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Dual-functional adhesive containing amorphous calcium phosphate nanoparticles and dimethylaminohexadecyl methacrylate promoted enamel remineralization in a biofilm-challenged environment. Dent Mater 2022; 38:1518-1531. [PMID: 35907751 DOI: 10.1016/j.dental.2022.07.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Accepted: 07/13/2022] [Indexed: 02/05/2023]
Abstract
OBJECTIVE The cariogenic biofilm on enamel, restoration, and bonding interface is closely related to dental caries and composite restoration failure. Enamel remineralization at adhesive interface is conducive to protecting bonding interface and inhibiting secondary caries. This study intended to assess the remineralization efficiency of adhesive with dimethylaminohexadecyl methacrylate (DMAHDM) and nanoparticles of amorphous calcium phosphate (NACP) on initial caries lesion of biofilm-coated enamel. METHODS Artificial initial carious lesion was created via 72-hour immersion in demineralization solution and cariogenic biofilm was formed after 24-hour culture of Streptococcus mutans (S. mutans). Specimens were then divided into 4 groups: enamel control, enamel treated with NACP, DMAHDM and NACP+DMAHDM respectively. Samples next underwent 7-day cycling, 4 h in BHIS (brain heart infusion broth containing 1 % sucrose) and 20 h in AS (artificial saliva) per day. The pH of BHIS was tested daily. So did the concentration of calcium and phosphate in BHIS and AS. Live/dead staining, colony-forming unit (CFU) count, and lactic acid production of biofilms were measured 7 days later. The enamel remineralization efficiency was evaluated by microhardness testing and transverse microradiography (TMR) quantitatively. RESULTS Enamel of NACP+DMAHDM group demonstrated excellent remineralization effectiveness. And the NACP+DMAHDM adhesive released a great number of Ca2+ and PO43- ions, increased pH to 5.81 via acid neutralization, decreased production of lactic acid, and reduced CFU count of S. mutans (P < 0.05). SIGNIFICANCE The NACP+DMAHDM adhesive would be applicable to preventing secondary caries, strengthening enamel-adhesive interface, and extending the lifespan of composite restoration.
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Serrado de Pinho Barcellos A, Soares Miranda J, Amaral M, Araújo Alvarenga J, Nogueira L, Tomomitsu Kimpara E. Effect of staining on the mechanical, surface and biological properties of lithium disilicate. Saudi Dent J 2021; 34:136-141. [PMID: 35241903 PMCID: PMC8864374 DOI: 10.1016/j.sdentj.2021.12.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2021] [Revised: 12/08/2021] [Accepted: 12/15/2021] [Indexed: 11/27/2022] Open
Abstract
Staining and glazing procedures affects the microbial adherence and surface roughness. Stained and glazed surfaces result in higher wear than polished ceramic surfaces. The stain and glaze layer on the ceramic surface promotes lower strength value.
Purpose To simulate biodegradation and wear of stained and glazed CAD lithium disilicate ceramic, and evaluate their effects on the microbial adherence and mechanical and surface properties of lithium disilicate ceramic Materials and methods 160 lithium disilicate ceramic discs were fabricated and divided in eight groups according to manual stain and glaze application with a fine paint brush (without stain and glaze; with stain and glaze) and aging procedures (no aging; wear at 30 N load, 1.7 Hz, 3 × 105 cycles; biodegradation by exposure to microcosm biofilm; biodegradation + wear; biodegradation + wear). Profilometry was performed to determine the surface roughness and the wear consequences. Biaxial flexural strength test was performed, and a Streptococcus mutans adherence test was conducted to evaluate the number of colony forming units. Results Unaged samples with and without stain and glaze presented the lowest values of surface roughness (p < 0.001), but after aging (wear, biodegradation, or both), the samples in the stain and glaze groups were rougher than those in the no stain and glaze groups (p < 0.001). The stain and glaze groups showed the highest volume of wear after aging (p = 0.04), and had the lowest flexural strength values (p < 0.01), irrespective of the aging method. The aging method did not affect the flexural strength (p = 0.06). The number of colonies forming units was higher for biodegradation + no stain and glaze, biodegradation + wear + no stain and glaze, no aging + stain and glaze, biodegradation + stain and glaze, and biodegradation + wear + stain and glaze. The lowest values were observed for no aging + no stain and glaze. Conclusion The staining and glazing of lithium disilicate increased the surface wear and bacterial adherence, and decreased biaxial flexural strength of the material. When exposed to S. mutans, surface roughness increased, and biodegradation favored bacterial adherence.
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Fan M, Yang J, Xu HHK, Weir MD, Tao S, Yu Z, Liu Y, Li M, Zhou X, Liang K, Li J. Remineralization effectiveness of adhesive containing amorphous calcium phosphate nanoparticles on artificial initial enamel caries in a biofilm-challenged environment. Clin Oral Investig 2021; 25:5375-5390. [PMID: 33891172 DOI: 10.1007/s00784-021-03846-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Accepted: 02/16/2021] [Indexed: 02/05/2023]
Abstract
OBJECTIVES Dental caries is closely associated with acid-producing bacteria, and Streptococcus mutans is one of the primary etiological agents. Bacterial accumulation and dental demineralization lead to destruction of bonding interface, thus limiting the longevity of composite. The present study investigated remineralization effectiveness of adhesive containing nanoparticles of amorphous calcium phosphate (NACP) in a stimulated oral biofilm environment. METHODS The enamel blocks were immersed in demineralization solution for 72 h to imitate artificial initial carious lesion and then subjected to a Streptococcus mutans biofilm for 24 h. All the samples then underwent 4-h demineralization in brain heart infusion broth with sucrose (BHIS) and 20-h remineralization in artificial saliva (AS) for 7 days. The daily pH of BHIS after 4-h incubation, lactic acid production, colony-forming unit (CFU) count, and content of calcium (Ca) and phosphate (P) in biofilm were evaluated. Meanwhile, the remineralization effectiveness of enamel was analyzed by X-ray diffraction (XRD), surface microhardness testing, transverse microradiography (TMR) and scanning electron microscopy (SEM). RESULTS The NACP adhesive released abundant Ca and P, achieved acid neutralization, reduced lactic acid production, and lowered CFU count (P < 0.05). Enamel treated with NACP adhesive demonstrated the best remineralization effectiveness with remineralization value of 52.29 ± 4.79% according to TMR. Better microhardness recovery of cross sections and ample mineral deposits were also observed in NACP group. CONCLUSIONS The NACP adhesive exhibited good performance in remineralizing initial enamel lesion with cariogenic biofilm. SIGNIFICANCE The NACP adhesive is promising to be applied for the protection of bonding interface, prevention of secondary caries, and longevity prolonging of the restoration.
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Affiliation(s)
- Menglin Fan
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No. 14, 3rd section, Renmin Road South, Chengdu, 610041, Sichuan, China
| | - Jiaojiao Yang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No. 14, 3rd section, Renmin Road South, Chengdu, 610041, Sichuan, China
| | - Hockin H K Xu
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, 21201, USA.,Center for Stem Cell Biology & Regenerative Medicine, University of Maryland School of Medicine, Baltimore, MD, 21201, USA
| | - Michael D Weir
- Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, 21201, USA
| | - Siying Tao
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No. 14, 3rd section, Renmin Road South, Chengdu, 610041, Sichuan, China
| | - Zhaohan Yu
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No. 14, 3rd section, Renmin Road South, Chengdu, 610041, Sichuan, China
| | - Yifang Liu
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No. 14, 3rd section, Renmin Road South, Chengdu, 610041, Sichuan, China
| | - Meng Li
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No. 14, 3rd section, Renmin Road South, Chengdu, 610041, Sichuan, China
| | - Xuedong Zhou
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No. 14, 3rd section, Renmin Road South, Chengdu, 610041, Sichuan, China
| | - Kunneng Liang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No. 14, 3rd section, Renmin Road South, Chengdu, 610041, Sichuan, China. .,Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, 21201, USA.
| | - Jiyao Li
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, No. 14, 3rd section, Renmin Road South, Chengdu, 610041, Sichuan, China.
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Faria-E-Silva AL, Dos Santos A, Tang A, Girotto EM, Pfeifer CS. Effect of thiourethane filler surface functionalization on stress, conversion and mechanical properties of restorative dental composites. Dent Mater 2018; 34:1351-1358. [PMID: 29934126 DOI: 10.1016/j.dental.2018.06.023] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Revised: 04/12/2018] [Accepted: 06/07/2018] [Indexed: 11/19/2022]
Abstract
OBJECTIVES This study evaluated the efficacy of a thiourethane(TU)-modified silane agent in improving properties in filled composites. METHODS The TU-silane agent was synthesized by combining 1,3-bis(1-isocyanato-1-methylethyl)benzene and 3-(triethoxysilyl)propyl isocyanate with trimethylol-tris-3-mercaptopropionate (TMP), at 1:2 isocyanate:thiol, leaving pendant thiol and alkoxy silane groups. Barium glass fillers (1μm average particle size) were functionalized with 5wt% TU-silane in an acidic ethanol solution. Commercially available 3-(trimethoxysilyl)propyl methacrylate (MA-silane) and (3-mercaptopropyl)trimethoxysilane (SH-silane), as well as no silane treatment (NO-silane), were used as controls. Composites were made with BisGMA-UDMA-TEGDMA (5:3:2), camphorquinone/ethyl-4-dimethylaminobenzoate (0.2/0.8wt%) and di-tert-butyl hydroxytoluene (0.3wt%) and 70wt% silanated inorganic fillers. Polymerization stress (PS) was measured using a cantilever beam apparatus (Bioman). Methacrylate conversion (DC) and rate of polymerization (RP) during photoactivation (800mW/cm2) were followed in real-time with near-IR. Flexural strength/modulus (FS/FM) were evaluated in three-point bending with 2×2×25 mm. STATISTICAL ANALYSIS 2-way ANOVA/Tukey's test (α=5%). RESULTS DC, Rpmax and E were similar for all groups tested. FS was similar for the TU- and MA-silane, which were statistically higher than the untreated and SH-silane groups. Stress reductions in relation to the MA-silane were observed for all groups, but statistically more markedly for the TU-silane material. This is likely due to stress relaxation and/or toughening provided at the filler interface by the oligomeric TU structure. SIGNIFICANCE TU-silane oligomers favorably modified conventional dimethacrylate networks with minimal disruption to existing curing chemistry, in filled composites. For the same conversion values, stress reductions of up to 50% were observed, without compromise to mechanical properties or handling characteristics.
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Affiliation(s)
- André L Faria-E-Silva
- Department of Dentistry, Federal University of Sergipe, Rua Claudio Batista s/n, Bairro Sanatório, Aracaju, SE, 49060-100, Brazil.
| | - Andressa Dos Santos
- Graduate Program in Chemistry, State University of Maringa, Av. Colombo 5790, Jardim Universitário, Maringá, PR, 87020-900, Brazil.
| | - Angela Tang
- Phillips Academy, 180 Main St., Andover, MA, USA.
| | - Emerson M Girotto
- Department of Chemistry, State University of Maringa, Av. Colombo 5790, Jardim Universitário, Maringá, PR, 87020-900, Brazil.
| | - Carmem S Pfeifer
- Department of Restorative Dentistry, Division of Biomaterials and Biomechanics, Oregon Health & Science University, 2730 SW Moody Ave, 97201, Portland, OR, USA.
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Maske TT, Kuper NK, Hollanders ACC, Bronkhorst EM, Cenci MS, Huysmans MCDNJM. Secondary caries development and the role of a matrix metalloproteinase inhibitor: A clinical in situ study. J Dent 2018; 71:49-53. [PMID: 29391181 DOI: 10.1016/j.jdent.2018.01.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2017] [Revised: 01/06/2018] [Accepted: 01/26/2018] [Indexed: 12/30/2022] Open
Abstract
OBJECTIVES This in situ study aimed to investigate whether the dentin treatment with MMPs inhibitor (CHX 2%) could influence the development of secondary caries wall lesions in different dentin-composite interfaces. MATERIAL AND METHODS For 21 days, 15 volunteers wore a modified-occlusal splint loaded with dentin-composite samples treated or not with CHX and restored according 4 different interface conditions: Bonding (B = samples restored with complete adhesive procedure), no bonding (NB = restored with composite resin without adhesive procedure), 100 μm (no adhesive procedure and with intentional gap) and 100 μm + B (adhesive material on composite side and intentional gap). Eight times per day, the splint with samples was dipped in a 20% sucrose solution for 10 min. Before and after caries development, samples were imaged with T-WIM and lesion depth (LD) and mineral loss (ML) were calculated. RESULTS Linear mixed effect analysis showed that dentin treatment with CHX did not significantly affect the caries lesion progression (LD and ML; p ≤ 0.797). Dentin wall lesions were observed in the 100 μm and 100 μm + B groups independently of MMP inhibitor treatment. CONCLUSION The treatment of dentin with MMP inhibitor was not able to slow down the secondary caries wall lesion development in this in situ study. SIGNIFICANCE The dentin treatment with 2% CHX did not prevent secondary caries wall lesion initiation.
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Affiliation(s)
- T T Maske
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil; Radboud University Medical Center, Department of Dentistry, Nijmegen, The Netherlands.
| | - N K Kuper
- Radboud University Medical Center, Department of Dentistry, Nijmegen, The Netherlands
| | - A C C Hollanders
- Radboud University Medical Center, Department of Dentistry, Nijmegen, The Netherlands
| | - E M Bronkhorst
- Radboud University Medical Center, Department of Dentistry, Nijmegen, The Netherlands
| | - M S Cenci
- Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil
| | - M C D N J M Huysmans
- Radboud University Medical Center, Department of Dentistry, Nijmegen, The Netherlands
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Maske TT, Kuper NK, Cenci MS, Huysmans MCD. Minimal Gap Size and Dentin Wall Lesion Development Next to Resin Composite in a Microcosm Biofilm Model. Caries Res 2017; 51:475-481. [DOI: 10.1159/000478536] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2017] [Accepted: 06/09/2017] [Indexed: 11/19/2022] Open
Abstract
This in vitro study investigated the development of dentin wall lesions next to resin composite containing very small gap sizes using an in vitro biofilm model, and evaluated whether a relevant threshold for the gap size could be established. Microcosm biofilms were grown for 14 days within small interfacial gaps between dentin-resin composite discs under intermittent cariogenic challenge. The factor under study was gap size: samples were either restored with composite resin without adhesive procedure (no intentional gap; no bonding [NB] group) or with intentional gaps of 30, 60, or 90 µm, or with complete adhesive procedure (no gap; bonding [B] group). Secondary caries wall lesion progression was measured in lesion depth (LD) and mineral loss (ML) using transversal wavelength independent microradiography at 3 locations: outer surface lesion and wall lesions at 200 and 500 µm distance from gap entrance. Results from linear regression analysis showed that the presence of an intentional gap (30, 60, and 90 µm) affected the secondary caries progression at 200 µm from the gap entrance (p ≤ 0.013). The NB group did not show significant wall lesion development (ML and LD, p ≥ 0.529). At 500 µm distance almost no wall caries development was observed. In conclusion, dentin wall lesions developed in minimal gap sizes, and the threshold for secondary wall lesion development was a gap of around 30 µm in this microcosm biofilm model.
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