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Palaskar JN, Hindocha AD, Mishra A, Gandagule R, Korde S. Evaluating the antifungal effectiveness, leaching characteristics, flexural strength, and impact strength of polymethyl methacrylate added with small-scale silver nanoparticles - An in vitro study. J Indian Prosthodont Soc 2024; 24:165-174. [PMID: 38650342 PMCID: PMC11129815 DOI: 10.4103/jips.jips_423_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 03/08/2024] [Accepted: 03/08/2024] [Indexed: 04/25/2024] Open
Abstract
AIM (1) To assess the release of stable silver nanoparticles (AgNPs) of small scale dimension added to heat polymerized polymethyl methacrylate (PMMA) in 6 months. (2) Assessing the influence of incorporating minimal concentrations of stable AgNPs with nanoscale dimensions into heat polymerized PMMA over a 6 month period on its antifungal efficacy (AF), flexural strength (FS), and impact strength (IS). SETTINGS AND DESIGN Incorporating nanoparticles with a very small scale may have minimal impact on mechanical properties due to their diminutive size. However, the influence of these small scaled nanoparticles on antimicrobial efficacy and potential escalation in toxicity to host cells through leaching remains unexplored. AgNPs were prepared using an Ultrasonic Probe sonicator and the addition of ammonia to obtain stabilized AgNPs (< 0.01 nm) of small scale dimension. The characterization of these AgNPs involved ultraviolet visible spectroscopy, X ray diffraction, Zetasizer, and transmission electron microscopy with energy dispersive spectroscopy (TEM). MATERIALS AND METHODS The prepared AgNPs were then added in various percentages by weight (0%-0.5%) to fabricate 252 modified PMMA samples of sizes 10 mm × 3 mm (AF, n = 108), 65 mm × 10 mm × 3 mm (FS, n = 72), and 65 mm × 10 mm × 2.5 mm (IS, n = 72) as per ADA specification no. 12. These samples underwent testing for leaching out of AgNPs and efficacy against Candida albicans for 6 months. The effect on FS and IS was evaluated using the three point bending test and Charpy's Impact Tester, respectively. STATISTICAL ANALYSIS USED Intergroup comparison of CFU between various concentrations of AgNP was done using the Kruskal-Wallis ANOVA test succeeded by Mann-Whitney test for pair wise comparisons. Difference in CFU of various concentrations over 6 months was seen using one way ANOVA test. Intergroup comparison of FS and IS was performed using a one way ANOVA test, followed by a post hoc Tukey's test for pair wise comparisons. RESULTS Repeated tests showed no leaching out of AgNPs from the denture base resin into the storage medium. All concentrations of AgNPs incorporated in resin showed inhibition of Candida growth. Intergroup comparison of FS and IS revealed highly statistically significant differences (F = 15.076, P < 0.01 and F = 28.266, P < 0.01) between the groups showing a reduction in strength. CONCLUSION The AgNPs of small scale dimension incorporated into the denture base resin imparted a strong antifungal effectiveness against C. albicans, which did not decline during the study period and did not cause any release of nanoparticles. 0.5% showed the best antifungal efficacy. This may prove to be a viable and highly effective treatment for the prevention of Candida associated denture stomatitis. However, the inclusion of these particles resulted in a decrease in both FS and IS, and this reduction was directly proportional to the percentage of added AgNPs, with 0.5% demonstrating the least IS and FS.
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Affiliation(s)
- Jayant N. Palaskar
- University Research Department, Maharashtra University of Health Sciences, Nashik, Maharashtra, India
| | | | - Aditi Mishra
- Department of Prosthodontics, Sinhgad Dental College and Hospital, Pune, Maharashtra, India
| | - Ranjeet Gandagule
- Department of Prosthodontics, Dr. Hedgewar Dental College, Hingoli, Maharashtra, India
| | - Sayali Korde
- Department of Prosthodontics, Sinhgad Dental College and Hospital, Pune, Maharashtra, India
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Ajami S, Habibagahi R, Khashei R, Soroorian M. Evaluation of flexural strength and antibacterial effect of orthodontic acrylic resins containing Galla chinensis extract. Dental Press J Orthod 2021; 25:43-48. [PMID: 33503124 PMCID: PMC7869800 DOI: 10.1590/2177-6709.25.6.043-048.oar] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Accepted: 09/30/2019] [Indexed: 11/25/2022] Open
Abstract
Objective: To evaluate different concentrations of Galla chinensis
extract (GCE) added to poly(methyl methacrylate) (PMMA), which is widely
used for fabrication of removable orthodontic appliances, regarding the
effectiveness of this herbal extract on antimicrobial effect and flexural
strength of PMMA. Methods: Acrylic resin samples containing 0.4%, 0.8% and 1.6% GCE were prepared.
Flexural strength was investigated via three-point flexural strength test
for the 15 acrylic resin blocks of each concentration. Disk diffusion test
was used to evaluate antibacterial effects of incorporating the same
concentrations of GCE into acrylic resin. All these three groups were
compared with the control group, with no added GCE, regarding flexural
strength and antibacterial properties. Results: Comparison of flexural strength between the three study groups and the
control group showed significant differences between the groups (P=0.018).
However, there was no significant difference between the groups containing
GCE. There were significant differences in antimicrobial activity between
the four groups (P=0.026). Conclusion: Within the limitations of this study, it is suggested that incorporation of
GCE into PMMA would be beneficial for antimicrobial activity and flexural
strength of PMMA, but further studies on other physical properties and
antimicrobial effects on other bacterial strain would be beneficial prior to
clinical investigations.
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Affiliation(s)
- Shabnam Ajami
- Shiraz University of Medical Sciences, Orthodontic Research Center, Dental School (Shiraz, Iran)
| | - Raha Habibagahi
- Shiraz University of Medical Sciences, Orthodontic Research Center, Dental School (Shiraz, Iran)
| | - Reza Khashei
- Shiraz University of Medical Sciences, School of Medicine, Department of Bacteriology and Virology (Shiraz, Iran)
| | - Malihe Soroorian
- Shiraz University of Medical Sciences, Orthodontic Research Center, Dental School (Shiraz, Iran)
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Zafar MS. Prosthodontic Applications of Polymethyl Methacrylate (PMMA): An Update. Polymers (Basel) 2020; 12:E2299. [PMID: 33049984 PMCID: PMC7599472 DOI: 10.3390/polym12102299] [Citation(s) in RCA: 206] [Impact Index Per Article: 51.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2020] [Revised: 10/01/2020] [Accepted: 10/02/2020] [Indexed: 12/16/2022] Open
Abstract
A wide range of polymers are commonly used for various applications in prosthodontics. Polymethyl methacrylate (PMMA) is commonly used for prosthetic dental applications, including the fabrication of artificial teeth, denture bases, dentures, obturators, orthodontic retainers, temporary or provisional crowns, and for the repair of dental prostheses. Additional dental applications of PMMA include occlusal splints, printed or milled casts, dies for treatment planning, and the embedding of tooth specimens for research purposes. The unique properties of PMMA, such as its low density, aesthetics, cost-effectiveness, ease of manipulation, and tailorable physical and mechanical properties, make it a suitable and popular biomaterial for these dental applications. To further improve the properties (thermal properties, water sorption, solubility, impact strength, flexural strength) of PMMA, several chemical modifications and mechanical reinforcement techniques using various types of fibers, nanoparticles, and nanotubes have been reported recently. The present article comprehensively reviews various aspects and properties of PMMA biomaterials, mainly for prosthodontic applications. In addition, recent updates and modifications to enhance the physical and mechanical properties of PMMA are also discussed.
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Affiliation(s)
- Muhammad Sohail Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Al Madinah, Al Munawwarah 41311, Saudi Arabia
- Department of Dental Materials, Islamic International Dental College, Riphah International University, Islamabad 44000, Pakistan
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Cervino G, Cicciù M, Herford AS, Germanà A, Fiorillo L. Biological and Chemo-Physical Features of Denture Resins. MATERIALS (BASEL, SWITZERLAND) 2020; 13:E3350. [PMID: 32731445 PMCID: PMC7435594 DOI: 10.3390/ma13153350] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Revised: 06/30/2020] [Accepted: 07/20/2020] [Indexed: 12/29/2022]
Abstract
In the dental field, the study of materials has always been the basis of the clinical practice. Over the years, with the evolution of materials, it has been possible to produce safe and predictable prosthetic devices, with ever better aesthetic features, biocompatibility and patient satisfaction. This review briefly analyzes the features of dental resin materials to underline the biological, microbiological and chemo-physical characteristics. The main aim of prosthodontics is to rehabilitate patients and therefore improve their quality of life. Dental resins are the main materials used for the production of dentures. Once solidified, these polymers have different mechanical or surface characteristics. The results of the literature on these characteristics were analyzed and some new brand dental resins, known as modern resin, were subsequently evaluated. The new materials are undoubtedly a step forward in the creation of dental prostheses, and also in all subsequent maintenance phases. This review shows how changing the chemical structure of the resins could have microbiological influences on the growth and management of the biofilm, and also physical influences in terms of its mechanical characteristics. The development of new materials is a constant goal in dentistry in order to obtain increasingly predictable rehabilitations.
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Affiliation(s)
- Gabriele Cervino
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Policlinico G. Martino, Via Consolare Valeria, 98100 Messina, Italy; (G.C.); (L.F.)
| | - Marco Cicciù
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Policlinico G. Martino, Via Consolare Valeria, 98100 Messina, Italy; (G.C.); (L.F.)
| | - Alan Scott Herford
- Department of Maxillofacial Surgery, Loma Linda University, Loma Linda, CA 92354, USA;
| | - Antonino Germanà
- Department of Veterinary Sciences, University of Messina, 98122 Messina, Italy;
| | - Luca Fiorillo
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Policlinico G. Martino, Via Consolare Valeria, 98100 Messina, Italy; (G.C.); (L.F.)
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Sujitha K, Bharathi M, Lakshminarayana S, Shareef A, Lavanya B, SivKumar V. Physical Properties of Heat Cure Denture Base Resin after Incorporation of Methacrylic Acid. Contemp Clin Dent 2018; 9:S251-S255. [PMID: 30294153 PMCID: PMC6169284 DOI: 10.4103/ccd.ccd_172_18] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Introduction Heat cure acrylic resins are the most commonly used denture base materials. The important limitation is they may act as reservoir of microorganisms. The adherence of microorganisms can be reduced by chemical modification of the surface charge of denture base resin. Incorporation of methacrylic acid (MA) in the denture base resin gives a negative surface charge. A denture base having a negative surface charge may hinder the initial adhesion of microorganisms through repulsive electrostatic forces. Aims and Objectives The present in vitro study was performed to determine the effect of addition of antimicrobial agent MA on the flexural strength and surface roughness of heat cure denture base resin. Materials and Methods A total of 90 heat cure acrylic specimens were prepared. Of 90 specimens, 30 were prepared as Group I control group without addition of MA. Groups II and III specimens were prepared by adding 10% and 20% MA, respectively. Using universal testing machine and surface roughness tester, flexural strength and surface roughness of specimens measured. Results In the present study, decrease in the flexural strength was observed when the concentration of the MA increased in the denture base resin. A slight increase in the surface roughness was observed as the concentration of MA increased.
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Affiliation(s)
- Kotha Sujitha
- Department of Prosthodontics and Crown and Bridge, SJM Dental College Sciences and Hospital, Chitradurga, Karnataka, India
| | - M Bharathi
- Department of Prosthodontics and Crown and Bridge, G Pulla Reddy Dental College and Hospital, Kurnool, Andhra Pradesh, India
| | - S Lakshminarayana
- Department of Prosthodontics and Crown and Bridge, G Pulla Reddy Dental College and Hospital, Kurnool, Andhra Pradesh, India
| | - Afsar Shareef
- Department of Prosthodontics and Crown and Bridge, G Pulla Reddy Dental College and Hospital, Kurnool, Andhra Pradesh, India
| | - B Lavanya
- Department of Prosthodontics and Crown and Bridge, G Pulla Reddy Dental College and Hospital, Kurnool, Andhra Pradesh, India
| | - V SivKumar
- Department of Prosthodontics and Crown and Bridge, G Pulla Reddy Dental College and Hospital, Kurnool, Andhra Pradesh, India
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Gad MM, Al-Thobity AM, Fouda SM, Näpänkangas R, Raustia A. Flexural and Surface Properties of PMMA Denture Base Material Modified with Thymoquinone as an Antifungal Agent. J Prosthodont 2018; 29:243-250. [PMID: 30178899 DOI: 10.1111/jopr.12967] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/27/2018] [Indexed: 12/01/2022] Open
Abstract
PURPOSE To evaluate the effect of addition of different concentrations of thymoquinone (TQ) on the flexural strength, elastic modulus, surface roughness, and hardness of PMMA denture base material. MATERIALS AND METHODS A total of 160 rectangular specimens were prepared from heat-polymerized acrylic resin, with dimensions of 65 × 10 × 2.5 mm3 for flexural strength testing and 10 × 20 × 3 mm3 for surface property testing. The specimens were divided into eight groups of 20 specimens: one control group without addition of TQ and seven test groups prepared by adding TQ to acrylic powder in concentrations of 0.5, 1, 1.5, 2, 2.5, 3, and 5 wt%. The polymer was added to the monomer before being mixed, packed, and processed using the conventional water bath method. A universal testing machine was used to measure flexural strength and elastic modulus. A profilometer and a Vickers hardness tester were used to measure surface roughness and hardness, respectively. One-way ANOVA and the Tukey-Kramer multiple-comparison test were used for statistical analysis, with statistical significance at p ≤ 0.05. RESULTS Addition of TQ to PMMA denture base material significantly decreased flexural strength and elastic modulus at high concentrations (p < 0.01), while no significant differences were observed at low concentrations (0.5%, 1% TQ) in comparison with the control group. At high TQ concentrations, surface roughness increased while hardness decreased (p < 0.0001), and no significant differences were observed at low concentrations (0.5%, 1% TQ) in comparison with the control group. The most favorable addition values were 0.5% and 1% TQ in all TQ groups. CONCLUSIONS Addition of TQ did not affect the flexural and surface properties of PMMA denture base material at low concentrations (0.5%, 1% TQ) and could be incorporated into PMMA denture base material as an antifungal agent.
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Affiliation(s)
- Mohammed M Gad
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Ahmad M Al-Thobity
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Shaimaa M Fouda
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Ritva Näpänkangas
- Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu, Oulu, Finland.,Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - Aune Raustia
- Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu, Oulu, Finland.,Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland
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7
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Antimicrobial Effect of Titanium Hydroxyapatite in Denture Base Resin. APPLIED SCIENCES-BASEL 2018. [DOI: 10.3390/app8060963] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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8
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ZHANG Y, CHEN Y, HU Y, HUANG F, XIAO Y. Quaternary ammonium compounds in dental restorative materials. Dent Mater J 2018; 37:183-191. [DOI: 10.4012/dmj.2017-096] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Yu ZHANG
- The Affiliated Stomatological Hospital of Kunming Medical University
| | - Yinyan CHEN
- Department of Stomatology, Kunming General Hospital of Chengdu Military Command, Teaching Hospital of Kunming Medical University
- Kunming Municipal Stomatological Hospital
| | - Yuntong HU
- Department of Stomatology, Kunming General Hospital of Chengdu Military Command, Teaching Hospital of Kunming Medical University
| | - Fang HUANG
- Department of Stomatology, Kunming General Hospital of Chengdu Military Command, Teaching Hospital of Kunming Medical University
| | - Yuhong XIAO
- Department of Stomatology, Kunming General Hospital of Chengdu Military Command, Teaching Hospital of Kunming Medical University
- Center for Dental Research, School of Dentistry, Loma Linda University
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9
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Mirizadeh A, Atai M, Ebrahimi S. Fabrication of denture base materials with antimicrobial properties. J Prosthet Dent 2017; 119:292-298. [PMID: 28552288 DOI: 10.1016/j.prosdent.2017.03.011] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2016] [Revised: 03/12/2017] [Accepted: 03/13/2017] [Indexed: 01/13/2023]
Abstract
STATEMENT OF PROBLEM Acrylic resin denture base resins are colonized by oral and nonoral bacteria and Candida species. This reservoir of microorganism causes denture stomatitis, which can be implicated in some life-threating infections in older denture wearers. PURPOSE The purpose of this in vitro study was to incorporate quaternized N,N-dimethylaminoethyl methacrylate (DMAEMA) monomer into a denture base resin and investigate its antimicrobial and mechanical properties. MATERIAL AND METHODS Quaternized ammonium monomer (QAM) was synthesized through the reaction of octyl bromide and DMAEMA. The synthesized QAM was incorporated into a denture base resin system (8 to 12 wt%). The resulting material was characterized by Fourier transform infrared spectroscopy. The in vitro antimicrobial property was determined by direct contact test against Escherichia coli, Staphylococcus aureus, and Candida albicans. Release of the QAM was also tested by means of an agar diffusion test. Mechanical properties were measured with a 3-point bend test, and results were analyzed and compared using ANOVA and the Tukey post hoc test (α=.05). RESULTS Spectroscopy confirmed the formation of quaternized ammonium modified denture base (QAMDB). The decrease in number of viable cells of E coli, S aureus, and C albicans was more than 99% for 12%-QAMDB in comparison with that of the control groups. An overall decline was observed in the flexural strength and flexural modulus of the fabricated resins (P<.05), but no differences were observed for strain at break or fracture work of the specimens (P>.05). CONCLUSIONS Denture base resins containing immobilized QAM provided high antibacterial activity, but the flexural strength and flexural modulus of the denture base resins decreased.
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Affiliation(s)
- Aysan Mirizadeh
- Doctoral student, Department of Chemical Engineering, North Tehran Branch, Islamic Azad University, Tehran, Iran
| | - Mohammad Atai
- Full Professor, Iran Polymer and Petrochemical Institute, Tehran, Iran.
| | - Sirous Ebrahimi
- Associate Professor, Faculty of Chemical Engineering, Biotechnology Research Center, Sahand University of Technology, Tabriz, Iran
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10
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Zhang Y, Chen YY, Huang L, Chai ZG, Shen LJ, Xiao YH. The antifungal effects and mechanical properties of silver bromide/cationic polymer nano-composite-modified Poly-methyl methacrylate-based dental resin. Sci Rep 2017; 7:1547. [PMID: 28484255 PMCID: PMC5431568 DOI: 10.1038/s41598-017-01686-4] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2016] [Accepted: 03/31/2017] [Indexed: 11/09/2022] Open
Abstract
Poly-methyl methacrylate (PMMA)-based dental resins with strong and long-lasting antifungal properties are critical for the prevention of denture stomatitis. This study evaluated the antifungal effects on Candida albicans ATCC90028, the cytotoxicity toward human dental pulp cells (HDPCs), and the mechanical properties of a silver bromide/cationic polymer nano-composite (AgBr/NPVP)-modified PMMA-based dental resin. AgBr/NPVP was added to the PMMA resin at 0.1, 0.2, and 0.3 wt%, and PMMA resin without AgBr/NPVP served as the control. Fungal growth was inhibited on the AgBr/NPVP-modified PMMA resin compared to the control (P < 0.05), and the antifungal activity increased as the incorporation of the AgBr/NPVP antimicrobial composite increased. Confocal laser scanning microscopy (CLSM) showed that the number of fungal cells attached to the modified PMMA resin was considerably lower than in the control. The relative growth rate of HDPCs of modified groups were higher than 75%. The flexural strength (FS) and flexural modulus (FM) were not significantly different (P > 0.05) between the experimental and control groups. These data indicate that the incorporation of AgBr/NPVP conferred strong and long-lasting antifungal effects against Candida albicans to the PMMA resin, and it has low toxicity toward HDPCs, and its mechanical properties were not significantly affected.
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Affiliation(s)
- Yu Zhang
- Department of Stomatology, Kunming General Hospital of Chengdu Military Command, Teaching Hospital of Kunming Medical University, Kunming, Yunnan, China
| | - Yin-Yan Chen
- Department of Stomatology, Kunming General Hospital of Chengdu Military Command, Teaching Hospital of Kunming Medical University, Kunming, Yunnan, China
| | - Li Huang
- State Key Laboratory of Military Stomatology & National Clinical Research Centre for Oral Diseases & Shaanxi key Laboratory of Stomatology, Department of Prosthodontics, School of Stomatology, Fourth Military Medical University, Xi'an, Shaanxi, China
| | - Zhi-Guo Chai
- State Key Laboratory of Military Stomatology & National Clinical Research Centre for Oral Diseases & Shaanxi key Laboratory of Stomatology, Department of Prosthodontics, School of Stomatology, Fourth Military Medical University, Xi'an, Shaanxi, China
| | - Li-Juan Shen
- State Key Laboratory of Military Stomatology & National Clinical Research Centre for Oral Diseases & Shaanxi key Laboratory of Stomatology, Department of Prosthodontics, School of Stomatology, Fourth Military Medical University, Xi'an, Shaanxi, China
| | - Yu-Hong Xiao
- Department of Stomatology, Kunming General Hospital of Chengdu Military Command, Teaching Hospital of Kunming Medical University, Kunming, Yunnan, China. .,Center for Dental Research, School of dentistry, Loma Linda University, Loma Linda, California, USA.
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11
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Chen H, Han Q, Zhou X, Zhang K, Wang S, Xu HHK, Weir MD, Feng M, Li M, Peng X, Ren B, Cheng L. Heat-Polymerized Resin Containing Dimethylaminododecyl Methacrylate Inhibits Candida albicans Biofilm. MATERIALS 2017; 10:ma10040431. [PMID: 28772791 PMCID: PMC5507000 DOI: 10.3390/ma10040431] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/29/2016] [Revised: 04/14/2017] [Accepted: 04/14/2017] [Indexed: 02/05/2023]
Abstract
The prevalence of stomatitis, especially caused by Candida albicans, has highlighted the need of new antifungal denture materials. This study aimed to develop an antifungal heat-curing resin containing quaternary ammonium monomer (dimethylaminododecyl methacrylate, DMADDM), and evaluate its physical performance and antifungal properties. The discs were prepared by incorporating DMADDM into the polymer liquid of a methyl methacrylate-based, heat-polymerizing resin at 0% (control), 5%, 10%, and 20% (w/w). Flexure strength, bond quality, surface charge density, and surface roughness were measured to evaluate the physical properties of resin. The specimens were incubated with C. albicans solution in medium to form biofilms. Then Colony-Forming Units, XTT assay, and scanning electron microscope were used to evaluate antifungal effect of DMADDM-modified resin. DMADDM modified acrylic resin had no effect on the flexural strength, bond quality, and surface roughness, but it increased the surface charge density significantly. Meanwhile, this new resin inhibited the C. albicans biofilm significantly according to the XTT assay and CFU counting. The hyphae in C. albicans biofilm also reduced in DMADDM-containing groups observed by SEM. DMADDM modified acrylic resin was effective in the inhibition of C. albicans biofilm with good physical properties.
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Affiliation(s)
- Hui Chen
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, China.
- Department of Operative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
- Department of Preventive Dentistry, Stomatological Hospital of Chongqing Medical University, Chongqing 401147, China.
| | - Qi Han
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, China.
| | - Xuedong Zhou
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, China.
- Department of Operative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
| | - Keke Zhang
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, China.
| | - Suping Wang
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, China.
- Department of Operative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
| | - Hockin H K Xu
- Biomaterials & Tissue Engineering Division, Department of Endodontics, Prosthodontics and Operative Dentistry, University of Maryland Dental School, Baltimore, MD 21201, USA.
| | - Michael D Weir
- Biomaterials & Tissue Engineering Division, Department of Endodontics, Prosthodontics and Operative Dentistry, University of Maryland Dental School, Baltimore, MD 21201, USA.
| | - Mingye Feng
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, China.
| | - Mingyun Li
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, China.
| | - Xian Peng
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, China.
| | - Biao Ren
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, China.
| | - Lei Cheng
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, China.
- Department of Operative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
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Sawada T, Sawada T, Kumasaka T, Hamada N, Shibata T, Nonami T, Kimoto K. Self-cleaning effects of acrylic resin containing fluoridated apatite-coated titanium dioxide. Gerodontology 2013; 31:68-75. [DOI: 10.1111/ger.12052] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/12/2013] [Indexed: 12/01/2022]
Affiliation(s)
- Tomofumi Sawada
- Division of Fixed Prosthodontics; Department of Oral and Maxillofacial Rehabilitation; Kanagawa Dental College; Yokosuka Japan
| | - Tomoji Sawada
- Division of Fixed Prosthodontics; Department of Oral and Maxillofacial Rehabilitation; Kanagawa Dental College; Yokosuka Japan
| | - Tomonari Kumasaka
- Division of Fixed Prosthodontics; Department of Oral and Maxillofacial Rehabilitation; Kanagawa Dental College; Yokosuka Japan
| | - Nobushiro Hamada
- Division of Microbiology; Department of Infection Control; Kanagawa Dental College; Yokosuka Japan
| | - Takeshi Shibata
- Division of Fixed Prosthodontics; Department of Oral and Maxillofacial Rehabilitation; Kanagawa Dental College; Yokosuka Japan
| | - Toru Nonami
- School of Life System Science and Technology; Chukyo University; Toyota Japan
| | - Katsuhiko Kimoto
- Division of Fixed Prosthodontics; Department of Oral and Maxillofacial Rehabilitation; Kanagawa Dental College; Yokosuka Japan
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13
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Sodagar A, Bahador A, Khalil S, Shahroudi AS, Kassaee MZ. The effect of TiO2 and SiO2 nanoparticles on flexural strength of poly (methyl methacrylate) acrylic resins. J Prosthodont Res 2012. [PMID: 23200530 DOI: 10.1016/j.jpor.2012.05.001] [Citation(s) in RCA: 75] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PURPOSE TiO(2) and SiO(2) nanoparticles are products of nanotechnology which have been incorporated to acrylic resins (AR) in order to induce antimicrobial properties. However, as additives they can affect the mechanical properties of the final product. The aim of this study was to survey the effects of TiO(2) and SiO(2) nanoparticles on flexural strength (Fs) of poly (methyl methacrylate) acrylic resins. METHODS Acrylic specimens (Selecta Plus) in size of 5×10 (±0.2)×3.3 (±0.2)mm were prepared and divided into 7 groups: AR containing nanoTiO(2), SiO(2) and TiO(2) with SiO(2) in two concentration of 1% and 0.5%, in addition to a control group. To prepare nano AR, nanoparticles were added to the monomer. All specimens were stored in 37°C distilled water and underwent Fs test by universal testing machine (Zwick). RESULTS The maximum mean flexural strength (43.5 MPa) belongs to the control group and AR containing 0.5% of both TiO(2) and SiO(2) demonstrated the minimum mean Fs (30.1 MPa). Resins contained TiO(2), demonstrated lower values of Fs than those contained SiO(2) with the same concentration, but the differences were not significant (P>0.05). CONCLUSION Incorporation of TiO(2) and SiO(2) nanoparticles into acrylic resins can adversely affect the flexural strength of the final products, and this effect is directly correlated with the concentration of nanoparticles.
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Affiliation(s)
- Ahmad Sodagar
- Department of Orthodontics, Faculty of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
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Altarawneh S, Bencharit S, Mendoza L, Curran A, Barrow D, Barros S, Preisser J, Loewy ZG, Gendreau L, Offenbacher S. Clinical and histological findings of denture stomatitis as related to intraoral colonization patterns of Candida albicans, salivary flow, and dry mouth. J Prosthodont 2012; 22:13-22. [PMID: 23107189 DOI: 10.1111/j.1532-849x.2012.00906.x] [Citation(s) in RCA: 59] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
PURPOSE Multifactorial etiological factors contribute to denture stomatitis (DS), a type of oral candidiasis; however, unlike other oral candidiasis, DS can occur in a healthy person wearing a denture. In this study, we therefore attempt to explore the association between candida, denture, and mucosal tissue using (1) exfoliative cytology, (2) the candidal levels present in saliva, on mucosal tissues and on denture surfaces, and (3) the salivary flow rate and xerostomic symptoms. MATERIALS AND METHODS A cross-sectional study enrolled 32 edentulous participants, 17 without DS as controls and 15 with DS (Newton's classification type II and III). Participants with systemic or other known oral conditions were excluded. Participants completed a xerostomia questionnaire, and salivary flow rates were measured. Samples of unstimulated whole saliva (UWS) and stimulated whole saliva (SWS) were collected. UWS was used for fungal culturing. Periodic acid-Schiff (PAS) stain and quantitative exfoliative cytology were performed on samples from affected and unaffected mucosa from each participant. Levels of Candida species (albicans and non-albicans) were determined in salivary samples (expressed as colony-forming units, CFU), as well as from swab samples obtained from denture fitting surfaces, in addition to affected and unaffected mucosa. RESULTS There were no significant differences in salivary flow rates, mucosal wetness, or frequency of reported dry mouth comparing participants with and without DS. Exfoliative cytology of mucosal smears demonstrated significantly higher (p= 0.02) inflammatory cell counts in DS patients, as compared with smears of healthy denture-wearers. Candida albicans was significantly more prevalent in saliva (p= 0.03) and on denture surfaces (p= 0.002) of DS participants, whereas mucosal candidal counts and the presence of cytological hyphae did not show significant difference comparing DS to healthy participants. CONCLUSIONS In this investigation, we presented a unique group of healthy edentulous patients. This population may reflect the general DS population without systemic or other oral diseases. The prominent etiological factor for DS in this population is the presence of candida in denture and saliva. We found that other factors such as saliva flow/xerostomia, fitting of the denture, and the presence of candida in the mucosa, are less important in this population. Therefore, DS treatments in healthy patients should first focus on sanitization of an existing denture and/or fabrication of a new denture.
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Affiliation(s)
- Sandra Altarawneh
- Department of Prosthdontics, University of North Carolina School of Dentistry, Chapel Hill, NC 27599, USA.
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15
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Regis RR, Della Vecchia MP, Pizzolitto AC, Compagnoni MA, Souza PPC, de Souza RF. Antimicrobial properties and cytotoxicity of an antimicrobial monomer for application in prosthodontics. J Prosthodont 2012; 21:283-90. [PMID: 22339776 DOI: 10.1111/j.1532-849x.2011.00815.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
PURPOSE This study aimed to investigate the antimicrobial properties and cytotoxicity of the monomer methacryloyloxyundecylpyridinium bromide (MUPB), an antiseptic agent capable of copolymerizing with denture base acrylic resins. MATERIALS AND METHODS The antimicrobial activity of MUPB was tested against the species Candida albicans, Candida dubliniensis, Candida glabrata, Lactobacillus casei, Staphylococcus aureus, and Streptococcus mutans. The minimum inhibitory and fungicidal/bactericidal concentrations (MIC, MFC/MBC) of MUPB were determined by serial dilutions in comparison with cetylpyridinium chloride (CPC). The cytotoxic effects of MUPB at concentrations ranging from 0.01 to 1 g/L were assessed by MTT test on L929 cells and compared with methyl methacrylate (MMA). The antimicrobial activity of copolymerized MUPB was tested by means of acrylic resin specimens containing three concentrations of the monomer (0, 0.3, 0.6% w/w). Activity was quantified by means of a disc diffusion test and a quantification of adhered planktonic cells. Statistical analysis employed the Mann-Whitney test for MIC and MFC/MBC, and ANOVA for the microbial adherence test (α = 0.05). RESULTS MUBP presented lower MIC values when compared with CPC, although differences were significant for C. dubliniensis and S. mutans only (p= 0.046 and 0.043, respectively). MFC/MBC values were similar for all species except C. albicans; in that case, MUPB presented significantly higher values (p = 0.046). MUPB presented higher cytotoxicity than MMA for all tested concentrations (p < 0.001) except at 0.01 g/L. Irrespective of the concentration incorporated and species, there was no inhibition halo around the specimens. The incorporation of MUPB influenced the adhesion of C. albicans only (p = 0.003), with lower CFU counts for the 0.6% group. CONCLUSIONS It was concluded that non-polymerized MUPB has an antimicrobial capacity close to that of CPC and high cytotoxicity when compared with MMA. The antimicrobial activity of MUPB after incorporation within a denture base acrylic resin did not depend on its elution, but was shown to be restricted to C. albicans.
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Affiliation(s)
- Rômulo Rocha Regis
- Department of Dental Materials and Prosthodontics, Ribeirão Preto Dental School, University of São Paulo, Ribeirão Preto, Brazil.
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Paleari AG, Marra J, Pero AC, Rodriguez LS, Ruvolo-Filho A, Compagnoni MA. Effect of incorporation of 2-tert-butylaminoethyl methacrylate on flexural strength of a denture base acrylic resin. J Appl Oral Sci 2011; 19:195-9. [PMID: 21625732 PMCID: PMC4234328 DOI: 10.1590/s1678-77572011000300003] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2009] [Accepted: 02/16/2010] [Indexed: 11/22/2022] Open
Abstract
UNLABELLED Polymethyl methacrylate (PMMA) resins have commonly been used as a denture base material. However, denture bases may act as a reservoir for microorganisms and contribute to oral diseases in denture wearers. It is hypothesized that the 2-tert-butylaminoethyl methacrylate (TBAEMA) incorporated to acrylic resins should have antimicrobial activity related to the presence of amino groups on acrylic resin surface. OBJECTIVES The objectives of this study were to evaluate the presence of amino groups on acrylic resin surface and the influence on flexural strength after incorporation of TBAEMA. MATERIAL AND METHODS Six groups were divided according to the concentration of TBAEMA incorporated to acrylic resin (Lucitone 550): 0, 0.5, 1.0, 1.5, 1.75 and 2%. Specimens surface were evaluated by Electron Spectroscopy for Chemical Analysis (ESCA) to detect the presence of amino groups, represented by nitrogen ratios. Flexural strength of the specimens was tested and results were analyzed by ANOVA and Tukey's test (α=0.05). RESULTS Different nitrogen ratios were observed on specimen surfaces: 0, 0.13, 0.74, 0.66, 0.92 and 0.33% for groups 0, 0.5, 1.0, 1.5, 1.75, and 2%, respectively. Significant differences were found for flexural strength (p<0.001). The mean flexural strength values were 98.3±3.9, 93.3±3.2, 83.9±2.1, 82.8±5.2, 71.2±5.1 and 17.3±3.2 MPa for groups 0, 0.5, 1.0, 1.5, 1.75, and 2%, respectively. CONCLUSION Within the limitations of this study, the incorporation of TBAEMA results in the presence of the potentially antimicrobial amino groups on specimen surfaces, but affect the flexural strength, depending on the concentration of TBAEMA.
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Affiliation(s)
- André Gustavo Paleari
- Department of Dental Materials and Prosthodontics, Araraquara Dental School, São Paulo State University, Araraquara, SP, Brazil
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17
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Inhibition of Virulence Factors of Candida spp. by Different Surfactants. Mycopathologia 2010; 171:93-101. [DOI: 10.1007/s11046-010-9351-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2009] [Accepted: 07/20/2010] [Indexed: 01/09/2023]
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Dhir G, Berzins DW, Dhuru VB, Periathamby AR, Dentino A. Physical properties of denture base resins potentially resistant to Candida adhesion. J Prosthodont 2007; 16:465-72. [PMID: 17672838 PMCID: PMC2267395 DOI: 10.1111/j.1532-849x.2007.00219.x] [Citation(s) in RCA: 57] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
PURPOSE The addition of anionic charge on denture base resins has been shown to inhibit Candida albicans adhesion and to facilitate adsorption of salivary defense molecules. The aim of this study was to evaluate the physical properties of a modified denture base resin for denture fabrication. MATERIALS AND METHODS Specimens made from heat polymerizing resin Lucitone 199 were used as the control group. The two experimental groups, E-10 and E-20, had 10% and 20%, respectively, of the monomer substituted with an experimental phosphate-containing monomer. Flexural strength and modulus, water sorption, solubility, and color stability tests were conducted to ensure compliance with ADA specification No. 12. Water diffusion coefficient into the resins and stainability were also assessed. ANOVA and Scheffé tests were performed for statistical significance. RESULTS There was an overall decline in all properties with the addition of the experimental phosphate compound. The flexural strength and modulus, water sorption and solubility for E-10, as well as the control were, however, within the ADA specifications. The diffusion coefficients were significantly different (p < 0.05) for the three groups. Staining and color specimens showed no significant difference (p > 0.05) among the three groups. CONCLUSIONS Within the limitations of this study, the physical properties of the phosphate denture base resin at 10% should be suitable for denture fabrication based on the properties assessed.
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Affiliation(s)
- Gunjan Dhir
- Tufts University School of Dental Medicine, Department of Prosthodontics and Operative Dentistry, Boston, MA
| | - David W. Berzins
- Department of General Dental Sciences, Marquette University School of Dentistry, Milwaukee, WI
| | - Virendra B. Dhuru
- Department of General Dental Sciences, Marquette University School of Dentistry, Milwaukee, WI
| | - A. Raj Periathamby
- Department of Surgical Sciences, Marquette University School of Dentistry, Milwaukee, WI
| | - Andrew Dentino
- Department of Surgical Sciences, Marquette University School of Dentistry, Milwaukee, WI
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Shibata T, Hamada N, Kimoto K, Sawada T, Sawada T, Kumada H, Umemoto T, Toyoda M. Antifungal Effect of Acrylic Resin Containing Apatite-coated TiO2 Photocatalyst. Dent Mater J 2007; 26:437-44. [PMID: 17694755 DOI: 10.4012/dmj.26.437] [Citation(s) in RCA: 48] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The purpose of this study was to develop an acrylic resin with antifungal properties by leveraging the photocatalytic activity of apatite-coated titanium dioxide (Ap-TiO2). Candida albicans was used for antifungal activity assay of the specimen plates under ultraviolet A (UVA) with a black light source. Statistically significant decreases in cell viability in acrylic resins containing 5 wt% and 10 wt% Ap-TiO2 were observed after irradiation for two, four, and six hours (P<0.01), when compared to the control. As for the flexural strength and modulus values of acrylic resins mixed with Ap-TiO2 and TiO2 particles, they varied before and after irradiation. Among the tested specimens, a 5 wt% content of Ap-TiO2 in acrylic resin exceeded the requirements of ISO 1567. It was thus suggested that acrylic resin containing 5 wt% Ap-TiO2 could exert antifungal effects on C. albicans, while at the same time maintain adequate mechanical properties for clinical use.
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Affiliation(s)
- Takeshi Shibata
- Division of Prosthetics, Department of Oral and Maxillofacial Rehabilitation, Kanagawa Dental College, 82 Inaoka-cho, Yokosuka-shi, Kanagawa 238-8580, Japan.
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Pesci-Bardon C, Fosse T, Serre D, Madinier I. In vitro antiseptic properties of an ammonium compound combined with denture base acrylic resin. Gerodontology 2006; 23:111-6. [PMID: 16677185 DOI: 10.1111/j.1741-2358.2006.00088.x] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Denture base acrylic resin is easily colonised by oral endogenous bacteria and Candida spp., and eventually by extra-oral species such as Staphylococcus spp., Pseudomonadaceae or members of Enterobacteriaceae. This microbial reservoir can be responsive for denture related stomatitis and aspiration pneumonia, a life-threatening infection especially in geriatric patients. However, the oral and denture hygiene of dependent elderly individuals is extremely poor. OBJECTIVE This in vitro study aimed to determine the per cent of a quaternary ammonium compound heat-polymerised in acrylic resin necessary to obtain denture base displaying antiseptic properties. DESIGN Acrylic resin discs containing 2-50% ammonium polymer (Poly 202063A; 0% control) were soaked in artificial saliva for 4 weeks. Resin discs were incubated for 24 hours with Escherichia coli, Staphylococcus aureus, Pseudomonas aeruginosa [37 degrees C, brain-heart infusion (BHI) broth and phosphate-buffered saline (PBS) buffer] and Candida albicans (30 degrees C, Schaedler broth), in 15 ml (168 discs) and 600 microl (168 discs) of inoculum. Microbial growth was verified at t 0 hours and t 24 hours. Data were recorded as the mean of three colony forming unit (CFU) numerations. The borderline of antimicrobial effect was determined at 0.1% viable cells. RESULTS In 600 microl of PBS inoculum, resin specimens had a bactericidal effect (E. coli and S. aureus: 2%; P. aeruginosa: 10%) and a fungicidal effect (C. albicans: 50%). Long-term stability and toxicity in vivo studies are now required. CONCLUSION A 2% quaternary ammonium compound polymerised with a denture acrylic resin displayed antiseptic properties after a 4-week soaking period in artificial saliva. Such antiseptic denture base could help geriatric patients to improve their oral health.
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Affiliation(s)
- C Pesci-Bardon
- Department of Odontology, University Hospital, Nice, France.
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