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Anitha KV, Krishnan R. Evaluation of flexural strength and microhardness in Vaccinium macrocarpon (cranberry)-added self-cure polymethyl methacrylate dental resin: An in vitro study. J Indian Prosthodont Soc 2024; 24:266-272. [PMID: 38946510 DOI: 10.4103/jips.jips_25_24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2024] [Accepted: 05/28/2024] [Indexed: 07/02/2024] Open
Abstract
AIM Occurrence of denture stomatitis and prosthesis breakage are common problems faced by elderly people wearing removable dentures. To overcome this, several attempts are made to improve the denture material by addition of antimicrobials without compromising original properties. The aim of the study was to evaluate flexural strength and microhardness of self-cured polymethyl methacrylate (PMMA) denture base resin after addition of Vaccinium macrocarpon (commonly called as cranberry), extract as antimicrobial, at varying proportions. STUDY SETTING AND DESIGN Experimental in vitro study. MATERIALS AND METHODS Frozen cranberry fruits were subjected to extraction process in the presence of aqueous solvents. Lyophilized extract was added in proportions of 0, 0.5, 1.0, 1.5, and 2.0 dry wt/wt % into polymer of self-cure PMMA denture base resin. Based on cranberry inclusion, the study comprised one control (0%) and four test groups (0.5%-2%) with total of 100 samples. A three-point bending test for flexural strength was done for fifty study samples (n = 10). Surface of fractured samples was analyzed using a scanning electron microscope (SEM). Microhardness was determined using Vickers hardness test. STATISTICAL ANALYSIS USED One-way statistical ANOVA test was done to find the difference between groups, followed by Tukey's post hoc test for multiple pairwise comparison. RESULTS Flexural strength ranged from 66.80 to 69.28 MPa, and a statistically insignificant difference was observed between groups (P > 0.05). SEM evaluation showed uniformly dispersed strands of cranberry extract in PMMA matrix. With higher concentration, less voids were seen. Vickers microhardness value significantly decreased from 15.96 in the control group to 14.57 with 2% cranberry addition (P < 0.05). CONCLUSION Incorporation of cranberry extract into self-cure PMMA denture base resin, up to 2 dry wt %, did not decline the flexural strength. However, there was a significant decrease in Vickers microhardness values when compared against the control group (0% cranberry inclusion).
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Affiliation(s)
- K V Anitha
- Department of Prosthodontics and SRM Dental College, Chennai, Tamil Nadu, India
| | - Rajkumar Krishnan
- Department of Oral Pathology, SRM Dental College, Chennai, Tamil Nadu, India
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Lee J, Park HK, Hwang GW, Kang GR, Choi YS, Pang C. Highly Adaptive Kirigami-Metastructure Adhesive with Vertically Self-Aligning Octopus-like 3D Suction Cups for Efficient Wet Adhesion to Complexly Curved Surfaces. ACS APPLIED MATERIALS & INTERFACES 2024. [PMID: 38949691 DOI: 10.1021/acsami.4c03363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/02/2024]
Abstract
An essential requirement for biomedical devices is the capability of conformal adaptability on diverse irregular 3D (three-dimensional) nonflat surfaces in the human body that may be covered with liquids such as mucus or sweat. However, the development of reversible adhesive interface materials for biodevices that function on complex biological surfaces is challenging due to the wet, slippery, smooth, and curved surface properties. Herein, we present an ultra-adaptive bioadhesive for irregular 3D oral cavities covered with saliva by integrating a kirigami-metastructure and vertically self-aligning suction cups. The flared suction cup, inspired by octopus tentacles, allows adhesion to moist surfaces. Additionally, the kirigami-based auxetic metastructure with a negative Poisson's ratio relieves the stress caused by tensile strain, thereby mitigating the stress caused by curved surfaces and enabling conformal contact with the surface. As a result, the adhesive strength of the proposed auxetic adhesive is twice that of adhesives with a flat backbone on highly curved porcine palates. For potential application, the proposed auxetic adhesive is mounted on a denture and performs successfully in human subject feasibility evaluations. An integrated design of these two structures may provide functionality and potential for biomedical applications.
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Affiliation(s)
- Jihyun Lee
- School of Chemical Engineering, Sungkyunkwan University (SKKU), 2066 Seobu-ro, Jangan-gu, Suwon 16419, Republic of Korea
| | - Hyoung-Ki Park
- School of Chemical Engineering, Sungkyunkwan University (SKKU), 2066 Seobu-ro, Jangan-gu, Suwon 16419, Republic of Korea
| | - Gui Won Hwang
- School of Chemical Engineering, Sungkyunkwan University (SKKU), 2066 Seobu-ro, Jangan-gu, Suwon 16419, Republic of Korea
| | - Gyun Ro Kang
- School of Chemical Engineering, Sungkyunkwan University (SKKU), 2066 Seobu-ro, Jangan-gu, Suwon 16419, Republic of Korea
| | - Yoon Seok Choi
- Department of Internal Medicine, Korea University College of Medicine, 73 Goryeodae-ro, Seongbuk-gu, Seoul 02841, Republic of Korea
| | - Changhyun Pang
- School of Chemical Engineering, Sungkyunkwan University (SKKU), 2066 Seobu-ro, Jangan-gu, Suwon 16419, Republic of Korea
- Samsung Advanced Institute for Health Science & Technology (SAIHST), Sungkyunkwan University (SKKU), 2066 Seobu-ro, Jangan-gu, Suwon 16419, Republic of Korea
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Abdul-Monem MM, Hanno KI. Effect of thermocycling on surface topography and fracture toughness of milled and additively manufactured denture base materials: an in-vitro study. BMC Oral Health 2024; 24:267. [PMID: 38395828 PMCID: PMC10885363 DOI: 10.1186/s12903-024-03991-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Accepted: 02/06/2024] [Indexed: 02/25/2024] Open
Abstract
BACKGROUND Studies investigating thermocycling effect on surface topography and fracture toughness of resins used in digitally manufactured denture bases are few. The study aimed to assess the impact of thermocycling on surface topography and fracture toughness of materials used for digitally manufactured denture bases. METHODS Water sorption, solubility, hardness, surface roughness, and fracture toughness of both three-dimensional (3D)-printed and computer-aided design, computer-aided manufacturing (CAD-CAM) milled specimens (n = 50) were assessed both prior to and following 2000 thermocycles, simulating 2 years of clinical aging. Surface hardness (n = 10) was measured using a Vickers hardness testing machine, surface roughness (n = 10) was determined by a contact profilometer, and fracture toughness (n = 20) was measured using the 3-point bend test, then studying the fractured surfaces was done via a scanning electron microscope (SEM). Prior to and following thermocycling, water sorption and solubility (n = 10) were assessed. Normally distributed data was tested using two-way repeated ANOVA and two-way ANOVA, while Mann Whitney U test and the Wilcoxon signed ranks test were used to analyze data that was not normally distributed (α < 0.05). RESULTS Following thermocycling, Vickers hardness and fracture toughness of both groups declined, with a significant reduction in values of the 3D-printed resin (P < .001). The 3D-printed denture base resins had a rougher surface following thermocycling with a significant difference (P < .001). The sorption and solubility of water of both materials were not affected by thermocycling. CONCLUSIONS Before and after thermocycling, milled specimens had lower surface roughness and a greater degree of hardness and fracture toughness than 3D-printed specimens. Thermocycling lowered hardness and fracture toughness, and increased surface roughness in both groups, but had no effect on water sorption and solubility.
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Affiliation(s)
- Mohamed M Abdul-Monem
- Department of Dental Biomaterials, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt
- Division of Dental Biomaterials, Department of Prosthodontics, Faculty of Dentistry, Alamein International University, Alamein, Egypt
| | - Kenda I Hanno
- Department of Prosthodontics, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt.
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AL‐Jmmal AY, Mohammed NZ, AL‐kateb HM. The effect of aging on hardness of heat cured denture base resin modified with recycled acrylic resin. Clin Exp Dent Res 2024; 10:e828. [PMID: 38345482 PMCID: PMC10847626 DOI: 10.1002/cre2.828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2023] [Revised: 12/01/2023] [Accepted: 12/09/2023] [Indexed: 02/15/2024] Open
Abstract
BACKGROUND The second rule of the 4Rs concept (Reduce, Reuse, Recycle, and Recover) was applied in this study using recycled acrylic resin to improve the hardness and study the effect of aging on the hardness of heat cured denture base resins. METHOD Forty heat-cured acrylic resin samples were prepared and divided into control and modified groups. The hardness was tested using a type D durometer hardness tester for evaluating the effect of the thermal aging process on the hardness in the control and modified groups. The samples were either subjected to thermal aging (the specimens thermo-cycled 10 cycles per day between 55°C and 5°C with a 30-s dwell time) or were not. RESULTS The mean difference in hardness between specimens with and without aging in the modified group increased with increasing concentrations of incorporated recycled acrylic resin. Independent samples t test revealed that the hardness values of modified groups with aging were significantly higher than in those without aging (p ≤ 0.05). ANOVA revealed that the modified group revealed a significant increase in hardness than that of the control group (p ≤ 0.05). CONCLUSIONS Recycling and reuse of acrylic resins improved the hardness of denture base resins. The aging period significantly affected the hardness values of the control and modified groups.
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Alqutaibi AY, Baik A, Almuzaini SA, Farghal AE, Alnazzawi AA, Borzangy S, Aboalrejal AN, AbdElaziz MH, Mahmoud II, Zafar MS. Polymeric Denture Base Materials: A Review. Polymers (Basel) 2023; 15:3258. [PMID: 37571151 PMCID: PMC10422349 DOI: 10.3390/polym15153258] [Citation(s) in RCA: 11] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 07/25/2023] [Accepted: 07/26/2023] [Indexed: 08/13/2023] Open
Abstract
An ideal denture base must have good physical and mechanical properties, biocompatibility, and esthetic properties. Various polymeric materials have been used to construct denture bases. Polymethyl methacrylate (PMMA) is the most used biomaterial for dentures fabrication due to its favorable properties, which include ease of processing and pigmenting, sufficient mechanical properties, economy, and low toxicity. This article aimed to comprehensively review the current knowledge about denture base materials (DBMs) types, properties, modifications, applications, and construction methods. We searched for articles about denture base materials in PubMed, Scopus, and Embase. Journals covering topics including dental materials, prosthodontics, and restorative dentistry were also combed through. Denture base material variations, types, qualities, applications, and fabrication research published in English were considered. Although PMMA has several benefits and gained popularity as a denture base material, it has certain limitations and cannot be classified as an ideal biomaterial for fabricating dental prostheses. Accordingly, several studies have been performed to enhance the physical and mechanical properties of PMMA by chemical modifications and mechanical reinforcement using fibers, nanofillers, and hybrid materials. This review aimed to update the current knowledge about DBMs' types, properties, applications, and recent developments. There is a need for specific research to improve their biological properties due to patient and dental staff adverse reactions to possibly harmful substances produced during their manufacturing and use.
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Affiliation(s)
- Ahmed Yaseen Alqutaibi
- Department of Substitutive Science, College of Dentistry, Taibah University, Al Madinah 41311, Saudi Arabia; (A.E.F.); (A.A.A.); (S.B.); (M.H.A.)
- Prosthodontics Department, College of Dentistry, Ibb University, Ibb 70270, Yemen
| | - Abdulmajeed Baik
- College of Dentistry, Taibah University, Al Madinah 41311, Saudi Arabia; (A.B.)
| | - Sarah A. Almuzaini
- College of Dentistry, Taibah University, Al Madinah 41311, Saudi Arabia; (A.B.)
| | - Ahmed E. Farghal
- Department of Substitutive Science, College of Dentistry, Taibah University, Al Madinah 41311, Saudi Arabia; (A.E.F.); (A.A.A.); (S.B.); (M.H.A.)
| | - Ahmad Abdulkareem Alnazzawi
- Department of Substitutive Science, College of Dentistry, Taibah University, Al Madinah 41311, Saudi Arabia; (A.E.F.); (A.A.A.); (S.B.); (M.H.A.)
| | - Sary Borzangy
- Department of Substitutive Science, College of Dentistry, Taibah University, Al Madinah 41311, Saudi Arabia; (A.E.F.); (A.A.A.); (S.B.); (M.H.A.)
| | | | - Mohammed Hosny AbdElaziz
- Department of Substitutive Science, College of Dentistry, Taibah University, Al Madinah 41311, Saudi Arabia; (A.E.F.); (A.A.A.); (S.B.); (M.H.A.)
- Fixed Prosthodontics Department, Faculty of Dental Medicine, Al-Azhar University, Cairo 11884, Egypt
| | - Ihab Ismail Mahmoud
- Removable Prosthodontics Department, Faculty of Dental Medicine, Al-Azhar University, Cairo 11884, Egypt;
| | - Muhammad Sohail Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Al Madinah 41311, Saudi Arabia
- Department of Dental Materials, Islamic International Dental College, Riphah International University, Islamabad 44000, Pakistan
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Neves CB, Costa J, Portugal J, Bettencourt AF. Understanding the Mechanical, Surface, and Color Behavior of Oral Bioactive Prosthetic Polymers under Biodegradation Processes. Polymers (Basel) 2023; 15:polym15112549. [PMID: 37299348 DOI: 10.3390/polym15112549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2023] [Revised: 05/29/2023] [Accepted: 05/30/2023] [Indexed: 06/12/2023] Open
Abstract
Changes in the properties of resin-based polymers exposed to the oral environment can emerge when chlorhexidine (CHX) is incorporated to develop bioactive systems for treating denture stomatitis. Three reline resins loaded with CHX were prepared: 2.5 wt% in Kooliner (K), 5 wt% in Ufi Gel Hard (UFI), and Probase Cold (PC). A total of 60 specimens were submitted to physical aging (1000 cycles of thermal fluctuations, 5-55 °C) or chemical aging (28 days of pH fluctuations in artificial saliva, 6 h at pH = 3, 18 h at pH = 7). Knoop microhardness (30 s, 98 mN), 3-point flexural strength (5 mm/min), and surface energy were tested. Color changes (ΔE) were determined using the CIELab system. Data were submitted to non-parametric tests (α = 0.05). After aging, bioactive K and UFI specimens were not different from the controls (resins without CHX) in mechanical and surface properties. Thermally aged CHX-loaded PC specimens showed decreased microhardness and flexural strength but not under adequate levels for function. The color change was observed in all CHX-loaded specimens that underwent chemical aging. The long-term use of CHX bioactive systems based on reline resins generally does not impair removable dentures' proper mechanical and aesthetic functions.
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Affiliation(s)
- Cristina B Neves
- Biomedical and Oral Sciences Research Unit (UICOB), Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisboa, Portugal
| | - Joana Costa
- Egas Moniz Center for Interdisciplinar Research (CiiEM), Egas Moniz School of Health and Science, 2829-511 Almada, Portugal
| | - Jaime Portugal
- Biomedical and Oral Sciences Research Unit (UICOB), Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisboa, Portugal
| | - Ana F Bettencourt
- Research Institute for Medicines (iMed.ULisboa), Faculdade de Farmácia, Universidade de Lisboa, 1649-003 Lisboa, Portugal
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El Samahy MM, Abdelhamid AM, El Shabrawy SM, Hanno KI. Evaluation of physicomechanical properties of milled versus 3D-printed denture base resins: A comparative in vitro study. J Prosthet Dent 2023; 129:797.e1-797.e7. [PMID: 37121625 DOI: 10.1016/j.prosdent.2023.03.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2022] [Revised: 03/14/2023] [Accepted: 03/14/2023] [Indexed: 05/02/2023]
Abstract
STATEMENT OF PROBLEM Studies comparing the physicomechanical characteristics of denture base resins manufactured by computer-aided design and computer-aided manufacturing (CAD-CAM) milling and 3-dimensional (3D) printing are sparse, resulting in challenges when choosing a fabrication method for complete dentures. PURPOSE The purpose of this in vitro study was to evaluate and compare the impact strength, flexural strength, and the surface roughness of denture base resins manufactured by CAD-CAM milling and 3D printing before and after thermocycling and polishing. MATERIAL AND METHODS Evaluation of the physicomechanical properties (n=35) was completed before and after 500 thermocycles. Impact strength (n=14) was measured with a Charpy impact tester and flexural strength (n=14) with the 3-point bend test. Surface roughness (Ra) was evaluated (n=7) with a profilometer before and after thermocycling and polishing and by viewing the surface topography before and after polishing using a scanning electron microscope at ×2000. The Mann-Whitney U test and Wilcoxon sign rank test were used for statistical analysis (α=.05). RESULTS Milled specimens showed statistically significantly higher impact strength before thermocycling and statistically significantly higher flexural strength before and after thermocycling (P=.004) compared with 3D-printed specimens. The Ra values for the milled group were significantly lower than for the 3D-printed group both before and after thermocycling (P=.006) and after polishing (P=.027). Thermocycling resulted in a statistically significant difference in flexural strength (P=.018) in both groups and in surface roughness in the milled group (P=.048); but no significant effect was found on impact strength (P>.05). Ra values for the 3D-printed group decreased after polishing (P=.048). CONCLUSIONS Milled specimens had higher flexural and impact strength and lower surface roughness values than 3D-printed specimens. Polishing significantly reduced the surface roughness in 3D-printed specimens but had no significant effect on milled specimens.
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Affiliation(s)
- Marwa M El Samahy
- Resident, Department of Prosthodontics, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt
| | - Ahmed M Abdelhamid
- Professor, Department of Prosthodontics, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt
| | - Sonia M El Shabrawy
- Professor, Department of Dental Biomaterials, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt
| | - Kenda I Hanno
- Lecturer, Department of Prosthodontics, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt.
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An J, Song Y, Zhao J, Xu B. Antifungal efficiency and cytocompatibility of polymethyl methacrylate modified with zinc dimethacrylate. Front Cell Infect Microbiol 2023; 13:1138588. [PMID: 36998636 PMCID: PMC10045475 DOI: 10.3389/fcimb.2023.1138588] [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: 01/05/2023] [Accepted: 02/27/2023] [Indexed: 03/15/2023] Open
Abstract
Objectives Considering the high incidence rates of denture stomatitis, research that providing dental biomaterials with antifungal property are essential for clinical dentistry. The objectives of the present study were to investigate the effect of zinc dimethacrylate (ZDMA) modification on the antifungal and cytotoxic properties, as well as the variance in surface characteristics and other physicochemical properties of polymethyl methacrylate (PMMA) denture base resin. Methods PMMA with various mass fraction of ZDMA (1 wt%, 2.5 wt% and 5 wt%) were prepared for experimental groups, and unmodified PMMA for the control. Fourier-transform infrared spectroscopy (FTIR) was applied for characterization. Thermogravimetric analysis, atomic force microscopy and water contact angle were performed to investigate the thermal stability and surface characteristics (n=5). Antifungal capacities and cytocompatibility were evaluated with Candida albicans (C. albicans) and human oral fibroblasts (HGFs), respectively. Colony-forming unit counting, crystal violet assay, live/dead biofilm staining and scanning electron microscopy observation were performed to assess antifungal effects, and the detection of intracellular reactive oxygen species production was applied to explore the possible antimicrobial mechanism. Finally, the cytotoxicity of ZDMA modified PMMA resin was evaluated by the 3-(4,5-dimethyl-thiazol-2-yl)-2,5-diphenyl-tetrazolium bromide (MTT) assay and live/dead double staining. Results The FTIR analyses confirmed some variation in chemical bonding and physical blend of the composites. Incorporation of ZDMA significantly enhanced the thermal stability and hydrophilicity compared with unmodified PMMA (p < 0.05). The surface roughness increased with the addition of ZDMA while remained below the suggested threshold (≤ 0.2 µm). The antifungal activity significantly improved with ZDMA incorporation, and cytocompatibility assays indicated no obvious cytotoxicity on HGFs. Conclusions In the present study, the ZDMA mass fraction up to 5 wt% in PMMA performed better thermal stability, and an increase in surface roughness and hydrophilicity without enhancing microbial adhesion. Moreover, the ZDMA modified PMMA showed effective antifungal activity without inducing any cellular side effects.
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Affiliation(s)
| | | | - Jing Zhao
- Dental Medical Center, China-Japan Friendship Hospital, Beijing, China
| | - Baohua Xu
- Dental Medical Center, China-Japan Friendship Hospital, Beijing, China
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Effect of Denture Disinfectants on the Mechanical Performance of 3D-Printed Denture Base Materials. Polymers (Basel) 2023; 15:polym15051175. [PMID: 36904416 PMCID: PMC10007094 DOI: 10.3390/polym15051175] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 02/16/2023] [Accepted: 02/23/2023] [Indexed: 03/03/2023] Open
Abstract
Denture care and maintenance are necessary for both denture longevity and underlying tissue health. However, the effects of disinfectants on the strength of 3D-printed denture base resins are unclear. Herein, distilled water (DW), effervescent tablet, and sodium hypochlorite (NaOCl) immersion solutions were used to investigate the flexural properties and hardness of two 3D-printed resins (NextDent and FormLabs) compared with a heat-polymerized resin. The flexural strength and elastic modulus were investigated using the three-point bending test and Vickers hardness test before (baseline) immersion and 180 days after immersion. The data were analyzed using ANOVA and Tukey's post hoc test (α = 0.05), and further verified by using electron microscopy and infrared spectroscopy. The flexural strength of all the materials decreased after solution immersion (p < 0.001). The effervescent tablet and NaOCl immersion reduced the flexural strength (p < 0.001), with the lowest values recorded with the NaOCl immersion. The elastic modulus did not significantly differ between the baseline and after the DW immersion (p > 0.05), but significantly decreased after the effervescent tablet and NaOCl immersion (p < 0.001). The hardness significantly decreased after immersion in all the solutions (p < 0.001). The immersion of the heat-polymerized and 3D-printed resins in the DW and disinfectant solutions decreased the flexural properties and hardness.
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Bettencourt AF, Costa J, Ribeiro IAC, Gonçalves L, Arias-Moliz MT, Dias JR, Franco M, Alves NM, Portugal J, Neves CB. Development of a chlorhexidine delivery system based on dental reline acrylic resins. Int J Pharm 2023; 631:122470. [PMID: 36516927 DOI: 10.1016/j.ijpharm.2022.122470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 11/18/2022] [Accepted: 12/04/2022] [Indexed: 12/14/2022]
Abstract
The high recurrence rate of common denture stomatitis after antifungal treatment is still concerning. This condition is caused by low patient compliance and incomplete local elimination of the main etiological factor - Candida albicans, often associated with other microorganisms, such as Streptococcus species. Impregnating denture materials with antimicrobials for local delivery is a strategy that can overcome the side effects and improve the efficacy of conventional treatments (topical and/or systemic). In this work, we describe the development of three hard autopolymerizing reline acrylic resins (Kooliner, Ufi Gel Hard, and Probase Cold) loaded with different percentages of chlorhexidine (CHX). The novel formulations were characterized based on their antimicrobial activity, mechanical, morphological and surface properties, in-vitro drug release profiles, and cytotoxicity. The addition of CHX in all resins did not change their chemical and mechanical structure. Among all the tested formulations, Probase Cold loaded with 5 wt% CHX showed the most promising results in terms of antimicrobial activity and lack of serious detrimental mechanical, morphological, surface, and biological properties.
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Affiliation(s)
- Ana F Bettencourt
- Research Institute for Medicines (iMed.ULisboa), Faculdade de Farmácia, Universidade de Lisboa, 1649-003 Lisboa, Portugal.
| | - Joana Costa
- Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisboa, Portugal
| | - Isabel A C Ribeiro
- Research Institute for Medicines (iMed.ULisboa), Faculdade de Farmácia, Universidade de Lisboa, 1649-003 Lisboa, Portugal
| | - Lídia Gonçalves
- Research Institute for Medicines (iMed.ULisboa), Faculdade de Farmácia, Universidade de Lisboa, 1649-003 Lisboa, Portugal
| | | | - Juliana R Dias
- Center for Rapid and Sustainable Product Development (CDRsp), Polytechnic Institute of Leiria, 2030-028 Marinha Grande, Portugal
| | - Margarida Franco
- Center for Rapid and Sustainable Product Development (CDRsp), Polytechnic Institute of Leiria, 2030-028 Marinha Grande, Portugal
| | - Nuno M Alves
- Center for Rapid and Sustainable Product Development (CDRsp), Polytechnic Institute of Leiria, 2030-028 Marinha Grande, Portugal
| | - Jaime Portugal
- Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisboa, Portugal
| | - Cristina B Neves
- Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisboa, Portugal.
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Yang H, Xie X, Li X, Bai Y. Polymethyl methacrylate resin containing ε-poly-L-lysine and 2-methacryloyloxyethyl phosphorylcholine with antimicrobial effects. J Prosthet Dent 2023; 129:228.e1-228.e8. [PMID: 36476985 DOI: 10.1016/j.prosdent.2022.11.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Revised: 11/09/2022] [Accepted: 11/09/2022] [Indexed: 12/08/2022]
Abstract
STATEMENT OF PROBLEM Polymethyl methacrylate (PMMA) is commonly used in dentistry, including as a denture base material. However, the colonization of a PMMA surface by microbial microorganisms could increase the risk of oral diseases such as denture stomatitis and gingivitis. The development of PMMA with antibacterial properties should improve its clinical application, but whether adding ε-poly-L-lysine (ε-PL) and 2-methacryloyloxyethyl phosphorylcholine (MPC) provides antimicrobial effects is unclear. PURPOSE This in vitro study aimed to develop a novel antibacterial PMMA resin containing the natural nontoxic antibacterial agent ε-PL and the protein repellent agent MPC. The mechanical properties, protein repellency, and antimicrobial activities of the resin were then evaluated. MATERIAL AND METHODS Different mass fractions of ε-PL and MPC were mixed into PMMA as the experimental groups, with unaltered PMMA as the control group. The flexural strength (n=10) and surface roughness (n=6) of the resulting mixtures were measured to determine their mechanical properties. The antiprotein properties were measured by using the micro bicinchoninic acid method (n=6). The antimicrobial effect of the resin was assessed using live/dead staining (n=6) and methyltransferase (MTT) assays (n=10). According to the variance homogeneity and normal distribution results, 1-way analysis of variance followed by the Tukey honestly significant difference test or the Welch test and the Games-Howell test were used (α=.05 for all tests). RESULTS No significant differences were found in the flexural strength values and surface roughness of the specimens containing 1.5% MPC and 1.5% ε-PL compared with those of the control (P>.05). The addition of ε-PL to the PMMA resin alone significantly increased its bactericidal properties (P<.05). Adding both ε-PL and MPC further increased the antibacterial activity of the PMMA resin without increasing protein adhesion more than in the control group. CONCLUSIONS The incorporation of both ε-PL and MPC into PMMA improved its antibacterial capacity without affecting its mechanical properties and did not increase protein adhesion. Therefore, the novel PMMA fabricated in this study shows promise for dental applications.
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Affiliation(s)
- Hao Yang
- Dental student, Department of Orthodontics, School of Stomatology, Capital Medical University, Beijing, PR China
| | - Xianju Xie
- Associate Professor, Department of Orthodontics, School of Stomatology, Capital Medical University, Beijing, PR China
| | - Xiaowei Li
- Assistant Professor, Department of Orthodontics, School of Stomatology, Capital Medical University, Beijing, PR China
| | - Yuxing Bai
- Professor, Dean, Department of Orthodontics, School of Stomatology, Capital Medical University, Beijing, PR China.
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12
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Zeidan AAEL, Sherif AF, Baraka Y, Abualsaud R, Abdelrahim RA, Gad MM, Helal MA. Evaluation of the Effect of Different Construction Techniques of CAD-CAM Milled, 3D-Printed, and Polyamide Denture Base Resins on Flexural Strength: An In Vitro Comparative Study. J Prosthodont 2023; 32:77-82. [PMID: 35343012 DOI: 10.1111/jopr.13514] [Citation(s) in RCA: 12] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2021] [Accepted: 03/23/2022] [Indexed: 01/25/2023] Open
Abstract
PURPOSE To compare the flexural strength of computer-aided design and computer-aided manufacturing (CAD-CAM) milled denture base resin (DBR), 3D-printed DBR, polyamide, and conventional compression-molded DBR. MATERIALS AND METHODS Six denture base resins were used, one conventional heat-polymerized (Vertex), two milled CAD-CAM (AvaDent and Polident), two 3D-printed (Harz and NextDent), and one flexible polyamide (Polyamide). According to ISO 20795-1:2013, 60 specimens (65×10×3 mm) were constructed and divided into six groups (n = 10), according to DBR type. The flexural strength was measured using a universal testing machine and three-point loading test. Data were collected and analyzed using one-way ANOVA and Tukey's pair-wise post hoc tests (α = 0.05). RESULTS One-way ANOVA results showed significant differences in flexural strengths between the tested DBRs (p˂0.001). Milled denture base resins (AvaDent and Polident) had significantly higher flexural strength values than the other groups (p˂0.001) and were followed by Vertex and NextDent, while Polyamide and Harz had the lowest values. Polyamide and Harz denture base resins had significantly lower flexural strength values than conventional denture base resin (p˂0.001). CONCLUSION CAD-CAM milled DBRs showed the highest flexural strength when compared with conventional compression-molded or 3D-printed DBRs, while 3D-printed DBRs and polyamide showed the lowest flexural strengths.
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Affiliation(s)
- Ahmed Abd El-Latif Zeidan
- Department of Removable Prosthodontics, Faculty of Dental Medicine, Badr University, Badr City, Egypt
| | - Ahmed Fadlallah Sherif
- Department of Removable Prosthodontics, Faculty of Dental Medicine, Sinai University, North Sina, Egypt
| | - Yasser Baraka
- Department of Removable Prosthodontics, Faculty of Dental Medicine, Sinai University, North Sina, Egypt
| | - Reem Abualsaud
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Ramy Abdallah Abdelrahim
- Department of Dental Biomaterials, Faculty of Dental Medicine, Al-Azhar University, Nasr City, Egypt
| | - Mohammed M Gad
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Mohamed A Helal
- Department of Removable Prosthodontics, Faculty of Dental Medicine, Al-Azhar University, Nasr City, Egypt
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13
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Alaseef N, Albasarah S, Al Abdulghani H, Al-Harbi FA, Gad MM, Akhtar S, Khan SQ, Ateeq IS, Al-Qarni FD. CAD-CAM Fabricated Denture Base Resins: In Vitro Investigation of the Minimum Acceptable Denture Base Thickness. J Prosthodont 2022; 31:799-805. [PMID: 35102627 DOI: 10.1111/jopr.13486] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/25/2022] [Indexed: 01/04/2023] Open
Abstract
PURPOSE To investigate the influence of reducing material thickness on flexural properties of computer-aided design and computer-aided manufacturing (CAD-CAM) denture base resins. MATERIALS AND METHODS Four CAD-CAM denture base acrylic resin materials were selected; two were made via the subtractive method (AvaDent and IvoCad) and two were made with the additive method (FormLabs and NextDent). One heat-polymerized denture base material was used as a control. Specimens were fabricated with varying thicknesses (n = 10/group): 3.3 mm, 2.5 mm, 2 mm, or 1.5 mm. Flexural strength was evaluated via a three-point bending test. One- and two-way ANOVA were used for data analysis along with Tukey's post hoc comparison (α = 0.05). RESULTS Reducing the thickness of materials made via the subtractive method did not influence flexural strength up to 2 mm (p > 0.05). However, the difference was significant at a 1.5 mm thickness (p ˂ 0.001). For materials made via the additive method, NextDent specimens had no significant decrease in flexural strength when the thickness was reduced to 2 mm (p = 0.58). FormLabs specimens showed a significant decrease (p ˂ 0.001), although the values of flexural strength were clinically acceptable. During testing, specimens manufactured via the additive method at a 1.5 mm thickness bent without fracturing and were therefore excluded. All materials showed a reduction in elastic modulus as the thickness decreased (p ˂ 0.001). CONCLUSION Heat-polymerized, AvaDent, and IvoCad materials may be used for denture base fabrication at a minimum thickness of 1.5 mm. FormLabs and NextDent may be fabricated at a 2 mm minimum thickness, with clinically acceptable flexural properties.
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Affiliation(s)
- Nawarah Alaseef
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Sara Albasarah
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Hanan Al Abdulghani
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Fahad A Al-Harbi
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Mohammed M Gad
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Sultan Akhtar
- Department of Biophysics, Institute for Research and Medical Consultations (IRMC), Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Soban Q Khan
- Department of Dental Education, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Ijlal Shahrukh Ateeq
- Biomedical Engineering Department, College of Engineering, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Faisal D Al-Qarni
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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14
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Zinc-modified phosphate-based glass micro-filler improves Candida albicans resistance of auto-polymerized acrylic resin without altering mechanical performance. Sci Rep 2022; 12:19456. [PMID: 36376540 PMCID: PMC9663707 DOI: 10.1038/s41598-022-24172-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 11/11/2022] [Indexed: 11/16/2022] Open
Abstract
Colonization of auto-polymerized acrylic resin by pathogenic Candida albicans is a common problem for denture users. In this study, zinc-modified phosphate-based glass was introduced into an auto-polymerized acrylic resin at concentrations of 3, 5, and 7 wt.%. The mechanical or physical properties (flexural strength, elastic modulus, microhardness, and contact angle), surface morphology of the resultant materials, and the antimicrobial effect on C. albicans were investigated. There were no statistical differences in the mechanical properties between the control and the zinc-modified phosphate-based glass samples (p > 0.05); however, the number of C. albicans colony-forming units was significantly lower in the control group (p < 0.05). Scanning electron microscopy revealed that C. albicans tended not to adhere to the zinc-modified-phosphate-based glass samples. Thus, the zinc-modified materials retained the advantageous mechanical properties of unaltered acrylic resins, while simultaneously exhibiting a strong antimicrobial effect in vitro.
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15
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Kaur L, Aras MA, Chitre V, Nagarsekar A, Ferreira AN. Evaluation and comparison of flexural strength, surface roughness and porosity percentage of denture base resins incorporated with Thymoquinone and silver nano-antimicrobial agents-an in vitro study. J Oral Biol Craniofac Res 2022; 12:716-720. [PMID: 36110866 PMCID: PMC9468500 DOI: 10.1016/j.jobcr.2022.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Revised: 05/26/2022] [Accepted: 08/10/2022] [Indexed: 11/21/2022] Open
Abstract
Aim To evaluate and compare the flexural strength, surface roughness and porosity percentage of acrylic denture base material modified with two antimicrobial agents, Thymoquinone (TQ) and Silver nanoparticles (AgNP). Materials and methods A total of 90 specimens were fabricated and divided into groups A, B and C with 30 specimens each. Of the 30 specimens, 10 specimens measuring 65mmx 10mmx 2.5 mm were used to study the flexural strength, 10 specimens measuring 10 mm × 20 mm × 3 mm to study surface roughness and 10 specimens measuring 10 mm × 20 mm × 3 mm to study porosity percentage. Group A specimens were made of unmodified denture base resin, group B and C were modified with 2.5% AgNP and 1% TQ respectively. The specimens were processed in the conventional manner. A universal testing machine was used to measure flexural strength and a profilometer was used to measure surface roughness. Porosity percentage was evaluated with help of a desiccator. The data obtained was subjected to statistical analyses using One-way ANOVA and the Tukey-post hoc test, with statistical significance at p ≤ 0.05. Results Addition of 2.5% AgNP and 1% TQ to acrylic denture base resin significantly reduced flexural strength and increased the porosity percentage (p < 0.01) but within clinically acceptable limits. No significant difference was found in the surface roughness between the various groups tested. Conclusions Heat cured acrylic denture base resins modified with 2.5% AgNPs,1% TQ exhibited clinically acceptable flexural strength and surface properties and could be incorporated into the denture base material as an antimicrobial agent.
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Affiliation(s)
- Loveleen Kaur
- Department of Prosthodontics, Goa Dental College & Hospital, Goa, India
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16
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Denture Acrylic Resin Material with Antibacterial and Protein-Repelling Properties for the Prevention of Denture Stomatitis. Polymers (Basel) 2022; 14:polym14020230. [PMID: 35054637 PMCID: PMC8777866 DOI: 10.3390/polym14020230] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Revised: 12/30/2021] [Accepted: 01/04/2022] [Indexed: 02/04/2023] Open
Abstract
Denture stomatitis is a multifactorial pathological condition of the oral mucosa that affects up to 72% of denture wearers. It is commonly seen on the palatal mucosa and characterized by erythema on the oral mucosa that are in contact with the denture surface. The aim of this study was to incorporate 2-methacryloyloxyethyl phosphorylcholine (MPC) and dimethylaminohexadecyl methacrylate (DMAHDM) into a high impact polymethylmethacrylate heat-cured denture base acrylic resin as a potential treatment for denture stomatitis. We used a comparative study design to examine the effect of incorporating MPC as a protein repellent agent and DMAHDM as an antifungal agent to prevent the adherence of Candida albicans to the denture base material. The dual incorporation of MPC and DMAHDM reduced C. albicans biofilm colony-forming unit by two orders of magnitude when compared to the control group devoid of the bioactive agents. Although the addition of MPC and DMAHDM alone or in combination significantly reduced the flexural strength of the material, they showed reduced roughness values when compared to control groups. This new denture acrylic resin provides the benefit of enhancing C. albicans biofilm elimination through dual mechanisms of action, which could potentially reduce the prevalence of denture stomatitis.
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17
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Fouda SM, Gad MM, Ellakany P, Al Ghamdi MA, Khan SQ, Akhtar S, Al Eraky DM, Al-Harbi FA. Effect of Low Nanodiamond Concentrations and Polymerization Techniques on Physical Properties and Antifungal Activities of Denture Base Resin. Polymers (Basel) 2021; 13:polym13244331. [PMID: 34960883 PMCID: PMC8708888 DOI: 10.3390/polym13244331] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Revised: 11/29/2021] [Accepted: 12/06/2021] [Indexed: 12/31/2022] Open
Abstract
Background: Denture base resin has some drawbacks. This study investigated the impact of nanodiamonds (ND) and autoclave polymerization on the surface characteristics, translucency, and Candida albicans adherence in polymethyl methacrylate (PMMA) denture base resin after thermocycling. Methods: Heat-polymerized PMMA discs (15 × 2 mm) with a total sample size n = 160 were studied. Specimens were categorized into two main groups (N = 80): conventional water-bath-polymerized PMMA (CP/PMMA) and autoclave-polymerized PMMA (AP/PMMA). Each group was subdivided according to the ND concentration into four groups (n = 20): unmodified PMMA as a control, and 0.1%, 0.25%, and 0.5% ND–PMMA. Scanning electron microscopy (SEM) was used to inspect the morphology of the ND and the ND–PMMA mixtures before heat polymerization. The specimens were exposed to thermal cycling (5000 cycles at 5 and 55 °C), then surface roughness was measured with a non-contact optical interferometric profilometer, contact angle with an automated goniometer, and translucency using a spectrophotometer. Colony-forming units (CFU) were used to determine the adherence of Candida albicans cells to the specimens. ANOVA and Tukey post hoc tests for pairwise comparison were utilized for the statistical analysis (α = 0.05). Results: Surface roughness was significantly reduced with ND addition to CP/PMMA (p ˂ 0.001), while the reduction was not statistically significant in AP/PMMA (p = 0.831). The addition of ND significantly reduced the contact angle, translucency, and Candida albicans count of CP/PMMA and AP/PMMA (p ˂ 0.001). The incorporation of ND in conjunction with autoclave polymerization of PMMA showed significant reduction in all tested properties (surface roughness, contact angle and Candida albicans adherence) except translucency (p = 0.726). Conclusions: ND addition to PMMA and autoclave polymerization improved the surface properties with respect to antifungal activities, while the translucency was adversely affected.
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Affiliation(s)
- Shaimaa M. Fouda
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (M.M.G.); (P.E.); (M.A.A.G.); (F.A.A.-H.)
- Correspondence:
| | - Mohammed M. Gad
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (M.M.G.); (P.E.); (M.A.A.G.); (F.A.A.-H.)
| | - Passent Ellakany
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (M.M.G.); (P.E.); (M.A.A.G.); (F.A.A.-H.)
| | - Maram A. Al Ghamdi
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (M.M.G.); (P.E.); (M.A.A.G.); (F.A.A.-H.)
| | - Soban Q. Khan
- Department of Dental Education, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia;
| | - Sultan Akhtar
- Department of Biophysics, Institute for Research and Medical Consultations, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia;
| | - Doaa M. Al Eraky
- Department of Biomedical Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia;
| | - Fahad A. Al-Harbi
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31441, Saudi Arabia; (M.M.G.); (P.E.); (M.A.A.G.); (F.A.A.-H.)
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18
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Albasarah S, Al Abdulghani H, Alaseef N, Al-Qarni FD, Akhtar S, Khan SQ, Ateeq IS, Gad MM. Impact of ZrO 2 nanoparticles addition on flexural properties of denture base resin with different thickness. J Adv Prosthodont 2021; 13:226-236. [PMID: 34504674 PMCID: PMC8410302 DOI: 10.4047/jap.2021.13.4.226] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2021] [Revised: 07/27/2021] [Accepted: 08/09/2021] [Indexed: 11/15/2022] Open
Abstract
PURPOSE This study aimed to evaluate the effect of incorporating zirconium oxide nanoparticles (nano-ZrO2) in polymethylmethacrylate (PMMA) denture base resin on flexural properties at different material thicknesses. MATERIALS AND METHODS Heat polymerized acrylic resin specimens (N = 120) were fabricated and divided into 4 groups according to denture base thickness (2.5 mm, 2.0 mm, 1.5 mm, 1.0 mm). Each group was subdivided into 3 subgroups (n = 10) according to nano-ZrO2 concentration (0%, 2.5%, and 5%). Flexural strength and elastic modulus were evaluated using a three-point bending test. One-way ANOVA, Tukey's post hoc, and two-way ANOVA were used for data analysis (α = .05). Scanning electron microscopy (SEM) was used for fracture surface analysis and nanoparticles distributions. RESULTS Groups with 0% nano-ZrO2 showed no significant difference in the flexural strength as thickness decreased (P = .153). The addition of nano-zirconia significantly increased the flexural strength (P < .001). The highest value was with 5% nano-ZrO2 and 2 mm-thickness (125.4 ± 18.3 MPa), followed by 5% nano-ZrO2 and 1.5 mm-thickness (110.3 ± 8.5 MPa). Moreover, the effect of various concentration levels on elastic modulus was statistically significant for 2 mm thickness (P = .001), but the combined effect of thickness and concentration on elastic modulus was insignificant (P = .10). CONCLUSION Reinforcement of denture base material with nano-ZrO2 significantly increased flexural strength and modulus of elasticity. Reducing material thickness did not decrease flexural strength when nano-ZrO2 was incorporated. In clinical practice, when low thickness of denture base material is indicated, PMMA/nano-ZrO2 could be used with minimum acceptable thickness of 1.5 mm.
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Affiliation(s)
- Sara Albasarah
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Hanan Al Abdulghani
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Nawarah Alaseef
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Faisal D Al-Qarni
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Sultan Akhtar
- Department of Biophysics, Institute for Research and Medical Consultations (IRMC), Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Soban Q Khan
- Department of Dental Education, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Ijlal Shahrukh Ateeq
- Biomedical Engineering department, College of Engineering, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Mohammed M Gad
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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19
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Malik S, Singh A, Negi P, Kapoor VK. Thymoquinone: A small molecule from nature with high therapeutic potential. Drug Discov Today 2021; 26:2716-2725. [PMID: 34303824 DOI: 10.1016/j.drudis.2021.07.013] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 05/23/2021] [Accepted: 07/17/2021] [Indexed: 12/14/2022]
Abstract
Thymoquinone (TQ; 2-isopropyl-5-methylbenzo-1, 4-quinone), the main active constituent of Nigella sativa, has been proven to have great therapeutic properties in numerous in vivo and in vitro models. Nevertheless, this molecule is not yet in clinical trials, largely because of its poor bioavailability and hydrophobicity. This review examines the different activities of TQ, as well as various combination therapies, nanotechnologies and clinical trials involving TQ. The TQ nanoparticle formulation shows better bioavailability than free TQ, and it is time for clinical trials of these formulations to realize the potential of TQ as a therapeutic.
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Affiliation(s)
- Safiya Malik
- School of Pharmaceutical Sciences, Shoolini University, Solan 173212, India
| | - Amardeep Singh
- School of Pharmaceutical Sciences, Shoolini University, Solan 173212, India
| | - Poonam Negi
- School of Pharmaceutical Sciences, Shoolini University, Solan 173212, India
| | - Vijay Kumar Kapoor
- School of Pharmaceutical Sciences, Shoolini University, Solan 173212, India.
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20
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Gad MM, Al-Sunni M, Al-Shayeb A, Al-Namsy R, Al-Naser Z, Q Khan S. The in-vitro effects of white henna addition on the Candida albicans adhesion and physical properties of denture base resin. Eur Oral Res 2021; 55:86-93. [PMID: 34250475 PMCID: PMC8244940 DOI: 10.26650/eor.20210033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Revised: 09/18/2020] [Accepted: 12/22/2020] [Indexed: 12/02/2022] Open
Abstract
Purpose: This in-vitro study evaluated and compared the effect of white henna (WH) and
natural henna (NH) addition on Candida albicans adhesion and physical properties
of the denture base material. Materials and methods: A total of 243 acrylic resin specimens (9 per group) were divided as follows:
81 for flexural strength, 81 for Candida albicans adherence test, and 81 for
surface roughness, translucency, and hardness. Heat-polymerized acrylic
resin specimens were prepared by adding 0.5, 1.0, 1.5, or 2.0 wt% of WH or NH.
Candida albicans adhesion was determined using direct culture and slide count
methods. Flexural strength, surface roughness, hardness, and translucency were
measured using the three-point bending test, profilometer, Vickers hardness test,
and spectrophotometer, respectively. ANOVA and post hoc Tukey’s tests were
performed for data analysis. Results: Addition of 0.5% WH, 1% WH, and 0.5% NH to denture base resin significantly
decreased Candida albicans adhesion (p<0.05). WH and NH significantly decreased
the flexural strength and translucency, except 0.5% WH, and significantly increased
surface roughness, except 0.5% WH and 0.5% NH. WH addition showed nonsignificant differences in the hardness, while NH addition significantly decreased
hardness (p<0.05). Conclusion: Addition of WH and NH decreased C. albicans adhesion to PMMA denture base resin.
However, flexural strength, translucency, and surface roughness were adversely
affected, particularly at higher concentrations. Hardness was reduced with NH only.
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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
| | - Mouna Al-Sunni
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam,Saudi Arabia
| | - Abrar Al-Shayeb
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam,Saudi Arabia
| | - Reyam Al-Namsy
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam,Saudi Arabia
| | - Zainab Al-Naser
- College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam,Saudi Arabia
| | - Soban Q Khan
- Department of Dental Education, College of Dentistry, Imam Abdulrahman Bin Faisal University, Saudi Arabia
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21
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Surface Characterization, Biocompatibility and Antifungal Efficacy of a Denture-Lining Material Containing Cnidium officinale Extracts. Molecules 2021; 26:molecules26051440. [PMID: 33799919 PMCID: PMC7962000 DOI: 10.3390/molecules26051440] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 02/24/2021] [Accepted: 03/01/2021] [Indexed: 11/16/2022] Open
Abstract
Herein, we investigated the surface characterization and biocompatibility of a denture-lining material containing Cnidium officinale extracts and its antifungal efficacy against Candida albicans. To achieve this, a denture-lining material containing various concentrations of C. officinale extract and a control group without C. officinale extract were prepared. The surface characterization and biocompatibility of the samples were investigated. In addition, the antifungal efficacy of the samples on C. albicans was investigated using spectrophotometric growth and a LIVE/DEAD assay. The results revealed that there was no significant difference between the biocompatibility of the experimental and control groups (p > 0.05). However, there was a significant difference between the antifungal efficiency of the denture material on C. albicans and that of the control group (p < 0.05), which was confirmed by the LIVE/DEAD assay. These results indicate the promising potential of the C. officinale extract-containing denture-lining material as an antifungal dental material.
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Antifungal and Surface Properties of Chitosan-Salts Modified PMMA Denture Base Material. Molecules 2020; 25:molecules25245899. [PMID: 33322112 PMCID: PMC7763281 DOI: 10.3390/molecules25245899] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Revised: 12/04/2020] [Accepted: 12/07/2020] [Indexed: 12/17/2022] Open
Abstract
Chitosan (CS) and its derivatives show antimicrobial properties. This is of interest in preventing and treating denture stomatitis, which can be caused by fungi. Therefore, the aim of this study was the development of a novel antifungal denture base material by modifying polymethyl methacrylate (PMMA) with CS-salt and characterizing its antifungal and surface properties in vitro. For this purpose, the antifungal effect of chitosan-hydrochloride (CS-HCl) or chitosan-glutamate (CS-G) as solutions in different concentrations was determined. To obtain modified PMMA resin specimens, the CS-salts were added to the PMMA before polymerization. The roughness of these specimens was measured by contact profilometry. For the evaluation of the antifungal properties of the CS-salt modified resins, a C. albicans biofilm assay on the specimens was performed. As solutions, both the CS-G and CS-HCl-salt had an antifungal effect and inhibited C. albicans growth in a dose-dependent manner. In contrast, CS-salt modified PMMA resins showed no significant reduced C. albicans biofilm formation. Furthermore, the addition of CS-salts to PMMA significantly increased the surface roughness of the specimens. This study shows that despite the antifungal effect of CS-salts in solution, a modification of PMMA resin with these CS-salts does not improve the antifungal properties of PMMA denture base material.
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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: 193] [Impact Index Per Article: 48.3] [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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24
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Prpić V, Schauperl Z, Ćatić A, Dulčić N, Čimić S. Comparison of Mechanical Properties of 3D‐Printed, CAD/CAM, and Conventional Denture Base Materials. J Prosthodont 2020; 29:524-528. [DOI: 10.1111/jopr.13175] [Citation(s) in RCA: 62] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/03/2020] [Indexed: 11/28/2022] Open
Affiliation(s)
- Vladimir Prpić
- PhD Student, School of Dental MedicineUniversity of Zagreb Zagreb Croatia
| | - Zdravko Schauperl
- Full Professor, Department of Materials, Faculty of Mechanical Engineering and Naval ArchitectureUniversity of Zagreb Zagreb Croatia
| | - Amir Ćatić
- Full Professor, Department of Prosthodontics, School of Dental MedicineUniversity of Zagreb Zagreb Croatia
| | - Nikša Dulčić
- Associate Professor, Department of Prosthodontics, School of Dental MedicineUniversity of Zagreb Zagreb Croatia
| | - Samir Čimić
- Assistant Professor, Department of Prosthodontics, School of Dental MedicineUniversity of Zagreb Zagreb Croatia
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25
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AlBin‐Ameer MA, Alsrheed MY, Aldukhi IA, Matin A, Khan SQ, Abualsaud R, Gad MM. Effect of Protective Coating on Surface Properties and
Candida albicans
Adhesion to Denture Base Materials. J Prosthodont 2019; 29:80-86. [DOI: 10.1111/jopr.13118] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/20/2019] [Indexed: 01/08/2023] Open
Affiliation(s)
| | - Mahdi Y Alsrheed
- Imam Abdulrahman Bin Faisal University P.O. Box 1982 Dammam 31411 Saudi Arabia
| | - Ibrahim A Aldukhi
- Imam Abdulrahman Bin Faisal University P.O. Box 1982 Dammam 31411 Saudi Arabia
| | - Asif Matin
- Centre for Research Excellence in Desalination & Water Treatment King Fahd University of Petroleum & Minerals Dhahran 31261 Saudi Arabia
| | - Soban Q Khan
- Department of Clinical Affairs, College of DentistryImam Abdulrahman Bin Faisal University P.O. Box 1982 Dammam 31411 Saudi Arabia
| | - Reem Abualsaud
- Department of Substitutive Dental Sciences, College of DentistryImam Abdulrahman Bin Faisal University P.O. Box 1982 Dammam 31411 Saudi Arabia
| | - Mohammed M Gad
- Department of Substitutive Dental Sciences, College of DentistryImam Abdulrahman Bin Faisal University P.O. Box 1982 Dammam 31411 Saudi Arabia
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