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Elmenshawy MZ, El-Haliem HA, Mowafy AM, Hamama HH. Effect of ethanolic extract of propolis on antibacterial and microshear bond strength of glass-ionomer restorations to dentin. Heliyon 2024; 10:e23710. [PMID: 38187267 PMCID: PMC10767503 DOI: 10.1016/j.heliyon.2023.e23710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 11/17/2023] [Accepted: 12/12/2023] [Indexed: 01/09/2024] Open
Abstract
Objectives This study was conducted to evaluate the effect of ethanolic extract of propolis on antibacterial and microshear bond strength of glass ionomer restorations to dentin. Materials and methods Conventional glass ionomer cement (Equia forte, GC Tokyo, Japan), resin-modified glass ionomer (Fuji II LC, GC Tokyo, Japan) and propolis powder (dried extract from honey bees) materials were used in this study. Both conventional glass ionomer and resin-modified glass ionomer were modified by two different concentrations of ethanolic extract of propolis (10 % and 25 % EEP). For antibacterial test, Streptococcus mutans strain was spread on agar petri dishes using a sterile swab. Discs of both glass ionomer restorative materials (without adding EEP, with 10 % EEP and with 25 % EEP) were fabricated within the agar plates. Antibacterial activity was evaluated by measuring the inhibition zones around each disc. For microshear bond strength test, 60 healthy human permanent molars were prepared by cutting occlusal surface and expose the dentin at the height of contour of all teeth then conditioned using poly acrylic acid conditioner, both glass ionomer restorative materials (without adding EEP, with 10 % EEP and with 25 % EEP) were mixed and applied on conditioned dentin surface by using tygon tube. Microshear bond strength was evaluated by the universal testing machine. Results Two-way ANOVA test revealed that both glass ionomer type and different concentrations of EEP had significant effect on the antibacterial test results and microshear bond strength values (p < 0,05). Glass ionomer restorative material with 25%EEP had the highest antibacterial values whereas glass ionomer restorative material without modifications (control groups) had the lowest values. Resin-modified glass ionomer without any modification (control group) had the highest bond strength while resin-modified glass ionomer with 25%EEP had the lowest bond strength. Conclusions Incorporation of ethanolic extract of propolis to glass ionomer restorative material increases the antibacterial effects of both conventional GIC and RMGI. Inspite of this advantage, it seems that it has deleterious effect on microshear bond strength to dentin.
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Affiliation(s)
- Marwa Z. Elmenshawy
- Conservative Dentistry Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
| | - Huda Abed El-Haliem
- Conservative Dentistry Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
| | - Amr M. Mowafy
- Botany Department, Faculty of Science, Mansoura University, Mansoura, Egypt
- Department of Biological Sciences, Faculty of Science, New-Mansoura University, New-Mansoura, Egypt
| | - Hamdi H. Hamama
- Conservative Dentistry Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
- Faculty of Dentistry, New-Mansoura University, New-Mansoura, Egypt
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Singer L, Bourauel C. Herbalism and glass-based materials in dentistry: review of the current state of the art. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2023; 34:60. [PMID: 37962680 PMCID: PMC10645656 DOI: 10.1007/s10856-023-06764-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 10/26/2023] [Indexed: 11/15/2023]
Abstract
Half a million different plant species are occurring worldwide, of which only 1% has been phytochemically considered. Thus, there is great potential for discovering novel bioactive compounds. In dentistry, herbal extracts have been used as antimicrobial agents, analgesics, and intracanal medicaments. Glass-ionomer cement (GIC) and bioactive glass (BAG) are attractive materials in dentistry due to their bioactivity, adhesion, and remineralisation capabilities. Thus, this review summarizes the evidence around the use of phytotherapeutics in dental glass-based materials. This review article covers the structure, properties, and clinical uses of GIC and BAG materials within dentistry, with an emphasis on all the attempts that have been made in the last 20 years to enhance their properties naturally using the wisdom of traditional medicines. An extensive electronic search was performed across four databases to include published articles in the last 20 years and the search was concerned only with the English language publications. Publications that involved the use of plant extracts, and their active compounds for the green synthesis of nanoparticles and the modification of GIC and BAG were included up to May 2023. Plant extracts are a potential and effective candidate for modification of different properties of GIC and BAG, particularly their antimicrobial activities. Moreover, natural plant extracts have shown to be very effective in the green synthesis of metal ion nanoparticles in an ecological, and easy way with the additional advantage of a synergistic effect between metal ions and the phytotherapeutic agents. Medicinal plants are considered an abundant, cheap source of biologically active compounds and many of these phytotherapeutics have been the base for the development of new lead pharmaceuticals. Further research is required to assess the safety and the importance of regulation of phytotherapeutics to expand their use in medicine.
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Affiliation(s)
- Lamia Singer
- Oral Technology, University Hospital Bonn, 53111, Bonn, North Rhine-Westphalia, Germany.
- Department of Orthodontics, University Hospital Bonn, 53111, Bonn, North Rhine-Westphalia, Germany.
| | - Christoph Bourauel
- Oral Technology, University Hospital Bonn, 53111, Bonn, North Rhine-Westphalia, Germany
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da Silva MER, de Sena MD, Colombo NH, Pereira JA, Chrisostomo DA, de Aguiar SMHCÁ, Cunha RF, Duque C. Short-term Clinical and Microbiological Performance of Resin-modified Glass Ionomer Cement Containing Chlorhexidine for Atraumatic Restorative Treatment. Int J Clin Pediatr Dent 2023; 16:S27-S32. [PMID: 37663206 PMCID: PMC10474391 DOI: 10.5005/jp-journals-10005-2612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/05/2023] Open
Abstract
Aim This study evaluated the short-term clinical and microbiological performance of resin-modified glass ionomer cement (RM-GIC) cement containing chlorhexidine (CHX) for atraumatic restorative treatment (ART) in primary teeth. Materials and methods The clinical trial was conducted in 36 children that received ART in primary molars either with GIC (group I, n = 18) or GIC containing 1.25% CHX (group II, n = 18). The survival rate of restorations was checked 7 days, 3, and 6 months after their application when saliva and biofilm were collected for microbiological assessment of mutans streptococci (MS) counts. Data were analyzed using the Kruskal-Wallis/Mann-Whitney U tests for clinical analysis and microbiological evaluations (p < 0.05). Results The survival rate of restorations was similar comparing groups I with II. Microbiological analysis showed a significant reduction in MS levels 7 days after the treatment in both saliva and biofilm of children treated with RM-GIC containing CHX (group II); however, MS counts at 3 and 6 months did not differ from the initial counts. Conclusion A total of 1.25% CHX improved the microbiological properties of GIC in the short term without impairing the clinical performance of ART restorations. Clinical significance Glass ionomer cement (GIC) containing CHX could be an alternative in ART procedures with the objective of promoting an additional antimicrobial effect, which is interesting for children with high counts of MS during the initial phase of adaptation to dental treatment. How to cite this article da Silva ME, de Sena MD, Colombo NH, et al. Short-term Clinical and Microbiological Performance of Resin-modified Glass Ionomer Cement Containing Chlorhexidine for Atraumatic Restorative Treatment. Int J Clin Pediatr Dent 2023;16(S-1):S27-S32.
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Affiliation(s)
- Márjully ER da Silva
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | - Marina D de Sena
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | - Natália H Colombo
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | - Jesse A Pereira
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | - Daniela A Chrisostomo
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | - Sandra MHCÁ de Aguiar
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | - Robson F Cunha
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | - Cristiane Duque
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
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Aguilar-Perez DA, Urbina-Mendez CM, Maldonado-Gallegos B, Castillo-Cruz ODJ, Aguilar-Ayala FJ, Chuc-Gamboa MG, Vargas-Coronado RF, Cauich-Rodriguez JV. Mechanical Properties of Poly(Alkenoate) Cement Modified with Propolis as an Antiseptic. Polymers (Basel) 2023; 15:polym15071676. [PMID: 37050290 PMCID: PMC10096598 DOI: 10.3390/polym15071676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2023] [Revised: 03/23/2023] [Accepted: 03/24/2023] [Indexed: 03/30/2023] Open
Abstract
Background: We assessed the effect of propolis on the antibacterial, mechanical, and adhesive properties of a commercial poly(alkenoate) cement. Methods: The cement was modified with various concentrations of propolis, and antibacterial assays were performed against S. mutans by both MTT assays and agar diffusion tests. The compressive, flexural, and adhesive properties were also evaluated. Results: the modified cement showed activity against S. mutans in both assays, although reductions in compressive (from 211.21 to 59.3 MPa) and flexural strength (from 11.1 to 6.2 MPa) were noted with the addition of propolis, while adhesive strength (shear bond strength and a novel pull-out method) showed a statistical difference (p < 0.05). Conclusion: the antiseptic potential of modified material against S. mutans will allow this material to be used in cases in which low mechanical resistance is required (in addition to its anti-inflammatory properties) when using atraumatic restorative techniques, especially in deep cavities.
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Lesmana R, Zulhendri F, Fearnley J, Irsyam IA, Rasyid RPHN, Abidin T, Abdulah R, Suwantika A, Paradkar A, Budiman AS, Pasang T. The Suitability of Propolis as a Bioactive Component of Biomaterials. Front Pharmacol 2022; 13:930515. [PMID: 35754488 PMCID: PMC9213800 DOI: 10.3389/fphar.2022.930515] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 05/17/2022] [Indexed: 12/22/2022] Open
Abstract
Propolis is a resinous product collected by bees from plant exudates to protect and maintain hive homeostasis. Propolis has been used therapeutically for centuries as folk medicine. Modern research investigating the diversity of the chemical composition and plant sources, biological activity, extraction processes, analytical methods, and therapeutic properties in clinical settings have been carried out extensively since the 1980s. Due to its antimicrobial, anti-inflammatory, and immuno-modulator properties, propolis appears to be a suitable bioactive component to be incorporated into biomaterials. This review article attempts to analyze the potential application of propolis as a biomaterial component from the available experimental evidence. The efficacy and compabitility of propolis depend upon factors, such as types of extracts and types of biomaterials. Generally, propolis appears to be compatible with hydroxyapatite/calcium phosphate-based biomaterials. Propolis enhances the antimicrobial properties of the resulting composite materials while improving the physicochemical properties. Furthermore, propolis is also compatible with wound/skin dressing biomaterials. Propolis improves the wound healing properties of the biomaterials with no negative effects on the physicochemical properties of the composite biomaterials. However, the effect of propolis on the glass-based biomaterials cannot be generalized. Depending on the concentration, types of extract, and geographical sources of the propolis, the effect on the glass biomaterials can either be an improvement or detrimental in terms of mechanical properties such as compressive strength and shear bond strength. In conclusion, two of the more consistent impacts of propolis across these different types of biomaterials are the enhancement of the antimicrobial and the immune-modulator/anti-inflammatory properties resulting from the combination of propolis and the biomaterials.
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Affiliation(s)
- Ronny Lesmana
- Physiology Division, Department of Biomedical Sciences, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.,Center of Excellence in Higher Education for Pharmaceutical Care Innovation, Universitas Padjadjaran, Bandung, Indonesia.,Biological Activity Division, Central Laboratory, Universitas Padjadjaran, Bandung, Indonesia
| | - Felix Zulhendri
- Physiology Division, Department of Biomedical Sciences, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.,Center of Excellence in Higher Education for Pharmaceutical Care Innovation, Universitas Padjadjaran, Bandung, Indonesia.,Kebun Efi, Kabanjahe, Indonesia
| | | | - Ilham A Irsyam
- Department of Orthopaedics and Traumatology, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
| | - Renaldi P H N Rasyid
- Department of Orthopaedics, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia
| | - Trimurni Abidin
- Department of Conservative Dentistry, Universitas Sumatera Utara, Medan, Indonesia
| | - Rizky Abdulah
- Center of Excellence in Higher Education for Pharmaceutical Care Innovation, Universitas Padjadjaran, Bandung, Indonesia.,Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Bandung, Indonesia
| | - Auliya Suwantika
- Center of Excellence in Higher Education for Pharmaceutical Care Innovation, Universitas Padjadjaran, Bandung, Indonesia.,Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Bandung, Indonesia
| | - Anant Paradkar
- Centre for Pharmaceutical Engineering Science, School of Pharmacy, University of Bradford, Bradford, United Kingdom
| | - Arief S Budiman
- Department of Manufacturing and Mechanical Engineering and Technology, Oregon Institute of Technology, Klamath Falls, OR, United States.,Industrial Engineering Department, BINUS Graduate Program, Bina Nusantara University, Jakarta, Indonesia
| | - Timotius Pasang
- Department of Manufacturing and Mechanical Engineering and Technology, Oregon Institute of Technology, Klamath Falls, OR, United States
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Al-Khureif AA, Mohamed BA, Khan AA. Resin Modified Glass Ionomer bonded to Caries affected dentin disinfected with Carbon dioxide laser, Diode lasers, Bee glue and Photosensitizing agents: An estimation of bond strength. Photodiagnosis Photodyn Ther 2022; 38:102829. [PMID: 35339723 DOI: 10.1016/j.pdpdt.2022.102829] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2022] [Revised: 03/11/2022] [Accepted: 03/21/2022] [Indexed: 12/11/2022]
Abstract
AIM The present in vitro study was carried out to evaluate the effect of different cavity disinfectants chlorhexidine (CHX), riboflavin (RF), diode laser (DL), carbon dioxide laser (CO2), and Propolis on the bond values of resin-modified glass ionomer cement (RMGIC) restoration bonded to caries affected dentin (CAD) MATERIALS AND METHODS: : Forty multi-rooted mandibular molars were adapted in self-cure acrylic resin blocks up to the level of the cementoenamel junction so that only the crown portion of the tooth remained visible. Silicon carbide discs of 1200 and 600 grits were then used to remove infected dentin. However, CAD was left behind to use as a substrate for restoration. All samples were randomly divided into five groups based on the method of disinfection. group 1: Propolis, group 2: CHX, group 3:RF activated by PDT, group 4: CO2 laser, and group 5: DL. RMGIC restoration was then placed on these disinfected samples. Samples were kept in an incubator keeping humidity at 100 % and temperature at 37 °C for about 24 hrs. All samples were then placed in a Universal testing machine to measure SBS. Failure modes were identified using a stereomicroscope. ANOVA test was used to analyze intergroup comparison. Tukey HSD test was used to evaluate multiple group comparisons. The level of significance was set at a p < 0.05 value. RESULTS Group 2 specimens disinfected with CHX established the highest SBS value (17.85±1.09 MPa). Whereas, Group 5 specimens in which CAD was disinfected with DL demonstrated the lowest SBS (10.36±0.33MPa). CONCLUSION CO2 has the potential to be used alternate to CHX for caries-affected dentin disinfection. However, Riboflavin activated by photodynamic therapy; Diode laser, and Propolis as cavity disinfectant prior bond to resin-modified glass ionomer is not recommended and needs further probing.
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Affiliation(s)
| | - Badreldin A Mohamed
- Community Health Department, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Aftab Ahmed Khan
- Dental Biomaterials Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
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