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Altarazi A, Jadaan L, McBain AJ, Haider J, Kushnerev E, Yates JM, Alhotan A, Silikas N, Devlin H. 3D-printed nanocomposite denture base resin: The effect of incorporating TiO 2 nanoparticles on the growth of Candida albicans. J Prosthodont 2024; 33:25-34. [PMID: 37837403 DOI: 10.1111/jopr.13784] [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: 07/05/2023] [Revised: 09/23/2023] [Accepted: 10/06/2023] [Indexed: 10/16/2023] Open
Abstract
PURPOSE To develop a biocompatible denture base resin/TiO2 nanocomposite material with antifungal characteristics that is suitable for 3D-printing denture bases. MATERIALS AND METHODS TiO2 nanoparticles (NPs) with a 0.10, 0.25, 0.50, and 0.75 weight percent (wt.%) were incorporated into a commercially available 3D-printed resin material. The resulting nanocomposite material was analyzed using Lactate dehydrogenase (LDH) and AlamarBlue (AB) assays for biocompatibility testing with human gingival fibroblasts (HGF). The composite material was also tested for its antifungal efficacy against Candida albicans. Fourier transform infrared (FTIR) and Energy Dispersive X-ray Spectroscopy (EDX) mapping were conducted to assess the surface coating and the dispersion of the NPs. RESULTS LDH and AB assays confirmed the biocompatibility of the material showing cell proliferation at a rate of nearly 100% at day 10, with a cytotoxicity of less than 13% of the cells at day 10. The concentrations of 0.10, 0.25, and 0.50 wt.% caused a significant reduction (p < 0.05) in the number of candida cells attached to the surface of the specimens (p < 0.05), while 0.75 wt.% did not show any significant difference compared to the control (no TiO2 NPs) (p > 0.05). FTIR and EDX analysis confirmed the presence of TiO2 NPs within the nanocomposite material with a homogenous dispersion for 0.10 and 0.25 wt.% groups and an aggregation of the NPs within the material at higher concentrations. CONCLUSION The addition of TiO2 NPs into 3D-printed denture base resin proved to have an antifungal effect against Candida albicans. The resultant nanocomposite material was a biocompatible material with HGFs and was successfully used for 3D printing.
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Affiliation(s)
- Ahmed Altarazi
- Division of Dentistry, School of Medical Sciences, University of Manchester, Manchester, UK
- Restorative Dental Science, College of Dentistry, Taibah University, Madinah, Saudi Arabia
| | - Layali Jadaan
- Division of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - Andrew J McBain
- Division of Pharmacy and Optometry, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
| | - Julfikar Haider
- Division of Dentistry, School of Medical Sciences, University of Manchester, Manchester, UK
- Department of Engineering, Manchester Metropolitan University, Manchester, UK
| | - Evgeny Kushnerev
- Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Manchester, Manchester, UK
| | - Julian M Yates
- Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Manchester, Manchester, UK
| | - Abdulaziz Alhotan
- Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Nick Silikas
- Division of Dentistry, School of Medical Sciences, University of Manchester, Manchester, UK
| | - Hugh Devlin
- Division of Dentistry, School of Medical Sciences, University of Manchester, Manchester, UK
- School of Dentistry, University of Jordan, Jordan
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ElMalah NS, Hanafy SA, Osman EM, Aboulgheit SA, Baz AS. Effect of nanomodified 3D printed photopolymerizable resin on flexural strength, color, and antimicrobial efficacy: An in vitro study. J Prosthet Dent 2024; 132:268.e1-268.e8. [PMID: 38632027 DOI: 10.1016/j.prosdent.2024.03.036] [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: 11/20/2023] [Revised: 03/23/2024] [Accepted: 03/26/2024] [Indexed: 04/19/2024]
Abstract
STATEMENT OF PROBLEM Three-dimensional (3D) printing has become popular in dentistry, but studies on the influence of incorporating organic and inorganic nanofillers on 3D printed materials are lacking. PURPOSE The purpose of this in vitro study was to assess the flexural strength, color, and antimicrobial efficacy of 3D printed photopolymerizable resin upon adding titanium dioxide nanoparticles (TiO2 NPs) and silanized chitosan nanoparticles (sCS NPs). MATERIAL AND METHODS A stereolithographic material (VarseoSmile Crown plus; Bego) was used as a control group (VSC resin), and 3 nanocomposite resin groups were prepared by adding nanoparticles as follow: titanium dioxide group (VSC resin + 0.4% wt. TiO2 NPs), chitosan group (VSC resin + 0.4% wt. sCS NPs), and hybrid group (VSC resin + 0.2% wt. TiO2 NPs + 0.2% wt. sCS NPs). A total of 132 specimens were designed by using a free computer-aided design software program, printed, postpolymerized, and divided into 4 groups. The nanocomposite resins were characterized using scanning electron microscopy (SEM), energy dispersive X-ray spectroscopy (EDX), and Fourier-transform infrared spectroscopy (FTIR). Bar shaped specimens (n=44) were tested for 3-point flexural strength using a universal testing machine followed by the color measurement of disk-shaped specimens (n=44) with a spectrophotometer. Antimicrobial capacity was measured with Streptococcus mutans, and absorbance was measured using a microplate reader (n=44). Statistical assessments were made with 1-way ANOVA followed by the Tukey post hoc test with Bonferroni adjustment (α=.05). RESULTS The hybrid group recorded the highest mean value of flexural strength 135.51 MPa, showing a significant difference compared with that of the control group (P=.022). Regarding color, the mean ∆E00 for titanium was 1.18, for chitosan was 4.26, and for the hybrid group was 3.23 (P<.001). The optical density of the chitosan (2.42) was significantly higher than that of the titanium 1.36 (P=.007) and that of the control 1.63 (P=.042). CONCLUSIONS The incorporation of nanofillers resulted in an increase in flexural strength, but it adversely affected the color of nanocomposite resins. Antimicrobial efficacy was improved by incorporating titanium nanofillers.
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Affiliation(s)
- Noha S ElMalah
- Postgraduate student, Department of Dental Biomaterials, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt; Teaching Assistant of Dental Biomaterials, College of Dentistry, Arab Academy for Science and Technology and Maritime Transport (AASTMT), El-Alamein, Egypt.
| | - Seham A Hanafy
- Professor, Dental Biomaterials, Department of Dental Biomaterials, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt
| | - Essam M Osman
- Professor, Dental Biomaterials, Department of Dental Biomaterials, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt
| | - Salma A Aboulgheit
- Lecturer, Dental Biomaterials, Department of Dental Biomaterials, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt
| | - Amira S Baz
- Lecturer, Medical Microbiology and Immunology, Department of Medical Microbiology and Immunology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt
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Ansarifard E, Mohaghegh M, Saadat MH, Taghva M. Effect of denture cleansers on color stability and surface properties of denture base material containing titanium dioxide nanoparticles. J Prosthodont 2023. [PMID: 37947170 DOI: 10.1111/jopr.13793] [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: 11/27/2022] [Revised: 10/14/2023] [Accepted: 11/05/2023] [Indexed: 11/12/2023] Open
Abstract
PURPOSE To investigate the effect of different denture cleansers on color stability, surface roughness, and hardness of polymethylmethacrylate (PMMA) infused with titanium dioxide nanoparticles (TiO2 NPs) at concentrations of 1% and 2% by weight on each. MATERIALS AND METHODS In this in vitro study, 90 disc-shaped specimens (10×10×2 mm) were divided into 3 main groups: the non-containing nanoparticle group (0wt% concentration), 1wt% concentration, and 2wt% concentration TiO2 NPs groups. Each group was further assorted into 3 subgroups (n = 10): immersed in distilled water, oxygenating tablet (Corega), and 0.5% sodium hypochlorite. Color change, surface roughness, and hardness values were assessed after 90 and 180 days of storage. Color changes (∆E) were measured with a spectrophotometer (VITA, Easy Shade V, Germany) and assessed using the CIE L*a*b* colorimetric system and the American National Bureau of Standards (NBS = 0.92×∆E). The surface roughness and surface hardness values were measured using a profilometer device and Vickers hardness tester, respectively. First, ANOVA-repeated measurements were performed, followed by the Tukey test. The significance level in this study was considered 0.05. RESULTS At all concentrations, there were significant differences in the mean color changes of samples immersed in cleansers compared to distilled water (p < 0.01). Moreover, hypochlorite caused a significant increase compared to Corega at 0wt% concentration after 90 days and at 1wt% concentration after 90 and 180 days. Evaluations also showed that the mean NBS values in all cleanser groups were in the range of appreciable change, except the water group. In addition, only hypochlorite changed the color higher than the clinically acceptable range (∆E >3.7). The mean roughness of samples immersed in hypochlorite at 0wt% concentration was significantly higher than the samples containing TiO2 NPs (p = 0.006). No significant difference was observed in surface roughness of samples containing different concentrations of TiO2 NPs immersed in different cleansers; however, hypochlorite increased the surface roughness of samples without TiO2 NPs compared to samples containing TiO2 NPs after 180 days. The immersion time in cleansers had a significant influence on the surface roughness and hardness while having no effect on the color. CONCLUSION In general, the cleansers had a significant effect on color change in all groups compared to distilled water. The adverse effect of hypochlorite was more than Corega. The cleansers in the samples containing TiO2 NPs did not make a significant difference in surface roughness in comparison with the distilled water groups. Surface hardness of the samples was not affected in a steady pattern by the cleansers.
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Affiliation(s)
- Elham Ansarifard
- Nanomedicine and Nanobiology Research Center, Department of Prosthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mina Mohaghegh
- Department of Prosthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Hossein Saadat
- Research Committee, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Masumeh Taghva
- Department of Prosthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
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Pai E, Nayak A, Hallikerimath RB, Ruttonji Z, Astagi P, Pokale S. Comparison of titanium dioxide nanoparticles and silver nanoparticles for flexural strength once incorporated in heat-cure acrylic denture base resin: An in vitro Study. J Indian Prosthodont Soc 2023; 23:127-134. [PMID: 37102537 PMCID: PMC10262090 DOI: 10.4103/jips.jips_354_22] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 01/19/2023] [Accepted: 02/07/2023] [Indexed: 04/28/2023] Open
Abstract
Aim Polymethylmethacrylate (PMMA) resin is the most by and large used denture base material. Denture fractures are sequential to the flexure or impacting forces. Different nanoparticles such as titanium dioxide and silver nanoparticles have been used to improve its antimicrobial properties. There are limited data on their effect on flexural strength. The aim of the study was to assess the effect of silver nanoparticles and titanium dioxide nanoparticles addition on flexural strength of PMMA resins. Settings and Design One hundred and thirty specimens divided into four groups: Control Group A, TiO2-reinforced Group B, silver nanoparticles reinforced Group C, and mixture of TiO2 and silver nanoparticle reinforced Group D. Each reinforced group further divided based on concentrations -0.5%, 1%, 2%, and 3%. Materials and Methods Rectangular metal models of the American Dental Association (ADA)- specified dimensions: 65 mm × 10 mm × 3 mm were used to form a mold space for the fabrication of specimens. Three-point bend test was used to determine the flexural strength of the samples after immersion in distilled water for 2 weeks. Statistical Analysis The data collected were subjected to analysis of variance followed by post hoc Tukey's test. Results The comparison of the mean flexural strengths showed a statistically significant gradual decrease on increasing the concentrations of nanoparticles. Maximal flexural strength was seen in the control group and least with 3% Ag + TiO2 Nps. The modified specimen also showed color changes. Conclusions In an in vitro environment, addition of TiO2 and silver decreases the flexural strength of the PMMA. It also causes visible color changes.
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Affiliation(s)
- Ektha Pai
- Department of Prosthodontics, Maratha Mandal’s Nathajirao G. Halgekar Institute of Dental Sciences and Research Centre, Belagavi, Karnataka, India
| | - Ajaykumar Nayak
- Department of Prosthodontics, Maratha Mandal’s Nathajirao G. Halgekar Institute of Dental Sciences and Research Centre, Belagavi, Karnataka, India
| | - Rajendra B. Hallikerimath
- Department of Prosthodontics, Maratha Mandal’s Nathajirao G. Halgekar Institute of Dental Sciences and Research Centre, Belagavi, Karnataka, India
| | - Zarir Ruttonji
- Department of Prosthodontics, Maratha Mandal’s Nathajirao G. Halgekar Institute of Dental Sciences and Research Centre, Belagavi, Karnataka, India
| | - Preeti Astagi
- Department of Prosthodontics, Maratha Mandal’s Nathajirao G. Halgekar Institute of Dental Sciences and Research Centre, Belagavi, Karnataka, India
| | - Smita Pokale
- Department of Prosthodontics, Maratha Mandal’s Nathajirao G. Halgekar Institute of Dental Sciences and Research Centre, Belagavi, Karnataka, India
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Cui H, You Y, Cheng GW, Lan Z, Zou KL, Mai QY, Han YH, Chen H, Zhao YY, Yu GT. Advanced materials and technologies for oral diseases. SCIENCE AND TECHNOLOGY OF ADVANCED MATERIALS 2023; 24:2156257. [PMID: 36632346 PMCID: PMC9828859 DOI: 10.1080/14686996.2022.2156257] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 11/15/2022] [Accepted: 12/02/2022] [Indexed: 06/17/2023]
Abstract
Oral disease, as a class of diseases with very high morbidity, brings great physical and mental damage to people worldwide. The increasing burden and strain on individuals and society make oral diseases an urgent global health problem. Since the treatment of almost all oral diseases relies on materials, the rapid development of advanced materials and technologies has also promoted innovations in the treatment methods and strategies of oral diseases. In this review, we systematically summarized the application strategies in advanced materials and technologies for oral diseases according to the etiology of the diseases and the comparison of new and old materials. Finally, the challenges and directions of future development for advanced materials and technologies in the treatment of oral diseases were refined. This review will guide the fundamental research and clinical translation of oral diseases for practitioners of oral medicine.
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Affiliation(s)
- Hao Cui
- Stomatological Hospital, Southern Medical University, Guangzhou, China
| | - Yan You
- Stomatological Hospital, Southern Medical University, Guangzhou, China
| | - Guo-Wang Cheng
- Science and Technology Innovation Center, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Zhou Lan
- Stomatological Hospital, Southern Medical University, Guangzhou, China
| | - Ke-Long Zou
- Stomatological Hospital, Southern Medical University, Guangzhou, China
| | - Qiu-Ying Mai
- Science and Technology Innovation Center, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Yan-Hua Han
- Science and Technology Innovation Center, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Hao Chen
- Stomatological Hospital, Southern Medical University, Guangzhou, China
| | - Yu-Yue Zhao
- Stomatological Hospital, Southern Medical University, Guangzhou, China
| | - Guang-Tao Yu
- Stomatological Hospital, Southern Medical University, Guangzhou, China
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Elkhouly HI, Ali EM, El-Sheikh MN, Hassan AESM. An investigated organic and inorganic reinforcement as an effective economical filler of poly (methyl methacrylate) nanocomposites. Sci Rep 2022; 12:16416. [PMID: 36180521 PMCID: PMC9525612 DOI: 10.1038/s41598-022-20393-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2022] [Accepted: 09/13/2022] [Indexed: 11/16/2022] Open
Abstract
Polymer matrix composites have garnered the interest of the dentistry sector. Nano-fillers are frequently used as reinforcements in these composites to enhance their characteristics. Poly (methyl methacrylate) was filled with date seed nanoparticles (DSNP) and titanium oxide nanoparticles (TiO2NP). In this work, two nanofillers (DSNP and TiO2NP) were analyzed using Fourier-transform infrared spectroscopy (FTIR). In addition, the features of the PMMA-nanofiller composite were experimentally evaluated via compression, micro-hardness, wear rate (WR), and coefficients of friction (µ) testing. Utilizing a scanning electron microscope (SEM), the microstructure of the PMMA-DSNP composite was examined. The results of the experiments on the nanocomposites demonstrated that the elastic modulus, microhardness, wear resistance, and friction resistance increased with an increase in DSNP content to 1.2 wt, in comparison to TiO2NP at the same concentration. Finally, according to the guidelines, the ideal weight was determined to be 1.2 wt%, filler in the form of DSNP, at a normal load of 10 N.
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Affiliation(s)
- Heba I Elkhouly
- Department of Mechanical Engineering, Faculty of Engineering, Beni-Suef University, Beni-Suef, Egypt.
| | - Eman M Ali
- Production Technology Department, Faculty of Technology and Education, Beni-Suef University, Beni-Suef, Egypt
| | - M N El-Sheikh
- Production Technology Department, Faculty of Technology and Education, Beni-Suef University, Beni-Suef, Egypt
| | - A El-Sayed M Hassan
- Production Technology Department, Faculty of Technology and Education, Beni-Suef University, Beni-Suef, Egypt
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Moslehifard E, Ghaffari T, Zarei K, Karimoghli M. Evaluation of microhardness in two types of denture bases after using sodium hypochlorite and NatureDent disinfecting agents. J Dent Res Dent Clin Dent Prospects 2022; 16:196-203. [PMID: 36704187 PMCID: PMC9871170 DOI: 10.34172/joddd.2022.033] [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: 05/15/2022] [Accepted: 09/23/2022] [Indexed: 01/20/2023] Open
Abstract
Background. Chemical agents, in combination with mechanical methods, play an important role in reducing microbial plaque on denture surfaces. However, these methods might change the mechanical behavior of acrylic resins, including microhardness and surface roughness. This in vitro study investigated the effect of two disinfectants, i.e., water and sodium hypochlorite, on the microhardness of conventional heat-cured and TiO2 nanoparticle-reinforced acrylic resins. Methods. Sixty acrylic resin specimens were divided into two groups, and the samples in each group were randomly assigned to three subgroups (n=10). Heat-cured specimens and 1 wt% TiO2 acrylic resin were prepared and immersed in three solutions: water, a solution prepared with NatureDent pills, and 1% sodium hypochlorite for 30, 60, and 90 days. Microhardness tests were performed on each sample at each immersion stage. The data were analyzed using descriptive statistical methods, three-way and one-way ANOVA, repeated-measures t test, and Tukey HSD tests using SPSS 17. P values<0.05 were considered significant. Results. All three independent parameters, including resin, solution, and time, significantly affected microhardness (P<0.05). The microhardness of both specimen types, i.e., conventional heat-cured and TiO2 nanoparticle-reinforced acrylic resins, immersed for 30, 60, and 90 days, was the highest and lowest in water and hypochlorite solutions, respectively. Regarding 90 days, the microhardness values of conventional heat-cured and TiO2 nanoparticle-reinforced acrylic resins were 17.050±0.094 and 19.953±0.053 in water, 15.675±0.069 and 18.965±0.037 in hypochlorite, and 16.713±0.122 and 19.39±20.113 in NatureDent solutions, respectively. Conclusion. Disinfecting two types of acrylic resin specimens decreased their microhardness as a function of immersion time for up to 90 days in the three solutions. However, the magnitude of hardness lost was less for TiO2 nanoparticles-reinforced acrylic resin.
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Affiliation(s)
- Elnaz Moslehifard
- Department of Prosthodontics, Tabriz University of Medical Sciences, Tabriz, Iran,Corresponding author: Elnaz Moslehifard,
| | - Tahereh Ghaffari
- Department of Prosthodontics, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Khosro Zarei
- Department of Prosthodontics, Kurdistan University of Medical Sciences, Kurdistan, Iran
| | - Mahsa Karimoghli
- Department of Prosthodontics, Tabriz University of Medical Sciences, Tabriz, Iran
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Preparation and Characterisation of Poly(methyl metacrylate)-Titanium Dioxide Nanocomposites for Denture Bases. Polymers (Basel) 2020; 12:polym12112655. [PMID: 33187176 PMCID: PMC7697001 DOI: 10.3390/polym12112655] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Revised: 11/01/2020] [Accepted: 11/05/2020] [Indexed: 12/17/2022] Open
Abstract
Introduction of titanium dioxide nanoparticles (TiO2 NPs) to poly(methyl methacrylate) (PMMA) aims to improve the mechanical, microbiological and tribological properties of dental prosthesis bases. The aim of the research was to assess the polymerisation time and the change in the colour of the new biomaterial. Samples with the 1 wt% and 2 wt% content of TiO2 additionally modified by ultrasounds were created. The effectiveness of ultrasounds was assessed by comparing the average size of conglomerates in a liquid acrylic resin monomer by means of a dynamic light scattering (DLS) analysis. The biomaterial structure was assessed by the energy-dispersive X-ray spectroscopy (EDS) analysis. The colour change was analysed by means of a colorimetric test and provided in the CIE (Commission internationale de l’éclairage) L*a*b* and RGB (Red Green Blue) colour palette. It was observed during the DLS test that the ultrasonic homogenisation process caused an increase in the suspension heterogeneity. The EDS analysis confirmed the presence of nanoparticles sized below 100 nm, which constitutes a ground for calling the new biomaterial a nanocomposite. The addition of TiO2 NPs as well as the ultrasounds result in the reduction of the average PMMA polymerisation time. The obtained data reveal that the addition of both 1 wt% and 2 wt% causes a considerable change in the PMMA colour: its whitening. To summarise, the reduced polymerisation time of the new biomaterial fully enables performance of standard procedures related to creation of dental prosthesis bases. Due to the considerable change in the colour, the clinical application is limited to performance of repairs or relining of the prosthesis, where the new material is located in an unaesthetic zone.
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Behavior of PMMA Denture Base Materials Containing Titanium Dioxide Nanoparticles: A Literature Review. Int J Biomater 2019; 2019:6190610. [PMID: 30792739 PMCID: PMC6354146 DOI: 10.1155/2019/6190610] [Citation(s) in RCA: 43] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2018] [Revised: 12/22/2018] [Accepted: 01/02/2019] [Indexed: 11/17/2022] Open
Abstract
Titanium dioxide nanoparticles (TiO2NP) have gained interest in the dental field because of their multiple uses in addition to their antimicrobial effect. One of the applications in dentistry involves the incorporation into poly methyl methacrylate (PMMA) resin. However, there is a lack of evidence on their effects on the behavior of the resulting nanocomposite. Therefore, the present review aims to screen literatures for data related to PMMA/TiO2 nanocomposite to figure out the properties of TiO2 nanoparticles, methods of addition, interaction with PMMA resin matrix, and finally the addition effects on the properties of introduced nanocomposite and evidence on its clinical performance. Regardless of the latest research progress of PMMA/TiO2 nanocomposite, the questionable properties of final nanocomposite and the lack of long-term clinical evidence addressing their performance restrict their wide clinical use. A conclusive connection between nanoparticle size or addition method and nanocomposite properties could not be established.
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