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Souza LFB, Teixeira KF, Cadore-Rodrigues AC, Pires TDS, Valandro LF, Moraes RR, Özcan M, Pereira GKR. Evaluating mechanical and surface properties of zirconia-containing composites: 3D printing, subtractive, and layering techniques. J Mech Behav Biomed Mater 2024; 157:106608. [PMID: 38833781 DOI: 10.1016/j.jmbbm.2024.106608] [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: 03/05/2024] [Revised: 05/01/2024] [Accepted: 05/29/2024] [Indexed: 06/06/2024]
Abstract
This study assessed the monotonic and fatigue flexural strength (FS), elastic modulus (E), and surface characteristics of a 3D printed zirconia-containing resin composite compared to subtractive and conventional layering methods. Specimens, including discs (n = 15; Ø = 15 mm × 1.2 mm) and bars (n = 15; 14 × 4 × 1.2 mm), were prepared and categorized into three groups: 3D printing (3D printing - PriZma 3D Bio Crown, Makertech), Subtractive (Lava Ultimate blocks, 3M), and Layering (Filtek Z350 XT, 3M). Monotonic tests were performed on the discs using a piston-on-three-balls setup, while fatigue tests employed similar parameters with a frequency of 10 Hz, initial stress at 20 MPa, and stress increments every 5000 cycles. The E was determined through three-point-bending test using bars. Surface roughness, fractographic, and topographic analyses were conducted. Statistical analyses included One-way ANOVA for monotonic FS and roughness, Kruskal-Wallis for E, and Kaplan-Meier with post-hoc Mantel-Cox and Weibull analysis for fatigue strength. Results revealed higher monotonic strength in the Subtractive group compared to 3D printing (p = 0.02) and Layering (p = 0.04), while 3D Printing and Layering exhibited similarities (p = 0.88). Fatigue data indicated significant differences across all groups (3D Printing < Layering < Subtractive; p = 0.00 and p = 0.04, respectively). Mechanical reliability was comparable across groups. 3D printing and Subtractive demonstrated similar E, both surpassing Layering. Moreover, 3D printing exhibited higher surface roughness than Subtractive and Layering (p < 0.05). Fractographic analysis indicated that fractures initiated at surface defects located in the area subjected to tensile stress concentration. A porous surface was observed in the 3D Printing group and a more compact surface in Subtractive and Layering methods. This study distinguishes the unique properties of 3D printed resin when compared to conventional layering and subtractive methods for resin-based materials. 3D printed shows comparable monotonic strength to layering but lags behind in fatigue strength, with subtractive resin demonstrating superior performance. Both 3D printed and subtractive exhibit similar elastic moduli, surpassing layering. However, 3D printed resin displays higher surface roughness compared to subtractive and layering methods. The study suggests a need for improvement in the mechanical performance of 3D printed material.
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Affiliation(s)
- Luiza Freitas Brum Souza
- MSciD and PhD Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Kétlin Fagundes Teixeira
- MSciD and PhD Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Ana Carolina Cadore-Rodrigues
- MSciD and PhD Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Telma de Souza Pires
- Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Luiz Felipe Valandro
- MSciD and PhD Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil; Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Rafael R Moraes
- School of Dentistry, Universidade Federal de Pelotas, Pelotas, RS, Brazil.
| | - Mutlu Özcan
- Clinic for Masticatory Disorders and Dental Biomaterials, Center for Dental Medicine, University of Zurich, 8032, Zurich, Switzerland.
| | - Gabriel Kalil Rocha Pereira
- MSciD and PhD Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil; Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
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Correa S, Matamala L, González JP, de la Fuente M, Miranda H, Olivares B, Maureira M, Agüero A, Gómez L, Lee X, Urzúa M, Covarrubias C. Development of novel antimicrobial acrylic denture modified with copper nanoparticles. J Prosthodont Res 2024; 68:156-165. [PMID: 37211413 DOI: 10.2186/jpr.jpr_d_22_00227] [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: 05/23/2023]
Abstract
PURPOSE This study aimed to synthesize heat-cured poly(methyl methacrylate) (PMMA) acrylic formulated with copper nanoparticles (nCu) for producing dentures with antimicrobial properties and ability to prevent denture stomatitis (DS). METHODS nCu/PMMA nanocomposites were prepared through in situ formation of nCu into methyl methacrylate (MMA). The fabricated material was characterized using scanning electron microscopy, spectroscopy (energy-dispersive X-ray, attenuated total reflectance-Fourier-transform infrared, and X-ray photoelectron spectroscopy), X-ray diffraction analysis, and mechanical flexural tests (ISO 20795-1:2008). Antimicrobial activity against Candida albicans and oral bacteria was determined. MTS assay (ISO 10993-5:2009) and copper release experiments were conducted to assess cytotoxicity. In the clinical trial, participants wearing nCu/PMMA (n=25) and PMMA (n=25) dentures were compared; specifically, DS incidence and severity and Candida species proliferation were assessed for 12 months. Data were analyzed using analysis of variance with Tukey's post hoc test (α=0.05). RESULTS nCu/PMMA nanocomposite loaded with 0.045% nCu exhibited the maximum antimicrobial activity against C. albicans and other oral bacteria without producing cytotoxicity in the wearer. nCu/PMMA dentures retained their mechanical and aesthetic properties as well as inhibited the growth of Candida species on both denture surface and patient palate. DS incidence and severity were lower in the nCu/PMMA denture group than in the PMMA denture group. CONCLUSIONS PMMA acrylic produced with copper nanotechnology is antimicrobial, biocompatible, and aesthetic and can reduce DS incidence. Thus, this material may act as a novel preventive alternative for oral infections associated with denture use.
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Affiliation(s)
- Sebastián Correa
- Laboratory of Nanobiomaterials, Institute for Research in Dental Sciences, Faculty of Dentistry, University of Chile, Santiago, Chile
| | - Loreto Matamala
- Department of Conservative Dentistry, Faculty of Dentistry, University of Chile, Santiago, Chile
| | - Juan Pablo González
- Laboratory of Nanobiomaterials, Institute for Research in Dental Sciences, Faculty of Dentistry, University of Chile, Santiago, Chile
| | - Mónica de la Fuente
- Laboratory of Nanobiomaterials, Institute for Research in Dental Sciences, Faculty of Dentistry, University of Chile, Santiago, Chile
| | - Hetiel Miranda
- Laboratory of Nanobiomaterials, Institute for Research in Dental Sciences, Faculty of Dentistry, University of Chile, Santiago, Chile
| | - Bruno Olivares
- Laboratory of Nanobiomaterials, Institute for Research in Dental Sciences, Faculty of Dentistry, University of Chile, Santiago, Chile
| | - Miguel Maureira
- Laboratory of Nanobiomaterials, Institute for Research in Dental Sciences, Faculty of Dentistry, University of Chile, Santiago, Chile
| | - Amaru Agüero
- Laboratory of Nanobiomaterials, Institute for Research in Dental Sciences, Faculty of Dentistry, University of Chile, Santiago, Chile
| | - Leyla Gómez
- Laboratory of Microbiology, Department of Pathology and Oral Microbiology, University of Chile, Santiago, Chile
| | - Ximena Lee
- Public Health, Institute for Research in Dental Sciences, Faculty of Dentistry, University of Chile, Santiago, Chile
| | - Madeleine Urzúa
- Public Health, Institute for Research in Dental Sciences, Faculty of Dentistry, University of Chile, Santiago, Chile
| | - Cristian Covarrubias
- Laboratory of Nanobiomaterials, Institute for Research in Dental Sciences, Faculty of Dentistry, University of Chile, Santiago, Chile
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Chen X, Yan T, Sun S, Li A, Wang X. The effects of nano-silver loaded zirconium phosphate on antibacterial properties, mechanical properties and biosafety of room temperature curing PMMA materials. Front Cell Infect Microbiol 2023; 13:1325103. [PMID: 38173793 PMCID: PMC10761495 DOI: 10.3389/fcimb.2023.1325103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Accepted: 12/04/2023] [Indexed: 01/05/2024] Open
Abstract
Polymethyl methacrylate (PMMA) frequently features in dental restorative materials due to its favorable properties. However, its surface exhibits a propensity for bacterial colonization, and the material can fracture under masticatory pressure. This study incorporated commercially available RHA-1F-II nano-silver loaded zirconium phosphate (Ag-ZrP) into room-temperature cured PMMA at varying mass fractions. Various methods were employed to characterize Ag-ZrP. Subsequently, an examination of the effects of Ag-ZrP on the antimicrobial properties, biosafety, and mechanical properties of PMMA materials was conducted. The results indicated that the antibacterial rate against Streptococcus mutans was enhanced at Ag-ZrP additions of 0%wt, 0.5%wt, 1.0%wt, 1.5%wt, 2.0%wt, 2.5%wt, and 3.0%wt, achieving respective rates of 53.53%, 67.08%, 83.23%, 93.38%, 95.85%, and 98.00%. Similarly, the antibacterial rate against Escherichia coli registered at 31.62%, 50.14%, 64.00%, 75.09%, 86.30%, 92.98%. When Ag-ZrP was introduced at amounts ranging from 1.0% to 1.5%, PMMA materials exhibited peak mechanical properties. However, mechanical strength diminished beyond additions of 2.5%wt to 3.0%wt, relative to the 0%wt group, while PMMA demonstrated no notable cytotoxicity below a 3.0%wt dosage. Thus, it is inferred that optimal antimicrobial and mechanical properties of PMMA materials are achieved with nano-Ag-ZrP (RHA-1F-II) additions of 1.5%wt to 2.0%wt, without eliciting cytotoxicity.
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Affiliation(s)
- Xingjian Chen
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Department of Prosthodontics, Hospital of Stomatology, Jilin University, Changchun, Jilin, China
| | - Tongtong Yan
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Department of Prosthodontics, Hospital of Stomatology, Jilin University, Changchun, Jilin, China
- Department of Prosthodontics, Hospital of Stomatology, Jilin University, Changchun, Jilin, China
| | - Shiqun Sun
- Department of Prosthodontics, Hospital of Stomatology, Jilin University, Changchun, Jilin, China
| | - Aoke Li
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Department of Prosthodontics, Hospital of Stomatology, Jilin University, Changchun, Jilin, China
- Department of Prosthodontics, Hospital of Stomatology, Jilin University, Changchun, Jilin, China
| | - Xiaorong Wang
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Department of Prosthodontics, Hospital of Stomatology, Jilin University, Changchun, Jilin, China
- Department of Prosthodontics, Hospital of Stomatology, Jilin University, Changchun, Jilin, China
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Li LJ, Chu CH, Yu OY. Application of Zeolites and Zeolitic Imidazolate Frameworks in Dentistry-A Narrative Review. NANOMATERIALS (BASEL, SWITZERLAND) 2023; 13:2973. [PMID: 37999327 PMCID: PMC10675649 DOI: 10.3390/nano13222973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2023] [Revised: 11/08/2023] [Accepted: 11/16/2023] [Indexed: 11/25/2023]
Abstract
Zeolites and zeolitic imidazolate frameworks (ZIFs) are crystalline aluminosilicates with porous structure, which are closely linked with nanomaterials. They are characterized by enhanced ion exchange capacity, physical-chemical stability, thermal stability and biocompatibility, making them a promising material for dental applications. This review aimed to provide an overview of the application of zeolites and ZIFs in dentistry. The common zeolite compounds for dental application include silver zeolite, zinc zeolite, calcium zeolite and strontium zeolite. The common ZIFs for dental application include ZIF-8 and ZIF-67. Zeolites and ZIFs have been employed in various areas of dentistry, such as restorative dentistry, endodontics, prosthodontics, implantology, periodontics, orthodontics and oral surgery. In restorative dentistry, zeolites and ZIFs are used as antimicrobial additives in dental adhesives and restorative materials. In endodontics, zeolites are used in root-end fillings, root canal irritants, root canal sealers and bone matrix scaffolds for peri-apical diseases. In prosthodontics, zeolites can be incorporated into denture bases, tissue conditioners, soft denture liners and dental prostheses. In implantology, zeolites and ZIFs are applied in dental implants, bone graft materials, bone adhesive hydrogels, drug delivery systems and electrospinning. In periodontics, zeolites can be applied as antibacterial agents for deep periodontal pockets, while ZIFs can be embedded in guided tissue regeneration membranes and guided bone regeneration membranes. In orthodontics, zeolites can be applied in orthodontic appliances. Additionally, for oral surgery, zeolites can be used in oral cancer diagnostic marker membranes, maxillofacial prosthesis silicone elastomer and tooth extraction medicines, while ZIFs can be incorporated to osteogenic glue or used as a carrier for antitumour drugs. In summary, zeolites have a broad application in dentistry and are receiving more attention from clinicians and researchers.
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Affiliation(s)
| | | | - Ollie Yiru Yu
- Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Hong Kong SAR 999077, China; (L.J.L.); (C.-H.C.)
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An S, Evans JL, Hamlet S, Love RM. Overview of incorporation of inorganic antimicrobial materials in denture base resin: A scoping review. J Prosthet Dent 2023; 130:202-211. [PMID: 34756425 DOI: 10.1016/j.prosdent.2021.09.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Revised: 09/01/2021] [Accepted: 09/03/2021] [Indexed: 11/18/2022]
Abstract
STATEMENT OF PROBLEM Dental hygiene for institutionalized patients and recurring Candida-associated denture stomatitis remain problematic because of a patient's limited dexterity or inability to eliminate Candida from denture surfaces. Although there has been extensive research into antimicrobial modification of denture base resins with inorganic materials, scoping reviews of the literature to identify knowledge gaps or efficacy of inorganic antimicrobial materials in denture base resins are lacking. PURPOSE The purpose of this scoping review was to provide a synopsis of the efficacy of the major classes of inorganic antimicrobial materials currently incorporated into denture base resins. MATERIAL AND METHODS The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews was applied. Four electronic databases, including Embase, PubMed, Web of Science, and Google Scholar, were accessed for articles in the English language, up to February 2019, without restrictions on the date of publication. RESULTS From the 53 articles selected, 25 distinguishable inorganic materials were found and divided into 3 subgroups. Forty-three articles evaluated nanomaterials, where mostly silver ion nanoparticles and/or titanium dioxide nanoparticles were incorporated into denture base resins. Fourteen articles examined antimicrobial drugs and medications, including azole group medications, amphotericin-B, Bactekiller, chlorhexidine, Novaron, and Zeomic. Two articles classified as others explored hydroxyapatite- and fiber-incorporated denture base resins. CONCLUSIONS Although nanotechnology and antimicrobial medications or drugs have been successfully used to reduce Candida-associated denture stomatitis, long-term solutions are still lacking, and their disadvantages continue to outweigh their advantages.
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Affiliation(s)
- Steve An
- Lecturer, School of Medicine and Dentistry, Griffith University, Gold Coast, Queensland, Australia.
| | - Jane L Evans
- Associate Professor, School of Medicine and Dentistry, Griffith University, Gold Coast, Queensland, Australia
| | - Stephen Hamlet
- Senior Lecturer, School of Medicine and Dentistry, Griffith University, Gold Coast, Queensland, Australia
| | - Robert M Love
- Professor, School of Medicine and Dentistry, Griffith University, Gold Coast, Queensland, Australia
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Ge KX, Lung CYK, Lam WYH, Chu CH, Yu OY. A novel glass ionomer cement with silver zeolite for restorative dentistry. J Dent 2023; 133:104524. [PMID: 37080532 DOI: 10.1016/j.jdent.2023.104524] [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: 02/22/2023] [Revised: 04/15/2023] [Accepted: 04/17/2023] [Indexed: 04/22/2023] Open
Abstract
OBJECTIVE To develop an antimicrobial silver zeolite glass ionomer cement (SZ-GIC) and determine its biocompatibility, physical, adhesive and antibacterial properties. METHODS Silver nitrate and sodium zeolite were used to synthesize silver zeolite (SZ). SZ-GICs were prepared by incorporating SZ into GIC at 5% (SZ-GIC5), 2% (SZ-GIC2), or 1% (SZ-GIC1) by weight, respectively. The SZ-GICs were characterized by evaluating surface morphology, topography and elemental composition. SZ-GICs' biocompatibility was assessed by evaluating cell cytotoxicity. Their physical properties were determined by testing setting time, compressive strength, flexural strength, water sorption and solubility. Their adhesive property was assessed by evaluating micro-tensile bond strength. Their antibacterial properties were assessed by evaluating biofilm growth kinetic, metabolic activity, viability and morphology. GIC was used as a control. RESULTS SZ was a three-dimensional crystalline mineral. SZ-GICs (including SZ-GIC 5, 2 and 1) showed similar surface morphology and topography to GIC. SZ-GIC1 and GIC had no difference in cell cytotoxicity (p>0.05). SZ-GICs and GIC showed no difference in setting time (p>0.05). SZ-GICs had higher compressive and flexural strength than GIC (p<0.05). SZ-GIC2 and SZ-GIC1 showed lower water sorption and solubility than GIC (p<0.05). SZ-GICs had higher micro-tensile bond strength than GIC (p<0.05). Biofilms on SZ-GICs' surfaces showed lower colony-forming units, decreased metabolic activities, higher percentages of dead cells and more ruptured bacterial cells compared with those on GIC. CONCLUSION SZ-GIC with silver zeolite at 1% by weight are as biocompatible as conventional GIC. The SZ-GICs have enhanced physical, adhesive and antibacterial properties than GIC. CLINICAL SIGNIFICANCE A silver zeolite glass ionomer cement was developed. The SZ-GICs have great potential for caries prevention and management.
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Affiliation(s)
- Kelsey Xingyun Ge
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, S.A.R., China
| | | | - Walter Yu-Hang Lam
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, S.A.R., China
| | - Chun-Hung Chu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, S.A.R., China
| | - Ollie Yiru Yu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, S.A.R., China.
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Adam RZ, Khan SB. Antimicrobial Efficacy of Silver Nanoparticles against Candida Albicans. MATERIALS (BASEL, SWITZERLAND) 2022; 15:5666. [PMID: 36013803 PMCID: PMC9415300 DOI: 10.3390/ma15165666] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Revised: 06/02/2022] [Accepted: 06/07/2022] [Indexed: 06/15/2023]
Abstract
Current treatment protocols for patients diagnosed with denture stomatitis are under scrutiny, and alternative options are being explored by researchers. The aim of this systematic review was to determine if silver nanoparticles inhibit the growth of Candida albicans, and the research question addressed was: In adults, do silver nanoparticles inhibit the growth of Candida albicans in acrylic dentures and denture liners compared to normal treatment options. A systematic review was the chosen methodology, and criteria were formulated to include all types of studies, including clinical and laboratory designs where the aim was tested. Of the 18 included studies, only one was a clinical trial, and 17 were in vitro research. The inhibition of candidal growth was based on the % concentration of AgNPs included within the denture acrylic and denture liner. As the % AgNPs increased, candida growth was reduced. This was reported as a reduction of candidal colony forming units in the studies. The quality of the included studies was mostly acceptable, as seen from the structured and validated assessments completed.
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Redfern J, Tosheva L, Malic S, Butcher M, Ramage G, Verran J. The denture microbiome in health and disease: an exploration of a unique community. Lett Appl Microbiol 2022; 75:195-209. [PMID: 35634756 PMCID: PMC9546486 DOI: 10.1111/lam.13751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 05/21/2022] [Accepted: 05/25/2022] [Indexed: 11/26/2022]
Abstract
The United Nations suggests the global population of denture wearers (an artificial device that acts as a replacement for teeth) is likely to rise significantly by the year 2050. Dentures become colonized by microbial biofilms, the composition of which is influenced by complex factors such as patient’s age and health, and the nature of the denture material. Since colonization (and subsequent biofilm formation) by some micro‐organisms can significantly impact the health of the denture wearer, the study of denture microbiology has long been of interest to researchers. The specific local and systemic health risks of denture plaque are different from those of dental plaque, particularly with respect to the presence of the opportunist pathogen Candida albicans and various other nonoral opportunists. Here, we reflect on advancements in our understanding of the relationship between micro‐organisms, dentures, and the host, and highlight how our growing knowledge of the microbiome, biofilms, and novel antimicrobial technologies may better inform diagnosis, treatment, and prevention of denture‐associated infections, thereby enhancing the quality and longevity of denture wearers.
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Affiliation(s)
- J Redfern
- Department of Natural Sciences, Faculty of Science and Engineering Manchester Metropolitan University UK
| | - L Tosheva
- Department of Natural Sciences, Faculty of Science and Engineering Manchester Metropolitan University UK
| | - S Malic
- Department of Life Sciences, Faculty of Science and Engineering Manchester Metropolitan University UK
| | - M Butcher
- Department of Oral Sciences, Glasgow Dental School, School of Medicine, Dentistry and Nursing University of Glasgow UK
| | - G Ramage
- Department of Oral Sciences, Glasgow Dental School, School of Medicine, Dentistry and Nursing University of Glasgow UK
| | - J Verran
- Department of Life Sciences, Faculty of Science and Engineering Manchester Metropolitan University UK
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Li H, Wang Y, Wang S, Wang B, Wang X, Mi Z, Fu J, Zhang Z, Yan W. Enhancing the Stability of the Resin-Dentin Bonding Interface with Ag +- and Zn 2+-Exchanged Zeolite A. ACS Biomater Sci Eng 2022; 8:1717-1725. [PMID: 35287434 DOI: 10.1021/acsbiomaterials.1c01576] [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: 11/30/2022]
Abstract
Enhancing the stability of the resin-dentin bonding interface via simultaneously improving the antibacterial, mechanical, and adhesive properties of a dental adhesive is the key to prolonging the longevity of dental restoration for caries treatment. Herein, we present the stabilization effect of Ag+- and Zn2+-exchanged zeolite A (denoted as Ag-A and Zn-A, respectively) on the resin-dentin bonding interface. Ag-A and Zn-A zeolites exhibited sustained ion release capability, outstanding biocompatibility to L929 cells (<2 mg/mL), and excellent antibacterial ability to Streptococcus mutans (minimum inhibitory concentration: 100 μg/mL for Ag-A and 200 μg/mL for Zn-A). One-step self-etching adhesives modified by Ag-A, Zn-A, or Ag-/Zn-A (1/1 in weight) zeolites with an ultralow loading of 0.2 wt % exhibited favorable antibacterial activity with the inhibition of biofilm formation by 70.33, 56.47, and 62.54%, respectively. Compared to the control group, Zn-A- and Ag-/Zn-A-modified adhesives significantly increased the wettability properties of the adhesive and the long-term resin-dentin bond strength (by ∼25%) after 5000 thermocycles of aging. The current data demonstrated that the introduction of 0.2 wt % Zn-A or Ag-/Zn-A into the adhesive remarkably enhanced the stability of the resin-dentin bonding interface. Our findings provide a new strategy to modify the dental adhesive for further optimizing the longevity of dental restorations for caries.
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Affiliation(s)
- He Li
- Department of Cariology, Endodontology and Operative Dentistry, Jilin Provincial Key Laboratory of Science and Technology for Stomatology Nanoengineering, School and Hospital of Stomatology, Jilin University, 1500 Qinghua Road, Changchun 130021, P.R. China
| | - Yunzheng Wang
- State Key Laboratory of Inorganic Synthesis and Preparative Chemistry, College of Chemistry, Jilin University, 2699 Qianjin Street, Changchun 130012, P.R. China
| | - Shuang Wang
- College of Chemistry and Chemical Engineering, Henan Province Function-Oriented Porous Materials Key Laboratory, Luoyang Normal University, 6 Jiqing Road, Luoyang 471934, P.R. China
| | - Binyu Wang
- State Key Laboratory of Inorganic Synthesis and Preparative Chemistry, College of Chemistry, Jilin University, 2699 Qianjin Street, Changchun 130012, P.R. China
| | - Xiaohe Wang
- State Key Laboratory of Inorganic Synthesis and Preparative Chemistry, College of Chemistry, Jilin University, 2699 Qianjin Street, Changchun 130012, P.R. China
| | - Zhenrui Mi
- State Key Laboratory of Inorganic Synthesis and Preparative Chemistry, College of Chemistry, Jilin University, 2699 Qianjin Street, Changchun 130012, P.R. China
| | - Jiale Fu
- Department of Dental Materials, the Second Department of Prosthodontics, School and Hospital of Stomatology, China Medical University, Heping District No.117, Shenyang 110002, P.R. China
| | - Zhimin Zhang
- Department of Cariology, Endodontology and Operative Dentistry, Jilin Provincial Key Laboratory of Science and Technology for Stomatology Nanoengineering, School and Hospital of Stomatology, Jilin University, 1500 Qinghua Road, Changchun 130021, P.R. China
| | - Wenfu Yan
- State Key Laboratory of Inorganic Synthesis and Preparative Chemistry, College of Chemistry, Jilin University, 2699 Qianjin Street, Changchun 130012, P.R. China
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The Effects of Incorporating Ag-Zn Zeolite on the Surface Roughness and Hardness of Heat and Cold Cure Acrylic Resins. JOURNAL OF COMPOSITES SCIENCE 2022. [DOI: 10.3390/jcs6030085] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
One of the most widely used materials for the fabrication of prosthetic dental parts is acrylic resin. Its reasonable mechanical and physical properties make it a popular material for a wide range of dental applications. Recently, many attempts have been made to improve the mechanical and biological properties of this material, such as by adding fibres, nanoparticles, and nanotubes. The current study aimed to evaluate the effects of adding an antimicrobial agent, Ag-Zn zeolite, on the surface roughness and hardness of the denture base resins. Ag-Zn zeolite particles were chemically prepared and added at different concentrations (0.50 wt.% and 0.75 wt.%) to the heat cure (HC) and cold cure (CC) acrylic resins. Zeolite particles were characterized and confirmed using X-ray diffraction (XRD) and Energy-Dispersive X-ray Spectroscopy (EDX) attached with a Scanning Electron Microscope (SEM). Sixty disk shape specimens (40 mm diameter and 2 mm thickness) were fabricated from the HC and CC resins with and without the zeolite. All the specimens were divided into two main groups based on the acrylic resins, then each was subdivided into three groups (n = 10) according to the concentration of the Ag-Zn zeolite. A surface roughness and a hardness tester were used to measure the surface finish and hardness of the specimens. The analysed data showed that the surface roughness values significantly decreased when 0.50 wt.% and 0.75 wt.% zeolite were incorporated in the HC resin specimens compared to the control group. However, this reduction was not significant in the case of CC resin, while the surface hardness was significantly improved after incorporating 0.50 wt.% and 0.75 wt.% zeolite for both the CC and HC resins. Incorporating Ag-Zn zeolite with acrylic resin materials could be beneficial for improving their surface finish and resistance to surface damage as defined by the higher hardness.
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Hao J, Lang S, Mante F, Pavelić K, Ozer F. Antimicrobial and Mechanical Effects of Zeolite Use in Dental Materials: A Systematic Review. Acta Stomatol Croat 2021; 55:76-89. [PMID: 33867540 PMCID: PMC8033625 DOI: 10.15644/asc55/1/9] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Objective Ion-incorporated zeolite is a widely used antimicrobial material studied for various dental applications. At present, there is no other systematic review that evaluates the effectiveness of zeolite in all dental materials. The purpose of this study was to review all available literature that analyzed the antimicrobial effects and/or mechanical properties of zeolite as a restorative material in dentistry. Material and Methods Following PRISMA guidelines, an exhaustive search of PubMed, Ovid Medline, Scopus, Embase, and the Dentistry & Oral Sciences Source was conducted. No language or time restrictions were used and the study was conducted from June 1, 2020 to August 17, 2020. Only full text articles were selected that pertained to the usage of zeolite in dental materials including composite resin, bonding agents, cements, restorative root material, cavity base material, prosthesis, implants, and endodontics. Results At the beginning of the study, 1534 studies were identified, of which 687 duplicate records were excluded. After screening for the title, abstract, and full texts, 35 articles remained and were included in the qualitative synthesis. An Inter-Rater Reliability (IRR) test, which included a percent user agreement and reliability percent, was conducted for each of the 35 articles chosen. Conclusion Although ion-incorporated zeolite may enhance the antimicrobial properties of dental materials, the mechanical properties of some materials, such as MTA and acrylic resin, may be compromised. Therefore, since the decrease in mechanical properties depends on zeolite concentration in the restorative material, it is generally recommended to add 0.2-2% zeolite by weight.
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Affiliation(s)
- Jessica Hao
- Department of Biology, School of Arts and Sciences, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Spencer Lang
- Department of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Francis Mante
- Department of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Kresimir Pavelić
- Faculty of Medicine, Juraj Dobrila University of Pula, Pula, Croatia
| | - Fusun Ozer
- Department of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
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Aati S, Akram Z, Ngo H, Fawzy AS. Development of 3D printed resin reinforced with modified ZrO 2 nanoparticles for long-term provisional dental restorations. Dent Mater 2021; 37:e360-e374. [PMID: 33663884 DOI: 10.1016/j.dental.2021.02.010] [Citation(s) in RCA: 38] [Impact Index Per Article: 12.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Revised: 01/25/2021] [Accepted: 02/12/2021] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To characterize and investigate efficacy of loading functionalized ZrO2 nanoparticles in 3-dimensional (3D) printed acrylate ester-based resin subjected to accelerated aging in artificial saliva. As well as to evaluate the effect of ZrO2 nanoparticle volume fraction addition on mechanical and physical properties of printed composite. METHODS Functionalized ZrO2 nanoparticles were characterized using TEM and Raman spectroscopy. 3D printed dental resin was reinforced, with ZrO2 nanoparticles, in the concentration range (0-5wt.%). The resulted nanocomposites, in term of structure and physical/mechanical properties were evaluated using different mechanical testing, microscopic and spectroscopic techniques. RESULTS ZrO2 based nanocomposite was successful and formed composites were more ductile. Degree of conversion was significant at the highest level with blank resin and 1wt.%. Sorption revealed reduction associated with volume fraction significant to neat resin, however solubility indicated neat and 4wt.% had the lowest significant dissolution. Vickers represented critical positive correlation with filler content, while nanohardness and elasticity behaved symmetrically and had the maximum strength at 3wt.% addition. In addition, 3wt.% showed the highest fracture toughness and modulus. Improvement of flexural strength was significantly linked to filler concentration. Overall properties dramatically were enhanced after 3 months aging in artificial saliva, especially degree of conversion, microhardness, nanoindentation/elasticity, and flexural modulus. However, significant reduction was observed with flexural modulus and fracture toughness. SIGNIFICANCE The outcomes suggest that the newly developed 3D printed nanocomposites modified with ZrO2 nanoparticle have the superior potential and efficacy as long-term provisional dental restoration materials.
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Affiliation(s)
- Sultan Aati
- UWA Dental School, University of Western Australia, 17 Monash Avenue, Nedlands WA 6009, Australia; Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh, 11433, Saudi Arabia
| | - Zohaib Akram
- UWA Dental School, University of Western Australia, 17 Monash Avenue, Nedlands WA 6009, Australia
| | - Hien Ngo
- UWA Dental School, University of Western Australia, 17 Monash Avenue, Nedlands WA 6009, Australia
| | - Amr S Fawzy
- UWA Dental School, University of Western Australia, 17 Monash Avenue, Nedlands WA 6009, Australia.
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Afrasiabi S, Bahador A, Partoazar A. Combinatorial therapy of chitosan hydrogel-based zinc oxide nanocomposite attenuates the virulence of Streptococcus mutans. BMC Microbiol 2021; 21:62. [PMID: 33622240 PMCID: PMC7903727 DOI: 10.1186/s12866-021-02128-y] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Accepted: 02/11/2021] [Indexed: 01/21/2023] Open
Abstract
Background Biofilm formation is an important causative factor in the expansion of the carious lesions in the enamel. Hence, new approaches to efficient antibacterial agents are highly demanded. This study was conducted to evaluate the antimicrobial-biofilm activity of chitosan hydrogel (CS gel), zinc oxide/ zeolite nanocomposite (ZnONC) either separately or combined together [ZnONC / CS gel (ZnONC-CS)] against Streptococcus mutans biofilm. Results MTT assay demonstrated that the ZnONC-CS exhibits a non-cytotoxic effect (> 90% cell viability) toward human gingival fibroblast cells at different dosages (78.1–625 μg/mL) within 72 h. In comparison with CS gel and ZnONC, ZnONC-CS was superior at biofilm formation and metabolic activity reduction by 33 and 45%, respectively; (P < 0.05). The field emission scanning electron microscopy micrographs of the biofilms grown on the enamel slabs were largely in concordance with the quantitative biofilm assay results. Consistent with the reducing effect of ZnONC-CS on biofilm formation, the expression levels of gtfB, gtfC, and ftf significantly decreased. Conclusions Taken together, excellent compatibility coupled with an enhanced antimicrobial effect against S. mutans biofilm has equipped ZnONC-CS as a promising candidate for dental biofilm control.
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Affiliation(s)
- Shima Afrasiabi
- Department of Microbiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Abbas Bahador
- Oral Microbiology Laboratory, Department of Microbiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Alireza Partoazar
- Experimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.
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Ishihara K, Kozaki Y, Inoue Y, Fukazawa K. Biomimetic phospholipid polymers for suppressing adsorption of saliva proteins on dental hydroxyapatite substrate. J Appl Polym Sci 2020. [DOI: 10.1002/app.49812] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Affiliation(s)
- Kazuhiko Ishihara
- Department of Materials Engineering, School of Engineering The University of Tokyo Tokyo Japan
| | - Yoichiro Kozaki
- Department of Materials Engineering, School of Engineering The University of Tokyo Tokyo Japan
| | - Yuuki Inoue
- Department of Materials Engineering, School of Engineering The University of Tokyo Tokyo Japan
| | - Kyoko Fukazawa
- Department of Materials Engineering, School of Engineering The University of Tokyo Tokyo Japan
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Bonilla-Represa V, Abalos-Labruzzi C, Herrera-Martinez M, Guerrero-Pérez MO. Nanomaterials in Dentistry: State of the Art and Future Challenges. NANOMATERIALS (BASEL, SWITZERLAND) 2020; 10:E1770. [PMID: 32906829 PMCID: PMC7557393 DOI: 10.3390/nano10091770] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/02/2020] [Revised: 08/21/2020] [Accepted: 09/02/2020] [Indexed: 02/07/2023]
Abstract
Nanomaterials are commonly considered as those materials in which the shape and molecular composition at a nanometer scale can be controlled. Subsequently, they present extraordinary properties that are being useful for the development of new and improved applications in many fields, including medicine. In dentistry, several research efforts are being conducted, especially during the last decade, for the improvement of the properties of materials used in dentistry. The objective of the present article is to offer the audience a complete and comprehensive review of the main applications that have been developed in dentistry, by the use of these materials, during the last two decades. It was shown how these materials are improving the treatments in mainly all the important areas of dentistry, such as endodontics, periodontics, implants, tissue engineering and restorative dentistry. The scope of the present review is, subsequently, to revise the main applications regarding nano-shaped materials in dentistry, including nanorods, nanofibers, nanotubes, nanospheres/nanoparticles, and zeolites and other orders porous materials. The results of the bibliographic analysis show that the most explored nanomaterials in dentistry are graphene and carbon nanotubes, and their derivatives. A detailed analysis and a comparative study of their applications show that, although they are quite similar, graphene-based materials seem to be more promising for most of the applications of interest in dentistry. The bibliographic study also demonstrated the potential of zeolite-based materials, although the low number of studies on their applications shows that they have not been totally explored, as well as other porous nanomaterials that have found important applications in medicine, such as metal organic frameworks, have not been explored. Subsequently, it is expected that the research effort will concentrate on graphene and zeolite-based materials in the coming years. Thus, the present review paper presents a detailed bibliographic study, with more than 200 references, in order to briefly describe the main achievements that have been described in dentistry using nanomaterials, compare and analyze them in a critical way, with the aim of predicting the future challenges.
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Affiliation(s)
- Victoria Bonilla-Represa
- Departamento de Operatoria Dental y Endodoncia, Universidad de Sevilla, E-41009 Sevilla, Spain; (V.B.-R.); (M.H.-M.)
| | | | - Manuela Herrera-Martinez
- Departamento de Operatoria Dental y Endodoncia, Universidad de Sevilla, E-41009 Sevilla, Spain; (V.B.-R.); (M.H.-M.)
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Hubner P, Donati N, Quines LKDM, Tessaro IC, Marcilio NR. Gelatin-based films containing clinoptilolite-Ag for application as wound dressing. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2020; 107:110215. [DOI: 10.1016/j.msec.2019.110215] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Revised: 09/11/2019] [Accepted: 09/16/2019] [Indexed: 11/24/2022]
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