Fluoropolymers as low-surface-energy tooth coatings for oral care

Preparation of dental resin composites with anti-bacterial adhesion against Streptococcus mutans using fluorinated and silicon containing dimethacrylates

OBJECTIVE

The purpose of this study was to enhance the anti-bacterial adhesion effect against Streptococcus mutans (S. mutans) of fluorinated dimethacrylate (DF MA) based dental resin composites (DRCs) by using silicone dimethacrylate (SMA-MEO).

METHOD

The SMA-MEO was added into mixture of DFMA and tricyclo (5.2.1.0) decanedimethanol diacrylate (SR833s) (DFMA/SR833s = 50 wt./50 wt.) with mass ratios of 10 wt% and 20 wt% to form resin matrix both with fluorinated and silicon containing dimethacrylates, and then DRCs named DS+ 10 %SMA-MEO and DS+ 20 %SMA-MEO were prepared by mixing the resin matrix with silaned BaAlSiO2 filler particles at a mass ratio of 30 wt./70 wt. Double bond conversion, volumetric shrinkage and shrinkage stress, flexural strength and modulus, water sorption and solubility, contact angle and surface free energy, anti-bacterial adhesion effect against Streptococcus mutans (S. mutans), and cytotoxicity of prepared DRCs were investigated according to standard or referenced methods. Fluorinated dimethacrylate (DFMA) based DRC named DS and 2,2-bis[4-(2-hydroxy-3-methacryloy-loxypropyl)-phenyl]propane (Bis-GMA) based DRC named BT were used as controls.

RESULTS

Adding SMA-MEO into DFMA based DRC could lead to higher double bond conversion (p < 0.05), higher hydrophobicity (p < 0.05), and lower surface free energy (p < 0.05). Only DS+ 10 %SMA-MEO had better anti-bacterial adhesion effect against S. mutans than DS (p < 0.05). The SMA-MEO had no influence on volumetric shrinkage, shrinkage stress, flexural modulus, water sorption and solubility of DRC (p > 0.05), but could reduce flexural strength of dry DRC (p < 0.05). After water immersion, SMA-MEO containing DRCs had comparable flexural strength as DS (p > 0.05). Compared with BT, DS and SMA-MEO containing DRCs had better or comparable physicochemical properties, and lower amount of adherent S. mutans. All of DRCs had comparable cytotoxicity (p > 0.05).

SIGNIFICANCE

DRCs with both DFMA and SMA-MEO could have better anti-bacterial adhesion effect against S. mutans than DRC only with DFMA due to increased hydrophobicity and decreased Surface free energy, and the optimal mass fraction of SMA-MEO in DFMA based resin matrix was 10 wt%.

In vitro surface analysis of the brushing resistance of orthodontic sealants using two different profilometric evaluation methods

The enamel can be protected by applying orthodontic sealants at the bracket base to avoid the development of white spot lesions caused by inadequate oral hygiene. The aim of this study was to investigate the mechanical resistance of five commonly used orthodontic sealants against brushing in comparison to a positive group. Hydroxyapatite discs were bonded with a metal bracket and a piece of arch-wire was ligated in order to simulate a daily clinical situation (n = 48). Samples were divided into 6 groups of respectively 8 specimens. Sealants were applied around the bracket base according to manufacturer's instructions. Following sealants were used: Group 1: Pro Seal (Reliance Orthodontic Products, Itasca, Illinois, USA); 2: Light Bond (Reliance Orthodontic Products, Itasca, Illinois, USA); 3: ClinproXT Varnish (3M ESPE, Seefeld, Germany); 4: ProtectoCaF2 Nano (BonaDent GmbH, Frankfurt am Main, Germany); 5: Fluor Protector and 6: Tetric EvoFlow (both Ivoclar Vivadent AG, Schaan Liechtenstein). Tooth brushing were simulated for 6 weeks and 6 months with an electric toothbrush. The sealant thickness was measured by mechanical (MP) and optical profilometry (OP) at baseline, after 6 weeks and after 6 months of brushing. Statistical analysis was performed according to two mixed linear models and post hoc Tukey-Kramer comparisons. The significance level was set at 5% (α ≤ 0.05). Pro Seal (MP: 9%; OP: 22%) and Light Bond (MP: 19%; OP: 16%) showed the lowest changes in sealant thickness after 6 months of simulated brushing. ClinproXT Varnish and Tetric EvoFlow recorded no statistically significant results (p > 0.05). The fluoride varnishes ProtectoCaF2 Nano and Fluor Protector could not be conclusively evaluated since the thickness of the sealants could not be determined at baseline. The results of both evaluation methods MP and OP are in good agreement. Pro Seal and Light Bond were resistant against tooth brushing and were able to adequately keep the bracket environment sealed even after 6 months. The two different measuring methods, MP and OP, provide a precise impression of the changes in the surface.

Construction strategies and the development trend of antibacterial surfaces

The construction of antibacterial surfaces is an efficient way to respond to the problem of microbial contamination. In this review, we first describe the formation process and characteristics of microbial contamination and the current research status of antibacterial surfaces. Then, the passive antiadhesion, active killing, and combination construction strategies of the antibacterial surface are discussed in detail. Based on different antibacterial mechanisms and existing problems of current antibacterial strategies, we then discuss the future development trends of the next generation of antibacterial surfaces.

Dental Materials for Oral Microbiota Dysbiosis: An Update

The balance or dysbiosis of the microbial community is a major factor in maintaining human health or causing disease. The unique microenvironment of the oral cavity provides optimal conditions for colonization and proliferation of microbiota, regulated through complex biological signaling systems and interactions with the host. Once the oral microbiota is out of balance, microorganisms produce virulence factors and metabolites, which will cause dental caries, periodontal disease, etc. Microbial metabolism and host immune response change the local microenvironment in turn and further promote the excessive proliferation of dominant microbes in dysbiosis. As the product of interdisciplinary development of materials science, stomatology, and biomedical engineering, oral biomaterials are playing an increasingly important role in regulating the balance of the oral microbiome and treating oral diseases. In this perspective, we discuss the mechanisms underlying the pathogenesis of oral microbiota dysbiosis and introduce emerging materials focusing on oral microbiota dysbiosis in recent years, including inorganic materials, organic materials, and some biomolecules. In addition, the limitations of the current study and possible research trends are also summarized. It is hoped that this review can provide reference and enlightenment for subsequent research on effective treatment strategies for diseases related to oral microbiota dysbiosis.

Harnessing the Antibacterial Properties of Fluoridated Chitosan Polymers against Oral Biofilms

Dental caries are a worldwide endemic chronic disease affecting people of all ages. Due to the limitations of daily used oral hygiene products, there is an unmet need for new, effective, safe, and economic oral products. We have recently demonstrated that N-(2(2,6-diaminohexanamide)-chitosan (CS3H Lys) has enhanced antibacterial properties against Streptococcus mutans, the main cariogenic bacterium, and here we investigated the effect of fluoridation of this polymer (CS3H Lys F) on its antibacterial properties and the ability to protect teeth from acid demineralization. We further formulated this polymer into mouthwash preparations and studied their cytocompatibility and physicochemical stability over 6 months. CS3H Lys F was 1.6-fold more effective than the highest tested oral NaF dose in preventing acid demineralization. CS3H Lys F has a 3- to 5-fold lower minimum inhibitory concentration value against S. mutants than the values reported for chitosan polymers and showed negligible cell toxicity. The mouthwashes were stable at both 25 and 40 °C. Further work is under way towards other CS3H Lys F oral hygiene products such as a toothpaste.

Fluoropolymer Microemulsion: Preparation and Application in Reservoir Wettability Reversal and Enhancing Oil Recovery

Reservoir wettability is an important factor in the process of reservoir reconstruction. Especially in hydrophilic formation, it is easy to cause a water-locked phenomenon. A new type of fluoropolymer microemulsion was prepared by emulsion polymerization, and its structure and properties were characterized. The average particle size in the prepared emulsion was about 2.0 μm. The emulsion had good stability and wettability reversal performance for the storage of 30 days. After the treatment of 2.0 wt % emulsion, the contact angle between the core and water changed from 26 to 128°, the core surface free energy decreased from 66 to 2.6 mN/m, and the saturated water imbibition amount of the core decreased from 1.38 to 0.15 g. The ability of the fluoropolymer microemulsion to enhance oil recovery was evaluated by the visual displacement experiment. The fluoropolymer microemulsion can increase the displacement efficiency by more than 10%. The wettability of the core changed from hydrophilicity to hydrophobicity, and wettability reversal was achieved.

Synthesis, aqueous solution behavior and self-assembly of a dual pH/thermo-responsive fluorinated diblock terpolymer

The synthesis of fluorinated dual-responsive block terpolymers via sequential reversible addition–fragmentation chain transfer (RAFT) polymerization is presented.

Chemical and mechanical resistance of novel experimental hybrid coatings on dentin permeability

This study aimed to evaluate the capacity of novel experimental hybrid coatings (HC) to reduce dentin permeability and to verify their resistance to erosive and abrasive challenges. Dentin disc specimens (1 mm thick) were treated with 0.5 M EDTA solution and randomly allocated into three experimental groups (n = 10): Control (Saliva); Concentrated Hybrid Coating (TEOS/GPTMS/Y-APS); and Diluted Hybrid Coating (1:3 ratio with distilled water). Dentin permeability was assessed by hydraulic conductance in the following experimental time periods: post-EDTA, post treatment, post erosion (5 min in 0.05 M citric acid solution, pH = 3.8), and post abrasion (toothbrushing for 3,900 cycles). Dentin permeability percent was calculated with respect the values of post-EDTA for each experimental time. The morphology of the surface of extra dentin specimens was examined by scanning electron microscopy (SEM) in the same time periods (n = 3). Permeability data were analyzed by two-way repeated measures ANOVA and Tukey tests (p < .05). Both HC presented significantly lower dentin permeability than control post treatment and post erosion (p < .05), without difference between them (p > .05). Post abrasion, there were no significant difference among groups (p > .05). Post treatment and post erosion, the HC seemed to flow into the tubules, occluding them, while the tubules in control remained opened. Post abrasion, the tubules appear to be occluded in all groups. In conclusion, the experimental hybrid coatings were capable of reducing dentin permeability after treatment. They were also able to resist to erosive and abrasive challenges, with the advantage of forming thinner and colorless films that can be potentially used to treat dentin hypersensitivity.

Electrowetting Performances of Novel Fluorinated Polymer Dielectric Layer Based on Poly(1H,1H,2H,2H-perfluoroctylmethacrylate) Nanoemulsion

In electrowetting devices, hydrophobic insulating layer, namely dielectric layer, is capable of reversibly switching surface wettability through applied electric field. It is critically important but limited by material defects in dielectricity, reversibility, film forming, adhesiveness, price and so on. To solve this key problem, we introduced a novel fluorinated polyacrylate—poly(1H,1H,2H,2H-perfluoroctylmethacrylate (PFMA) to construct micron/submicron-scale dielectric layer via facile spray coating of nanoemulsion for replacing the most common Teflon AF series. All the results illustrated that, continuous and dense PFMA film with surface relief less than 20 nm was one-step fabricated at 110 °C, and exhibited much higher static water contact angle of 124°, contact angle variation of 42°, dielectric constant of about 2.6, and breakdown voltage of 210 V than Teflon AF 1600. Particularly, soft and highly compatible polyacrylate mainchain assigned five times much better adhesiveness than common adhesive tape, to PFMA layer. As a promising option, PFMA dielectric layer may further facilitate tremendous development of electrowetting performances and applications.

Influence of bioadhesive polymers on the protective effect of fluoride against erosion

OBJECTIVE

This study investigated if the incorporation of the bioadhesive polymers Carbopol 980, Carboxymethyl cellulose (CMC), and Aristoflex AVC in a fluoridated solution (NaF-900ppm) would increase the solution's protective effect against enamel erosion.

METHODS

Enamel specimens were submitted to a 5-day de-remineralization cycling model, consisting of 2min immersions in 0.3% citric acid (6x/day), 1min treatments with the polymers (associated or not with fluoride), and 60min storage in artificial saliva. Ultrapure water was used as the negative control and a 900ppm fluoride solution as positive control. The initial Knoop microhardness (KHN1) was used to randomize the samples into groups. Another two microhardness assessments were performed after the first (KHN2) and second (KHN3) acid immersions, to determine initial erosion in the first day. The formula: %KHN_alt=[(KHN3-KHN2)/KHN2]*100 was used to define the protective effect of the treatments. After the 5-day cycling, surface loss (SL, in μm) was evaluated with profilometry. Data were analyzed with 2-way ANOVA and Tukey's tests (p<0.05).

RESULTS

For %KHN_alt, the polymers alone did not reduce enamel demineralization when compared to the negative control, but Carbopol associated with NaF significantly improved its protective effect. The profilometric analysis showed that Carbopol, associated or not with NaF, exhibited the lowest SL, while CMC and Aristoflex did not exhibit a protective effect, nor were they able to improve the protection of NaF.

CONCLUSIONS

It is concluded that Carbopol enhanced NaF's protection against initial erosion. Carbopol alone or associated with NaF was able to reduce SL after several erosive challenges.

CLINICAL SIGNIFICANCE

Carbopol by itself was able to reduce the erosive wear magnitude to the same extent as the sodium fluoride, therefore, is a promising agent to prevent or control enamel erosion.

Toward mucoadhesive hydrogel formulations for the management of xerostomia: the physicochemical, biological, and pharmacological considerations

Although hydrogel formulations that may be applied to many mucosal surfaces are now readily accessible, little research effort has been concentrated on the development of systems that may be usefully employed for the prolonged hydration of the oral cavity. To this end, and set within the context of oral care in general, this review considers the requirements for the design of hydrogel formulations with an affinity for buccal cells and details methods for evaluating the performance of these formulations as treatments for the management of xerostomia.

Attenuating the size and molecular carrier capabilities of polyacrylate nanoparticles by a hydrophobic fluorine effect

This study investigates the effect of introducing alkyl chain fluorination on the properties of polyacrylate nanoparticles prepared in aqueous solution by emulsion polymerization. For this, 2,2,3,3,4,4,4-heptafluorobutyl acrylate (1) and methyl trifluoroacrylate (2) were tested as monomers as a means to prepare fluorinated polyacrylate nanoparticles to evaluate how side chain fluorination may affect nanoparticle size and drug carrier properties. Our results show that as fluorine content within the polyacrylate matrix increases, the size of the nanoparticle systematically diminishes, from 45 nm (for nanoparticles containing no fluoroacrylate) to ~7 nm (for nanoparticles constructed solely of fluoroacrylate). We also observe that as fluoroacrylate content and hydrophobicity increases, the nanoparticles decrease their ability to incorporate lipophilic molecules during the process of emulsification. These findings have meaningful implications in the implementation of fluorinated nanoparticles in molecular delivery.

Chitosan adsorption on hydroxyapatite and its role in preventing acid erosion

Polymer adsorption onto an artificial saliva (AS) layer is investigated using quartz-crystal microbalance with dissipation (QCM-D) and chitosan as the model polymer. QCM-D is utilized in an innovative manner to monitor in situ adsorption of chitosan (CH) onto a hydroxyapatite (HA) coated crystal and to examine the ability of the adsorbed layer to "protect" the HA upon sequential exposure to acidic solutions. After deposition of a thin AS layer (16 nm), the total thickness on the HA substrate increases to 37 nm upon exposure to CH at pH 5.5 for 10 min. Correspondingly, the surface charge changes from negative (i.e., AS) to positive, consistent with the adsorption the polycationic CH onto or into the AS layer. Upon exposure to an oxidizing agent, the chitosan cross-links and collapses as noted by a decrease in thickness to 10 nm and an increase in the shear modulus by an order of magnitude. Atomic force microscopy (AFM) is used to determine the surface morphology and RMS roughness of the coated and HA surfaces after citric acid challenges. Both physisorbed and cross-linked chitosan are demonstrated to limit and prevent the erosion of HA, respectively.

Directed deposition of functional polymers onto porous substrates using metal salt inhibitors

This paper demonstrates the ability to control the location of polymer deposition onto porous substrates using vapor phase polymerization in combination with metal salt inhibitors. Functional polymers such as hydrophobic poly(1H,1H,2H,2H-perfluorodecyl acrylate), click-active poly(pentafluorophenyl methacrylate), and light-responsive poly(ortho-nitrobenzyl methacrylate) were patterned onto porous hydrophilic substrates using metal salts. A combinatorial screening approach was used to determine the effects of different transition metal salts and reaction parameters on the patterning process. It was found that CuCl(2) and Cu(NO(3))(2) were effective at uniformly inhibiting the deposition of all three polymers through the depth of the porous substrate and along the entire cross section. This study offers a new and convenient method to selectively deposit a wide variety of functional polymers onto porous materials and will enable the production of next-generation multifunctional paper-based microfluidic devices, polymeric photonic crystals, and filtration membranes.