Carboxylic acid-functionalized TiO2 nanoparticle-loaded PMMA/PEEK copolymer matrix as a dental resin for 3D complete denture manufacturing by stereolitographic technique

Mapping the research landscape of nanoparticles and their use in denture base resins: a bibliometric analysis

BACKGROUND

Nanoparticles are increasingly used in dentistry for various applications, including enhancing the mechanical properties of denture base resins. This study aimed to comprehensively review and analyze the research landscape of nanoparticles and their effect on the flexural strength of denture base resins to identify key research areas and trends and to highlight the importance of collaboration between authors and institutions.

METHODS

A Bibliometric Analysis was conducted using the Keywords "Nanoparticle*" AND "Denture*" OR "CAD/CAM." The literature search from the WOS database was restricted to the publication years 2011 to 2022.

RESULTS

Key findings encompass an increase in research publications but a decline in citations. Saudi Arabia, China, and Iraq led this research, with specific institutions excelling. Notable journals with high impact factors were identified. Authorship patterns show variations in citation impact. Additionally, keyword analysis revealed that current research trends offer insights into influential authors and their networks.

CONCLUSIONS

The analysis of nanoparticles and denture base resins reveals a dynamic and evolving landscape that emphasizes the importance of collaboration, staying current with research trends, and conducting high-quality research in this ever-evolving domain.

Medical and Dental Applications of Titania Nanoparticles: An Overview

Currently, titanium oxide (TiO₂) nanoparticles are successfully employed in human food, drugs, cosmetics, advanced medicine, and dentistry because of their non-cytotoxic, non-allergic, and bio-compatible nature when used in direct close contact with the human body. These NPs are the most versatile oxides as a result of their acceptable chemical stability, lower cost, strong oxidation properties, high refractive index, and enhanced aesthetics. These NPs are fabricated by conventional (physical and chemical) methods and the latest biological methods (biological, green, and biological derivatives), with their advantages and disadvantages in this epoch. The significance of TiO₂ NPs as a medical material includes drug delivery release, cancer therapy, orthopedic implants, biosensors, instruments, and devices, whereas their significance as a dental biomaterial involves dentifrices, oral antibacterial disinfectants, whitening agents, and adhesives. In addition, TiO₂ NPs play an important role in orthodontics (wires and brackets), endodontics (sealers and obturating materials), maxillofacial surgeries (implants and bone plates), prosthodontics (veneers, crowns, bridges, and acrylic resin dentures), and restorative dentistry (GIC and composites).

Nanomaterial integrated 3D printing for biomedical applications

3D printing technology, otherwise known as additive manufacturing, has provided a promising tool for manufacturing customized biomaterials for tissue engineering and regenerative medicine applications. A vast variety of biomaterials including metals, ceramics, polymers, and composites are currently being used as base materials in 3D printing. In recent years, nanomaterials have been incorporated into 3D printing polymers to fabricate innovative, versatile, multifunctional hybrid materials that can be used in many different applications within the biomedical field. This review focuses on recent advances in novel hybrid biomaterials composed of nanomaterials and 3D printing technologies for biomedical applications. Various nanomaterials including metal-based nanomaterials, metal-organic frameworks, upconversion nanoparticles, and lipid-based nanoparticles used for 3D printing are presented, with a summary of the mechanisms, functional properties, advantages, disadvantages, and applications in biomedical 3D printing. To finish, this review offers a perspective and discusses the challenges facing the further development of nanomaterials in biomedical 3D printing.

Evaluation of PEEK-TiO2- SiO2 nanocomposite as biomedical implants with regard to in-vitro biocompatibility and material characterization

Polyether Ether Ketone (PEEK) exhibits superior mechanical and biological safety characteristics, and its biological inertness significantly restricts its applicability in biomedical applications. Recent researches included active ceramic particles to enhance biological activity and broaden the application range of bioactive composites in medical implants. During the current investigation, acrylic acid-functionalized ceramic TiO₂ and SiO₂ nanoparticles (NP) were used to reinforce the PEEK matrix. The PEEK/TiO₂/SiO₂ (PTS) nanocomposite was fabricated using plastic injection moulding process. Different functional groups and crystal plane orientations of the composite were found through FTIR and XRD. The morphological and elemental analysis were carried out using FESEM and the EDAX mapping technique. The thermal stability of the composite was investigated through TGA and DSC analysis. The mean diameter of the inhibition zone of PTS polymer composite is 18.125 mm and 16.375 mm against E. coli and B. subtilis, respectively, which is higher than that of the mean diameter of the inhibition zone of PEEK. In-vitro direct and indirect cytotoxicity studies were carried using the MG-63 cell line and found the cell viability as 94.30% and cytotoxicity as 5.70% on PTS nanocomposite. Cell adhesion study was carried out using MG-63 cell line on the composite surface. That demonstrated the good cell adherence and cell proliferation those were observed through SEM morphologies. Thus, the newly developed composite serves as a potential candidate in biomedical applications.

3D printing restorative materials using a stereolithographic technique: a systematic review

OBJECTIVE

To present through a systematic review a qualitative analysis of studies published on stereolithography-based 3D printing of restorative materials and their clinical applicability.

METHODS

The literature search was conducted based on the question: "What is the state-of-the-art of available restorative materials for 3D printing based on stereolithography?" Online search was conducted in three databases (MEDLINE/PubMed, Scopus and Web of Science) with no restriction for year of publication. Data are reported based on PRISMA, including publication details such as authors and their countries, year and journal of publication, and study design. The synthesis is focused on describing the dental restorative materials and properties evaluated, applied methods, 3D printers used and clinical applicability.

RESULTS

Studies that fit the inclusion criteria were performed in Asia (21), Europe (16) and USA (10), mostly using polymer-based restorative materials (38) for 3D printing constructs. Stereolithographic-printed ceramic-based restorative structures were evaluated by 9 studies. Many studies reported on dimensional accuracy (14), strength (11) and surface morphology (9) of the printed structures. Antibacterial response, cytotoxicity, internal and marginal fit, fracture and wear resistance, density, viscosity, elastic modulus, hardness, structural shrinkage and reliability, degree of conversion, layer cure depth, fatigue, and color were also evaluated by the included studies. Many of them (11) published a proof of concept as an attempt to demonstrate the clinical feasibility and applicability of the technology to print restorative materials, but only 5 studies actually applied the 3D printed restorative structures in patients, which highlights an increasing interest but limited early-stage translation.

SIGNIFICANCE

The fast expansion of stereolithographic-based 3D printing has been impressive and represents a great technological progress with significant disruptive potential. Dentistry has demonstrated an incredible willingness to adapt materials, methods and workflows to this promising digital technology. However, esthetic appearance, wear resistance, wet strength and dimensional accuracy are the main current clinical limitations restricting the progression to functional part production with 3D printing, which may explain the absence of clinical trials and reports on permanent/definitive dental restorative materials and structures.

Surface silanization and grafting reaction of nano-silver loaded zirconium phosphate and properties strengthen in 3D-printable dental base composites

In this work, surface modification of nano silver-loaded zirconium phosphate (6S-NP3) were obtained from simultaneous silanization of γ-methacryloxypropyltrimethoxysilane (MPS) and grafting reaction of methyl methacrylate (MMA), and then mixed with denture base resin (E-Denture) to prepare denture base composites using 3D printer printing. FT-IR spectra confirmed that surface silanization and grafting reaction had occurred and MPS and MMA were successfully anchored on the surface of 6S-NP3. XRD results demonstrated that surface modification had occurred on the surface of hexagonal lattice. The average diameter data indicated that the surface modification decreased the average diameter of nanoparticles. The water contact angle (WCA) was found increasing as the surface modification. SEM images illustrated that the dispersion and compatibility of nanoparticles in denture base composite materials had improved. The results of mechanical properties presented that composites with the addition of P-6S-NP3 nanoparticles achieved higher flexural strength, flexural modulus and impact strength. The data of antibacterial activities revealed that composites had exhibited good antibacterial activities against either S. aureus or E. coli and the latter showed better antibacterial efficacy than the former.

Biomedical Applications of TiO2 Nanostructures: Recent Advances

Titanium dioxide (TiO2) nanostructures are one of the most plentiful compounds that have emerged in various fields of technology such as medicine, energy and biosensing. Various TiO2 nanostructures (nanotubes [NTs] and nanowires) have been employed in photoelectrochemical (PEC) biosensing applications, greatly enhancing the detection of targets. TiO2 nanostructures, used as reinforced material or coatings for the bare surface of titanium implants, are excellent additive materials to compensate titanium implants deficiencies-like poor surface interaction with surrounding tissues-by providing nanoporous surfaces and hierarchical structures. These nanostructures can also be loaded by diversified drugs-like osteoporosis drugs, anticancer and antibiotics-and used as local drug delivery systems. Furthermore, TiO2 nanostructures and their derivatives are new emerging antimicrobial agents to overcome human pathogenic microorganisms. However, like all other nanomaterials, toxicity and biocompatibility of TiO2 nanostructures must be considered. This review highlights recent advances, along with the properties and numerous applications of TiO2-based nanostructure compounds in nano biosensing, medical implants, drug delivery and antibacterial fields. Moreover, in the present study, some recent advances accomplished on the pharmaceutical applications of TiO2 nanostructures, as well as its toxicity and biocompatibility, are presented.