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Fernandes GLP, Vanim MM, Delbem ACB, Martorano AS, Raucci LMSDC, de Oliveira PT, Zucolotto V, Dias BJM, Brighenti FL, de Oliveira AB, Moraes JCS, de Camargo ER, Danelon M. Antibacterial, cytotoxic and mechanical properties of a orthodontic cement with phosphate nano-sized and phosphorylated chitosan: An in vitro study. J Dent 2024; 146:105073. [PMID: 38782176 DOI: 10.1016/j.jdent.2024.105073] [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: 03/22/2024] [Revised: 05/10/2024] [Accepted: 05/13/2024] [Indexed: 05/25/2024] Open
Abstract
OBJECTIVES Evaluate, in vitro, the effect of incorporating nano-sized sodium trimetaphosphate (TMPnano) and phosphorylated chitosan (Chi-Ph) into resin-modified glass ionomer cement (RMGIC) used for orthodontic bracket cementation, on mechanical, fluoride release, antimicrobial and cytotoxic properties. METHODS RMGIC was combined with Chi-Ph (0.25%/0.5%) and/or TMPnano (14%). The diametral compressive/tensile strength (DCS/TS), surface hardness (SH) and degree of conversion (%DC) were determined. For fluoride (F) release, samples were immersed in des/remineralizing solutions. Antimicrobial/antibiofilm activity was evaluated by the agar diffusion test and biofilm metabolism (XTT). Cytotoxicity in fibroblasts was assessed with the resazurin method. RESULTS After 24 h, the RMGIC-14%TMPnano group showed a lower TS value (p < 0.001); after 7 days the RMGIC-14%TMPnano-0.25%Chi-Ph group showed the highest value (p < 0.001). For DCS, the RMGIC group (24 h) showed the highest value (p < 0.001); after 7 days, the highest value was observed for the RMGIC-14%TMPnano-0.25%Chi-Ph (p < 0.001). RMGIC-14%TMPnano, RMGIC-14%TMPnano-0.25%Chi-Ph, RMGIC-14%TMPnano-0.5%Chi-Ph showed higher and similar release of F (p > 0.001). In the SH, the RMGIC-0.25%Chi-Ph; RMGIC-0.5%Chi-Ph; RMGIC-14%TMPnano-0.5%Chi-Ph groups showed similar results after 7 days (p > 0.001). The RMGIC-14%TMPnano-0.25%Chi-Ph group showed a better effect on microbial/antibiofilm growth, and the highest efficacy on cell viability (p < 0.001). After 72 h, only the RMGIC-14%TMPnano-0.25%Chi-Ph group showed cell viability (p < 0.001). CONCLUSION The RMGIC-14%TMPnano-0.25%Chi-Ph did not alter the physical-mechanical properties, was not toxic to fibroblasts and reduced the viability and metabolism of S. mutans. CLINICAL RELEVANCE The addition of phosphorylated chitosan and organic phosphate to RMGIC could provide an antibiofilm and remineralizing effect on the tooth enamel of orthodontic patients, who are prone to a high cariogenic challenge due to fluctuations in oral pH and progression of carious lesions.
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Affiliation(s)
- Gabriela Leal Peres Fernandes
- São Paulo State University (UNESP), School of Dentistry, Araçatuba, Department of Preventive and Restorative Dentistry, Rua José Bonifácio 1193 Araçatuba, SP, 16015-050, Brazil
| | - Manuela Marquesini Vanim
- School of Dentistry, University of Ribeirão Preto - UNAERP, Ribeirão Preto, SP, 14096-900, Brazil
| | - Alberto Carlos Botazzo Delbem
- São Paulo State University (UNESP), School of Dentistry, Araçatuba, Department of Preventive and Restorative Dentistry, Rua José Bonifácio 1193 Araçatuba, SP, 16015-050, Brazil
| | | | | | | | - Valtencir Zucolotto
- São Carlos Institute of Physics, University of São Paulo, São Carlos, SP, Brazil
| | | | - Fernanda Lourenção Brighenti
- Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, São Paulo State University (Unesp), School of Dentistry, R. Humaitá, 1680 - Centro, Araraquara, São Paulo 14801-903, Brazil
| | - Analú Barros de Oliveira
- Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry, São Paulo State University (Unesp), School of Dentistry, R. Humaitá, 1680 - Centro, Araraquara, São Paulo 14801-903, Brazil
| | - João Carlos Silos Moraes
- Department of Physics and Chemistry, São Paulo State University (UNESP), Ilha Solteira, SP, Brazil
| | - Emerson Rodrigues de Camargo
- Interdisciplinary Laboratory of Electrochemistry and Ceramics, Department of Chemistry, Federal University of São Carlos (UFSCar), Rod. Washington Luiz, s/n, São Carlos, 13565-905 Brazil
| | - Marcelle Danelon
- São Paulo State University (UNESP), School of Dentistry, Araçatuba, Department of Preventive and Restorative Dentistry, Rua José Bonifácio 1193 Araçatuba, SP, 16015-050, Brazil.
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Nicholson JW, Sidhu SK, Czarnecka B. Fluoride exchange by glass-ionomer dental cements and its clinical effects: a review. Biomater Investig Dent 2023; 10:2244982. [PMID: 37615013 PMCID: PMC10444020 DOI: 10.1080/26415275.2023.2244982] [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: 06/05/2023] [Accepted: 08/01/2023] [Indexed: 08/25/2023] Open
Abstract
The topic of fluoride release and uptake by glass-ionomer (glass polyalkenoate) dental cements is reviewed. The study was based on a literature search carried out using PubMed. The main key words used were glass-ionomer and fluoride, and further refinements were made by adding the keywords anti-microbial, anti-caries and remineralization. Papers were selected from the initial search, which concentrated on fundamental aspects of fluoride release, including kinetics and the influence of the cement composition, and resulting clinical performance against caries. Other relevant papers were cited where they added useful and relevant data. From these published papers, it was possible to explain the detailed mechanism of fluoride release by glass-ionomer cements and also its uptake. Fluoride release has been shown to be a two-step process. In neutral solutions, the steps can be divided into early wash-out and long-term diffusion. In acid conditions, the early wash-out remains, though with greater amounts of fluoride released, and the long-term release becomes one of slow dissolution. The effect of fluoride on the viability of oral micro-organisms has been described, and glass-ionomers have been shown to release sufficient fluoride to reduce the size and viability of adjacent populations of oral bacteria. The effect of low levels of fluoride on the remineralization of tooth tissue has been considered. Levels needed to increase remineralization are much lower than those needed to adversely affect oral bacteria, from which we conclude that glass-ionomers release sufficient fluoride to promote remineralization. Despite this, there remains uncertainty about their overall contribution to sound oral health, given the widespread use of other sources of fluoride, such as toothpastes.
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Affiliation(s)
- John W. Nicholson
- Dental Materials Unit, Bart’s and the London Institute of Dentistry, Queen Mary University of London, London, UK
- Bluefield Centre for Biomaterials, London, UK
| | - Sharanbir K. Sidhu
- Centre for Oral Bioengineering, Institute of Dentistry, Bart’s & The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Beata Czarnecka
- Department of Biomaterials and Experimental Dentistry, University of Medical Sciences, Poznań, Poland
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Lazar L, Vlasa A, Beresescu L, Bud A, Lazar AP, Matei L, Bud E. White Spot Lesions (WSLs)-Post-Orthodontic Occurrence, Management and Treatment Alternatives: A Narrative Review. J Clin Med 2023; 12:1908. [PMID: 36902696 PMCID: PMC10003622 DOI: 10.3390/jcm12051908] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 02/25/2023] [Accepted: 02/27/2023] [Indexed: 03/06/2023] Open
Abstract
Although treatment with fixed or mobile appliances has become an important part of modern orthodontics, side effects such as white spot lesions (WSLs) have a negative impact on the aesthetic outcome of orthodontic treatment. The purpose of this article was to review current evidence on the diagnosis, risk assessment, prevention, management and post-orthodontic treatment of these lesions. Data collection was performed electronically, and the initial search using the keywords "white spot lesions", "orthodontics", "WSL", "enamel" and "demineralization" in different combinations resulted in 1032 articles for the two electronic databases used. Ultimately, a total of 47 manuscripts were considered relevant to the aim of this research and included in this review. The results of the review indicate that WSLs remain a significant problem during orthodontic treatment. According to studies in the literature, the severity of WSLs correlates to the duration of treatment. Using toothpaste with more than 1000 ppm fluoride at home reduces the frequency of WSL separation and regular application of varnishes in the office reduces the frequency of the occurrence of WSLs only in the context of maintaining a strict hygiene regime. The old hypothesis that elastomeric ligatures retain more dental plaque than metal ones has been refuted. There are no differences in the appearance of WSLs between conventional brackets and self-ligating brackets. Clear aligner mobile devices develop fewer WSLs but are more extensive as opposed to conventional fixed devices, while lingual orthodontic appliances have a lower incidence of WSLs, and the most effective device for preventing these lesions is WIN, followed by Incognito.
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Affiliation(s)
- Luminita Lazar
- Faculty of Dental Medicine, University of Medicine and Pharmacy, Science and Technology George Emil Palade, 540139 Târgu-Mureș, Romania
| | - Alexandru Vlasa
- Faculty of Dental Medicine, University of Medicine and Pharmacy, Science and Technology George Emil Palade, 540139 Târgu-Mureș, Romania
| | - Liana Beresescu
- Faculty of Dental Medicine, University of Medicine and Pharmacy, Science and Technology George Emil Palade, 540139 Târgu-Mureș, Romania
| | - Anamaria Bud
- Faculty of Dental Medicine, University of Medicine and Pharmacy, Science and Technology George Emil Palade, 540139 Târgu-Mureș, Romania
| | - Ana Petra Lazar
- Faculty of Dental Medicine, University of Medicine and Pharmacy, Science and Technology George Emil Palade, 540139 Târgu-Mureș, Romania
| | - Larisa Matei
- Department of Oral and Maxillo-Facial Surgery, Clinical Hospital of Târgu-Mureș, 540139 Târgu-Mureș, Romania
| | - Eugen Bud
- Faculty of Dental Medicine, University of Medicine and Pharmacy, Science and Technology George Emil Palade, 540139 Târgu-Mureș, Romania
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Yang H, Ma Y, Xie X, Wang H, Li X, Fang D, Bai Y. Candida albicans enriched in orthodontic derived white spot lesions and shaped focal supragingival bacteriome. Front Microbiol 2023; 14:1084850. [PMID: 36760510 PMCID: PMC9902512 DOI: 10.3389/fmicb.2023.1084850] [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: 10/31/2022] [Accepted: 01/09/2023] [Indexed: 01/25/2023] Open
Abstract
White spot lesions (WSLs) are common enamel infectious diseases in fixed orthodontic treatment, which might attribute to the dysbiosis of oral microbiome. However, the correlation of Candida albicans with oral bacteriome in WSLs still remains unrevealed. This study investigated the carriage of C. albicans and how it shaped the bacterial community in disease or healthy supragingival plaque, to explore the potential role of interkingdom interaction in orthodontic WSLs. In this study, 31 patients with WSLs (WSLs) and 23 healthy patients (Health) undergoing fixed orthodontic treatment were enrolled. The supragingival microbiota in both groups were determined using 16S rRNA gene sequencing. Colonization and abundance of C. albicans in the plaque were determined via culture-dependent and -independent methods. Among WSLs patients, the correlation of C. albicans and bacteriome was analyzed under QIIME2-based bioinformatics and Spearman's correlation coefficient. The raw reads were deposited into the NCBI Sequence Read Archive (SRA) database (Accession Number: SRP404186). Significant differences in microbial diversity as well as composition were observed between WSLs and Health groups. Leptotrichia remarkably enriched in the WSLs group, while Neisseria and Cardiobacterium significantly enriched in the Health group. In addition, 45% of WSLs patients were C. albicans carriers but none in patients without WSLs. Among all WSLs patients, beta diversity and microbial composition were distinguished between C. albicans carriers and non-carriers. In C. albicans carriers, Corynebacterium matruchotii and Streptococcus mutans significantly enriched whereas Saccharibacteria_TM7_G-1 significantly depleted. The abundance of C. albicans was positively associated with bacteria such as Streptococcus mutans, while the negative correlation was detected between C. albicans and several bacteria such as Cardiobacterium hominis and Streptococcus sanguinis. Our study elucidated the distinguished supragingival plaque microbiome between orthodontic patients with and without WSLs. C. albicans frequently existed and enriched in orthodontic derived WSLs. The carriage of C. albicans shape plaque bacterial community in demineralized lesions and might play roles in WSLs pathogenesis.
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Moghaddam A, Ranjbar R, Yazdanian M, Tahmasebi E, Alam M, Abbasi K, Hosseini ZS, Tebyaniyan H. The Current Antimicrobial and Antibiofilm Activities of Synthetic/Herbal/Biomaterials in Dental Application. BIOMED RESEARCH INTERNATIONAL 2022; 2022:8856025. [PMID: 35958811 PMCID: PMC9363208 DOI: 10.1155/2022/8856025] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Revised: 07/06/2022] [Accepted: 07/25/2022] [Indexed: 11/17/2022]
Abstract
Herbal and chemical products are used for oral care and biofilm treatment and also have been reported to be controversial in the massive trials conducted in this regard. The present review is aimed at evaluating the potential of relevant herbal and chemical products and comparing their outcomes to conventional oral care products and summarizing the current state of evidence of the antibiofilm properties of different products by evaluating studies from the past eleven years. Chlorhexidine gluconate (CHX), essential oils (EOs), and acetylpyridinium chloride were, respectively, the most commonly studied agents in the included studies. As confirmed by all systematic reviews, CHX and EO significantly control the plaque formation and gingival indices. Fluoride is another interesting reagent in oral care products that has shown promising results of oral health improvement, but the evidence quality needs to be refined. The synergy between natural plants and chemical products should be targeted in the future to accede to the formation of new, efficient, and healthy anticaries strategies. Moreover, to discover their biofilm-interfering or biofilm-inhibiting activities, effective clinical trials are needed. In this review article, therapeutic applications of herbal/chemical materials in oral biofilm infections are discussed in recent years (2010-2022).
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Affiliation(s)
- Ali Moghaddam
- Research Center for Prevention of Oral and Dental Diseases, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Reza Ranjbar
- Research Center for Prevention of Oral and Dental Diseases, Baqiyatallah University of Medical Sciences, Tehran, Iran
- School of Dentistry, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Mohsen Yazdanian
- Research Center for Prevention of Oral and Dental Diseases, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Elahe Tahmasebi
- Research Center for Prevention of Oral and Dental Diseases, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Mostafa Alam
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Kamyar Abbasi
- Department of Prosthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Zahra Sadat Hosseini
- Department of Genetics and Biotechnology, School of Biological Science, Varamin-Pishva Branch, Islamic Azad University, Tehran, Iran
| | - Hamid Tebyaniyan
- Science and Research Branch, Islamic Azad University, Tehran, Iran
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Malik Z, Qasim Butt D, Qasim Butt Z, Muhammad N, Kaleem M, Liaqat S, Adnan Khan M, Samad Khan A. Evolution of Anticariogenic Resin‐Modified Glass Ionomer Cements. CHEMBIOENG REVIEWS 2021. [DOI: 10.1002/cben.202100005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Zuleikha Malik
- National University of Medical Sciences (NUMS) Department of Dental Materials Rawalpindi Pakistan
| | - Danial Qasim Butt
- Dental College HITEC-IMS Department of Oral Pathology Taxila Cantt Pakistan
| | - Zainab Qasim Butt
- National University of Medical Sciences (NUMS) Department of Dental Materials Rawalpindi Pakistan
| | - Nawshad Muhammad
- Khyber Medical University Department of Dental Materials Institute of Basic Medical Sciences 25100 Peshawar Khyber Pakhtunkhwa Pakistan
| | - Muhammad Kaleem
- National University of Medical Sciences (NUMS) Department of Dental Materials Rawalpindi Pakistan
| | - Saad Liaqat
- Khyber Medical University Department of Dental Materials Institute of Basic Medical Sciences 25100 Peshawar Khyber Pakhtunkhwa Pakistan
| | - Muhammad Adnan Khan
- Khyber Medical University Department of Dental Materials Institute of Basic Medical Sciences 25100 Peshawar Khyber Pakhtunkhwa Pakistan
| | - Abdul Samad Khan
- Imam Abdulrahman Bin Faisal University Department of Restorative Dental Sciences College of Dentistry Dammam Saudi Arabia
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Ionescu A, Brambilla E, Hahnel S. Does recharging dental restorative materials with fluoride influence biofilm formation? Dent Mater 2019; 35:1450-1463. [PMID: 31400984 DOI: 10.1016/j.dental.2019.07.019] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2018] [Revised: 06/28/2019] [Accepted: 07/15/2019] [Indexed: 10/26/2022]
Abstract
OBJECTIVES To investigate the influence of recharging dental restorative materials with fluoride on biofilm formation. METHODS Specimens produced from a high-viscosity glass ionomer cement (HVGIC), a resin-modified glass ionomer cement (RMGIC), and a resin-based composite (RBC) were randomly allotted to incubation in artificial saliva either for one week (AS-1), for five weeks (AS-5), for five weeks including twice/day brushing with 1450ppm NaF toothpaste (AS-5-brush), or one-time exposition to 5000ppm NaF after five weeks of incubation (AS-5-exp). Human enamel was used as reference. Surface roughness and the release of fluoride from the specimens was determined; biofilm formation was simulated using mono- or multispecies microbiological models and analysed employing an MTT-based approach and confocal laser-scanning microscopy. RESULTS Monospecies biofilm formation was significantly reduced on HVGIC in comparison to RMGIC and RBC. It was also reduced on HVGIC and enamel after treatment with fluoride in groups AS-5-brush and AS-5-exp in comparison to AS-5. These effects were particularly pronounced after 24h, and less pronounced after 48h of biofilm formation. In the multispecies microbiological model, similar observations were identified for HVGIC, while for enamel a significant reduction in biofilm formation was observed in groups AS-5-brush and AS-5-exp. No significant effect of fluoride treatments was identified for RMGIC and RBC, regardless of the microbiological model applied. SIGNIFICANCE These data indicate that biofilm formation on the surfaces of a glass ionomer cement and enamel can be relevantly influenced by treatment with fluoride. Enamel may serve as a fluoride reservoir which requires regular recharge.
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Affiliation(s)
- Andrei Ionescu
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy
| | - Eugenio Brambilla
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy
| | - Sebastian Hahnel
- Poliklinik für Zahnärztliche Prothetik und Werkstoffkunde, Leipzig University, Leipzig, Germany.
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