Suppressing Antibacterial Resistance: Chemical Binding of Monolayer Quaternary Ammonium Salts to Polymethyl Methacrylate in an Aqueous Solution and its Clinical Efficacy

Anti-adhesive, anti-biofilm and fungicidal action of newly synthesized gemini quaternary ammonium salts

Newly synthesized gemini quaternary ammonium salts (QAS) with different counterions (bromide, hydrogen chloride, methylcarbonate, acetate, lactate), chain lengths (C12, C14, C16) and methylene linker (3xCH2) were tested. Dihydrochlorides and dibromides with 12 carbon atoms in hydrophobic chains were characterized by the highest biological activity against planktonic forms of yeast and yeast-like fungi. The tested gemini surfactants also inhibited the production of filaments by C. albicans. Moreover, they reduced the adhesion of C. albicans cells to the surfaces of stainless steel, silicone and glass, and slightly to polystyrene. In particular, the gemini compounds with 16-carbon alkyl chains were most effective against biofilms. It was also found that the tested surfactants were not cytotoxic to yeast cells. Moreover, dimethylcarbonate (2xC12MeCO3G3) did not cause hemolysis of sheep erythrocytes. Dihydrochlorides, dilactate and diacetate showed no mutagenic potential.

Polyisocyanide Quaternary Ammonium Salts with Exceptionally Star-Shaped Structure for Enhanced Antibacterial Properties

The development of non-polluting and non-hazardous polymeric antimicrobial agents has become a hot issue in current research and development. Among them, polymer quaternary ammonium salts are thought to be one of the most promising materials for antibacterial efficacy. Here, we present an efficient strategy for synthesizing polyisocyanide quaternary ammonium salts (PQASs) with a novel star-shaped structure. Benefitting from the novel structure, increased cation density and enhanced water solubility, the prepared star polyisocyanide quaternary ammonium salts (S-PQASs) exhibit excellent antibacterial properties against Escherichia coli (E. coli) and Staphylococcus aureus (S. aureus). In particular, S-POcQAS-M₅₀ (where M stands for isonitrile monomer and 50 stands for the initial feeding ratio) showed the best antimicrobial activity with minimum inhibitory concentration (MIC) of 17 and 20 µg/mL against E. coli and S. aureus, respectively. It was also found that the unique star-shaped structure can give QASs with improved antimicrobial performance compared with our previously prepared linear quaternary ammonium salts (L-PQASs). These results demonstrated that the antibacterial activity of QASs is closely related to its structure. This work provides an idea for the design of efficient polymeric antimicrobial agents.

3D cone-beam C.T. imaging used to determine the effect of disinfection protocols on the dimensional stability of full arch impressions

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Cone-beam computed tomography assessed the dimensional stability of impressions.

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The two common impression materials: alginate or polyvinylsiloxane were evaluated.

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Five commercial disinfectant agents were tested on materials’ stability.

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All disinfectant agents did not affect materials’ stability.

Aim

This study aimed to investigate the dimensional stability of irreversible hydrocolloid and polyvinylsiloxane (P.V.S.) impressions after exposure to four commercial disinfectants using cone-beam computed tomography (CBCT).

Materials and Methods

Two different impression materials were tested: irreversible hydrocolloid and P.V.S. Four disinfection solutions were applied: BirexSE, Opti-Cide3, COEfect MinuteSpray, and CaviCide Spray. Distilled water was used as a control group. Each solution remained in contact with the impression for 5 min. Additional contact time of 5 min compromises time for scanning. The materials were evaluated for dimensional stability after the impression of a maxillary complete edentulous template via CBCT before and after being in contact with the disinfectant agents. Measurements were assessed on the digital models from A-B, B-C, and C-A points. Paired analyses (Wilcoxon Signed Rank test or paired Student's t-test) were used to analyze each measurement before and after the contact with the disinfectant agents. The variance for each measurement was also analyzed via a one-way analysis of variance or Kruskal-Wallis.

Results

Overall, there were no statistical differences among the points measurements in the irreversible hydrocolloid or P.V.S. between initial and final assessments (p > 0.05). The used disinfectant agents in this study did not influence each measurement's variation on irreversible hydrocolloid or P.V.S. (p > 0.05). All agents showed an effect on the dimensional stability of both impression materials. The differences in the three dimensions ranged between 0.34 and 1.54%.

Conclusion

Within 10 min of removing the impression from the master cast, is study's findings indicated that the four commercially available disinfectants did not influence the dimensional stability of irreversible hydrocolloid or P.V.S. Further studies should be performed to elucidate the antimicrobial effect of these solutions applied as a spray on the surface of irreversible hydrocolloid and P.V.S. impressions.

Effect of Surfosept and Deconex® 53 Disinfectant Agents on the Accuracy and Dimensional Stability of Panasil Dental Impression Materials: An Experimental Study

Materials and Methods

This in vitro study was performed on 30 dental casts. The samples were divided into one control group and two experimental groups to be disinfected with Surfosept (1%) and Deconex® 53 (2%) using a sequential sampling method (10 per group). The impressions in the experimental groups (i.e., Surfosept and Deconex® 53) were rinsed and dried; then, the disinfectant was sprayed on the impressions and remained for 30 seconds before pouring with stone. In the control group, the impressions were only rinsed and dried and were poured in 10 minutes. Cast dimensions were measured by a profile projector device, and the mean values obtained from the experimental groups were compared with those of the control group.

Results

There were no significant differences among the groups regarding the height of the resulting dies without undercut (P=0.62). Moreover, there was no significant difference among the groups regarding the distance between the two dies (P=0.77). However, the diameter of the dies with undercut and without undercut was different significantly among the control and experimental groups (P < 0.005).

Conclusion

In general, no significant difference was encountered between dimensional stability and accuracy of the dental impressions using Surfosept and Deconex® 53 in this study.

A bone substitute composed of polymethyl-methacrylate bone cement and Bio-Gene allogeneic bone promotes osteoblast viability, adhesion and differentiation

BACKGROUND

Increasing reports on new cement formulations that address the shortcomings of PMMA bone cements and various active components have been introduced to improve the biological activity of PMMA cement.

OBJECTIVE

Evaluating the biological properties of PMMA cements reinforced with Bio-Gene allogeneic bone.

METHODS

The MC3T3-E1 mouse osteoblast-like cells were utilized to determine the effects of Bio-Gene + PMMA on osteoblast viability, adhesion and differentiation.

RESULTS

The combination of allogeneic bone and PMMA increased the number of adherent live cells compared to both control group and PMMA or Bio-Gene group. Scanning electron microscopy observed that the number of cells adhered to Bio-Gene + PMMA was larger than Bio-Gene and PMMA group. Compared with the control and PMMA or Bio-Gene group, the level of ALP and the number of calcium nodules after osteoinduction was remarkably enhanced in Bio-Gene + PMMA group. Additionally, the combination of Bio-Gene and PMMA induced the protein expression of osteocalcin, osterix and collagen I.

CONCLUSION

The composition of PMMA and allogeneic bone could provide a more beneficial microenvironment for osteoblast proliferation, adhesion and differentiation. PMMA bone cement reinforced with Bio-Gene allogeneic bone may act as a novel bone substitute to improve the biological activity of PMMA cement.