Retention of oral microorganisms on conventional and resin-modified glass-ionomer cements

Biomimetic Aspects of Restorative Dentistry Biomaterials

Biomimetic has emerged as a multi-disciplinary science in several biomedical subjects in recent decades, including biomaterials and dentistry. In restorative dentistry, biomimetic approaches have been applied for a range of applications, such as restoring tooth defects using bioinspired peptides to achieve remineralization, bioactive and biomimetic biomaterials, and tissue engineering for regeneration. Advancements in the modern adhesive restorative materials, understanding of biomaterial-tissue interaction at the nano and microscale further enhanced the restorative materials' properties (such as color, morphology, and strength) to mimic natural teeth. In addition, the tissue-engineering approaches resulted in regeneration of lost or damaged dental tissues mimicking their natural counterpart. The aim of the present article is to review various biomimetic approaches used to replace lost or damaged dental tissues using restorative biomaterials and tissue-engineering techniques. In addition, tooth structure, and various biomimetic properties of dental restorative materials and tissue-engineering scaffold materials, are discussed.

Green synthesis and characterization of Ag nanoparticles from Mangifera indica leaves for dental restoration and antibacterial applications

Green synthesis has gained a wide recognition as clean synthesis technique in the recent years. In the present investigation, silver nanoparticles were prepared by a novel green synthesis technique using Mangifera indica (Mango leaves) and found to be successfully used in dental applications. The prepared samples were spectroscopically characterized by XRD, PSA, SEM with EDS, and UV-Vis spectroscopy. The crystalline size and lattice strain were analyzed from the XRD data which were counter-verified by W-H plots and particle size analyzer. The XRD peaks revealed that average crystalline size of the as-synthesized Ag nanoparticles was of 32.4 nm with face-centered cubic structure. This was counter-verified by particle size analyzer and Williamson-Hall plots and found to be 31.7 and 33.21 nm in the former and latter, and the crystalline size of Ag NPs could be concluded as 32 ± 2 nm. The morphological structure of the prepared sample was studied through SEM images and the chemical composition was analyzed by the EDS data. The band energy was calculated as 393 nm from UV-Vis, which confirmed the synthesized sample as Ag nanoparticles. To improve the mechanical bonding and hardness of the dentally used glass ionomer cement (GIC), the synthesized silver nanoparticles were incorporated into GIC in 2% weight ratio. The morphology of the prepared specimens was studied using optical microscope images. Vickers microhardness and Monsanto hardness tests were performed on GIC, GIC reinforced with microsilver particles and GIC reinforced with nanosilver particles and the latter derived a promising results. The results of the Monsanto tests confirmed the increase in hardness of the GIC reinforced with AgNps as 14.2 kg/cm2 compared to conventional GIC and GIC reinforced with silver microparticle as 11.7 and 9.5 kg/cm2. Similarly the Vickers hardness results exhibited the enhanced hardness of GIC-reinforced AgNps as 82 VHN compared to GIC as 54 and GIC-reinforced silver microparticles as 61 VHN. The antibacterial activity of AgNPs was tested by a well-diffusion method on Escherichia coli and Staphylococcus aureus bacteria, and the obtained results exhibited a promising antibacterial activity of the as-synthesized nanoparticles.

Analysis of the properties of dental cements after exposure to incubation media containing Streptococcus mutans

AIM

Indirect restorations are increasingly used in dentistry, and the cementation interface is possibly the most critical region of the work. The objective of the present work was to evaluate the influence of exposure to a culture medium containing S. mutans on the hardness and solubility of four different cementing agents (zinc phosphate, glass ionomer, glass ionomer modified with resin and resin cement).

MATERIALS AND METHODS

Test specimens composed of these cements were exposed for 30 days in a culture medium containing S. mutans. After leaching, the test materials were assessed in terms of their solubility (loss of mass) and Knoop (KHN) microhardness. Changes in surface morphology were identified using scanning electron microscopy (SEM).

RESULTS

The resin cement showed no significant solubility and its hardness increased following exposure and leaching, while the zinc phosphate cement was the most soluble and its hardness decreased after exposure to the culture medium. SEM analyses identified morphological alterations on the surfaces of the test materials that were compatible with the solubility results.

CONCLUSION

It is concluded that resinous cements perform better than water-based cements when exposed to acidic conditions.

CLINICAL SIGNIFICANCE

The effects of acids from Streptococcus mutans can interfere with the efficiency and properties of some cements used for fixation of indirect restorations, exposed to the buccal environment.

Avaliação da atividade antimicrobiana de adesivo ortodôntico associado a verniz de clorexidina e timol na colagem de braquetes

OBJETIVO: avaliar a atividade antimicrobiana da associação de um adesivo ortodôntico com um verniz de clorexidina e timol. MÉTODOS: foram utilizados 32 pré-molares humanos divididos em 4 grupos. O grupo 1 consistiu do grupo controle, no qual o adesivo utilizado para a colagem do braquete não estava associado a nenhum agente antimicrobiano. Os grupos 2, 3 e 4 foram colados com um sistema adesivo associado a um verniz de clorexidina e timol. Os grupos 3 e 4 foram armazenados em água por 7 dias e 30 dias, respectivamente, enquanto os corpos de prova do grupo 2 foram, logo depois da colagem, colocados em ágar semeado com Streptococcus mutans por 48h a 37ºC. RESULTADOS: os grupos experimentais, com exceção do grupo controle, apresentaram atividade antimicrobiana com tendência de redução do seu potencial de ação com maior tempo de imersão em água. CONCLUSÃO: a associação do verniz de clorexidina a um sistema adesivo utilizado em Ortodontia apresenta-se vantajosa pela sua atividade antimicrobiana.

In vitro biofilm formation on the surface of resin-based dentine adhesives

Prevention of root caries on exposed root surfaces in the aging population is a significant challenge. Bonding resins can be applied to exposed root surfaces as sealants; however, minimal data exists regarding biofilm formation on the surface of these resins. We hypothesized that an antibacterial dentine-bonding resin containing methacryloxydodecyl-pyridiniumbromide (MDPB) may reduce biofilm formation. Biofilms were produced in pooled stimulated natural whole saliva, supplemented with 1% sucrose, on the surface of 5 dentine-bonding resins (Clearfil SE, OptiBond Solo, Protect Bond, Protect Bond Primer, and Xeno III) using untreated root surfaces as controls. Biofilms were stained using the Live:Dead Baclight bacterial viability stain, viewed with confocal microscopy, and analyzed using ImageJ image-analysis software. Resin surfaces encouraged attachment of live bacteria compared with root surfaces. All resins showed similar bacterial colonization in sections adjacent to the resin surface, but in the central and outer portions of biofilms, Xeno III and Protect Bond Primer showed a viable bacterial load similar to that of the root surface. Fluoride-releasing resins (OptiBond Solo/Protect Bond) did not show reduced biofilm formation. Thus, antibacterial agents within the resins have a minimal effect on biofilm formation, particularly when directly adjacent to the root surface.