Recent advances in the use of inorganic nanomaterials as anti caries agents

Use of Antimicrobial Nanoparticles for the Management of Dental Diseases

Dental diseases represent a significant global health concern, with traditional treatment methods often proving costly and lacking in long-term efficacy. Emerging research highlights nanoparticles as a promising, cost-effective therapeutic alternative, owing to their unique properties. This review aims to provide a comprehensive overview of the application of antimicrobial and antioxidant nanoparticles in the management of dental diseases. Silver and gold nanoparticles have shown great potential for inhibiting biofilm formation and thus preventing dental caries, gingivitis, and periodontitis. Various dental products can integrate copper nanoparticles, known for their antimicrobial properties, to combat oral infections. Similarly, zinc oxide nanoparticles enhance the antimicrobial performance of dental materials, including adhesives and cements. Titanium dioxide and cerium oxide nanoparticles possess antimicrobial and photocatalytic properties, rendering them advantageous for dental materials and oral hygiene products. Chitosan nanoparticles are effective in inhibiting oral pathogens and reducing inflammation in periodontal tissues. Additionally, curcumin nanoparticles, with their antimicrobial, anti-inflammatory, and antioxidant properties, can enhance the overall performance of dental materials and oral care products. Incorporating these diverse nanoparticles into dental materials and oral care products holds the potential to significantly reduce the risk of infection, control biofilm formation, and improve overall oral health. This review underscores the importance of continued research and development in this promising field to realize the full potential of nanoparticles in dental care.

Research Interest in Copper Materials for Caries Management: A Bibliometric Analysis

This study examined research interest in copper materials for caries management. We conducted an exhaustive literature search of English publications on copper materials for caries management. We removed duplicate publications and screened the titles and abstracts to identify relevant publications. Then, we analyzed the bibliometric data of the publications using the Bibliometrix and VOSviewer programs. This study included 75 laboratory studies, six clinical trials, and 17 reviews. Most of the original research studied copper or copper oxide nanoparticles (45/81, 56%). The materials could be doped into topical agents, restorative fillers, dental adhesives, dental implants, and orthodontic appliances. Since the first paper was published in 1980, publication counts gradually increased and surged in 2019. Among publications on copper materials for caries management, the publication counts and citations from 2019 to 2024 accounted for 65% (64/98) and 74% (1677/2255) over the last 45 years. Cocitation analysis revealed that the two main keywords were nanoparticles and antibacterial activity, and their burst strengths (period) were 3.84 (2021-2024) and 2.21 (2020-2021). The topics of the top two publications with the highest citation burst strength (period) are the antimicrobial effect of copper oxide nanoparticles (3.14, 2021-2022) and the dental application of copper nanoparticles (2.84, 2022-2024). In conclusion, this study revealed a growing interest in copper materials for caries management.

A narrative review on application of metal and metal oxide nanoparticles in endodontics

The distinct physicochemical and biological characteristics of metal and metal oxide nanoparticles have attracted considerable interest in various branches of dentistry as potential solutions to the problems associated with conventional dental treatments and to promote human health. Many scientists have been interested in nanoparticles for endodontic applications in the last several decades. Endodontic treatment is more likely to be successful when metal and metal oxide nanoparticles are used. Endodontic therapies often make use of nanoparticles made of metals and metal oxides. The effect of nano metals and metal oxide in endodontic treatments has not been published or is not widely available in the literature. Therefore, this paper aims to review recent studies on the development and application of some important metal and metal oxide nanoparticles such as silver and silver oxide, zinc oxide, zirconium oxide, magnesium oxide, titanium dioxide and other metal oxide nanoparticles in endodontic therapeutic procedures.

A Comprehensive Narrative Review of Nanomaterial Applications in Restorative Dentistry: Demineralization Inhibition and Remineralization Applications (Part I)

Nanotechnology is extensively employed in various aspects of dentistry, including restorative dentistry, because of its substantial improvement and promising potential in the clinical efficacy of restorative materials and procedures. The main purpose of this review is to explore the different uses of nanomaterials in restorative dentistry. The review is divided into two parts: the current review (Part 1) focuses on the prevention of demineralization and promotion of remineralization, while the upcoming review (Part 2) will discuss the reinforcement of restorative materials and their therapeutic applications. Nanofillers are added to dental materials to boost their antibacterial, anticaries, and demineralization inhibitory capabilities. Additionally, they improve remineralization and enhance both mechanical properties and therapeutic features. The nanoparticles (NPs) used to increase antibacterial and remineralization inhibitions can be classified into two main groups: inorganic and organic NPs. Examples of inorganic NPs include silver, zinc oxide, titanium oxide, and gold. Examples of organic NPs include silica, quaternary ammonium salt monomers, and chitosan NPs. Furthermore, the nanofillers utilized to enhance the process of remineralization include various types such as metals, nano-hydroxyapatite, nano-amorphous calcium phosphate (ACP), dicalcium phosphate NPs, casein phosphopeptide-ACP (CPP-ACP), and calcium fluoride NPs. These uses underscore the potential applications of NPs in restorative dentistry, although there are still some limitations to address.

Copper Materials for Caries Management: A Scoping Review

This study comprehensively reviewed the types, properties and potential applications of copper materials for caries management. Two researchers independently searched English publications using PubMed, Scopus and Web of Science. They screened the titles and abstracts of publications presenting original studies for review. They included 34 publications on copper materials, which were categorized as copper and copper alloy materials (13/34, 38%), copper salt materials (13/34, 38%) and copper oxide materials (8/34, 24%). All reported copper materials inhibited the growth of cariogenic bacteria such as Streptococcus mutans and Candida albicans. The materials could be doped into topical agents, restorative fillers, dental adhesives, drinking water, dental implants, orthodontic appliances, mouthwash and sugar. Most publications (29/34, 83%) were laboratory studies, five (5/34, 14%) were animal studies and only one paper (1/34, 3%) was clinical research. In conclusion, copper and copper alloy materials, copper salt materials and copper oxide materials have an antimicrobial property that inhibits cariogenic bacteria and Candida albicans. These copper materials may be incorporated into dental materials and even drinking water and sugar for caries prevention. Most publications are laboratory studies. Further clinical studies are essential to validate the effectiveness of copper materials in caries prevention.

Considerations about Cytotoxicity of Resin-Based Composite Dental Materials: A Systematic Review

The dental material industry is rapidly developing resin-based composites (RBCs), which find widespread use in a variety of clinical settings. As such, their biocompatibility has gained increasing interest. This literature review presents a summary of research into the cytotoxicity of methacrylate-based composites published from 2017 to 2023. Subject to analysis were 14 in vitro studies on human and murine cell lines. Cytotoxicity in the included studies was measured via MTT assay, LDH assay, and WST-1 assay. The QUIN Risk of Bias Tool was performed to validate the included studies. Included studies (based entirely on the results of in vitro studies) provide evidence of dose- and time-dependent cytotoxicity of dental resin-based composites. Oxidative stress and the depletion of cellular glutathione (GSH) were suggested as reasons for cytotoxicity. Induction of apoptosis by RBCs was indicated. While composites remain the golden standard of dental restorative materials, their potential cytotoxicity cannot be ignored due to direct long-term exposure. Further in vitro investigations and clinical trials are required to understand the molecular mechanism of cytotoxicity and produce novel materials with improved safety profiles.