrouvey
- Faculty of Dentistry, McGill University, Montreal, Quebec H3A 1G1, Canada
| | - Roland El-Khoury
- McGill University Health Centre-Montreal General Hospital Montreal, Quebec H4A 3J1, Canada
| | - Marta Cerruti
- Department of Mining and Materials Engineering, McGill University, Montreal, Quebec H3A 0E9, Canada
| | - Faleh Tamimi
- College of Dental Medicine, QU Health, Qatar University, Doha 122104, Qatar
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22
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Firlej M, Pieniak D, Niewczas AM, Walczak A, Domagała I, Borucka A, Przystupa K, Igielska-Kalwat J, Jarosz W, Biedziak B. Effect of Artificial Aging on Mechanical and Tribological Properties of CAD/CAM Composite Materials Used in Dentistry. MATERIALS 2021; 14:ma14164678. [PMID: 34443198 PMCID: PMC8400053 DOI: 10.3390/ma14164678] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Revised: 08/09/2021] [Accepted: 08/17/2021] [Indexed: 11/21/2022]
Abstract
With easy-to-process 3D printing materials and fast production, the quality of dental services can be improved. In the conventional procedure, the dentist makes temporary crowns directly in the patient’s mouth, e.g., from the most commonly used bis-acrylic composites. Temporary crowns made directly in the office without the use of CAD/CAM are often of inferior quality, which directly results in impaired hygiene, poorer masticatory mechanics, greater deposition of plaque, calculus and sediment, and may adversely affect periodontal and gum health. The mechanical strength, resistance to aging and abrasion of 3D printing materials are higher than those of the soft materials used in conventional methods. This translates into durability. The patient leaves the surgery with a restoration of higher utility quality compared to the conventional method. The objective of the paper was to determine the influence of aging in artificial saliva of AM (additive manufacturing) orthodontic composites on their functional properties. For the purpose of the study, fillings well-known worldwide were selected. These were traditional UV-curable resins (M I, M II, M III, M V) and a hybrid material based on a UV-curable resin (M VI). Samples were stored in artificial saliva at 37 ± 1 °C in a thermal chamber for 6 months. Indentation hardness, frictional tests and sliding wear measurements were conducted. A comparison between various materials was made. Descriptive statistics, degradation coefficients, H2E, Archard wear and specific wear rate were calculated. The Weibull statistical test for indentation hardness was performed and Hertzian contact stresses for the frictional association were calculated for unaged (M I, M II, M III, M V, M VI) and aged (M I AS, M II AS, M III AS, M V AS, M VI AS) samples. M I exhibited the lowest average hardness among the unaged materials, while M III AS had the lowest average hardness among the aged materials. Comparably low hardness was demonstrated by the M I AS material. The coefficient of friction values for the aged samples were found to be higher. The lowest wear value was demonstrated by the M I material. The wear resistance of most of the tested materials deteriorated after aging. The M VI AS material had the highest increase in wear. According to the results provided, not only the chemical composition and structure, but also aging have a great impact on the indentation hardness and wear resistance of the tested orthodontic materials.
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Affiliation(s)
- Marcel Firlej
- Department of Craniofacial Anomalies, Poznan University of Medical Sciences, Bukowska 70, 60-812 Poznan, Poland; (M.F.); (I.D.); (J.I.-K.); (B.B.)
| | - Daniel Pieniak
- Department of Mechanics and Machine Building, University of Economics and Innovations in Lublin, Projektowa 4, 20-209 Lublin, Poland;
| | - Agata M. Niewczas
- Departament of Conservative Dentistry with Endodontics, Medical University of Lublin, W. Chodźki 6, 20-093 Lublin, Poland;
| | - Agata Walczak
- Departament of Fire Technology the Main School of Fire Service, Faculty of Safety Engineering and Civil Protection, Slowackiego 52/54, 01-629 Warsaw, Poland; (A.W.); (W.J.)
| | - Ivo Domagała
- Department of Craniofacial Anomalies, Poznan University of Medical Sciences, Bukowska 70, 60-812 Poznan, Poland; (M.F.); (I.D.); (J.I.-K.); (B.B.)
| | - Anna Borucka
- Faculty of Security, Logistics and Management, Military University of Technology, gen. S. Kaliskiego 2, 00-908 Warsaw, Poland;
| | - Krzysztof Przystupa
- Department of Automation, Lublin University of Technology, Nadbystrzycka 36, 20-618 Lublin, Poland
- Correspondence:
| | - Joanna Igielska-Kalwat
- Department of Craniofacial Anomalies, Poznan University of Medical Sciences, Bukowska 70, 60-812 Poznan, Poland; (M.F.); (I.D.); (J.I.-K.); (B.B.)
| | - Wojciech Jarosz
- Departament of Fire Technology the Main School of Fire Service, Faculty of Safety Engineering and Civil Protection, Slowackiego 52/54, 01-629 Warsaw, Poland; (A.W.); (W.J.)
| | - Barbara Biedziak
- Department of Craniofacial Anomalies, Poznan University of Medical Sciences, Bukowska 70, 60-812 Poznan, Poland; (M.F.); (I.D.); (J.I.-K.); (B.B.)
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23
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Zhou Y, Matin K, Shimada Y, Sadr A, Wang G, Tagami J, Feng X. Characteristics of biofilm-induced degradation at resin-dentin interfaces using multiple combinations of adhesives and resins. Dent Mater 2021; 37:1260-1272. [PMID: 33965251 DOI: 10.1016/j.dental.2021.04.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Revised: 04/04/2021] [Accepted: 04/24/2021] [Indexed: 11/19/2022]
Abstract
OBJECTIVE We aimed to evaluate morphological, mechanical and chemical characteristics at resin-dentin interfaces using multiple combinations of adhesives and resins after a short-term biofilm-induced degradation. METHODS Cervical cavities were prepared in bovine incisors, treated by Clearfil SE Bond 2 (SE) or FL-Bond II (FL), restored by Clearfil Majesty ES Flow (ES) or Beautifil Flow Plus (BFP) and grouped into SE-ES, SE-BFP, FL-ES and FL-BFP. After biofilm challenge, interfacial gaps and dentin wall lesions were examined by optical coherence tomography (OCT). Gap depth (GD), gap pattern scale (GPS) and dentin wall lesion depth (WLD) were evaluated from confocal laser scanning microscope. Microhardness of dentin lesions was measured with a Vickers microhardness tester. Chemical elements in resins and dentin wall lesions were analyzed by scanning electron microscopy and energy dispersive X-ray spectrometry (SEM/EDS). Morphological structures of interfacial gaps were observed by SEM. RESULTS OCT could detect adhesive-dentin-bonded and adhesive-dentin-debonded gaps. SE-containing groups showed significantly lower GPS than FL-containing groups. FL-BFP showed significantly lower WLD than FL-ES. Microhardness of dentin wall lesions was higher than that of outer lesions and they showed significant differences in FL-BFP. SE-BFP showed a lower GPS curve and higher intensities of Ca and P in the upper half of dentin wall lesions than other groups. From SEM, microgaps between filler and matrix, break and loss of matrix, separation of adhesive matrix with hybrid layer occurred at interfacial gaps. SIGNIFICANCE The morphological, mechanical and chemical characteristics of resin-dentin interfacial degradation depend on the component and chemistry of restorative materials.
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Affiliation(s)
- Yuan Zhou
- Laboratory of Molecular and Preventive Dentistry, Department of Preventive Dentistry, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Huangpu District, Shanghai 200011, China.
| | - Khairul Matin
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan; Endowed Department of International Oral Health Science (affiliated with Department of Translational Research), School of Dental Medicine, Tsurumi University, 2-1-3 Tsurumi, Tsurumi-ku, Yokohama-shi, Kanagawa 230-0063, Japan.
| | - Yasushi Shimada
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan; Department of Operative Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8525, Japan.
| | - Alireza Sadr
- Biomimetics Biomaterials Biophotonics & Technology Laboratory, Department of Restorative Dentistry, University of Washington School of Dentistry, 1959 NE Pacific Street, Seattle, WA 98195-7456, USA.
| | - Guoqing Wang
- Department of Electrical and Electronic Engineering, Southern University of Science and Technology, 1088 Xueyuan Ave, Nanshan District, Shenzhen, Guangdong 518055, China.
| | - Junji Tagami
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan.
| | - Xiping Feng
- Laboratory of Molecular and Preventive Dentistry, Department of Preventive Dentistry, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Huangpu District, Shanghai 200011, China.
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Durable Oral Biofilm Resistance of 3D-Printed Dental Base Polymers Containing Zwitterionic Materials. Int J Mol Sci 2021; 22:ijms22010417. [PMID: 33401545 PMCID: PMC7795277 DOI: 10.3390/ijms22010417] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Revised: 12/21/2020] [Accepted: 12/30/2020] [Indexed: 12/28/2022] Open
Abstract
Poly(methyl methacralyate) (PMMA) has long been used in dentistry as a base polymer for dentures, and it is recently being used for the 3D printing of dental materials. Despite its many advantages, its susceptibility to microbial colonization remains to be overcome. In this study, the interface between 3D-printed PMMA specimens and oral salivary biofilm was studied following the addition of zwitterionic materials, 2-methacryloyloxyethyl phosphorylcholine (MPC) or sulfobetaine methacrylate (SB). A significant reduction in bacterial and biofilm adhesions was observed following the addition of MPC or SB, owing to their protein-repellent properties, and there were no significant differences between the two test materials. Although the mechanical properties of the tested materials were degraded, the statistical value of the reduction was minimal and all the properties fulfilled the requirements set by the International Standard, ISO 20795-2. Additionally, both the test materials maintained their resistance to biofilm when subjected to hydrothermal fatigue, with no further deterioration of the mechanical properties. Thus, novel 3D-printable PMMA incorporated with MPC or SB shows durable oral salivary biofilm resistance with maintenance of the physical and mechanical properties.
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Sarikaya R, Song L, Yuca E, Xie SX, Boone K, Misra A, Spencer P, Tamerler C. Bioinspired multifunctional adhesive system for next generation bio-additively designed dental restorations. J Mech Behav Biomed Mater 2021; 113:104135. [PMID: 33160267 PMCID: PMC8101502 DOI: 10.1016/j.jmbbm.2020.104135] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2020] [Revised: 07/17/2020] [Accepted: 10/07/2020] [Indexed: 12/16/2022]
Abstract
Resin-based composite has overtaken dental amalgam as the most popular material for the repair of lost or damaged tooth structure. In spite of the popularity, the average composite lifetime is about half that of amalgam restorations. The leading cause of composite-restoration failure is decay at the margin where the adhesive is applied. The adhesive is intended to seal the composite/tooth interface, but the adhesive seal to dentin is fragile and readily degraded by acids, enzymes and other oral fluids. The inherent weakness of this material system is attributable to several factors including the lack of antimicrobial properties, remineralization capabilities and durable mechanical performance - elements that are central to the integrity of the adhesive/dentin (a/d) interfacial seal. Our approach to this problem offers a transition from a hybrid to a biohybrid structure. Discrete peptides are tethered to polymers to provide multi-bio-functional adhesive formulations that simultaneously achieve antimicrobial and remineralization properties. The bio-additive materials design combines several functional properties with the goal of providing an adhesive that will serve as a durable barrier to recurrent decay at the composite/tooth interface. This article provides an overview of our multi-faceted approach which uses peptides tethered to polymers and new polymer chemistries to achieve the next generation adhesive system - an adhesive that provides antimicrobial properties, repair of defective dentin and enhanced mechanical performance.
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Affiliation(s)
- Rizacan Sarikaya
- Institute for Bioengineering Research (IBER), University of Kansas (KU), 1530 W. 15th St, Lawrence, KS, 66045, USA; Department of Mechanical Engineering, University of Kansas (KU), 1530 W. 15th St, Lawrence, KS, 66045, USA
| | - Linyong Song
- Institute for Bioengineering Research (IBER), University of Kansas (KU), 1530 W. 15th St, Lawrence, KS, 66045, USA
| | - Esra Yuca
- Institute for Bioengineering Research (IBER), University of Kansas (KU), 1530 W. 15th St, Lawrence, KS, 66045, USA; Department of Molecular Biology and Genetics, Yildiz Technical University, Istanbul, 34210, Turkey
| | - Sheng-Xue Xie
- Institute for Bioengineering Research (IBER), University of Kansas (KU), 1530 W. 15th St, Lawrence, KS, 66045, USA
| | - Kyle Boone
- Institute for Bioengineering Research (IBER), University of Kansas (KU), 1530 W. 15th St, Lawrence, KS, 66045, USA; Bioengineering Program, University of Kansas, 1530 W. 15th St, University of Kansas (KU), Lawrence, KS, 66045, USA
| | - Anil Misra
- Institute for Bioengineering Research (IBER), University of Kansas (KU), 1530 W. 15th St, Lawrence, KS, 66045, USA; Civil, Environmental and Architectural Engineering Department, University of Kansas (KU), 1530 W. 15th St, Lawrence, KS, 66045, USA
| | - Paulette Spencer
- Institute for Bioengineering Research (IBER), University of Kansas (KU), 1530 W. 15th St, Lawrence, KS, 66045, USA; Department of Mechanical Engineering, University of Kansas (KU), 1530 W. 15th St, Lawrence, KS, 66045, USA; Bioengineering Program, University of Kansas, 1530 W. 15th St, University of Kansas (KU), Lawrence, KS, 66045, USA
| | - Candan Tamerler
- Institute for Bioengineering Research (IBER), University of Kansas (KU), 1530 W. 15th St, Lawrence, KS, 66045, USA; Department of Mechanical Engineering, University of Kansas (KU), 1530 W. 15th St, Lawrence, KS, 66045, USA; Bioengineering Program, University of Kansas, 1530 W. 15th St, University of Kansas (KU), Lawrence, KS, 66045, USA.
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Bationo R, Beugré-Kouassi MLA, Jordana F, Beugré JB. Biodegradation of orthodontic composites by Streptococcus mutans: An in vitro qualitative and quantitative assessment. APOS TRENDS IN ORTHODONTICS 2020. [DOI: 10.25259/apos_21_2020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Objectives:
The purpose of this study was to evaluate the degradation products of orthodontic composites (Grengloo, Blugloo, Transbond XT, and Transbond LR) by Streptococcus mutans and then to quantify the levels of released bisphenol A (BPA) using gas-phase chromatography and mass spectrometry (GC–MS).
Materials and Methods:
Orthodontic light-cured composite discs were incubated at 37°C in brain heart infusion (BHI) (control group) and in a culture of S. mutans with BHI (test group). Incubation solutions were collected every 48 h in each group and replaced with fresh solutions. These incubation solutions were accumulated and grouped. The assessment of degradation products from composites was done at 1 and 30 days. Detected BPA was then quantified. The limit of quantification was 0.01 μg/mL.
Results:
Degradation products were present at day 30. For the test group, BPA was detected in Blugloo at day 1 (0.38 μg/mL) and triethylene glycol dimethacrylate (TEGDMA) was detected in Grengloo and Transbond LR at day 1.
Conclusion:
S. mutans can hydrolyze long-term orthodontic composites. Monomers such as BPA and TEGDMA may be present in degradation products. It is possible to separate and identify leaching compounds by GC–MS technique.
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Affiliation(s)
- Raoul Bationo
- Service de Chirurgie Dentaire, CHU de Bogodogo, Ouagadougou, Burkina Faso, West Africa
| | | | | | - Jean-Bertin Beugré
- UFR d’Odonto-Stomatologie, Université Félix Houphouët-Boigny, Abidjan, Côte d’Ivoire, West Africa,
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Antimicrobial antidegradative dental adhesive preserves restoration-tooth bond. Dent Mater 2020; 36:1666-1679. [PMID: 33183773 DOI: 10.1016/j.dental.2020.10.017] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 10/21/2020] [Accepted: 10/22/2020] [Indexed: 12/12/2022]
Abstract
OBJECTIVE Assess the ability of an antimicrobial drug-releasing resin adhesive, containing octenidine dihydrochloride (OCT)-silica co-assembled particles (DSPs), to enhance the biostability and preserve the interfacial fracture toughness (FT) of composite restorations bonded to dentin. Enzyme-catalyzed degradation compromises the dental restoration-tooth interface, increasing cariogenic bacterial infiltration. In addition to bacterial ingress inhibition, antimicrobial-releasing adhesives may exhibit direct interfacial biodegradation inhibition as an additional benefit. METHODS Mini short-rod restoration bonding specimens with total-etch adhesive with/without 10% wt. DSPs were made. Interfacial fracture toughness (FT) was measured as-manufactured or post-incubation in simulated human salivary esterase (SHSE) for up to 6-months. Effect of OCT on SHSE and whole saliva/bacterial enzyme activity was assessed. Release of OCT outside the restoration interface was assessed. RESULTS No deleterious effect of DSPs on initial bonding capacity was observed. Aging specimens in SHSE reduced FT of control but not DSP-adhesive-bonded specimens. OCT inhibited SHSE degradation of adhesive monomer and may inhibit endogenous proteases. OCT inhibited bacterial esterase and collagenase. No endogenous collagen breakdown was detected in the present study. OCT increased human saliva degradative esterase activity below its minimum inhibitory concentration towards S. mutans (MIC), but inhibited degradation above MIC. OCT release outside restoration margins was below detection. SIGNIFICANCE DSP-adhesive preserves the restoration bond through a secondary enzyme-inhibitory effect of released OCT, which is virtually confined to the restoration interface microgap. Enzyme activity modulation may produce a positive-to-negative feedback switch, by increasing OCT concentration via biodegradation-triggered release to an effective dose, then subsequently slowing degradation and degradation-triggered release.
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Hong G, Chen Z, Han JM, Wang WQ, Gao P, Sasaki K. Effect of amylase activity on mechanical properties of dental composite resin. Dent Mater J 2020; 40:348-355. [PMID: 33087633 DOI: 10.4012/dmj.2020-079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The purpose of this study was to investigate the effect of amylase activity on the mechanical properties of three dental composite resin (Filtek Z350; Filtek Z250 and Polofil Supra). The specimens were immersed in amylase solution at four different activities (25, 50, 100 and 200 KIU/L) with an artificial saliva solution (AS) as a control. The flexural strength (FS) and elastic modulus (EM) were determined in a three-point bending test after immersion for periods up to 12 months. In addition, surface roughness and surface morphology also determined. The FS of Filtek Z350 reaching the lowest level of 67.86 MPa after AS immersion for one year. There was a general trend for FS to decrease following immersion in AS for all the tested materials. However, the amylase groups did not undergo a significant decrease in FS and EM, and there was a slight increase in FS and EM for Polofil Supra.
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Affiliation(s)
- Guang Hong
- Division for Globalization Initiative, Liaison Center for Innovative Dentistry, Graduate School of Dentistry, Tohoku University
| | - Zhen Chen
- Department of Operative Dentistry and Endodontology, School of Stomatology, Tianjin Medical University.,Division of Advanced Prosthetic Dentistry, Graduate School of Dentistry, Tohoku University
| | - Jian-Min Han
- Dental Materials Laboratory, National Engineering Laboratory for Digital and Material Technology of Stomatology, Peking University School and Hospital of Stomatology
| | - Wei-Qi Wang
- Division of Advanced Prosthetic Dentistry, Graduate School of Dentistry, Tohoku University
| | - Ping Gao
- Department of Prosthetic Dentistry, School of Stomatology, Tianjin Medical University
| | - Keiichi Sasaki
- Division of Advanced Prosthetic Dentistry, Graduate School of Dentistry, Tohoku University
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29
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Jung H, Lee JS, Lee JH, Park KJ, Lee JJ, Park HS. A Feasibility Study for 3D-printed Poly(methyl methacrylate)-resin Tracheostomy Tube Using a Hamster Cheek Pouch Model. In Vivo 2020; 34:1749-1758. [PMID: 32606143 DOI: 10.21873/invivo.11968] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Revised: 03/27/2020] [Accepted: 03/28/2020] [Indexed: 11/10/2022]
Abstract
BACKGROUND/AIM A three-dimensional (3D) printed tracheostomy tube has potential application for patients who require a specialized tube. The aim of this study was to evaluate the characteristics of various 3D printing materials and determine their use in producing 3D-printed tracheostomy tube. MATERIALS AND METHODS Mechanical, chemical, and microbiological in vivo changes in the scaffolds were analyzed using a hamster cheek pouch (HCP) model. RESULTS The poly methyl methacylate (PMMA)-resin showed superior pre- and post-insertion mechanical properties and a relatively consistent lower biofilm formation compared with other scaffolds. PMMA-resin was successfully 3D-printed with dimensional accuracy without a support system. The use of a 3D-printed PMMA tracheostomy tube in a rabbit trachea showed no definite signs of infection, allergy or foreign body reaction. CONCLUSION PMMA-resin can be proposed as an alternative for a 3D-printed tracheostomy tube material. In addition, we suggest HCPs as an in vivo model for evaluating indwelling medical devices.
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Affiliation(s)
- Harry Jung
- Institute of New Frontier Research Team, Hallym University, Hallym Clinical and Translation Science Institute, Chuncheon, Republic of Korea
| | - Ji Seung Lee
- Nano-Bio Regenerative Medical Institute, School of Medicine, Hallym University, Chuncheon, Republic of Korea
| | - Jun Ho Lee
- Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon, Republic of Korea
| | - Ki Joon Park
- Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon, Republic of Korea
| | - Jae Jun Lee
- Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Chuncheon, Republic of Korea
| | - Hae Sang Park
- Institute of New Frontier Research Team, Hallym University, Hallym Clinical and Translation Science Institute, Chuncheon, Republic of Korea .,Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University, Chuncheon, Republic of Korea
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30
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Collares FM, Garcia IM, Bohns FR, Motta A, Melo MA, Leitune VCB. Guanidine hydrochloride polymer additive to undertake ultraconservative resin infiltrant against Streptococcus mutans. Eur Polym J 2020. [DOI: 10.1016/j.eurpolymj.2020.109746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Incorporating Aminated Nanodiamonds to Improve the Mechanical Properties of 3D-Printed Resin-Based Biomedical Appliances. NANOMATERIALS 2020; 10:nano10050827. [PMID: 32357463 PMCID: PMC7712581 DOI: 10.3390/nano10050827] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 04/17/2020] [Accepted: 04/23/2020] [Indexed: 01/04/2023]
Abstract
The creation of clinically patient-specific 3D-printed biomedical appliances that can withstand the physical stresses of the complex biological environment is an important objective. To that end, this study aimed to evaluate the efficacy of aminated nanodiamonds (A-NDs) as nanofillers in biological-grade acrylate-based 3D-printed materials. Solution-based mixing was used to incorporate 0.1 wt% purified nanodiamond (NDs) and A-NDs into UV-polymerized poly(methyl methacrylate) (PMMA). The ND and A-ND nanocomposites showed significantly lower water contact angles (p < 0.001) and solubilities (p < 0.05) compared to those of the control. Both nanocomposites showed markedly improved mechanical properties, with the A-ND-containing nanocomposite showing a statistically significant increase in the flexural strength (p < 0.001), elastic modulus (p < 0.01), and impact strength (p < 0.001) compared to the control and ND-containing groups. The Vickers hardness and wear-resistance values of the A-ND-incorporated material were significantly higher (p < 0.001) than those of the control and were comparable to the values observed for the ND-containing group. In addition, trueness analysis was used to verify that 3D-printed orthodontic brackets prepared with the A-ND- and ND-nanocomposites exhibited no significant differences in accuracy. Hence, we conclude that the successful incorporation of 0.1 wt% A-ND in UV-polymerized PMMA resin significantly improves the mechanical properties of the resin for the additive manufacturing of precisive 3D-printed biomedical appliances.
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32
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The Organic Matrix of Restorative Composites and Adhesives. Biomater Sci 2020. [DOI: 10.1016/b978-0-12-816137-1.00013-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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33
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Hydro-Thermal Fatigue of Polymer Matrix Composite Biomaterials. MATERIALS 2019; 12:ma12223650. [PMID: 31698746 PMCID: PMC6888490 DOI: 10.3390/ma12223650] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/19/2019] [Revised: 11/03/2019] [Accepted: 11/04/2019] [Indexed: 11/16/2022]
Abstract
This study discusses a quantitative fatigue evaluation of polymer-ceramic composites for dental restorations, i.e., commercial (Filtek Z550) and experimental Ex-nano (G), Ex-flow (G). Their evaluation is based on the following descriptors: mechanical strength, elastic modulus and strain work to fracture. Supposed to reflect factors of environmental degradation conditions, thermal fatigue was simulated with a special computer-controlled device performing algorithms of thermocycling. The specimens intended for the strength test underwent 104 hydro-thermal fatigue cycles. This procedure of thermocycling was preceded by aging, which meant immersing the specimens in artificial saliva at 37 °C for 30 days. The strength tests after aging only and after aging and thermocycles were performed in line with the three-point flexural strength (TFS) test, specified in ISO 4049, and the biaxial flexural strength (BFS) test, specifically piston-on-three-ball in accordance with ISO 6872. Based on the results, it can be stated that composites with higher volume content of inorganic particles after aging only show higher strength than materials with lower filler particle content. For example, the average flexural bending strength of the Ex-flow (G) composite was about 45% lower than the value obtained for the Ex-nano (G) material. The residual strength after thermocycles is significantly lower for the experimental composites, whereas a smaller decrease in strength is recorded for the commercial composites. Decreases in strength were about 4% (Filtek Z550), 43% (Ex-nano (G)), and 29% (Ex-flow (G)) for the BFS test; and about 17% (Filtek Z550), 55% (Ex-nano (G)), 60% (Ex-flow (G)) for the TFS test. The elastic modulus of the experimental composites after only aging is higher (about 42%) than that of the commercial composite, but the elastic modulus of the commercial composite increases significantly after thermocycling. A descriptor known as strain work to fracture turns out to be a good descriptor for evaluating the hydro-thermal fatigue of the tested polymer-ceramic composites.
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Spencer P, Ye Q, Song L, Parthasarathy R, Boone K, Misra A, Tamerler C. Threats to adhesive/dentin interfacial integrity and next generation bio-enabled multifunctional adhesives. J Biomed Mater Res B Appl Biomater 2019; 107:2673-2683. [PMID: 30895695 PMCID: PMC6754319 DOI: 10.1002/jbm.b.34358] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2018] [Revised: 02/07/2019] [Accepted: 02/20/2019] [Indexed: 12/27/2022]
Abstract
Nearly 100 million of the 170 million composite and amalgam restorations placed annually in the United States are replacements for failed restorations. The primary reason both composite and amalgam restorations fail is recurrent decay, for which composite restorations experience a 2.0-3.5-fold increase compared to amalgam. Recurrent decay is a pernicious problem-the standard treatment is replacement of defective composites with larger restorations that will also fail, initiating a cycle of ever-larger restorations that can lead to root canals, and eventually, to tooth loss. Unlike amalgam, composite lacks the inherent capability to seal discrepancies at the restorative material/tooth interface. The low-viscosity adhesive that bonds the composite to the tooth is intended to seal the interface, but the adhesive degrades, which can breach the composite/tooth margin. Bacteria and bacterial by-products such as acids and enzymes infiltrate the marginal gaps and the composite's inability to increase the interfacial pH facilitates cariogenic and aciduric bacterial outgrowth. Together, these characteristics encourage recurrent decay, pulpal damage, and composite failure. This review article examines key biological and physicochemical interactions involved in the failure of composite restorations and discusses innovative strategies to mitigate the negative effects of pathogens at the adhesive/dentin interface. © 2019 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 107B:2466-2475, 2019.
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Affiliation(s)
- Paulette Spencer
- Institute for Bioengineering Research, School of Engineering, University of Kansas, 1530 W. 15th Street, Lawrence, KS 66045-7609, USA
- Department of Mechanical Engineering, University of Kansas,1530 W. 15th Street, Lawrence, KS 66045-7609, USA
| | - Qiang Ye
- Institute for Bioengineering Research, School of Engineering, University of Kansas, 1530 W. 15th Street, Lawrence, KS 66045-7609, USA
| | - Linyong Song
- Institute for Bioengineering Research, School of Engineering, University of Kansas, 1530 W. 15th Street, Lawrence, KS 66045-7609, USA
| | - Ranganathan Parthasarathy
- Department of Civil Engineering, Tennessee State University, 3500 John A Merritt Blvd, Nashville, TN 37209, USA
| | - Kyle Boone
- Institute for Bioengineering Research, School of Engineering, University of Kansas, 1530 W. 15th Street, Lawrence, KS 66045-7609, USA
| | - Anil Misra
- Institute for Bioengineering Research, School of Engineering, University of Kansas, 1530 W. 15th Street, Lawrence, KS 66045-7609, USA
- Department of Civil Engineering, University of Kansas, 1530 W. 15th Street, Lawrence, KS 66045-7609, USA
| | - Candan Tamerler
- Institute for Bioengineering Research, School of Engineering, University of Kansas, 1530 W. 15th Street, Lawrence, KS 66045-7609, USA
- Department of Mechanical Engineering, University of Kansas,1530 W. 15th Street, Lawrence, KS 66045-7609, USA
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Yanikian CRF, Stape THS, Tezvergil-Mutluay A, Martins LRM. Influence of silica nanocoating on stain susceptibility and superficial integrity of dimethacrylate-based composites. Eur J Oral Sci 2019; 127:361-368. [PMID: 31278811 DOI: 10.1111/eos.12627] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/02/2019] [Indexed: 11/30/2022]
Abstract
The aim of this study was to investigate the ability of a novel silica (SiO2 )-based nanocoating approach to extend the superficial integrity of current composites. Cylindrical discs (7 × 2 mm) were produced from nanohybrid and nanofilled composites. Specimens in control groups were not coated, but SiO2 nanocoating was performed on specimens in experimental groups (n = 8). Specimens were stored for 24 h in distilled water at 37°C (baseline) and then artificially aged for 15, 90, or 180 d in a low-pH staining solution. Surface roughness (Ra) was measured using a profilometer, and a goniometer was used to determine surface free energy (SFE). Color change was evaluated by a reflectance spectrophotometer, applying the color distance metric, ΔE00 , according to the Commission Internationale de l'Eclairage (CIE) L*a*b* coordinates. Data were subjected to repeated-measures anova and the Tukey post-hoc test. Composites presented visually perceptible color changes (ΔE00 > 0.81) as early as 15 d of aging, with significantly higher ΔE00 values recorded over time. Nanocoating with SiO2 significantly reduced the SFE of composites at all storage times, and significantly lower Ra values were identified after aging. Nanohybrid and nanofilled composites were susceptible to substantial hydrolytic superficial degradation and staining, which was dramatically attenuated by the proposed SiO2 nanocoating approach. Nanocoating effectively lowered the SFE of composites, thus minimizing water-composite interactions, which contributed to reduced superficial deterioration and lower stain susceptibility over time.
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Affiliation(s)
- Cristiane R F Yanikian
- Piracicaba Dental School, Department of Restorative Dentistry, University of Campinas, Piracicaba, SP, Brazil
| | - Thiago H S Stape
- Department of Restorative Dentistry and Cariology, Adhesive Dentistry Research Group, Institute of Dentistry, University of Turku, Turku, Finland.,Turku University Hospital, TYKS, University of Turku, Turku, Finland
| | - Arzu Tezvergil-Mutluay
- Department of Restorative Dentistry and Cariology, Adhesive Dentistry Research Group, Institute of Dentistry, University of Turku, Turku, Finland.,Turku University Hospital, TYKS, University of Turku, Turku, Finland
| | - Luís R M Martins
- Piracicaba Dental School, Department of Restorative Dentistry, University of Campinas, Piracicaba, SP, Brazil
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Zajdowicz S, Song HB, Baranek A, Bowman CN. Evaluation of biofilm formation on novel copper-catalyzed azide-alkyne cycloaddition (CuAAC)-based resins for dental restoratives. Dent Mater 2019; 34:657-666. [PMID: 29422327 DOI: 10.1016/j.dental.2018.01.011] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2017] [Revised: 12/25/2017] [Accepted: 01/13/2018] [Indexed: 01/08/2023]
Abstract
OBJECTIVE For the past several decades, the resins used in dental restorations have been plagued with numerous problems, including their implication in biofilm formation and secondary caries. The need for alternative resins is critical, and evaluation of biofilm formation on these resins is essential. The aim of this study was to evaluate in vitro biofilm formation on the surface of novel copper(I)-catalyzed azide-alkyne cycloaddition (CuAAC)-based resins and composites. METHODS CuAAC-based resins/composites made from varying azide monomers and different copper concentrations were compared with BisGMA-TEGDMA resins/composites that served as the control. Biofilms were formed using a mono-species model containing a luciferase-expressing strain of Streptococcus mutans. Luciferase activity was measured and the number of viable bacteria was enumerated on biofilms associated with each resin and composite. RESULTS A significant reduction (p<0.05) in luciferase activity, and the number of viable bacteria recovered from biofilms on CuAAC-based resins and composites was observed in comparison to biofilms associated with the BisGMA-TEGDMA controls. SIGNIFICANCE CuAAC-based resins do still allow for the formation of biofilms; however, the statistically significant reduction of growth that was associated with the CuAAC resin may enhance the longevity of restorations that incorporate CuAAC-based materials.
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Affiliation(s)
- Sheryl Zajdowicz
- Department of Biology, Metropolitan State University of Denver, PO Box 173362, Campus Box #53, Denver, CO, 80217, United States.
| | - Han Byul Song
- Department of Chemical and Biological Engineering, University of Colorado Boulder, 596 UCB, Boulder, CO, United States.
| | - Austin Baranek
- Department of Chemical and Biological Engineering, University of Colorado Boulder, 596 UCB, Boulder, CO, United States.
| | - Christopher N Bowman
- Department of Chemical and Biological Engineering, University of Colorado Boulder, 596 UCB, Boulder, CO, United States.
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Delaviz Y, Nascimento MA, Laschuk MW, Liu TW, Yang M, Santerre JP. Synthesis and characterization of Ciprofloxacin-containing divinyl oligomers and assessment of their biodegradation in simulated salivary esterase. Dent Mater 2019; 34:711-725. [PMID: 29402541 DOI: 10.1016/j.dental.2018.01.021] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2017] [Revised: 11/27/2017] [Accepted: 01/16/2018] [Indexed: 11/29/2022]
Abstract
OBJECTIVE Two leading causes contributing to dental restoration replacement are the marginal breakdown at the composite/dentin interface and secondary caries mediated by bacteria. The objective of the present study was to synthesize oligomers which incorporated enhanced bio-stability but would also be able to generate antimicrobial function if they underwent degradation. METHODS Stability was incorporated into the oligomers by generating structural features that would physically hinder the availability of hydrolytically sensitive groups in the oligomers. As a proof-of concept for the antibacterial feature, antimicrobial function was achieved by covalently incorporating Ciprofloxacin (CF) into the backbone of cross-linking divinyl oligomers (referred to as EDV and HLH-CFPEG). The hydrolytic stability of the oligomers was studied in simulated human salivary esterase and compared to the commercial monomer 2,2-bis[4(2-hydroxy-3-methacryloxypropoxy)-phenyl]propane (BisGMA). RESULTS Both drug oligomers were found to be significantly more stable than BisGMA. Upon degradation, both drug oligomers released CF differentially in free form. Polymer synthesis from resin formulations containing 15wt% HLH-CFPEG showed a high degree of vinyl group conversion and gel content, and under hydrolytic conditions showed the release of CF during a 28-day monitoring study period. SIGNIFICANCE HLH-CFPEG can be used in dental resin adhesive systems for local delivery of CF to the marginal interface. Minimizing the growth of Streptococcus mutans at the marginal site can improve longevity by reducing esterase activity derived specifically from S. mutans.
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Affiliation(s)
- Yasaman Delaviz
- Institute of Biomaterials and Biomedical Engineering, University of Toronto, Ontario, Canada
| | - Mitchell A Nascimento
- Institute of Biomaterials and Biomedical Engineering, University of Toronto, Ontario, Canada
| | | | - Timothy W Liu
- Institute of Biomaterials and Biomedical Engineering, University of Toronto, Ontario, Canada
| | - Meilin Yang
- Faculty of Dentistry, University of Toronto, Ontario, Canada
| | - J Paul Santerre
- Institute of Biomaterials and Biomedical Engineering, University of Toronto, Ontario, Canada; Faculty of Dentistry, University of Toronto, Ontario, Canada.
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Xie X, Wang L, Xing D, Qi M, Li X, Sun J, Melo MAS, Weir MD, Oates TW, Bai Y, Xu HHK. Novel rechargeable calcium phosphate nanoparticle-filled dental cement. Dent Mater J 2018; 38:1-10. [PMID: 30504692 DOI: 10.4012/dmj.2017-420] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The objectives were to develop a novel rechargeable cement containing amorphous calcium-phosphate nanoparticles (nanoACP) to suppress tooth decay. Five cements were made with: (1) 60% glass particles (experimental control); (2) 40% glass+20% nanoACP; (3) 30% glass+30% nanoACP; (4) 20% glass+40% nanoACP; (5) 10% glass+50% nanoACP. Groups 1-4 had enamel bond strengths similar to Transbond XT (3M) and Vitremer (3M) (p>0.1). The nanoACP cement had calcium and phosphate ion release which increased with increasing nanoACP fillers. The recharged cement had substantial ion re-release continuously for 14 days after a single recharge. Ion re-release did not decrease with increasing recharge/re-release cycles. Groups 3-5 maintained a safe pH of medium (>5.5); however, control cements had cariogenic pH of medium (<4.5) due to biofilm acid. Therefore, nanoACP cement (1) had good bond strength to enamel, (2) possessed calcium and phosphate ion recharge/re-release capability, and (3) raised biofilm pH to a safe level to inhibit caries.
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Affiliation(s)
- Xianju Xie
- Department of Orthodontics, School of Stomatology, Capital Medical University.,Department of Advanced Oral Sciences and Therapeutics, University of Maryland Dental School
| | - Lin Wang
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland Dental School.,VIP Integrated Department, Stomatological Hospital of Jilin University
| | - Dan Xing
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland Dental School.,Department of Dentistry, China Rehabilitation Research Center
| | - Manlin Qi
- VIP Integrated Department, Stomatological Hospital of Jilin University
| | - Xiaodong Li
- Department of Oral Medicine, School of Stomatology, Zhejiang University
| | - Jirun Sun
- Volpe Research Center, American Dental Association Foundation, National Institute of Standards & Technology
| | - Mary Anne S Melo
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland Dental School
| | - Michael D Weir
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland Dental School
| | - Thomas W Oates
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland Dental School
| | - Yuxing Bai
- Department of Orthodontics, School of Stomatology, Capital Medical University
| | - Hockin H K Xu
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland Dental School.,Center for Stem Cell Biology & Regenerative Medicine, University of Maryland School of Medicine.,University of Maryland Marlene and Stewart Greenebaum Cancer Center, University of Maryland School of Medicine
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Zhang Z, Wu G, Cao Y, Liu C, Jin Y, Wang Y, Yang L, Guo J, Zhu L. Self-assembling peptide and nHA/CTS composite scaffolds promote bone regeneration through increasing seed cell adhesion. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2018; 93:445-454. [DOI: 10.1016/j.msec.2018.07.079] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/17/2018] [Revised: 07/03/2018] [Accepted: 07/29/2018] [Indexed: 12/24/2022]
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Delaviz Y, Liu TW, Deonarain AR, Finer Y, Shokati B, Santerre JP. Physical properties and cytotoxicity of antimicrobial dental resin adhesives containing dimethacrylate oligomers of Ciprofloxacin and Metronidazole. Dent Mater 2018; 35:229-243. [PMID: 30502964 DOI: 10.1016/j.dental.2018.11.016] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2018] [Revised: 10/14/2018] [Accepted: 11/14/2018] [Indexed: 11/26/2022]
Abstract
OBJECTIVE Antimicrobial oligomers synthesized from ciprofloxacin (CF) and metronidazole (MN) were investigated for their potential use in dental adhesives. METHODS Susceptibility of the cariogenic bacterium Streptococcus mutans UA159 to CF, MN, and CF/MN combination was evaluated. Hydrolytic stability and drug release from the oligomers was studied in buffer and simulated human salivary esterase conditions. Cytotoxicity of films with 15wt% drug oligomers co-polymerized with commercial monomers were assessed using human gingival fibroblasts (HGFs). In-house adhesives were prepared and characterized for viscosity. Polymerized films were analysed for gel content and water swelling. Interfacial fracture toughness (KIC) of composites bonded to dentin by either a 2 or 3-step etch-and-rinse approach using the in-house formulated adhesives was measured. RESULTS The respective minimum inhibitory concentration for CF and MN against S. mutans was 0.7 and 2400μg/mL, with the combination having an additive effect (0.35μg/mL CF with 1200μg/mL MN). Antibiotics were released upon hydrolysis of the oligomers. Films containing the drug oligomers were not cytotoxic against HGFs. Replacing 2-hydroxyethyl methacrylate with the drug oligomers increased the viscosity of the experimental adhesives, reduced gel content, and decreased swelling of films in water. Antimicrobial adhesives demonstrated bonding to dentin with interfacial KIC values comparable to the in-house control in the 2-step application, and with slightly lower KIC values in the 3-step approach. SIGNIFICANCE The antimicrobial oligomers can be incorporated into dental adhesive systems using formulations that show comparable fracture toughness to commercial materials, and may provide a means to deliver local antimicrobial drug release at the marginal interface.
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Affiliation(s)
- Yasaman Delaviz
- Institute of Biomaterials and Biomedical Engineering, University of Toronto, Ontario, Canada
| | - Timothy W Liu
- Institute of Biomaterials and Biomedical Engineering, University of Toronto, Ontario, Canada
| | | | - Yoav Finer
- Institute of Biomaterials and Biomedical Engineering, University of Toronto, Ontario, Canada; Faculty of Dentistry, University of Toronto, Ontario, Canada
| | - Babak Shokati
- Faculty of Dentistry, University of Toronto, Ontario, Canada
| | - J Paul Santerre
- Institute of Biomaterials and Biomedical Engineering, University of Toronto, Ontario, Canada; Faculty of Dentistry, University of Toronto, Ontario, Canada.
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Stewart CA, Finer Y. Biostable, antidegradative and antimicrobial restorative systems based on host-biomaterials and microbial interactions. Dent Mater 2018; 35:36-52. [PMID: 30301624 DOI: 10.1016/j.dental.2018.09.013] [Citation(s) in RCA: 47] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2018] [Revised: 09/23/2018] [Accepted: 09/23/2018] [Indexed: 10/28/2022]
Abstract
OBJECTIVES Despite decades of development and their status as the restorative material of choice for dentists, resin composite restoratives and adhesives exhibit a number of shortcomings that limit their long-term survival in the oral cavity. Herein we review past and current work to understand these challenges and approaches to improve dental materials and extend restoration service life. METHODS Peer-reviewed work from a number of researchers as well as our own are summarized and analyzed. We also include yet-unpublished work of our own. Challenges to dental materials, methods to assess new materials, and recent material improvements and research directions are presented. RESULTS Mechanical stress, host- and bacterial-biodegradation, and secondary caries formation all contribute to restoration failure. In particular, several host- and bacterial-derived enzymes degrade the resin and collagen components of the hybrid layer, expanding the marginal gap and increasing access to bacteria and saliva. Furthermore, the virulence of cariogenic bacteria is up-regulated by resin biodegradation by-products, creating a positive feedback loop that increases biodegradation. These factors work synergistically to degrade the restoration margin, leading to secondary caries and restoration failure. Significant progress has been made to produce hydrolytically stable resins to resist biodegradation, as well as antimicrobial materials to reduce bacterial load around the restoration. Ideally, these two approaches should be combined in a holistic approach to restoration preservation. SIGNIFICANCE The oral cavity is a complex environment that poses an array of challenges to long-term material success; materials testing conditions should be comprehensive and closely mimic pathogenic oral conditions.
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Affiliation(s)
- Cameron A Stewart
- Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada
| | - Yoav Finer
- Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada; Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada.
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Huang B, Cvitkovitch DG, Santerre JP, Finer Y. Biodegradation of resin–dentin interfaces is dependent on the restorative material, mode of adhesion, esterase or MMP inhibition. Dent Mater 2018; 34:1253-1262. [DOI: 10.1016/j.dental.2018.05.008] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Revised: 04/02/2018] [Accepted: 05/08/2018] [Indexed: 10/16/2022]
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Responsive antimicrobial dental adhesive based on drug-silica co-assembled particles. Acta Biomater 2018; 76:283-294. [PMID: 29940367 DOI: 10.1016/j.actbio.2018.06.032] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2018] [Revised: 05/23/2018] [Accepted: 06/21/2018] [Indexed: 12/18/2022]
Abstract
Most dental resin composite restorations are replacements for failing restorations. Degradation of the restoration-tooth margins by cariogenic bacteria results in recurrent caries, a leading cause for restoration failure. Incorporating antimicrobial agents in dental adhesives could reduce interfacial bacterial count and reduce recurrent caries rates, inhibit interfacial degradation, and prolong restoration service life, while minimizing systemic exposure. Direct addition of antimicrobial compounds into restorative materials have limited release periods and could affect the integrity of the material. Attempts to incorporate antimicrobial within mesoporous silica nanoparticles showed theoretical promise due to their physical robustness and large available internal volume, yet yielded short-term burst release and limited therapeutic payload. We have developed novel broad-spectrum antimicrobial drug-silica particles co-assembled for long-term release and high payload incorporated into dental adhesives. The release of the drug, octenidine dihydrochloride, is modulated by the oral degradative environment and mathematically modeled to predict effective service life. Steady-state release kills cariogenic bacteria, preventing biofilm formation over the adhesive surface, with no toxicity. This novel material could extend dental restoration service life and may be applied to other long-term medical device-tissue interfaces for responsive drug release upon bacterial infection. STATEMENT OF SIGNIFICANCE This study describes a novel dental adhesive that includes a broad-spectrum antimicrobial drug-silica co-assembled particles for long-term antimicrobial effect. The release of the drug, octenidine dihydrochloride, is modulated by the oral degradative environment and mathematically modeled to predict effective release throughout the service life of the restoration. Steady-state drug-release kills caries-forming bacteria, preventing biofilm formation over the adhesive surface, without toxicity. This novel material could extend dental restoration service life and may be applied to other long-term medical device-tissue interfaces for responsive drug release upon bacterial infection. Since recurrent cavities (caries) caused by bacteria are the major reason for dental filling failure, this development represents a significant contribution to the biomaterials field in methodology and material performance.
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Yeh CJ, Hu M, Shull KR. Oxygen Inhibition of Radical Polymerizations Investigated with the Rheometric Quartz Crystal Microbalance. Macromolecules 2018. [DOI: 10.1021/acs.macromol.8b00720] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- C. Joshua Yeh
- Materials Science and Engineering, Northwestern University, 2220 Campus Drive, Room 2036, Evanston, Illinois 60208, United States
| | - Michael Hu
- Materials Science and Engineering, Northwestern University, 2220 Campus Drive, Room 2036, Evanston, Illinois 60208, United States
| | - Kenneth R. Shull
- Materials Science and Engineering, Northwestern University, 2220 Campus Drive, Room 2036, Evanston, Illinois 60208, United States
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Wang X, Song S, Chen L, Stafford CM, Sun J. Short-time dental resin biostability and kinetics of enzymatic degradation. Acta Biomater 2018; 74:326-333. [PMID: 29751113 DOI: 10.1016/j.actbio.2018.05.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2018] [Revised: 04/16/2018] [Accepted: 05/07/2018] [Indexed: 10/16/2022]
Abstract
Resin biostability is of critical importance to the durability of methacrylate-based dental resin restorations. Current methods for evaluating biostability take considerable time, from weeks to months, and provide no short-time kinetics of resin degradation. The objective of this study is to develop a more sensitive method to assess resin biostability over short-time spans (hours to days) that will enhance our understanding of biostability and its resin chemistry. Ultra-flat resin films of equimolar urethane dimethacrylate (UDMA) and triethylene glycol dimethacrylate (TEGDMA) are produced through photo-curing between two flat surfaces. Next, metal-covered enclaves and bare-resin channels are generated using stencil lithography to create both degradable and protected (internal reference) regions simultaneously in a single specimen. Resins having three different degrees of vinyl conversion (DC) are compared, and changes of surface roughness and step height in the two regions are monitored by atomic force microscopy (AFM) before and after incubated in enzyme solutions and saline controls. Specimen biostability is ranked based on the topological profile changes when viewed in cross-section before and after enzymatic challenges. In addition, a model is proposed to quantify specimen enzymatic degradation. Based on this model, enzymatic degradation is detected as early as 4 h, and a surge of enzymatic degradation is detected between 4 h and 8 h. The correlation between the DC of resin network and the surge in degradation is discussed. In summary, this new method is effective in ranking biostability and quantifying enzymatic degradation while also reducing labor, time and cost, which lends itself well to materials development and evaluation of dental resins. STATEMENT OF SIGNIFICANCE We report, for the first time, the short-time kinetics of enzymatic degradation of methacrylate dental resins. A nanotechnology based method is developed to accelerate the evaluation of resin biostability. This new method reduces experimental time from weeks to one or two days, which will significantly reduce the costs of labor and enzymes. It also introduces a corresponding parameter (ΔH) and a three-cause model for ranking biostability, which confirms the correlation of chemical structure (DC) and material performance and opens new opportunities for studying the resin biostability and its impact on dental applications. Overall, this is a new tool for evaluating resin biostability and developing new materials.
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Huang B, Siqueira WL, Cvitkovitch DG, Finer Y. Esterase from a cariogenic bacterium hydrolyzes dental resins. Acta Biomater 2018; 71:330-338. [PMID: 29496621 PMCID: PMC5899954 DOI: 10.1016/j.actbio.2018.02.020] [Citation(s) in RCA: 60] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Revised: 02/16/2018] [Accepted: 02/20/2018] [Indexed: 11/27/2022]
Abstract
OBJECTIVES To identify and characterize specific esterases from S. mutans with degradative activity toward methacrylate-based resin monomers. METHODS Out of several putative esterases, an esterase encoded in an Open Reading Frame as SMU_118c (The National Center for Biotechnology Information, NCBI), was found to have true hydrolase activities. SMU_118c was cloned, expressed, purified and further characterized for its respective hydrolytic activity towards ester-containing nitrophenyl substrates and the universal resin monomers bis-phenyl-glycidyl-dimethacrylate (bisGMA) and triethyleneglycol dimethacrylate (TEGDMA) at neutral (7.0) or cariogenic (5.5) pH. Mass spectrometry (MS) was used to verify the expression of SMU_118c protein in S. mutans UA159. RESULTS Similar to the whole cell activity of S. mutans, SMU_118c showed the highest affinity toward para-nitrophenyl acetate (pNPA) and para-nitrophenyl butyrate (pNPB) vs. ortho-nitrophenyl butyrate (oNPB) and butyrylthiocholine iodide (BTC) (p < 0.05). The esterase retained 60% of its activity after 21 days and hydrolyzed bisGMA at a higher rate than TEGDMA at both neutral and cariogenic pH (p < 0.001), similarly to the predominant human salivary esterase degradative activity. MS confirmed that SMU_118c is an intracellular protein in S. mutans UA159 and expressed under pathogenic (pH 5.5) growth conditions. SIGNIFICANCE The similarity in the activity profile to the whole S. mutans bacterial cell, the stability over time at cariogenic pH, the preference to hydrolyze bisGMA and confirmed expression profile suggest that SMU_118c could be a significant contributor to the whole bacterial degradative activity of S. mutans toward the degradation of resin composites, adhesives and the restoration-tooth interface, potentially accelerating restoration's failure. STATEMENT OF SIGNIFICANCE The current study builds upon our highly-cited previous study by Bourbia et al., (JDR, 2013) that reported on that the cariogenic bacterium, S. mutans has esterase-like activities that enable the bacterium to degrade dental composites and adhesives. The current submission is the first to report on the isolation and characterization of the specific esterase activity (SMU_118c) from S. mutans that is a significant contributor to the whole bacterial degradative activity toward the hydrolysis of dental resins. This activity compromises the restoration-tooth interface, increases interfacial bacterial microleakage (Kermanshahi et al., JDR 2010), potentially contributing to the pathogenesis of recurrent caries around resin composite restorations. This represent a significant contribution to the field of biomaterials and their clinical performance.
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Affiliation(s)
- Bo Huang
- Faculty of Dentistry, University of Toronto, Ontario, Canada; Institute of Biomaterials and Biomedical Engineering, University of Toronto, Canada
| | - Walter L Siqueira
- School of Dentistry and Department of Biochemistry, Schulich School of Medicine & Dentistry, Western University, Canada
| | - Dennis G Cvitkovitch
- Faculty of Dentistry, University of Toronto, Ontario, Canada; Institute of Biomaterials and Biomedical Engineering, University of Toronto, Canada
| | - Yoav Finer
- Faculty of Dentistry, University of Toronto, Ontario, Canada; Institute of Biomaterials and Biomedical Engineering, University of Toronto, Canada.
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Marashdeh MQ, Gitalis R, Levesque C, Finer Y. Enterococcus faecalis Hydrolyzes Dental Resin Composites and Adhesives. J Endod 2018; 44:609-613. [PMID: 29397213 DOI: 10.1016/j.joen.2017.12.014] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2017] [Revised: 10/25/2017] [Accepted: 12/17/2017] [Indexed: 01/08/2023]
Abstract
INTRODUCTION After root canal treatment, the dentin-sealer interface undergoes degradation, allowing for interfacial microbial biofilm proliferation and treatment failure. Saliva and cariogenic bacteria showed esterase-like activities (ie, cholesterol esterase [CE]-like and/or pseudocholinesterase [PCE]-like) that degrade methacrylate-based resin materials and/or the restoration-tooth interface, increasing microbial interfacial proliferation. Enterococcus faecalis is a gram-positive bacterium that is commonly detected in persistent endodontic infections. The aim of this study was to measure E. faecalis esterase-like, CE-like, and PCE-like activities and to assess the ability of the bacterium to degrade methacrylate-based resin composite (RC) and total-etch (TE) and self-etch (SE) adhesives. METHODS CE-like and PCE-like activities from E. faecalis were measured using nitrophenyl and butyrylthiocholine substrates, respectively. The ability of E. faecalis to degrade resin composite, total-etch and self-etch adhesives was examined by quantifying the release of a universal resin degradation by-product (ie, Bis[hydroxypropoxy]-phenyl propane [BisHPPP]) using high-performance liquid chromatography. RESULTS E. faecalis showed CE-like (1.23 ± 0.13 U/μg dry bacteria) but no PCE-like activity. After 30 days and/or 14 days of incubation, the amount of BisHPPP released was significantly higher in the presence of bacteria versus media for TE and RC but not SE (P < .05). The amount of BisHPPP released after 30 days of incubation with bacteria was highest for TE (23.69 ± 1.72 μg/cm2) followed by RC (3.43 ± 1.20 μg/cm2) and lowest for SE (0.86 ± 0.44 μg/cm2) (P < .05). CONCLUSIONS E. faecalis possesses esterase-like degradative activity toward dental methacrylate resin restoration materials, which could accelerate the degradation of the dentin-methacrylate resin interface, increasing bacterial biofilm proliferation and penetration into the root canal system.
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Affiliation(s)
- Muna Q Marashdeh
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada; Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada
| | - Russel Gitalis
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada; Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada
| | - Celine Levesque
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
| | - Yoav Finer
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada; Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada.
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Biodegradation Studies of Novel Fluorinated Di-Vinyl Urethane Monomers and Interaction of Biological Elements with Their Polymerized Films. Polymers (Basel) 2017; 9:polym9080365. [PMID: 30971044 PMCID: PMC6418586 DOI: 10.3390/polym9080365] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2017] [Revised: 08/01/2017] [Accepted: 08/11/2017] [Indexed: 11/16/2022] Open
Abstract
The monomeric components of resin composites in dental restorative materials are susceptible to hydrolysis in the oral cavity. The main objective of this study was to assess the bio-stability of fluorinated urethane dimethacrylates and determine the nature of fluoro-chemistry interactions with protein and bacterial adhesion (both sources of hydrolytic activity) onto cured resin. Degradation studies were performed in the presence of either albumin (in a mildly alkaline pH) or cholesterol esterase (CE). The surface chemistry of the polymers was assessed by water contact angle measurements, pre- and post- incubation with albumin. Adhesion of Streptococcus mutans to cured resin was investigated. The fluorinated monomers were more stable against degradation when compared to the commercial monomer bisphenol A-diglycidyl methacrylate (BisGMA). While fluorinated monomers showed hydrolytic stability with respect to CE, all fluorinated monomers underwent some degree of degradation with albumin. The fluoro-chemistry did not reduce protein and/or bacterial adhesion onto the surface, however post incubation with albumin, the fluorinated surfaces still presented hydrophobic character as determined by the high contact angle values ranging from 79° to 86°. These monomers could potentially be used to increase the hydrophobicity of polymeric composites and provide a means to moderate esterolytic degradation associated with the monomeric component of the polymers within the oral cavity.
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MacAulay M, Tam L, Santerre J, Finer Y. In Vivo Biodegradation of bisGMA and Urethane-Modified bisGMA-Based Resin Composite Materials. JDR Clin Trans Res 2017; 2:397-405. [DOI: 10.1177/2380084417722117] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Affiliation(s)
- M. MacAulay
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
| | - L.E. Tam
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
| | - J.P. Santerre
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
- Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada
| | - Y. Finer
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
- Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada
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Abstract
OBJECTIVE To evaluate the degradation of three resin based restorative materials by S Mutans. STUDY DESIGN Class I cavity was prepared in extracted premolars and were randomly divided into 3 groups (Group I - Conventional composite (CC), Group II - Resin Modified GIC and Group III-Giomer). Teeth were then restored by respective restorative material and equally divided in two subgroups (Control and Experimental). Experiment subgroup samples were then incubated in 2 ml of BHI with 1:10 dilution of SM (MTCC-497) grown overnight in BHI whereas control subgroup samples were incubated in BHI without SM. The incubation solution was collected at 2,14 and 30 days interval, and the analysis for identification and quantification of Bis-HPPP was done by High performance Liquid Chromatography. RESULTS Statistical analysis of the collected data revealed a statistically increased Bis HPPP production in the presence of SM in all the tested materials, with minimum in Resin Modified GIC and a maximum in Conventional Composite (CC). CONCLUSION SM degrades the resin based restorative materials & among the tested materials Resin Modified GIC appears to be most Biostable.
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