Fabrication of superhydrophobic coating for preventing microleakage in a dental composite restoration

Recent advances in superhydrophobic polyurethane: preparations and applications

Even though polyurethane (PU) has been widely applied, its superhydrophobicity is inadequate for certain applications. As such, the development of superhydrophobic polyurethane (SHPU) has recently attracted significant attention, with numerous motivating reports in recent years. However, a comprehensive review that summarizes these state-of-the-art developments remains lacking. Thus, this review aims to fill up this gap by reviewing the recent preparation methods for SHPU based on superhydrophobic theories and principles. Three main types of methods used in promoting the hydrophobicity of PU are emphasized in this review; (1) incorporation of silicide or fluoride to lower the surface energy, (2) creation of micro/nano-scale rough surfaces by electrospinning or grafting of nanoparticles, and (3) integrating the earlier two methods to develop a synergistic approach. Furthermore, this review also discussed the various applications of SHPU in oil spill treatment, protective coating, self-healing materials and sensors.

A novel resin cement to improve bonding interface durability

Bonding failure is one of the main causes of failure of dental restorations. The bonding strength, aging resistance, and polymerization shrinkage of cement can affect the stability of the bonding interface and lead to marginal microleakage. To reduce the bonding failure rate of restorations, a novel polyurethane (PU) cement was designed to improve the mechanical properties, hydrophobicity, degree of conversion (DC), polymerization shrinkage, bond strength and aging resistance of cement by introducing isophorone diisocyanate (IPDI) and hydroxyethyl methacrylate (HEMA) and adjusting the polyester : polyether ratio to increase the degree of cross-linking. Experimental results verified that the novel PU could increase the mechanical properties and thermal stability of the cement, reduce polymerization shrinkage during the curing reaction, improve the bonding performance and DC, endow the cement with hydrophobic properties, and improve its ability to resist aging in the salivary environment to maintain the long-term stability of interfacial bonding under the influence of comprehensive factors. The results of this study provide a new direction and insights to reduce microleakage and improve the success rate of restorations.

Bonding failure is one of the main causes of failure of dental restorations.

Hydrolysis-resistant and stress-buffering bifunctional polyurethane adhesive for durable dental composite restoration

A new elastic polyurethane (PU) adhesive was reported in this study to improve the stability and durability of the dental adhesion interface. A polyurethane oligomer was synthesized by the solution polymerization method, and a diluent and solvent were added to prepare PU adhesives. The water sorption, water solubility, contact angle, thermal stability, degree of conversion and mechanical properties of the PU adhesives were evaluated. Experimental applications for tooth restoration (microtensile bond strength and microleakage) were also performed, and cytotoxicity test was carried out. The water sorption and solubility of the PU adhesives were significantly lower than those of three commercial adhesives. The microtensile bond strength of the PU adhesives was improved after thermocycling test, and the extent of microleakage was diminished when compared with that of commercial adhesives. Biocompatibility testing demonstrated that the PU adhesive was non-toxic to L929 fibroblasts. This study shows the ability of PU adhesive to improve the stability and durability of the dental adhesion interface and may refocus the attention of scientists from rigid bonding to flexible bonding for dental adhesion, and it sheds light on a new strategy for the stable and durable bonding interface of dentine adhesives.

Enhancement performance of application mussel-biomimetic adhesive primer for dentin adhesives

In this study, a bioinspired adhesive primer monomer was prepared and evaluated for durable adhesion between dentin and composite resins.

Fabrication of Robust Antibacterial Coatings Based on an Organic-Inorganic Hybrid System

Antibacterial coatings have drawn much attention because of their high potential applications in medicine. However, the weak mechanical property, poor biosafety, and biocompatibility of most established antibacterial coatings restrict their applications. In this study, robust antibacterial coatings were fabricated via a simple organic-inorganic hybrid method. The polymer component provides an excellent antibacterial property to the coatings, and the hybrid silica sol improves the hardness of coatings. After cross-linking, network-structured coatings were formed. The coating surfaces exhibited high transmittance, excellent mechanical property, and good antibacterial effect against Escherichia coli (Gram-negative) and Streptococcus mutans (Gram-positive). Additionally, the robust coatings were noncytotoxic with satisfactory biocompatibility. Such results provide a theoretical basis for their applications in the biomedical field.

The functions of hydrophobic elastic polyurethane combined with an antibacterial triclosan derivative in the dentin restoration interface

Dentin restoration produces weak interfaces because of the effects of bacterial microflora, biofilms, and mechanical, thermal, and shrinkage stresses. This results in secondary caries. Therefore, hydrophobic elastic polyurethane (PU) containing different concentrations of triclosan derivatives was synthesized and applied to solve this problem. The antibacterial PU was characterized according to its tensile strength (TS) and elasticity (ε) via a universal testing machine, and water sorption (Wsp) and solubility testing (Wsl) was performed according to ISO 4049: 2009. Additionally, this study evaluated the antibacterial properties of PU against Streptococcus mutans (ATCC35668) and Escherichia coli (ATCC25922). A marginal leakage test was performed to evaluate the leakage prevention property. As a result, the antibacterial PU showed high TS (>17 MPa), high elasticity (ε > 65%), and low Wsp (>81.06 μg/mm³) and Wsl (>11.22 μg/mm³). The PU exhibited antibacterial effects against both Streptococcus mutans and Escherichia coli. The antibacterial rates were over 90% and >99% for the 3% and 5% groups, respectively. Moreover, the marginal level of leakage was 0. Based on the mechanical properties, Wsp and Wsl values and the antibacterial properties, the 3% group exhibited satisfactory performance and has been deemed a possible solution to reduce the occurrence of secondary caries.

Hydrophobic and antimicrobial dentin: A peptide-based 2-tier protective system for dental resin composite restorations

Dental caries, i.e., tooth decay mediated by bacterial activity, is the most widespread chronic disease worldwide. Carious lesions are commonly treated using dental resin composite restorations. However, resin composite restorations are prone to recurrent caries, i.e., reinfection of the surrounding dental hard tissues. Recurrent caries is mainly a consequence of waterborne and/or biofilm-mediated degradation of the tooth-restoration interface through hydrolytic, acidic and/or enzymatic challenges. Here we use amphipathic antimicrobial peptides to directly coat dentin to provide resin composite restorations with a 2-tier protective system, simultaneously exploiting the physicochemical and biological properties of these peptides. Our peptide coatings modulate dentin's hydrophobicity, impermeabilize it, and are active against multispecies biofilms derived from caries-active individuals. Therefore, the coatings hinder water penetration along the otherwise vulnerable dentin/restoration interface, even after in vitro aging, and increase its resistance against degradation by water, acids, and saliva. Moreover, they do not weaken the resin composite restorations mechanically. The peptide-coated highly-hydrophobic dentin is expected to notably improve the service life of resin composite restorations and to enable the development of entirely hydrophobic restorative systems. The peptide coatings were also antimicrobial and thus, they provide a second tier of protection preventing re-infection of tissues in contact with restorations. STATEMENT OF SIGNIFICANCE: We present a technology using designer peptides to treat the most prevalent chronic disease worldwide; dental caries. Specifically, we used antimicrobial amphipathic peptides to coat dentin with the goal of increasing the service life of the restorative materials used to treat dental caries, which is nowadays 5 years on average. Water and waterborne agents (enzymes, acids) degrade restorative materials and enable re-infection at the dentin/restoration interface. Our peptide coatings will hinder degradation of the restoration as they produced highly hydrophobic and antimicrobial dentin/material interfaces. We anticipate a high technological and economic impact of our technology as it can notably reduce the lifelong dental bill of patients worldwide. Our findings can enable the development of restorations with all-hydrophobic and so, more protective components.

Photopolymerizable and moisture-curable polyurethanes for dental adhesive applications to increase restoration durability

In this study we evaluated dual-cure polyurethanes (PUs) as dental adhesives and investigated their effect on the durability of the resin-dentin bonding interface. Different novel photopolymerizable and moisture-curable PUs based on polyester polyol, polyether polyol, and hydroxyethyl methacrylates (HEMAs) were prepared, and their structural characteristics were evaluated by Fourier transform infrared spectroscopy. The tensile strength, elongation at break, and water sorption/solubility of the PU adhesives and the application for bonding with dentin were evaluated. The water sorption and solubility of the PU adhesives were significantly lower than those of two commercial control groups. The bond strength of the PU adhesives after 30 days of storage increased compared with their immediate bond strength, and the microleakage detection of Class V restorations showed less occurrence of marginal leakage compared with the commercial control groups. Cytotoxicity testing has shown that the PU adhesives have low toxicity to pulp cells. The results of this study may shift the future research focus of composite resin dental restoratives from original rigid bonding of the interface to a flexible bonding based on the use of PU adhesives. This may become a new strategy for decreasing the occurrence of microleakage and improving the durability of the bonding interface.

A photo-crosslinked hybrid interpenetrating polymer network (IPN) for antibacterial coatings on denture base materials

An interpenetrating polymer network (IPN) structured antibacterial layer was prepared on dental base materials using a one-step photo-crosslinking method.

Nanomaterials in dentistry: a cornerstone or a black box?

Aim: The studies on tooth structure provided basis for nanotechnology-based dental treatment approaches known as nanodentistry which aims at detection and treatment of oral pathologies, such as dental caries and periodontal diseases, insufficiently being treated by conventional materials or drugs. This review aims at defining the role of nanodentistry in the medical area, its potential and hazards. Materials & methods: To validate these issues, current literature on nanomaterials for dental applications was critically reviewed. Results: Nanomaterials for teeth restoration, bone regeneration and oral implantology exhibit better mechanical properties and provide more efficient esthetic outcome. However, still little is known about influence of long-term function of such biomaterials in the living organism. Conclusion: As application of nanomaterials in industry and medical-related sciences is still expanding, more information is needed on how such nano-dental materials may interfere with oral cavity, GI tract and general health.