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Zibar Belasic T, Badnjevic M, Zigante M, Mohar Vitezic B, Spalj S, Markova-Car EP. Supragingival dental biofilm profile and biofilm control during orthodontic treatment with fixed orthodontic appliance: A randomized controlled trial. Arch Oral Biol 2024; 164:105984. [PMID: 38701663 DOI: 10.1016/j.archoralbio.2024.105984] [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: 12/04/2023] [Revised: 04/17/2024] [Accepted: 04/24/2024] [Indexed: 05/05/2024]
Abstract
OBJECTIVE The effectiveness of supragingival dental biofilm control during orthodontic treatment and changes in the bacterial profile were analyzed. DESIGN Sixty-four participants aged 12-22 years (57% female) were included in the study. Participants underwent orthodontic treatment with fixed appliances and were randomly assigned to one of the three groups, which during a period of one month: (I) used chlorhexidine digluconate (CHX), (II) used high concentration of fluoride (F) gel and (III) performed standard oral hygiene. The plaque and gingivitis index, pH of biofilm and white spot lesions (WSL) were assessed. Changes of the bacteria in the biofilm were analyzed by the quantitative polymerase chain reaction RESULTS: Increase in the plaque index, pH of biofilm, and WSL was observed during orthodontic treatment with standard oral hygiene. Large interindividual variability was present, and the effects of one-month use of fluorides and CHX on clinical parameters were not significant. Despite standard hygiene the abundance of studied biofilm bacteria increased - the most Streptoccocus mutans (14.2x) and S. salivarius (3.3x), moderate Veillonella parvula (3x) and the least S. sobrinus (2.3x) and Agregatibacter actinomycetemcomitans (1.9x). The use of CHX reduced S. sobrinus (2.2x) and A. actinomycetemcomitans (1.9x). Fluoride use reduced A. actinomycetemcomitans (1.3x) and S. sobrinus (1.2x). Fluorides better controlled S. mutans than CHX. CONCLUSION Bacterial biomass in supragingival biofilm increased during treatment with metal orthodontic appliances, with greater increase in cariogenic bacteria than periopathogens. Fluoride controlled S. mutans, while CHX S. sobrinus and A. actinomycetemcomitans.
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Affiliation(s)
- T Zibar Belasic
- University of Trieste, Department of Medical, Surgical and Health Sciences, Piazza dell'Ospitale 1, Trieste, Italy
| | - M Badnjevic
- University of Rijeka, Faculty of Dental Medicine, Department of Orthodontics, Kresimirova 40, Rijeka, Croatia.
| | - M Zigante
- University of Rijeka, Faculty of Dental Medicine, Department of Orthodontics, Kresimirova 40, Rijeka, Croatia; Clinical Hospital Center Rijeka, Dental Clinic, Kresimirova 40, Rijeka, Croatia
| | - B Mohar Vitezic
- Clinical Hospital Center Rijeka, Dental Clinic, Kresimirova 40, Rijeka, Croatia; University of Rijeka, Faculty of Medicine, Department of Microbiology and Parasitology, Brace Branchetta 20, Rijeka, Croatia
| | - S Spalj
- University of Rijeka, Faculty of Dental Medicine, Department of Orthodontics, Kresimirova 40, Rijeka, Croatia; Clinical Hospital Center Rijeka, Dental Clinic, Kresimirova 40, Rijeka, Croatia; J. J. Strossmayer University of Osijek, Faculty of Dental Medicine and Health, Department of Dental Medicine, Crkvena 21, Osijek, Croatia
| | - E P Markova-Car
- University of Rijeka, Faculty of Medicine, Department of Basic and Clinical Pharmacology and Toxicology, Brace Branchetta 20, Rijeka, Croatia
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Erden T, Camcı H. Manual vs. interactive power toothbrush on plaque removal and salivary Streptococcus mutans and Lactobacillus casei levels : Single-center, examiner-blinded, randomized clinical trial in orthodontic patients. J Orofac Orthop 2024; 85:41-51. [PMID: 37266910 DOI: 10.1007/s00056-023-00470-6] [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: 05/09/2022] [Accepted: 04/02/2023] [Indexed: 06/03/2023]
Abstract
INTRODUCTION The purpose of this study was to compare efficacy of a manual and an interactive power toothbrush in orthodontic patients by assessing periodontal indexes and bacterial content of saliva samples. METHODS Forty patients (20 females, 20 males; age range 12-18 years) with fixed orthodontic appliances were included in the study. The patients were randomly divided into two groups in a 1:1 ratio using sealed envelopes: group 1: manual toothbrush (Oral‑B Ortho Brush, Procter&Gamble Company, Dublin, Ireland), group 2: interactive power toothbrush (Oral‑B Genius 8900, Procter&Gamble Company, Marktheidenfeld, Germany). All participants were given the same toothpaste (Colgate Triple Action, Colgate-Palmolive, New York, NY, USA). The brushing procedure for each patient was described in detail, both orally and visually, utilizing a video demonstration. Plaque and bleeding index scores were recorded for both the lower and upper arches at the beginning of the study (T0) and at weeks 6 (T1) and 12 (T2). In addition, the numbers of Streptococcus (S.) mutans, Lactobacillus (L.) casei, and Porphyromonas (P.) gingivalis bacteria were determined using a real-time polymerase chain reaction (PCR) analysis in saliva samples collected at T0, T1, and T2 times. Mann-Whitney U test and Student's t test were used to compare data between the groups, and one-way analysis of variance (ANOVA) and Friedman tests were used to compare data from different time intervals for each group. RESULTS Plaque index values were greater in group 1 at T1 and T2, although there was no difference between the groups at T0. The gingival index scores of both groups were similar at T0, T1, and T2. While group 2 had a larger number of salivary S. mutans at T0 and T2, there was no significant difference between the groups at T1. At all three time points, there was no significant difference in salivary L. casei levels between the groups. CONCLUSIONS Although the interactive power toothbrush was more effective at removing plaque than the manual toothbrush, the results of the gingival index did not reflect the plaque scores. The number of certain salivary bacteria and brush type did not appear to have a clear relationship.
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Affiliation(s)
- Tuğba Erden
- Department of Orthodontics, Afyonkarahisar Health Science University, Afyonkarahisar, Turkey
| | - Hasan Camcı
- Department of Orthodontics, Afyonkarahisar Health Science University, Afyonkarahisar, Turkey.
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Schubert A, Griesmüller C, Gersdorff N, Bürgers R, Wiechens B, Wassmann T. Antibacterial coating of orthodontic elastomeric ligatures with silver and bismuth nanofilms by magnetron sputtering: A feasibility study. Clin Exp Dent Res 2024; 10:e864. [PMID: 38433291 PMCID: PMC10909824 DOI: 10.1002/cre2.864] [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: 05/26/2023] [Revised: 01/11/2024] [Accepted: 01/20/2024] [Indexed: 03/05/2024] Open
Abstract
OBJECTIVES Magnetron sputtering was evaluated to equip surfaces of orthodontic elastomeric ligatures with silver and bismuth nanofilms. MATERIAL AND METHODS Antibacterial properties were evaluated by the adhesion of Streptococcus mutans. Polyurethane-based elastomeric ligatures were coated with silver and bismuth nanofilms via direct current magnetron sputtering. Surface roughness (Ra ) and surface-free energy (SFE) were assessed. Coated specimens were incubated with S. mutans for 2 h. Adhering bacteria were visualized by Hoechst staining and quantified by an ATP-based luminescence assay. One-way analysis of variance with Tukey post hoc testing and Pearson correlation analysis were performed (p < .05) to relate bacterial adhesion to surface roughness and surface-free energy. RESULTS Elastomeric ligatures were successfully coated with silver and bismuth nanofilms. Ra was significantly reduced by silver coating. Silver and bismuth coatings showed significantly higher SFE than controls. Adhesion of S. mutans was significantly decreased by silver coating. No correlation between bacterial adhesion and SFE was found. Correlation between bacterial adhesion and Ra was positive but not statistically significant. CONCLUSIONS Magnetron sputtering proved to be a feasible method to equip orthodontic elastomeric ligatures with silver and bismuth nanofilms. Silver coatings of elastomeric ligatures may reduce white spots and carious lesions in orthodontic patients. Future research is required to stabilize coatings.
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Affiliation(s)
- Andrea Schubert
- Department of ProsthodonticsUniversity Medical Center GoettingenGoettingenGermany
| | - Carolin Griesmüller
- Department of ProsthodonticsUniversity Medical Center GoettingenGoettingenGermany
| | - Nikolaus Gersdorff
- Department of ProsthodonticsUniversity Medical Center GoettingenGoettingenGermany
| | - Ralf Bürgers
- Department of ProsthodonticsUniversity Medical Center GoettingenGoettingenGermany
| | - Bernhard Wiechens
- Department of OrthodonticsUniversity Medical Center GoettingenGoettingenGermany
| | - Torsten Wassmann
- Department of ProsthodonticsUniversity Medical Center GoettingenGoettingenGermany
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Shu J, Huang Y, Ma X, Duan Z, Wu P, Chu S, Wu Y, Wang Y. Aesthetic impact of resin infiltration and its mechanical effect on ceramic bonding for white spot lesions. BMC Oral Health 2024; 24:365. [PMID: 38515110 PMCID: PMC10958835 DOI: 10.1186/s12903-024-04011-4] [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: 11/20/2023] [Accepted: 02/11/2024] [Indexed: 03/23/2024] Open
Abstract
BACKGROUND Treating white spot lesions (WSLs) with resin infiltration alone may not be sufficient, raising questions about its compatibility with other treatments amid controversial or incomplete data. Therefore, this study aimed to assess the aesthetic feasibility of resin infiltration combined with bleaching, as well as its potential mechanical effect on ceramic bonding to WSLs. METHODS One hundred and fifty flat enamel surfaces of bovine incisors were prepared. Ninety specimens were deminerailized and randomly assigned to three groups(n = 30): post-bleaching resin infiltration (Bl-R), pre-bleaching resin infiltration (R-Bl), and only resin infiltration (R). Color, surface roughness and microhardness were assessed in immediate, thermocycling and pigmentation tests. The remaining sixty samples were randomly assigned to three groups (n = 20): control (Ctrl), bonding (Bo), pre-bonding resin infiltration (R-Bo). Shear bonding strength, failure mode, micro-leakage depth and interface morphology were evaluated after ceramic bonding. The Tukey test and analysis of variance (ANOVA) were used for statistical analysis. RESULTS For the effect of resin infiltration and bleaching on WSLs, the R-Bl group showed the worst chromic masking ability, with the highest |ΔL|, |Δa|, |Δb|, and ΔE values after treatment. Compared with those in the Bl-R group, the R-Bl and R groups showed significant time-dependent staining, which is possibly attributed to their surface roughness. For the effect of resin infiltration on the adhesive properties of WSLs, resin infiltration reduced the staining penetration depth of WSLs from 2393.54 ± 1118.86 μm to 188.46 ± 89.96 μm (P < 0.05) while reducing WSLs porosity in SEM observation. CONCLUSIONS Post-bleaching resin infiltration proved to be advantageous in the aesthetic treatment of WSLs. Resin infiltration did not compromise bonding strength but it did reduce microleakage and enhance marginal sealing. Overall, resin infiltration can effectively enhance the chromatic results of treated WSLs and prevent long-term bonding failure between ceramics and enamel. Based on these findings, the use of post-bleaching resin infiltration is recommended, and resin infiltration before ceramic bonding is deemed viable in clinical practice.
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Affiliation(s)
- Jiaen Shu
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 200011, Shanghai, China
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China
- National Center for Stomatology, Shanghai, China
- National Clinical Research Center for Oral Diseases, Shanghai, China
- Shanghai Key Laboratory of Stomatology, Shanghai, China
- Shanghai Research Institute of Stomatology, Shanghai, China
| | - Yijia Huang
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 200011, Shanghai, China
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China
- National Center for Stomatology, Shanghai, China
- National Clinical Research Center for Oral Diseases, Shanghai, China
- Shanghai Key Laboratory of Stomatology, Shanghai, China
- Shanghai Research Institute of Stomatology, Shanghai, China
| | - Xueying Ma
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 200011, Shanghai, China
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China
- National Center for Stomatology, Shanghai, China
- National Clinical Research Center for Oral Diseases, Shanghai, China
- Shanghai Key Laboratory of Stomatology, Shanghai, China
- Shanghai Research Institute of Stomatology, Shanghai, China
| | - Zhonghua Duan
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 200011, Shanghai, China
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China
- National Center for Stomatology, Shanghai, China
- National Clinical Research Center for Oral Diseases, Shanghai, China
- Shanghai Key Laboratory of Stomatology, Shanghai, China
- Shanghai Research Institute of Stomatology, Shanghai, China
| | - Pei Wu
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 200011, Shanghai, China
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China
- National Center for Stomatology, Shanghai, China
- National Clinical Research Center for Oral Diseases, Shanghai, China
- Shanghai Key Laboratory of Stomatology, Shanghai, China
- Shanghai Research Institute of Stomatology, Shanghai, China
| | - Sijing Chu
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 200011, Shanghai, China
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China
- National Center for Stomatology, Shanghai, China
- National Clinical Research Center for Oral Diseases, Shanghai, China
- Shanghai Key Laboratory of Stomatology, Shanghai, China
- Shanghai Research Institute of Stomatology, Shanghai, China
| | - Yuqiong Wu
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 200011, Shanghai, China.
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China.
- National Center for Stomatology, Shanghai, China.
- National Clinical Research Center for Oral Diseases, Shanghai, China.
- Shanghai Key Laboratory of Stomatology, Shanghai, China.
- Shanghai Research Institute of Stomatology, Shanghai, China.
| | - Yuhua Wang
- Department of Prosthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 200011, Shanghai, China.
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China.
- National Center for Stomatology, Shanghai, China.
- National Clinical Research Center for Oral Diseases, Shanghai, China.
- Shanghai Key Laboratory of Stomatology, Shanghai, China.
- Shanghai Research Institute of Stomatology, Shanghai, China.
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An JS, Lim BS, Ahn SJ. Managing oral biofilms to avoid enamel demineralization during fixed orthodontic treatment. Korean J Orthod 2023; 53:345-357. [PMID: 37989574 PMCID: PMC10663579 DOI: 10.4041/kjod23.184] [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: 09/11/2023] [Accepted: 09/12/2023] [Indexed: 11/23/2023] Open
Abstract
Enamel demineralization represents the most prevalent complication arising from fixed orthodontic treatment. Its main etiology is the development of cariogenic biofilms formed around orthodontic appliances. Ordinarily, oral biofilms exist in a dynamic equilibrium with the host's defense mechanisms. However, the equilibrium can be disrupted by environmental changes, such as the introduction of a fixed orthodontic appliance, resulting in a shift in the biofilm's microbial composition from non-pathogenic to pathogenic. This alteration leads to an increased prevalence of cariogenic bacteria, notably mutans streptococci, within the biofilm. This article examines the relationships between oral biofilms and orthodontic appliances, with a particular focus on strategies for effectively managing oral biofilms to mitigate enamel demineralization around orthodontic appliances.
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Affiliation(s)
- Jung-Sub An
- Department of Orthodontics, School of Dentistry, Dental Research Institute, Seoul National University, Seoul, Korea
| | - Bum-Soon Lim
- Department of Dental Biomaterials, School of Dentistry, Dental Research Institute, Seoul National University, Seoul, Korea
| | - Sug-Joon Ahn
- Department of Orthodontics, School of Dentistry, Dental Research Institute, Seoul National University, Seoul, Korea
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Krishnan A, Rajendran R, Damodaran D, Manmadhan SK, Krishnan V. Long-term changes in thickness, live/dead bacterial ratio, and mineral content in biofilm on ceramic and stainless steel orthodontic attachments. J Orofac Orthop 2023; 84:251-258. [PMID: 36820892 DOI: 10.1007/s00056-023-00452-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 01/08/2023] [Indexed: 02/24/2023]
Abstract
PURPOSE Fixed orthodontic appliances induce biofilm deposition, which harbors a microbial population harmful to the periodontal health of the individual. The present study evaluated the changes in thickness, live/dead bacterial ratio, and mineral content in dental biofilm over 6 months in patients with either stainless steel or ceramic orthodontic attachments. METHODS Eighty patients who require fixed orthodontic appliance treatment with first premolar extraction for correcting their malocclusion were selected and bonded with either stainless steel or ceramic orthodontic attachments on the buccal side. The attached buttons were retrieved at different periods-1 week, 1 month, 3 months, and 6 months. They were stained and visualized through confocal microscopy to detect biofilm thickness and the ratio of live/dead bacteria. X‑ray diffraction was used to identify the presence of calcium and phosphorous. RESULTS Ceramic attachments showed a greater increase in biofilm thickness in comparison to stainless steel attachments except in the initial 1‑week evaluation. A higher live/dead bacterial ratio was observed in stainless steel attachments than in their ceramic counterparts at all four evaluation periods. Both stainless steel and ceramic surfaces exhibited the presence of mineral deposition (calcium and phosphorous) at all periods. CONCLUSIONS More biofilm adhesion was observed over ceramic surfaces than over stainless steel orthodontic attachments. Stainless steel attachments exhibited biofilm with a higher live/dead bacterial ratio than their ceramic counterparts at all evaluation periods. The presence of calcium and phosphorous in the adhered biofilm, pointing toward its calcification process, was identified.
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Affiliation(s)
- Anjali Krishnan
- Department of Orthodontics, Sri Sankara Dental College, Akathumuri, Varkala, Trivandrum, Kerala, India
| | - Rahul Rajendran
- Department of Orthodontics, Sri Sankara Dental College, Akathumuri, Varkala, Trivandrum, Kerala, India
| | - Deepak Damodaran
- Department of Orthodontics, Sri Sankara Dental College, Akathumuri, Varkala, Trivandrum, Kerala, India
| | - Sreelekshmi K Manmadhan
- Department of Orthodontics, Sri Sankara Dental College, Akathumuri, Varkala, Trivandrum, Kerala, India
| | - Vinod Krishnan
- Department of Orthodontics, Sri Sankara Dental College, Akathumuri, Varkala, Trivandrum, Kerala, India.
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Combined Effects of Different Bracket Bonding Adhesives and Different Resin Removal Methods on Enamel Discoloration: A Preliminary Study. Int J Dent 2023; 2023:8838264. [PMID: 36845625 PMCID: PMC9949961 DOI: 10.1155/2023/8838264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Revised: 01/28/2023] [Accepted: 02/03/2023] [Indexed: 02/18/2023] Open
Abstract
Introduction This study aimed to investigate the effects of 3 orthodontic bracket adhesives and 3 resin removal methods on enamel discoloration. Methods Ninety metal orthodontic brackets were bonded to 90 intact human premolars, using 3 adhesives (total etch composite (Transbond), self-etch composite (OptiBond), and light-curedresin-modified glass ionomer cement (RMGI, Fuji); n = 3 × 30). Each "bracket bonding" group (n = 30) was randomly divided into three subgroups of 10 specimens each, each with a different method of remnant resin removal (using only tungsten carbide burs; using tungsten carbide burs plus Sof-Lex polisher discs; using tungsten carbide burs and Stainbuster burs; n = 3 × 30). After bracket debonding and coffee staining (at 37°C for one week), the color change parameters (Δa, Δb, ΔL, and ΔE) were measured and then analyzed statistically (α = 0.05). Results All 9 mean ΔE values were significantly greater than 3.7 and 1.0 (P values ≤0.002, t-test). The effects of composites and resin removal methods on the ΔE parameter (and their interaction) were significant (P values ≤0.008, two-way ANOVA). There were significant pairwise comparisons between total etch (Transbond) and each of the other composites (P values ≤0.008, Tukey). Nonetheless, the difference between self-etch (OptiBond) and RMGI (Fuji) was not significant (P=0.967). There were significant pairwise comparisons between the ΔE parameter of group "Bur + Stainbuster" and ΔE of each of the other methods (both P values ≤0.017). Conclusions All 9 pairs of adhesives and resin removal techniques will cause quite visible discolorations. Still, self-etch composites or RMGI might be recommended over total etch composites. Moreover, using Stainbuster burs together with tungsten carbide burs is recommended to reduce discoloration. However, the coloration caused by each composite type can change drastically given the following adhesive removal technique used.
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KALBASSI S, YARAHMADI M, MOHAMMADIFARD H, AHMADI F. The antibiofilm and antibacterial effects of medicinal plant extracts on isolated sulfate-reducing bacteria from orthodontic appliances. FOOD SCIENCE AND TECHNOLOGY 2022. [DOI: 10.1590/fst.38322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Schubert A, Bürgers R, Baum F, Kurbad O, Wassmann T. Influence of the Manufacturing Method on the Adhesion of Candida albicans and Streptococcus mutans to Oral Splint Resins. Polymers (Basel) 2021; 13:polym13101534. [PMID: 34064561 PMCID: PMC8150722 DOI: 10.3390/polym13101534] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Revised: 05/05/2021] [Accepted: 05/06/2021] [Indexed: 02/07/2023] Open
Abstract
Microbial adhesion to oral splints may lead to oral diseases such as candidiasis, periodontitis or caries. The present in vitro study aimed to assess the effect of novel computer-aided design/computer-aided manufacturing (CAD/CAM) and conventional manufacturing on Candida albicans and Streptococcus mutans adhesion to oral splint resins. Standardized specimens of four 3D-printed, two milled, one thermoformed and one pressed splint resin were assessed for surface roughness by widefield confocal microscopy and for surface free energy by contact angle measurements. Specimens were incubated with C. albicans or S. mutans for two hours; a luminometric ATP assay was performed for the quantification of fungal and bacterial adhesion. Both one-way ANOVA with Tukey post hoc testing and Pearson correlation analysis were performed (p < 0.05) in order to relate manufacturing methods, surface roughness and surface free energy to microbial adhesion. Three-dimensional printing and milling were associated with increased adhesion of C. albicans compared to conventional thermoforming and pressing, while the S. mutans adhesion was not affected. Surface roughness and surface free energy showed no significant correlation with microbial adhesion. Increased fungal adhesion to oral splints manufactured by 3D printing or milling may be relevant for medically compromised patients with an enhanced risk for developing candidiasis.
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Condò R, Mampieri G, Pasquantonio G, Giancotti A, Pirelli P, Cataldi ME, La Rocca S, Leggeri A, Notargiacomo A, Maiolo L, De Filippis P, Cerroni L. In Vitro Evaluation of Structural Factors Favouring Bacterial Adhesion on Orthodontic Adhesive Resins. MATERIALS 2021; 14:ma14102485. [PMID: 34064903 PMCID: PMC8150295 DOI: 10.3390/ma14102485] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Revised: 04/23/2021] [Accepted: 05/08/2021] [Indexed: 02/07/2023]
Abstract
Bacterial adhesion to the surface of orthodontic materials is an important step in the formation and proliferation of plaque bacteria, which is responsible for enamel demineralization and periodontium pathologies. With the intent of investigating if adhesive resins used for bracket bonding are prone to bacteria colonization, the surface roughness of these materials has been analyzed, combining information with a novel methodology to observe the internal structures of orthodontic composites. Scanning electron microscopy, combined with focus ion bean micromachining and stylus profilometry analyses, were performed to evaluate the compositional factors that can influence specific pivotal properties facilitating the adhesion of bacteria to the surface, such as surface roughness and robustness of three orthodontic adhesive composite resins. To confirm these findings, contact angle measurements and bacteria incubation on resin slide have been performed, evaluating similarities and differences in the final achievement. In particular, the morphological features that determine an increase in the resins surface wettability and influence the bacterial adhesion are the subject of speculation. Finally, the focused ion beam technique has been proposed as a valuable tool to combine information coming from surface roughness with specific the internal structures of the polymers.
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Affiliation(s)
- Roberta Condò
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy; (G.M.); (G.P.); (A.G.); (P.P.); (S.L.R.); (L.C.)
- Correspondence:
| | - Gianluca Mampieri
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy; (G.M.); (G.P.); (A.G.); (P.P.); (S.L.R.); (L.C.)
| | - Guido Pasquantonio
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy; (G.M.); (G.P.); (A.G.); (P.P.); (S.L.R.); (L.C.)
| | - Aldo Giancotti
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy; (G.M.); (G.P.); (A.G.); (P.P.); (S.L.R.); (L.C.)
| | - Paola Pirelli
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy; (G.M.); (G.P.); (A.G.); (P.P.); (S.L.R.); (L.C.)
| | - Maria Elena Cataldi
- PhD in Materials for Health, Environment and Energy, University of Rome “Tor Vergata”, Via della Ricerca Scientifica, 1, 00133 Rome, Italy;
| | - Serena La Rocca
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy; (G.M.); (G.P.); (A.G.); (P.P.); (S.L.R.); (L.C.)
| | - Andrea Leggeri
- Oral Surgery Specialty School, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy;
| | - Andrea Notargiacomo
- Institute for Photonics and Nanotechnologies-National Research Council, Unit of Rome, Via Cineto Romano, 42, 00156 Rome, Italy;
| | - Luca Maiolo
- Institute for Microelectronics and Microsystems-National Research Council, Unit of Rome, Via del Fosso del Cavaliere, 100, 00133 Rome, Italy;
| | - Patrizia De Filippis
- Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy;
| | - Loredana Cerroni
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133 Rome, Italy; (G.M.); (G.P.); (A.G.); (P.P.); (S.L.R.); (L.C.)
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Martins FG, Melo A, Sousa SF. Databases for the study of biofilms: current status and potential applications. BIOFOULING 2021; 37:96-108. [PMID: 33508968 DOI: 10.1080/08927014.2021.1876849] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
Biofilms play an important role in health, being associated with >80% of all microbial infections in the body and in the development of antibiotic resistance. Research in this field has continuously produced large volumes of data. Being able to handle all this information will be paramount for progress in this field. However, this places a heavy burden on the development of strategies to gather, organize and make this information available in a way that can be readily and effectively used by those requiring it. Lately, efforts towards this goal have been reported, particularly with the development of Quorumpeps, BiofOmics, BaAMPs, QSPpred, dPABBs, aBiofilm and the Biofilms Structural Database. This work reviews these databases and highlights their applicability and potential, while stressing some of the challenges for the coming years in database development and usage brought about by the use of big data and machine learning.
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Affiliation(s)
- Fábio G Martins
- UCIBIO/REQUIMTE, BioSIM - Departamento de Biomedicina, Faculdade de Medicina da Universidade do Porto, Porto, Portugal
- LAQV/REQUIMTE, Departamento de Química e Bioquímica, Faculdade de Ciências da Universidade do Porto, Porto, Portugal
| | - André Melo
- LAQV/REQUIMTE, Departamento de Química e Bioquímica, Faculdade de Ciências da Universidade do Porto, Porto, Portugal
| | - Sérgio F Sousa
- UCIBIO/REQUIMTE, BioSIM - Departamento de Biomedicina, Faculdade de Medicina da Universidade do Porto, Porto, Portugal
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12
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Lim BS, Kim BH, Shon WJ, Ahn SJ. Effects of Caries Activity on Compositions of Mutans Streptococci in Saliva-Induced Biofilm Formed on Bracket Materials. MATERIALS 2020; 13:ma13214764. [PMID: 33114489 PMCID: PMC7663262 DOI: 10.3390/ma13214764] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 10/16/2020] [Accepted: 10/20/2020] [Indexed: 01/23/2023]
Abstract
This study aimed to investigate effects of caries activity on composition of mutans streptococci in saliva-induced biofilms formed on bracket materials. Three bracket materials were used as specimens: ceramic, metal, and plastic. After saliva was collected using a spitting method from caries-active (CA, decayed, missing, filled teeth (DMFT) score ≥ 10) and caries-free (CF, DMFT score = 0) subjects, saliva was mixed with growth media in a proportion of 1:10. The saliva solution was then incubated with each bracket material. After a saliva-induced biofilm was developed on the surface of the bracket material, the amounts of total bacteria and mutans streptococci were determined using real-time polymerase chain reaction. The results showed that biofilms from CA saliva contained more mutans streptococci but less total bacteria than biofilms from CF saliva, regardless of material type. Adhesion of total bacteria to ceramic was higher than to plastic, regardless of caries activity. Mutans streptococci adhered more to ceramic than to metal and plastic in both biofilms from CA and CF saliva, but there was a difference in adhesion between Streptococcus mutans and Streptococcus sobrinus. The amount of S. mutans was higher than that of S. sobrinus in biofilms from CA saliva despite similar amounts of the two strains in biofilms from CF saliva. The stronger adhesion of S. mutans to ceramic than to metal and plastic was more evident in biofilms from CA saliva than in biofilms from CF saliva. This study suggests that caries activity and material type significantly influenced composition of mutans streptococci in biofilms formed on bracket materials.
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Affiliation(s)
- Bum-Soon Lim
- Dental Research Institute and Department of Dental Biomaterial Science, School of Dentistry, Seoul National University, Seoul 03080, Korea;
| | - Bo-Hyun Kim
- Dental Research Institute and Department of Orthodontics, Seoul National University, Seoul 03080, Korea;
| | - Won-Jun Shon
- Dental Research Institute and Department of Conservative Dentistry, School of Dentistry, Seoul National University, Seoul 03080, Korea;
| | - Sug-Joon Ahn
- Dental Research Institute and Department of Orthodontics, Seoul National University, Seoul 03080, Korea;
- Correspondence: ; Tel.: +82-2-2072-2671
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13
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Novel Orthodontic Cement Comprising Unique Imidazolium-Based Polymerizable Antibacterial Monomers. J Funct Biomater 2020; 11:jfb11040075. [PMID: 33080813 PMCID: PMC7712085 DOI: 10.3390/jfb11040075] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Revised: 10/07/2020] [Accepted: 10/14/2020] [Indexed: 01/22/2023] Open
Abstract
White spot lesions (WSLs) can develop quickly and compromise the successful outcome of the orthodontic treatment. Orthodontic bonding cement with the capability to prevent or mitigate WSLs could be beneficial, especially for patients with high risk of caries. This study explored novel mono- and di-imidazolium-based polymerizable antibacterial monomers and evaluated orthodontic cement compositions comprising such novel monomers. Their antibacterial potentials, mechanical properties, and shear bond strength (SBS) to bovine enamel were investigated. Statistical tests were applied to SBS and mechanical tests (one-way ANOVA and Tukey’s test). For antibacterial resins C (ABR-C) and E (ABR-E), their minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) against cariogenic Streptococcus mutans bacterial strain UA159 were found to be 4 μg/mL and 8 μg /mL, respectively. The loss of dry mass from completely demineralized dentin beams in buffer solutions pre-dipped into ABR-C and ABR-E resins is much less than that in control buffer (artificial saliva) only. For unfilled resins comprising up to 12 wt % ABR-C, no significant decreases in flexural strength or modulus were observed. For experimental cements incorporating 1–4 wt % ABR-C, there was no drastic compromise to the SBS to enamel except for 3 wt % ABR-C. Furthermore, their SBS was all comparable to the commercially available orthodontic cements. The ISO-22196 antimicrobial test against S. aureus showed significant levels of antibacterial effects—up to over 5 logs of microorganism reduction exhibited by ABR-C-containing experimental cements. The imidazolium-based polymerizable monomers could be utilized to functionalize orthodontic bonding cement with steady antibacterial activity and develop a potential strategy to counteract WSLs.
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