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Alanazi KK, Wood D, Shepherd J, Stokes CW, Asencio IO. Assessing the suitability of fused deposition modeling to produce acrylic removable denture bases. Clin Exp Dent Res 2024; 10:e880. [PMID: 38798134 PMCID: PMC11128773 DOI: 10.1002/cre2.880] [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: 10/26/2023] [Revised: 02/21/2024] [Accepted: 03/03/2024] [Indexed: 05/29/2024] Open
Abstract
OBJECTIVE To study the feasibility of using poly methyl methacrylate (PMMA) filament and fused deposition modeling (FDM) to manufacture denture bases via the development of a study that considers both conventional and additive-based manufacturing techniques. MATERIALS AND METHODS Five sample groups were compared: heat and cold cured acrylic resins, CAD/CAM milled PMMA, 3D-printed PMMA (via FDM), and 3D-printed methacrylate resin (via stereolithography, SLA). All groups were subjected to mechanical testing (flexural strength, impact strength, and hardness), water sorption and solubility tests, a tooth bonding test, microbiological assessment, and accuracy of fit measurements. The performance of sample groups was referred to ISO 20795-1 and ISO/TS 19736. The data was analyzed using one-way ANOVA. RESULTS Samples manufactured using FDM performed within ISO specifications for mechanical testing, water sorption, and solubility tests. However, the FDM group failed to achieve the ISO requirements for the tooth bonding test. FDM samples presented a rough surface finish which could ultimately encourage an undesirable high level of microbial adhesion. For accuracy of fit, FDM samples showed a lower degree of accuracy than existing materials. CONCLUSIONS Although FDM samples were a cost-effective option and were able to be quickly manufactured in a reproducible manner, the results demonstrated that current recommended testing regimes for conventionally manufactured denture-based polymers are not directly applicable to additive-manufactured denture base polymers. Therefore, new standards should be developed to ensure the correct implementation of additive manufacturing techniques within denture-based fabrication workflow.
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Affiliation(s)
- Khalid K. Alanazi
- School of Clinical DentistryUniversity of SheffieldSheffieldUK
- Conservative Dental Science Department, College of DentistryPrince Sattam Bin Abdulaziz UniversitySaudi Arabia
| | - Duncan Wood
- School of Clinical DentistryUniversity of SheffieldSheffieldUK
| | - Joanna Shepherd
- School of Clinical DentistryUniversity of SheffieldSheffieldUK
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2
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Le PH, Linklater DP, Medina AA, MacLaughlin S, Crawford RJ, Ivanova EP. Impact of multiscale surface topography characteristics on Candida albicans biofilm formation: From cell repellence to fungicidal activity. Acta Biomater 2024; 177:20-36. [PMID: 38342192 DOI: 10.1016/j.actbio.2024.02.006] [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: 09/15/2023] [Revised: 01/21/2024] [Accepted: 02/05/2024] [Indexed: 02/13/2024]
Abstract
While there has been significant research conducted on bacterial colonization on implant materials, with a focus on developing surface modifications to prevent the formation of bacterial biofilms, the study of Candida albicans biofilms on implantable materials is still in its infancy, despite its growing relevance in implant-associated infections. C. albicans fungal infections represent a significant clinical concern due to their severity and associated high fatality rate. Pathogenic yeasts account for an increasing proportion of implant-associated infections, since Candida spp. readily form biofilms on medical and dental device surfaces. In addition, these biofilms are highly antifungal-resistant, making it crucial to explore alternative solutions for the prevention of Candida implant-associated infections. One promising approach is to modify the surface properties of the implant, such as the wettability and topography of these substrata, to prevent the initial Candida attachment to the surface. This review summarizes recent research on the effects of surface wettability, roughness, and architecture on Candida spp. attachment to implantable materials. The nanofabrication of material surfaces are highlighted as a potential method for the prevention of Candida spp. attachment and biofilm formation on medical implant materials. Understanding the mechanisms by which Candida spp. attach to surfaces will allow such surfaces to be designed such that the incidence and severity of Candida infections in patients can be significantly reduced. Most importantly, this approach could also substantially reduce the need to use antifungals for the prevention and treatment of these infections, thereby playing a crucial role in minimizing the possibility contributing to instances of antimicrobial resistance. STATEMENT OF SIGNIFICANCE: In this review we provide a systematic analysis of the role that surface characteristics, such as wettability, roughness, topography and architecture, play on the extent of C. albicans cells attachment that will occur on biomaterial surfaces. We show that exploiting bioinspired surfaces could significantly contribute to the prevention of antimicrobial resistance to antifungal and chemical-based preventive measures. By reducing the attachment and growth of C. albicans cells using surface structure approaches, we can decrease the need for antifungals, which are conventionally used to treat such infections.
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Affiliation(s)
- Phuc H Le
- School of Science, STEM College, RMIT University, Melbourne, VIC 3000, Australia; ARC Research Hub for Australian Steel Manufacturing, Melbourne, VIC 3001, Australia
| | - Denver P Linklater
- School of Science, STEM College, RMIT University, Melbourne, VIC 3000, Australia; ARC Research Hub for Australian Steel Manufacturing, Melbourne, VIC 3001, Australia; Department of Biomedical Engineering, The Graeme Clark Institute, University of Melbourne, Parkville, VIC 3010, Australia
| | - Arturo Aburto Medina
- School of Science, STEM College, RMIT University, Melbourne, VIC 3000, Australia
| | - Shane MacLaughlin
- ARC Research Hub for Australian Steel Manufacturing, Melbourne, VIC 3001, Australia; BlueScope Steel Research, Port Kembla, NSW 2505, Australia
| | - Russell J Crawford
- School of Science, STEM College, RMIT University, Melbourne, VIC 3000, Australia
| | - Elena P Ivanova
- School of Science, STEM College, RMIT University, Melbourne, VIC 3000, Australia; ARC Research Hub for Australian Steel Manufacturing, Melbourne, VIC 3001, Australia.
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Le Bars P, Kouadio AA, Amouriq Y, Bodic F, Blery P, Bandiaky ON. Different Polymers for the Base of Removable Dentures? Part II: A Narrative Review of the Dynamics of Microbial Plaque Formation on Dentures. Polymers (Basel) 2023; 16:40. [PMID: 38201705 PMCID: PMC10780608 DOI: 10.3390/polym16010040] [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: 06/30/2023] [Revised: 12/04/2023] [Accepted: 12/08/2023] [Indexed: 01/12/2024] Open
Abstract
This review focuses on the current disparities and gaps in research on the characteristics of the oral ecosystem of denture wearers, making a unique contribution to the literature on this topic. We aimed to synthesize the literature on the state of current knowledge concerning the biological behavior of the different polymers used in prosthetics. Whichever polymer is used in the composition of the prosthetic base (poly methyl methacrylate acrylic (PMMA), polyamide (PA), or polyether ether ketone (PEEK)), the simple presence of a removable prosthesis in the oral cavity can disturb the balance of the oral microbiota. This phenomenon is aggravated by poor oral hygiene, resulting in an increased microbial load coupled with the reduced salivation that is associated with older patients. In 15-70% of patients, this imbalance leads to the appearance of inflammation under the prosthesis (denture stomatitis, DS). DS is dependent on the equilibrium-as well as on the reciprocal, fragile, and constantly dynamic conditions-between the host and the microbiome in the oral cavity. Several local and general parameters contribute to this balance. Locally, the formation of microbial plaque on dentures (DMP) depends on the phenomena of adhesion, aggregation, and accumulation of microorganisms. To limit DMP, apart from oral and lifestyle hygiene, the prosthesis must be polished and regularly immersed in a disinfectant bath. It can also be covered with an insulating coating. In the long term, relining and maintenance of the prosthesis must also be established to control microbial proliferation. On the other hand, several general conditions specific to the host (aging; heredity; allergies; diseases such as diabetes mellitus or cardiovascular, respiratory, or digestive diseases; and immunodeficiencies) can make the management of DS difficult. Thus, the second part of this review addresses the complexity of the management of DMP depending on the polymer used. The methodology followed in this review comprised the formulation of a search strategy, definition of the inclusion and exclusion criteria, and selection of studies for analysis. The PubMed database was searched independently for pertinent studies. A total of 213 titles were retrieved from the electronic databases, and after applying the exclusion criteria, we selected 84 articles on the possible microbial interactions between the prosthesis and the oral environment, with a particular emphasis on Candida albicans.
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Affiliation(s)
- Pierre Le Bars
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, F-44042 Nantes, France; (A.A.K.); (Y.A.); (F.B.); (P.B.)
- Nantes University, Oniris, University of Angers, CHU Nantes (Clinical Investigation Unit Odontology), INSERM, Regenerative Medicine and Skeleton, RMeS, UMR 1229, F-44000 Nantes, France;
| | - Alain Ayepa Kouadio
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, F-44042 Nantes, France; (A.A.K.); (Y.A.); (F.B.); (P.B.)
- Department of Prosthetic Dentistry, Faculty of Dentistry, CHU, Abidjan P.O. Box 612, Côte d’Ivoire
| | - Yves Amouriq
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, F-44042 Nantes, France; (A.A.K.); (Y.A.); (F.B.); (P.B.)
- Nantes University, Oniris, University of Angers, CHU Nantes (Clinical Investigation Unit Odontology), INSERM, Regenerative Medicine and Skeleton, RMeS, UMR 1229, F-44000 Nantes, France;
| | - François Bodic
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, F-44042 Nantes, France; (A.A.K.); (Y.A.); (F.B.); (P.B.)
- Nantes University, Oniris, University of Angers, CHU Nantes (Clinical Investigation Unit Odontology), INSERM, Regenerative Medicine and Skeleton, RMeS, UMR 1229, F-44000 Nantes, France;
| | - Pauline Blery
- Department of Prosthetic Dentistry, Faculty of Dentistry, Nantes University, 1 Place Alexis Ricordeau, F-44042 Nantes, France; (A.A.K.); (Y.A.); (F.B.); (P.B.)
- Nantes University, Oniris, University of Angers, CHU Nantes (Clinical Investigation Unit Odontology), INSERM, Regenerative Medicine and Skeleton, RMeS, UMR 1229, F-44000 Nantes, France;
| | - Octave Nadile Bandiaky
- Nantes University, Oniris, University of Angers, CHU Nantes (Clinical Investigation Unit Odontology), INSERM, Regenerative Medicine and Skeleton, RMeS, UMR 1229, F-44000 Nantes, France;
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Benli M, Al-Haj Husain N, Ozcan M. Mechanical and chemical characterization of contemporary occlusal splint materials fabricated with different methods: a systematic review. Clin Oral Investig 2023; 27:7115-7141. [PMID: 37910242 DOI: 10.1007/s00784-023-05360-0] [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: 03/25/2023] [Accepted: 10/22/2023] [Indexed: 11/03/2023]
Abstract
OBJECTIVE To systematically review studies on various occlusal splint materials and describe their mechanical and chemical properties. METHODS MEDLINE (PubMed), Scopus, and Web of Science searches were conducted for in vitro studies focusing on occlusal splint materials. Two reviewers performed an assessment of the identified studies and data abstraction independently, and this was complimented by an additional hand search. The articles were limited to those in the English language that were published between January 1st, 2012, and December 1st, 2022. RESULTS The initial search yielded 405 search results of which 274 were selected for full-text review following abstract evaluation. 250 articles that did not meet the inclusion criteria were excluded, and the remaining 25 articles (with 1 article identified from the reference lists of included articles) providing mechanical and chemical values were used in this review. Poly methyl methacrylate (PMMA) -based occlusal splint materials showed the highest values in terms of hardness, wear resistance, flexural strength, flexural modulus, e-modulus, and fracture toughness. The material group with the highest water sorption and water solubility was 3D printed (PR) splint materials. In addition, the lowest degree of double bond conversion was also observed in this group of materials. CONCLUSIONS The outcome of this review suggests that mechanically and chemically acceptable properties can be attained with PMMA-based occlusal splint materials using both conventional and digital production methods. PR splint materials should not be considered as the primary choice for long-term treatments due to their low mechanical and chemical properties. CLINICAL RELEVANCE This review provides clinical recommendations for selecting the appropriate material and fabrication method for occlusal splints while taking the patients' needs and the materials´ mechanical and chemical properties into account.
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Affiliation(s)
- Merve Benli
- James B. Edwards College of Dental Medicine, Department of Oral Rehabilitation, Division of Removable Prosthodontics, MUSC, Charleston, USA.
- Department of Prosthodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkey.
| | - Nadin Al-Haj Husain
- Division of Dental Biomaterials, Clinic for Reconstructive Dentistry, Center of Dental Medicine, University of Zurich, 8032, Zurich, Switzerland
- Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, 3010, Bern, Switzerland
- Clinic of Masticatory Disorders, Center of Dental Medicine, University of Zurich, 8032, Zurich, Switzerland
| | - Mutlu Ozcan
- Division of Dental Biomaterials, Center for Dental Medicine, Clinic for Reconstructive Dentistry, University of Zurich, Plattenstrasse 11, 8032, Zurich, Switzerland
- Clinic for Chewing Function Disturbances, Center for Dental Medicine, Clinic for Reconstructive Dentistry, University of Zurich, Plattenstrasse 11, 8032, Zurich, Switzerland
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Puspitasari R, Irnawati D, Widjijono. The effect of zinc oxide (ZnO) nanoparticle concentration on the adhesion of mucin and Streptococcus mutans to heat-cured acrylic resin. Dent Mater J 2023; 42:791-799. [PMID: 37793826 DOI: 10.4012/dmj.2023-016] [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] [Indexed: 10/06/2023]
Abstract
Incorporating zinc oxide (ZnO) nanoparticles as antibacterial fillers in heat-cured acrylic resin could decrease mucin and Streptococcus mutans (S. mutans) adhesion, reducing the incidence of dental caries in the baseplates of orthodontic patients. Here, ZnO nanoparticles were modified using 3-(trimethoxysilyl)propyl methacrylate with various concentrations, added to acrylic resin powder, homogenized, mixed with acrylic resin liquid, and processed. The composite systems interfered well with mucin and S. mutans adhesion. The lowest mean of the amount of mucin adhered was on heat-cured acrylic resin with 7.5% ZnO nanoparticles, with a standard deviation of 18.07±0.80 mg/mL. The ZnO nanoparticles with a concentration of 7.5% showed an 87.09±0.88% S. mutans adhesion in control groups with no additives. These composite systems were proven to have better physicochemical characteristics and antibacterial abilities. Combining ZnO nanoparticles with heat-cured acrylic resin has great potential for self-cleaning baseplates of orthodontic patients in the future.
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Affiliation(s)
- Rahmadani Puspitasari
- Magister Dental Science Study Program, Faculty of Dentistry, Universitas Gadjah Mada
| | - Dyah Irnawati
- Department of Dental Biomaterial, Faculty of Dentistry, Universitas Gadjah Mada
| | - Widjijono
- Department of Dental Biomaterial, Faculty of Dentistry, Universitas Gadjah Mada
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Zanul Abidin Z, Mohd Salleh N, Himratul-Aznita WH, Ahmad SF, Lim GS, Raja Mohd N, Dziaruddin N. Antifungal effects of eugenol on Candida albicans adherence to denture polymers. PeerJ 2023; 11:e15750. [PMID: 37601266 PMCID: PMC10439715 DOI: 10.7717/peerj.15750] [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: 12/01/2022] [Accepted: 06/22/2023] [Indexed: 08/22/2023] Open
Abstract
Background The study's objective is to assess the adherence of C. albicans in different types of denture polymers and the effectiveness of eugenol and commercialized denture cleansers in the removal of C. albicans. Three types of denture base polymers (Lucitone® 199 (High-Impact PMMA), Impact® (conventional PMMA) and Eclipse® (UDMA)) and two hard denture reline materials (Kooliner® and Tokuyama® Rebase II Fast) were used in this study. Methods Three hundred samples were prepared (6 × 2 mm disc shape) and divided into five groups of denture polymers (n = 60) and further subjected into five treatment groups (Polident®, Steradent, distilled water, eugenol 5-minutes, and eugenol 10-min). Three samples were extracted from each treatment group for baseline data (n = 12). Baseline data were used to calculate the initial number of C. albicans adherence. A 0.5 ml immersion solution from each specimen was cultured on YPD agar and incubated for 48 h at 37 °C. Visible colonies were counted using a colony counter machine (ROCKER Galaxy 230). Results The result showed that the denture base polymer significantly affected the initial adherence (p = 0.007). The removal of C. albicans was also considerably affected by the denture base polymers and denture cleansers (p < 0.05). Lucitone®, Tokuyama®, and Kooliner® denture base polymers immersed for 3 min in eugenol showed the best results of removal. Discussion This study's overall results showed that all denture polymers used as denture bases had an effect on C. albicans initial adherence and removal from the denture base, and eugenol is comparable to commercialised denture cleansers in reducing the number of attached C. albicans on denture base polymers.
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Affiliation(s)
- Zubaidah Zanul Abidin
- Department of Restorative Dentistry, Universiti Malaya, Kuala Lumpur, Kuala Lumpur, Malaysia
| | - Nosizana Mohd Salleh
- Department of Restorative Dentistry, Universiti Malaya, Kuala Lumpur, Kuala Lumpur, Malaysia
| | - Wan Harun Himratul-Aznita
- Department of Oral and Craniofacial Sciences, Universiti Malaya, Kuala Lumpur, Kuala Lumpur, Malaysia
| | - Siti Fauzza Ahmad
- Department of Restorative Dentistry, Universiti Malaya, Kuala Lumpur, Kuala Lumpur, Malaysia
| | - Ghee Seong Lim
- Department of Restorative Dentistry, Universiti Malaya, Kuala Lumpur, Kuala Lumpur, Malaysia
| | - Noorhayati Raja Mohd
- Department of Restorative Dentistry, Universiti Malaya, Kuala Lumpur, Kuala Lumpur, Malaysia
| | - Nabihah Dziaruddin
- Department of Paediatric Dentistry & Orthodontics, Universiti Malaya, Kuala Lumpur, Kuala Lumpur, Malaysia
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Vulović S, Nikolić-Jakoba N, Radunović M, Petrović S, Popovac A, Todorović M, Milić-Lemić A. Biofilm Formation on the Surfaces of CAD/CAM Dental Polymers. Polymers (Basel) 2023; 15:polym15092140. [PMID: 37177285 PMCID: PMC10181064 DOI: 10.3390/polym15092140] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 04/27/2023] [Accepted: 04/28/2023] [Indexed: 05/15/2023] Open
Abstract
Dental polymers are now available as monolithic materials which can be readily used in computer-aided design and computer-aided manufacturing (CAD/CAM) systems. Despite possessing numerous advantages over conventionally produced polymers, the polymers produced by either of these systems fail to exhibit immunity to surface microbial adhesion when introduced into the oral environment, leading to the development of oral diseases. The aim of this study was to analyze the biofilm formation of six microorganisms from the oral cavity and its correlation to the surface characteristics of CAD/CAM dental polymers. A total of ninety specimens were divided into three groups: resin-based composite, polymethyl methacrylate, and polyether ether ketone. The experimental procedure included surface roughness and water contact angle measurements, colony forming unit counting, and scanning electron microscopy analysis of biofilm formed on the surface of the tested materials. The data were analyzed using the Kruskal-Wallis test, with a Dunn's post hoc analysis, and one way analysis of variance, with a Tukey's post hoc test; the correlation between the measurements was tested using Spearman's correlation coefficient, and descriptive statistics were used to present the data. Despite using the same manufacturing procedure, as well as the identical manufacturer's finishing and polishing protocols, CAD/CAM dental polymers revealed significant differences in surface roughness and water contact angle, and the increased values of both parameters led to an increase in biofilm formation on the surface of the materials. The CAD/CAM resin-based composite showed the lowest number of adhered microorganisms compared to CAD/CAM polymethyl methacrylate and CAD/CAM polyether ether ketone.
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Affiliation(s)
- Stefan Vulović
- Department of Prosthodontics, School of Dental Medicine, University of Belgrade, Rankeova 4, 11000 Belgrade, Serbia
| | - Nataša Nikolić-Jakoba
- Department of Periodontology and Oral Medicine, School of Dental Medicine, University of Belgrade, Dr Subotica 4, 11000 Belgrade, Serbia
| | - Milena Radunović
- Department of Microbiology and Immunology, School of Dental Medicine, University of Belgrade, Dr Subotica 1, 11000 Belgrade, Serbia
| | - Sanja Petrović
- Department of Microbiology and Immunology, School of Dental Medicine, University of Belgrade, Dr Subotica 1, 11000 Belgrade, Serbia
| | - Aleksandra Popovac
- Department of Prosthodontics, School of Dental Medicine, University of Belgrade, Rankeova 4, 11000 Belgrade, Serbia
| | - Miloš Todorović
- Department of Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Dr Subotica 11, 11000 Belgrade, Serbia
| | - Aleksandra Milić-Lemić
- Department of Prosthodontics, School of Dental Medicine, University of Belgrade, Rankeova 4, 11000 Belgrade, Serbia
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Osman RB, Khoder G, Fayed B, Kedia RA, Elkareimi Y, Alharbi N. Influence of Fabrication Technique on Adhesion and Biofilm Formation of Candida albicans to Conventional, Milled, and 3D-Printed Denture Base Resin Materials: A Comparative In Vitro Study. Polymers (Basel) 2023; 15:polym15081836. [PMID: 37111983 PMCID: PMC10146129 DOI: 10.3390/polym15081836] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Revised: 03/16/2023] [Accepted: 03/29/2023] [Indexed: 04/29/2023] Open
Abstract
The aim of this study was to evaluate the adhesion and biofilm formation of Candida albicans (C. albicans) on conventionally fabricated, milled, and 3D-printed denture base resin materials in order to determine the susceptibility of denture contamination during clinical use. Specimens were incubated with C. albicans (ATCC 10231) for 1 and 24 h. Adhesion and biofilm formation of C. albicans were assessed using the field emission scanning electron microscopy (FESEM). The XTT (2,3-(2-methoxy-4-nitro-5-sulphophenyl)-5-[(phenylamino) carbonyl]-2H-tetrazolium hydroxide) assay was used for the quantification of fungal adhesion and biofilm formation. The data were analyzed using GraphPad Prism 8.02 for windows. One-way ANOVA with Tukey's post hoc testing were performed with a statistical significance level set at α = 0.05. The quantitative XTT biofilm assay revealed significant differences in the biofilm formation of C. albicans between the three groups in the 24 h incubation period. The highest proportion of biofilm formation was observed in the 3D-printed group, followed by the conventional group, while the lowest candida biofilm formation was observed in the milled group. The difference in biofilm formation among the three tested dentures was statistically significant (p < 0.001). The manufacturing technique has an influence on the surface topography and microbiological properties of the fabricated denture base resin material. Additive 3D-printing technology results in increased candida adhesion and the roughest surface topography of maxillary resin denture base as compared to conventional flask compression and CAD/CAM milling techniques. In a clinical setting, patients wearing additively manufactured maxillary complete dentures are thus more susceptible to the development of candida-associated denture stomatitis and accordingly, strict oral hygiene measures and maintenance programs should be emphasized to patients.
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Affiliation(s)
- Reham B Osman
- Department of Prosthodontics, Faculty of Dentistry, Cairo University, Giza 12613, Egypt
| | - Ghalia Khoder
- Department of Pharmaceutics and Pharmaceutical Technology, College of Pharmacy, University of Sharjah, Sharjah P.O. Box 27272, United Arab Emirates
- Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah P.O. Box 27272, United Arab Emirates
| | - Bahgat Fayed
- Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah P.O. Box 27272, United Arab Emirates
- Chemistry of Natural and Microbial Products Department, National Research Center, Giza 12622, Egypt
| | - Reena Arora Kedia
- Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah P.O. Box 27272, United Arab Emirates
| | | | - Nawal Alharbi
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11451, Saudi Arabia
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Sultana N, Ahmed S, Nandini VV, Lathief J, Boruah S. An In Vitro Comparison of Microbial Adhesion on Three Different Denture Base Materials and Its Relation to Surface Roughness. Cureus 2023; 15:e37085. [PMID: 37153301 PMCID: PMC10156915 DOI: 10.7759/cureus.37085] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/31/2023] [Indexed: 05/09/2023] Open
Abstract
OBJECTIVE The purpose of this in vitro study is to compare and evaluate the surface roughness and microbial adhesion of Staphylococcus aureus and Candida albicans after the finishing and polishing of three different denture base materials. MATERIALS AND METHODS A total of 84 samples of three different denture materials were used. The samples were divided into three groups: Group I (conventional poly methyl methacrylate), Group II (injection-molded polymethyl methacrylate), and Group III (injection-molded polyamide). Fourteen samples from each group were tested for surface roughness using an optical profilometer. Seven samples from each group were incubated in a suitable culture broth containing Candida albicans and Staphylococcus aureus separately for 48 hours. Microbial colony forming unit (cfu/ml2) was estimated in order to evaluate the microbial adhesion to the surface of the denture base materials. Confocal laser scanning microscopy was done to visualize the microorganisms. RESULTS The mean surface roughness of Group I was 0.1176± 0.04 µm, Group II was 0.0669±0.02 µm, Group III was 0.1971±0.02 µm. One-way ANOVA revealed statistically significant differences in the mean surface roughness values among the three groups (p < 0.05). Tukey HSD (honestly significant difference) test confirmed the specific differences within the groups. The results of colony forming unit showed maximum adherence in Group III samples among both the species followed by Group I samples and least in Group II samples. Confocal laser scanning microscopy revealed significant differences in microbial adhesion among both Staphylococcus aureus and Candida albicans in the three groups (p <0.05). One-way multivariate ANOVA was performed to analyze the data obtained from confocal laser scanning microscopy. Microbial adhesion was least observed in Group II samples followed by Group I samples and the highest microbial adhesion was observed in Group III samples. CONCLUSION Microbial adhesion was proved to have a direct correlation with the surface roughness of denture base materials. An increase in surface roughness (Ra) increases microbial adhesion.
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Affiliation(s)
- Nikhath Sultana
- Prosthodontics, SRM (Sri Ramaswamy Memorial) Kattankulathur Dental College and Hospital, Chennai, IND
| | - Shafath Ahmed
- Prosthodontics, SRM (Sri Ramaswamy Memorial) Kattankulathur Dental College and Hospital, Chennai, IND
| | - Vidyashree V Nandini
- Prosthodontics, SRM (Sri Ramaswamy Memorial) Kattankulathur Dental College and Hospital, Chennai, IND
| | - Jailance Lathief
- Prosthodontics, SRM (Sri Ramaswamy Memorial) Kattankulathur Dental College and Hospital, Chennai, IND
| | - Shiney Boruah
- Prosthodontics, SRM (Sri Ramaswamy Memorial) Kattankulathur Dental College and Hospital, Chennai, IND
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Alfouzan AF, Tuwaym M, Aldaghri EN, Alojaymi T, Alotiabi HM, Taweel SMA, Al-Otaibi HN, Ali R, Alshehri H, Labban N. Efficacy of Denture Cleansers on Microbial Adherence and Surface Topography of Conventional and CAD/CAM-Processed Denture Base Resins. Polymers (Basel) 2023; 15:polym15020460. [PMID: 36679340 PMCID: PMC9866049 DOI: 10.3390/polym15020460] [Citation(s) in RCA: 13] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Revised: 01/06/2023] [Accepted: 01/11/2023] [Indexed: 01/19/2023] Open
Abstract
This study assessed the efficacy of five denture cleansers on the microbial adherence and surface topography of conventional and CAD/CAM denture base resins. Acrylic resin discs were fabricated using conventional, milling, and 3D printing methods (N = 180). The discs were contaminated with dual species of Candida albicans and Streptococcus mutans biofilm for 72 h and then disinfected with either of the denture cleansers (Fittydent cleansing tablets, 2% Chlorhexidine gluconate, 0.2% Chlorhexidine gluconate, 0.5% sodium hypochlorite, and 1% sodium hypochlorite (n = 10). Distilled water served as the control group. The colony-forming units of the microorganisms were calculated, followed by post-treatment surface roughness. Data were statistically analyzed using one-way ANOVA, paired t-test, and post hoc Tukey HSD test (α = 0.05). Among the denture cleansers, 2% Chlorhexidine gluconate, 0.5% sodium hypochlorite, and 1% sodium hypochlorite had the best cleansing effect on the resin discs and demonstrated zero growth of colonies for both the species. Comparing the material groups, the 3D-processed discs showed higher colony-forming units followed by the conventional and CAD/CAM milled group. The highest surface roughness was demonstrated by the 3D-printed discs (0.690 ± 0.08 μm), followed by the conventional (0.493 ± 0.11 μm) and the milled groups (0.301 ± 0.08 μm). The tested chemical denture cleansers affected the Candida albicans and Streptococcus mutans adhesion compared to control discs immersed in distilled water. The clinician may recommend to their patient to use 2% chlorhexidine gluconate for the disinfection of CAD/CAM PMMA denture base materials.
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Affiliation(s)
- Afnan F. Alfouzan
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
- Correspondence:
| | - Malath Tuwaym
- College of Dentistry, King Saud University, P.O. Box 60169, Riyadh 11545, Saudi Arabia
| | - Ebtihal N. Aldaghri
- College of Dentistry, King Saud University, P.O. Box 60169, Riyadh 11545, Saudi Arabia
| | - Tagreed Alojaymi
- College of Dentistry, King Saud University, P.O. Box 60169, Riyadh 11545, Saudi Arabia
| | - Hadeel Minife Alotiabi
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 14611, Saudi Arabia
| | - Sara M. Al Taweel
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Hanan N. Al-Otaibi
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Rizwan Ali
- Medical Research Core Facility and Platforms, King Abdullah International Medical Research Center, King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh 14611, Saudi Arabia
| | - Huda Alshehri
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Nawaf Labban
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
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AlMojel N, AbdulAzees PA, Lamb EM, Amaechi BT. Determining growth inhibition of Candida albicans biofilm on denture materials after application of an organoselenium-containing dental sealant. J Prosthet Dent 2023; 129:205-212. [PMID: 34078547 DOI: 10.1016/j.prosdent.2021.04.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 04/09/2021] [Accepted: 04/09/2021] [Indexed: 01/18/2023]
Abstract
STATEMENT OF PROBLEM Denture stomatitis is a chronic inflammatory condition caused by the formation of Candida albicans biofilm on denture bases. It is associated with aggravating intraoral pain, itching, and burning sensations. It can also potentiate cardiovascular diseases and aspiration pneumonia. The problem has thus far eluded efficient, toxic-free, and cost-effective solutions. PURPOSE The purpose of this in vitro study was to investigate the effectiveness of organoselenium to inhibit the formation of C. albicans biofilm on the surface of acrylic resin denture base materials when it is either incorporated into the acrylic resin material or coated on the denture surface as a light-polymerized surface sealant. MATERIAL AND METHODS Sixty heat-polymerized polymethyl methacrylate disks were fabricated and assigned to 4 groups (n=15): disks coated with a light-polymerized organoselenium-containing enamel surface sealant (DenteShield), disks impregnated with 0.5% organoselenium (0.5% selenium), disks impregnated with 1% organoselenium (1% selenium), and disks without organoselenium (control). C. albicans biofilm was grown on each disk which had been placed in a well of the microtiter plate containing 1-mL brain heart infusion broth inoculated with C. albicans. The plates were incubated aerobically at 37 °C for 48 hours. A confocal laser scanning microscope was used to determine the biofilm thickness, biomass, and live/dead cell ratio. Biofilm morphology was examined with scanning electron microscopy, whereas microbial viability was quantified by the spread plate method. The data were analyzed by using ANOVA and Tukey-Kramer multiple comparisons (α=.05). RESULTS The microbial viability, biofilm thickness, biofilm biomass, and live/dead cell ratio were lower (P<.001) on disks in the test groups (DenteShield, 0.5% selenium, 1% selenium) when compared with the control group, with these variables being lowest in the 0.5% selenium and 1% selenium groups. The 0.5% selenium and 1% selenium groups did not differ significantly from each other in any of the variables (P>.05). Scanning electron microscope images showed inhibition of both biofilm growth and yeast to hyphae transition in the DenteShield, 0.5% selenium, and 1% selenium groups, with visible disruption of the biofilm morphology. CONCLUSIONS The present study demonstrated that organoselenium, whether incorporated into or coated on the surface of an acrylic resin denture base material, has the potential to inhibit Candida albicans biofilm growth on denture surfaces and as such can be clinically useful for the prevention of denture stomatitis.
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Affiliation(s)
- Neda AlMojel
- Former Resident, Postgraduate Prosthodontics, Department of Comprehensive Dentistry, UT Health School of Dentistry, San Antonio, Texas
| | - Parveez Ahmed AbdulAzees
- Post-doctoral fellow, Department of Comprehensive Dentistry, UT Health School of Dentistry, San Antonio, Texas
| | - E Mathew Lamb
- Assistance Professor and program director prosthodontic residency, Department of Comprehensive dentistry, UT Health School of Dentistry, San Antonio, Texas
| | - Bennett T Amaechi
- Professor and Director of Cariology, Department of Comprehensive Dentistry, UT Health School of Dentistry, San Antonio, Texas.
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Lee EH, Jeon YH, An SJ, Deng YH, Kwon HB, Lim YJ, Kong H, Kim MJ. Removal effect of Candida albicans biofilms from the PMMA resin surface by using a manganese oxide nanozyme-doped diatom microbubbler. Heliyon 2022; 8:e12290. [PMID: 36593839 PMCID: PMC9803711 DOI: 10.1016/j.heliyon.2022.e12290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Revised: 09/16/2022] [Accepted: 12/05/2022] [Indexed: 12/24/2022] Open
Abstract
To prevent oral candidiasis, removal of the Candida biofilms from dentures is important. However, common denture cleaners are insufficiently effective in removing biofilms. A manganese oxide (MnO2) nanozyme-doped diatom microbubbler (DM) can generate oxygen gas microbubbles by a catalase-mimicking activity in hydrogen peroxide (H2O2). DM can invade and destroy biofilms with the driving force of continuously generated microbubbles. In this study, the Candida biofilm removal efficiency by co-treatment of DM and H2O2 was investigated. Diatom particles were reacted with (3-aminopropyl)triethoxysilane to prepare amine-substituted diatom particles. These particles were reacted with potassium permanganate to fabricate DMs. The morphology and components of DM were analyzed by using a scanning electron microscope (SEM). Four types of denture base resin specimens on which biofilms of Candida albicans were formed were treated with phosphate-buffered saline (PBS group), Polident 5-Minute (Polident group), 0.12% chlorhexidine gluconate (CHX group), 3% H2O2 (H2O2 group), and co-treatment of 3 mg/mL of DM and 3% H2O2 (DM group). The biofilm removal effect of each group was quantitatively analyzed by crystal violet assay, and the results were visually confirmed by SEM images. After each treatment, the remaining C. albicans were stained with Hoechst 33342/propidium iodide, and observed with confocal laser scanning microscopy (CLSM) to evaluate the viability. MnO2 nanozyme sheets were successfully doped on the surface of the fabricated DM. Although biofilms were not effectively removed in the Polident and CHX groups, CLSM images showed that CHX was able to effectively kill C. albicans in the biofilms on all resin specimen types. According to the crystal violet analysis, the H2O2 groups removed the biofilms on heat-activated and 3D-printed resins (P < .01), but could not remove the biofilms on autopolymerizing and milled resins significantly (P = .1161 and P = .1401, respectively). The DM groups significantly removed C. albicans from all resin specimen types (P < .01).
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Affiliation(s)
- Eun-Hyuk Lee
- Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea
| | - Yun-Ho Jeon
- Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea
| | - Sun-Jin An
- Department of Oral Microbiology and Immunology, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea
| | - Yu-Heng Deng
- Department of Chemical and Biomolecular Engineering, Carle Illinois College of Medicine, Department of Pathobiology, Carl R. Woese Institute for Genomic Biology, Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, Illinois, United States
| | - Ho-Beom Kwon
- Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea
| | - Young-Jun Lim
- Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea
| | - Hyunjoon Kong
- Department of Chemical and Biomolecular Engineering, Carle Illinois College of Medicine, Department of Pathobiology, Carl R. Woese Institute for Genomic Biology, Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, Illinois, United States
| | - Myung-Joo Kim
- Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea,Corresponding author.
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Aati S, Chauhan A, Shrestha B, Rajan SM, Aati H, Fawzy A. Development of 3D printed dental resin nanocomposite with graphene nanoplatelets enhanced mechanical properties and induced drug-free antimicrobial activity. Dent Mater 2022; 38:1921-1933. [DOI: 10.1016/j.dental.2022.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 10/06/2022] [Accepted: 10/08/2022] [Indexed: 11/03/2022]
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Chuchulska B, Hristov I, Dochev B, Raychev R. Changes in the Surface Texture of Thermoplastic (Monomer-Free) Dental Materials Due to Some Minor Alterations in the Laboratory Protocol-Preliminary Study. MATERIALS (BASEL, SWITZERLAND) 2022; 15:6633. [PMID: 36233975 PMCID: PMC9570521 DOI: 10.3390/ma15196633] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Revised: 09/16/2022] [Accepted: 09/20/2022] [Indexed: 06/16/2023]
Abstract
Contemporary thermoplastic monomer-free prosthetic materials are widely used nowadays, and there are a great variety available on the market. These materials are of interest in terms of the improvement of the quality features of the removable dentures. The aim of this study is to establish how minimal changes in the laboratory protocol of polyamide prosthetic base materials influence the surface texture. Two polyamide materials intended for the fabrication of removable dentures bases were used-Perflex Biosens (BS) and VertexTM ThermoSens (TS). A total number of 20 coin-shaped samples were prepared. They were injected under two different modes-regular, as provided by the manufacturer, and modified, proposed by the authors of this study. Scanning electronic microscopy (SEM) under four magnifications-×1000, ×3000, ×5000, and ×10,000-was conducted. With minimal alterations to the melting temperature (5 °C) and the pressure (0.5 Bar), in Biosens, no changes in terms of surface improvement were found, whereas in ThermoSens, the surface roughness of the material significantly changed in terms of roughness reduction. By modifying the technological mode during injection molding, a smoother surface was achieved in one of the studied materials.
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Affiliation(s)
- Bozhana Chuchulska
- Department of Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria
| | - Ilian Hristov
- Department of Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria
| | - Boyan Dochev
- Department of Mechanics, Faculty of Mechanical Engineering, Technical University of Sofia, Branch Plovdiv, 4000 Plovdiv, Bulgaria
| | - Raycho Raychev
- Department of Mechanics, Faculty of Mechanical Engineering, Technical University of Sofia, Branch Plovdiv, 4000 Plovdiv, Bulgaria
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15
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Nalan Bozoğulları H, Büyükerkmen EB, Büyüközer Özkan H. Comparison of surface roughness and color stability of different denture characterizing composite resins: the effect of different surface treatments. J Prosthodont 2022; 32:53-60. [PMID: 35929407 DOI: 10.1111/jopr.13577] [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: 02/28/2022] [Accepted: 07/25/2022] [Indexed: 11/29/2022] Open
Abstract
PURPOSE This study aimed to investigate the effect of surface treatment and type of composite resin material on the color stability and surface roughness of different denture characterizing composites. MATERIALS AND METHODS Two nanohybrids [Gradia Plus Gum, (GP) and SR Nexco Paste Gingiva, (SR)] and one microhybrid gingiva-colored composite resin (Amaris Gingiva, (AG)] were investigated. A total of 120 disk-shaped samples were prepared, 40 of each material. Samples were divided into two groups (n = 20) for each material according to the surface treatment applied: conventional polishing (control) and coated with a sealant in addition to the surface polishing. All groups were thermocycled. The surface roughness (Ra) was measured using a profilometer after thermal cycling. The samples were then divided into 2 subgroups (n = 10) and stored for 7 days in distilled water or coffee solution. Color differences (ΔE00 ) were calculated with a spectrophotometer. Results were evaluated with Kruskal-Wallis and Mann-Whitney U statistical analysis. RESULTS The type of denture characterizing composite material and surface treatment method revealed statistically significant differences for the ΔE00 (after immersion both in coffee and distilled water) and the Ra values of denture characterizing composite (p < 0.001 for both). All sealed groups showed significantly higher Ra than the all polished groups. Both in the polished groups and the sealant applied groups, the GP had the highest mean Ra values (0.29 ±0.05 μm and 0.47 ±0.09 μm, respectively). It was followed by SR (0.23 ±0.06 μm and 0.41 ±0.10 μm, respectively), and AG groups (0.20 ±0.06 μm and 0.39 ±0.09 μm, respectively). According to the mean ΔE00 results, all composite groups showed significantly higher ΔE00 values immersed in coffee solutions compared to distilled water. In coffee solutions, the highest ΔE00 was observed in the polished GP (1.90 ±0.40), and the lowest ΔE00 was observed in the polished SR (0.97 ±0.36). The sealed groups showed higher ΔE00 than the polished groups, except for GP. CONCLUSIONS The surface roughness value of sealant applied groups were significantly higher than those of their polished groups. The surface sealant application significantly increased the staining of all composite groups compared to conventional polishing, except for GP. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Hatice Nalan Bozoğulları
- Department of Prosthodontics, Faculty of Dentistry, Alanya Alaaddin Keykubat University, Antalya, Turkey
| | - Emine Begüm Büyükerkmen
- Department of Prosthodontics, Faculty of Dentistry, Necmettin Erbakan University, Konya, Turkey
| | - Hatice Büyüközer Özkan
- Department of Endodontics, Faculty of Dentistry, Alanya Alaaddin Keykubat University, Antalya, Turkey
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16
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Tasopoulos T, Vrioni G, Naka O, Diamantatou T, Zoidis P, Tsakris A. Adherence Of Candida Albicans to Five Long-Term Silicone-Based Denture Lining Materials Bonded to CAD-CAM Denture Base. J Prosthodont 2022; 32:292-297. [PMID: 35637596 DOI: 10.1111/jopr.13551] [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: 04/03/2022] [Accepted: 05/21/2022] [Indexed: 11/29/2022] Open
Abstract
PURPOSE Knowledge about quantifying the number as well as the retention and adhesion of Candida albicans blastoconidia to silicone denture liners is limited. Thus, the aim of this in vitro study was to explore the adherence of Candida albicans to the surface of five long-term silicone-based soft denture lining materials, using artificial saliva. MATERIALS & METHODS A total of 50 specimens (10 × 10 × 3 mm) of five long-term resilient liners (Molloplast-B; GC Reline Soft; Elite Soft Relining; Tokuyama Sofreliner S; Ufigel SC), bonded to a computer-aided design and computer-aided manufacturing denture base, were prepared. The specimens were inoculated and incubated in artificial saliva for 1h and 24h with a standardized (2.8 × 106 cfu/ml) Candida albicans suspension. At the end of the incubation period, the specimens were stained with acridine orange and observed, using fluorescence microscopy. RESULTS After 1h and in 24h, Molloplast B demonstrated significantly earlier adherence of Candida albicans cells compared to the other chairside materials (p<0.001 and p<0.001, respectively), where the mean number of cells also increased in the frontal parts. Regarding the rate of Candida albicans proliferation from 1h to 24 hours within the materials, there was an increase in all materials (Molloplast B: p<0.001; GC Reline Soft: p = 0.220; Elite Soft Relining: p = 0.032; Tokuyama Sofreliner S: p = 0.001; Ufigel Sc: p = 0.001). The Ufigel Sc showed a significant 2.5-fold increase at 24h. CONCLUSIONS Long-term silicone denture liners accumulate a significant amount of Candida albicans blastoconidia and their coverage by them increases progressively over time. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Theodoros Tasopoulos
- Prosthodontist, Department of Microbiology, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Georgia Vrioni
- Professor of Medical Microbiology, Department of Microbiology, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Olga Naka
- Assistant Professor, Department of Prosthodontics, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Theodora Diamantatou
- Prosthodontist, Resident in Oral Surgery, Department of Prosthodontics, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece
| | - Panagiotis Zoidis
- Clinical Associate Professor, Division of Prosthodontics, Department of Restorative Dental Sciences College of Dentistry, University of Florida, Gainesville, FL, USA
| | - Athanasios Tsakris
- Professor of Microbiology, Department of Microbiology, Medical School, National and Kapodistrian University of Athens, Athens, Greece
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Yamashita Y, Nishi Y, Murakami M, Harada K, Nishimura M. Impact of Surface Changes and Microbial Adhesion on Mucosal Surface Finishing of Resin Denture Bases by Shot Blast Polishing Using Viscoelastic Media. MATERIALS 2022; 15:ma15062275. [PMID: 35329731 PMCID: PMC8955808 DOI: 10.3390/ma15062275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Revised: 03/17/2022] [Accepted: 03/18/2022] [Indexed: 02/04/2023]
Abstract
Surface changes and microbiological effects following shot blast polishing with viscoelastic media of the mucosal surface of resin denture bases were examined. Average surface roughness (Ra) and the depth of surface removal of specimens were measured over time, and the clinical number of microbial adhesions on the mucosal surface of dentures was clinically assessed. The results obtained showed no changes in Ra after 20 s of polishing, Ra of <0.2 µm, and a depth of surface removal < 20 µm. This method of finishing did not affect the fit of the mucosal surface of the dentures. Furthermore, the adhesion of microorganisms to the mucosal surface of dentures was significantly suppressed. Shot blast polishing with viscoelastic media is useful for finishing the mucosal surface of resin denture bases.
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Affiliation(s)
- Yusuke Yamashita
- Department of Oral and Maxillofacial Prosthodontics, Field of Oral and Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima 890-8544, Japan; (Y.Y.); (K.H.); (M.N.)
| | - Yasuhiro Nishi
- Department of Oral and Maxillofacial Prosthodontics, Field of Oral and Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima 890-8544, Japan; (Y.Y.); (K.H.); (M.N.)
- Correspondence: ; Tel.: +81-99-275-6222
| | - Mamoru Murakami
- Department of Removable Prosthodontics and Implant Dentistry, Advanced Dentistry Center, Kagoshima University Hospital, Kagoshima 890-8544, Japan;
| | - Kae Harada
- Department of Oral and Maxillofacial Prosthodontics, Field of Oral and Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima 890-8544, Japan; (Y.Y.); (K.H.); (M.N.)
| | - Masahiro Nishimura
- Department of Oral and Maxillofacial Prosthodontics, Field of Oral and Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima 890-8544, Japan; (Y.Y.); (K.H.); (M.N.)
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18
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Bajunaid SO. How Effective Are Antimicrobial Agents on Preventing the Adhesion of Candida albicans to Denture Base Acrylic Resin Materials? A Systematic Review. Polymers (Basel) 2022; 14:polym14050908. [PMID: 35267731 PMCID: PMC8912396 DOI: 10.3390/polym14050908] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Revised: 02/20/2022] [Accepted: 02/22/2022] [Indexed: 12/17/2022] Open
Abstract
Denture stomatitis is a common oral infection caused by Candid albicans. It occurs under removable dentures due to several causative and contributing factors. If not treated, it can lead to fatal systemic candida infections. Different materials and techniques have been used to treat denture stomatitis; however, no single treatment has succeeded. The purpose of this study was to review novel techniques for incorporating antimicrobial and protein repellent agents into denture acrylic resin materials and their effect on the adhesion of Candida albicans to denture base acrylic resin materials to prevent and/or treat denture stomatitis. A systematic review was conducted in which an electronic search was undertaken using different databases and relevant keywords. The literature search revealed numerous studies describing different antifungal materials incorporated into different denture acrylic resin materials. The investigated materials showed significant antimicrobial activity with slight or no effect on the physical and mechanical properties; however, the optical properties were particularly affected with higher concentrations. The incorporation of antimicrobial agents to reduce or prevent Candida albicans biofilm formation on acrylic resin proved to be very effective, and this effect was found to be proportional to the percentage of the material used. The latter should be considered carefully not to alter the physical, mechanical or optical characteristics of the denture base material.
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Affiliation(s)
- Salwa Omar Bajunaid
- Department of Prosthetic Dental Science, College of Dentistry, King Saud University, Riyadh 4545, Saudi Arabia
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19
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Denture Acrylic Resin Material with Antibacterial and Protein-Repelling Properties for the Prevention of Denture Stomatitis. Polymers (Basel) 2022; 14:polym14020230. [PMID: 35054637 PMCID: PMC8777866 DOI: 10.3390/polym14020230] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2021] [Revised: 12/30/2021] [Accepted: 01/04/2022] [Indexed: 02/04/2023] Open
Abstract
Denture stomatitis is a multifactorial pathological condition of the oral mucosa that affects up to 72% of denture wearers. It is commonly seen on the palatal mucosa and characterized by erythema on the oral mucosa that are in contact with the denture surface. The aim of this study was to incorporate 2-methacryloyloxyethyl phosphorylcholine (MPC) and dimethylaminohexadecyl methacrylate (DMAHDM) into a high impact polymethylmethacrylate heat-cured denture base acrylic resin as a potential treatment for denture stomatitis. We used a comparative study design to examine the effect of incorporating MPC as a protein repellent agent and DMAHDM as an antifungal agent to prevent the adherence of Candida albicans to the denture base material. The dual incorporation of MPC and DMAHDM reduced C. albicans biofilm colony-forming unit by two orders of magnitude when compared to the control group devoid of the bioactive agents. Although the addition of MPC and DMAHDM alone or in combination significantly reduced the flexural strength of the material, they showed reduced roughness values when compared to control groups. This new denture acrylic resin provides the benefit of enhancing C. albicans biofilm elimination through dual mechanisms of action, which could potentially reduce the prevalence of denture stomatitis.
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Gad M, Abualsaud R, Khan S. Hydrophobicity of denture base resins: A systematic review and meta-analysis. J Int Soc Prev Community Dent 2022; 12:139-159. [PMID: 35462737 PMCID: PMC9022381 DOI: 10.4103/jispcd.jispcd_213_21] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Revised: 08/27/2021] [Accepted: 09/28/2021] [Indexed: 11/16/2022] Open
Abstract
Objectives: The aim of this article is to review the factors that attract Candida albicans to denture base resin (DBR) and to verify the influence of different surface treatments, chemical modification, or structural reinforcements on the properties of DBR. Materials and Methods: Searches were carried out in PubMed, Scopus, WOS, Google Scholar, EMBASE, and J-stage databases. The search included articles between 1999 and 2020. This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. The keywords used during the search were “Candida albicans,” “Denture base,” “PMMA,” “Acrylic resin,” “Surface properties,” “hydrophobicity/hydrophilicity,” “contact angle,” and “surface free energy.” English full-text articles involving in-vitro studies with different acrylic resin modifications were included, whereas abstracts, dissertations, reviews, and articles in languages other than English were excluded. A meta-analysis was performed where appropriate. Results: Out of the 287 articles, 21 articles conformed to inclusion criteria. Sixteen articles were subjected to meta-analysis using random-effects model at 95% confidence interval. Results showed that DBR coatings/plasma coatings were effective methods to modify surface properties with estimated contact angle (CA) of 59.37° [95% confidence interval (CI): 53.69, 65.04]/55.87° (95% CI: 50.68, 61.06) and surface roughness (Ra) of 0.55 µm (95% CI: 0.52, 0.58)/0.549 µm (95% CI: 0.5, 0.59), respectively. Antifungal particle incorporation into poly(methylmethacrylate) DBR also produced similar effects with an estimated Ra of 0.16 µm (95% CI: 0.134, 0.187). Conclusion: The three properties responsible for C. albicans adhesion to DBR were Ra, CA, and surface free energy in terms of hydrophobicity. Therefore, the correlations between the hydrophobicity of DBR and C. albicans adhesion should be considered during future investigations for Candida-related denture stomatitis.
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Promoting Candida zemplinina adhesion on oak chips: A strategy to enhance esters and glycerol content of Montepulciano d'Abruzzo organic wines. Food Res Int 2021; 150:110772. [PMID: 34865787 DOI: 10.1016/j.foodres.2021.110772] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 09/02/2021] [Accepted: 10/18/2021] [Indexed: 11/23/2022]
Abstract
In this study cell surface hydrophobicity and the ability to adhere on abiotic surfaces (polystyrene plates, stainless steel and oak chips) of 10 Candida zemplinina strains were assessed. Moreover, the impact of C. zemplinina cells adhered on oak surface on fermentation kinetics and volatile profile of Montepulciano d'Abruzzo organic wines was evaluated. All strains showed a hydrophobic nature with a certain affinity for the apolar solvents tested (hexadecane and decane). In agreement with this data strains were able to adhere on abiotic surfaces in a strain dependent way. On polystyrene plates all strains mainly grew as planktonic cells. On stainless steel surfaces sessile cells ranged from 2.6 Log CFU/mL (SB2) to 4.1 Log CFU/mL (SB8), while on oak chips were about 2 log higher ranging from 4.3 Log CFU/mL (SB8) to 6.1 Log CFU/mL (SB10). Candida zemplinina sessile state resulted in an increase of glycerol (from 6.98 g/L to 11.92 g/L) and esters amount (from 55.47 g/L to 91.5 mg/L), and a reduction of ethanol content (from 14.13% to 9.12% v/v). As for esters, methyl vanillate, ethyl isobutyrate, and ethyl isovalerate were present only when C. zemplinina was adhered on oak chips. This study revealed that changes of concentrations in esters and glycerol content reflected the fermentation bioactivity of yeast cells attached on oak chips. Surface-adhered behaviours should be considered in the improvement of strategies for the development of high-quality organic wines and eventually obtain novel wine styles.
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Charavet C, Graveline L, Gourdain Z, Lupi L. What Are the Cleaning and Disinfection Methods for Acrylic Orthodontic Removable Appliance? A Systematic Review. CHILDREN 2021; 8:children8110967. [PMID: 34828679 PMCID: PMC8623359 DOI: 10.3390/children8110967] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 10/19/2021] [Accepted: 10/22/2021] [Indexed: 11/16/2022]
Abstract
(1) Background: The use of removable orthodontic appliances, which is common in early ages, requires careful hygiene, as several different microorganisms are found on their surface during the orthodontic treatment. (2) Methods: Comprehensive electronic searches were conducted up to May 2021. Randomized controlled trials (RCTs) or controlled clinical trials (CCTs), prospective or retrospective, evaluating the efficacy of cleaning and disinfection methods for acrylic removable orthodontic appliances, redacted in the English language, were included. Three independent blinding review authors were involved in study selection, data extraction, and bias assessment. (3) Results: A total of 2491 records were screened and eight studies (six RCTs and two CCTs) fulfilled the inclusion criteria. Among the overall cleaning and disinfection methods described in the included studies, four categories could be defined: liquid antimicrobial agents, commercial tablet cleansers, natural plant extracts and incorporation of quaternary ammonium methacryloxy silicate, all of which demonstrated superior efficacy compared to the placebo/negative control. However, the different methods were not compared with each other. (4) Conclusions: Biofilm control on acrylic orthodontic removable appliances can be performed using the different cleaning and disinfection methods considered in the included studies. Further studies are needed to define the most effective technique. Registration: PROSPERO CRD 42021269297.
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Affiliation(s)
- Carole Charavet
- Université Côte d'Azur, Faculté de Chirurgie Dentaire, 06800 Nice, France
- Centre Hospitalier Universitaire de Nice, Pôle Odontologie, 06000 Nice, France
- Laboratoire MICORALIS UPR 7354, Université Côte d'Azur, 06800 Nice, France
| | - Léa Graveline
- Université Côte d'Azur, Faculté de Chirurgie Dentaire, 06800 Nice, France
- Centre Hospitalier Universitaire de Nice, Pôle Odontologie, 06000 Nice, France
| | - Zoé Gourdain
- Université Côte d'Azur, Faculté de Chirurgie Dentaire, 06800 Nice, France
- Centre Hospitalier Universitaire de Nice, Pôle Odontologie, 06000 Nice, France
| | - Laurence Lupi
- Université Côte d'Azur, Faculté de Chirurgie Dentaire, 06800 Nice, France
- Centre Hospitalier Universitaire de Nice, Pôle Odontologie, 06000 Nice, France
- Laboratoire MICORALIS UPR 7354, Université Côte d'Azur, 06800 Nice, France
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Antifungal Activity of Denture Base Resin Containing Nanozirconia: In Vitro Assessment of Candida albicans Biofilm. ScientificWorldJournal 2021; 2021:5556413. [PMID: 34381318 PMCID: PMC8352684 DOI: 10.1155/2021/5556413] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Revised: 07/13/2021] [Accepted: 07/24/2021] [Indexed: 12/15/2022] Open
Abstract
Objective To evaluate the antimicrobial effects of different concentrations of zirconium dioxide nanoparticles (nano-ZrO2) reinforcement of poly(methyl) methacrylate (PMMA) on surface roughness and C. albicans biofilm. Methods 20 heat-polymerized acrylic resin discs were conventionally made and divided into 4 groups (n = 5) according to nano-ZrO2 concentration: control (0% filler) and 3 experimental groups (2.5% (Z2.5), 5.0% (Z5.0), and 7.5% (Z7.5)). An optical profilometer was used for surface roughness evaluation, followed by Candida adherence assay. Specimens were sterilized, then immersed in cultured yeast (C. albicans), and incubated at 37°C for 48 hours. After that, discs were rinsed before extracting the clustered pellets of Candida. The attached C. albicans was counted using the direct method after spreading on agar media and incubating for 48 hours. Statistical analysis was performed using one-way ANOVA and Tukey's post hoc test at α = 0.05. Results Surface roughness was significantly increased with all modified groups compared with control (P < 0.01), which showed the lowest roughness value (0.027 ± 0.004 μm). There was no significant difference in the roughness value among reinforced groups (2.5, 5.0, and 7.5%) (P > 0.05), with Z7.5 showing the highest roughness value (0.042 ± 0.004 μm). Candida count was reduced as the nano-ZrO2 increased but not significantly (P=0.15). Conclusions The addition of different concentrations of nano-ZrO2 particles to PMMA increased the surface roughness compared with control; in contrast, insignificant reduction of C. albicans biofilm was detected.
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Comparison of CAD/CAM and Conventional Denture Base Resins: A Systematic Review. APPLIED SCIENCES-BASEL 2021. [DOI: 10.3390/app11135990] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
At present, complete dentures (CDs) remain the only treatment available for the majority of edentulous patients. CDs are primarily fabricated using a conventional method using polymethylmethacrylate (PMMA) resin. The steps involved in PMMA polymerisation directly affect the quality of the resin prosthetic base and any error reduces retention and occlusal accuracy of CDs. Furthermore, when using the conventional technique, the residual monomer alters the resin mechanical properties and may cause mucosal reactions. Recently, computer aided design and computer aided manufacture (CAD/CAM) techniques were increasingly used to fabricate CDs by machining resin discs that have been manufactured under high pressure and temperature. This systematic review compares CAD/CAM and conventional CDs according to their mechanical, physical and chemical characteristics, as well as the clinical impact of any differences between them. A review was conducted according to the preferred reporting items for systematic reviews and meta-analyses checklist on 392 publications from both PubMed and backward research. Fifteen studies have been included. Results showed that CAD/CAM resins had globally better physical and mechanical properties than conventional resins. The use of machined resin could improve the clinical performance, maintenance and longevity of CDs. Further studies in clinical use would be required to complement these results.
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In Vitro Assessment of Artificial Aging on the Antifungal Activity of PMMA Denture Base Material Modified with ZrO 2 Nanoparticles. Int J Dent 2021; 2021:5560443. [PMID: 34093706 PMCID: PMC8137292 DOI: 10.1155/2021/5560443] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 04/26/2021] [Accepted: 04/30/2021] [Indexed: 12/21/2022] Open
Abstract
The antifungal effect of zirconium dioxide nanoparticles (ZrO2NPs) incorporated into denture base material has been inadequately investigated; additionally, to the authors' knowledge, no studies have assessed the influence of artificial aging on the antifungal activity of these particles. Methodology. Heat-polymerized acrylic resin disks were fabricated and divided into four groups (0%, 1%, 2.5%, and 5% ZrO2NPs by weight). Antifungal activity was assessed using the direct culture and disk diffusion methods. Surface roughness and contact angles were measured using a profilometer and a goniometer, respectively. The artificial aging procedure was performed by repeating all tests at 7, 14, and 30 days following 2 rounds of thermocycling. Data were analyzed using ANOVA and Tukey's post-hoc test (p < 0.05). Results. The addition of ZrO2NPs significantly decreased the adhesion of Candida albicans with and without artificial aging procedures (p < 0.001), while the disk diffusion methods did not reveal inhibition zones. ZrO2NP-modified specimens displayed significantly higher surface roughness compared to specimens in the control group (p < 0.05) and showed the same behaviors with artificial aging procedures. The contact angle was significantly decreased in all modified groups in comparison to the control group (p < 0.05). Conclusion. The addition of ZrO2NPs to polymethylmethacrylate denture base material reduced the adhesion of Candida albicans with a long-term antifungal effect. With the addition of ZrO2NPs, contact angles were decreased and surface roughness was increased; 1% was the most appropriate concentration. Clinical significance. The addition of ZrO2NPs to denture base material confers a long-term antifungal effect and could be used as a possible method for preventing and treating denture stomatitis.
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Oliveira SGDD, Martos J, Carvalho RVD, Pereira CMPD, Lund RG, Piva E. Retentive efficacy, antimicrobial and cytotoxicity comparisons between different types of commercial and experimental denture adhesives with antifungal action. Dent Mater J 2021; 40:1055-1062. [PMID: 33883326 DOI: 10.4012/dmj.2020-262] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The effect of the addition of nystatin and an alternative antifungal derived from pyrazoles in different commercial denture adhesives on their retentive efficacy, cytotoxicity and antimicrobial activity against Candida albicans was evaluated. Commercial denture adhesives were prepared with the inclusion of nystatin and 3,5-diaryl-4,5-dihydro-1H-pyrazole-1-carboximidamide (pyrazole) in three concentrations: 23.78 %w/w, 3.02 %w/w, and 0.31 %w/w (0.015 g, 0.0015 g, and 0.00015 g, respectively). The retentive efficacy was tested observing the influence of the medium, type of commercial denture type and the test condition (dipping). The antifungal action through disk diffusion and direct contact tests at 1, 4, 8 and 12 h and cytotoxic activity was evaluated in mouse fibroblasts (NIH/3T3) by the MTT reduction colorimetric assay. The addition of pyrazole and nystatin in commercial denture adhesives did not affect retentive efficacy rates and enhanced antifungal actions against Candida albicans. Results show a possibility of using denture adhesives as a delivery system for commercial antifungals (Nystatin) or pyrazole, with the second concentration (1,560 µg-3.02 %w/w) as the most efficient.
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Affiliation(s)
| | - Josué Martos
- Department of Semiology and Clinics, Faculty of Dentistry, Federal University of Pelotas
| | | | | | - Rafael Guerra Lund
- Department of Restorative Dentistry, Faculty of Dentistry, Federal University of Pelotas
| | - Evandro Piva
- Department of Restorative Dentistry, Faculty of Dentistry, Federal University of Pelotas
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Monteiro DR, de Souza Batista VE, Caldeirão ACM, Jacinto RDC, Pessan JP. Oral prosthetic microbiology: aspects related to the oral microbiome, surface properties, and strategies for controlling biofilms. BIOFOULING 2021; 37:353-371. [PMID: 34139899 DOI: 10.1080/08927014.2021.1912741] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 02/21/2021] [Accepted: 03/26/2021] [Indexed: 06/12/2023]
Abstract
The oral cavity is an environment that allows for the development of complex ecosystems; the placement of prosthetic devices as a consequence of partial or total tooth loss may alter the diversity of microbial communities. Biofilms on the surface of materials used in dental prostheses can promote important changes in the mechanic and aesthetic properties of the material itself and may cause local and systemic diseases for the prosthetic wearer. This review presents the main features of the oral microbiome associated with complete or partial dentures and dental implants. The main diseases associated with microbial colonization of prosthetic surfaces, factors that may affect biofilm formation on prosthetic materials, as well as novel alternative therapies aiming to reduce biofilm formation and/or to eradicate biofilms formed on these materials are also explored.
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Affiliation(s)
- Douglas Roberto Monteiro
- Graduate Program in Dentistry, University of Western São Paulo (UNOESTE), Presidente Prudente, São Paulo, Brazil
- School of Dentistry, Araçatuba, Department of Preventive and Restorative Dentistry, São Paulo State University (Unesp), Araçatuba, São Paulo, Brazil
| | | | | | - Rogério de Castilho Jacinto
- School of Dentistry, Araçatuba, Department of Preventive and Restorative Dentistry, São Paulo State University (Unesp), Araçatuba, São Paulo, Brazil
| | - Juliano Pelim Pessan
- School of Dentistry, Araçatuba, Department of Preventive and Restorative Dentistry, São Paulo State University (Unesp), Araçatuba, São Paulo, Brazil
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Fibrin Biopolymer Incorporated with Antimicrobial Agents: A Proposal for Coating Denture Bases. MATERIALS 2021; 14:ma14071618. [PMID: 33810381 PMCID: PMC8037169 DOI: 10.3390/ma14071618] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/21/2021] [Revised: 03/20/2021] [Accepted: 03/22/2021] [Indexed: 01/27/2023]
Abstract
The characteristics of the denture base surface, in combination with the oral environment, promote the colonization and development of Candida albicans biofilm, which is the main cause of denture stomatitis. This study evaluated the effectiveness of fibrin biopolymer with digluconate chlorhexidine or Punica granatum alcoholic extract to prevent C. albicans biofilm. Conventional heat polymerized and pre-polymerized poly(methyl methacrylate) (PMMA) circular specimens (10 × 2 mm) were fabricated (n = 504) and randomly divided into groups: no treatment (control—CT), fibrin biopolymer coating (FB), fibrin biopolymer with P. granatum (FBPg), or digluconate of chlorhexidine (FBCh) coating. The specimens were inoculated with C. albicans SC5314 (1 × 107 cells/mL) and incubated for 24, 48, and 72 h. Crystal violet and colony-forming unit assays were used to quantify the total biofilm biomass and biofilm-living cells. A qualitative analysis was performed using confocal laser scanning microscopy. Data obtained are expressed as means and standard deviations and were statistically analyzed using a three-way analysis of variance (α = 0.05). The FBPg and FBCh groups inhibited the growth of C. albicans biofilm in both PMMA materials analyzed, with FBCh performing better in all periods evaluated (p < 0.0001). The colony forming unit (CFU) assay showed that the FB group favored the C. albicans biofilm growth at 24 h and 48 h (p < 0.0001), with no differences with CT group at 72 h (p = 0.790). All groups showed an enhancement in biofilm development up to 72 h (p < 0.0001), except the FBCh group (p = 0.100). No statistical differences were found between the PMMA base materials (p > 0.050), except in the FB group (p < 0.0001). Fibrin biopolymer, albeit a scaffold for the growth of C. albicans, when combined with chlorhexidine digluconate or P. granatum, demonstrated excellent performance as a drug delivery system, preventing and controlling the formation of denture biofilm.
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29
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Chand DJ, Magiri RB, Wilson HL, Mutwiri GK. Polyphosphazenes as Adjuvants for Animal Vaccines and Other Medical Applications. Front Bioeng Biotechnol 2021; 9:625482. [PMID: 33763409 PMCID: PMC7982900 DOI: 10.3389/fbioe.2021.625482] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Accepted: 01/22/2021] [Indexed: 11/15/2022] Open
Abstract
Polyphosphazenes are a class of experimental adjuvants that have shown great versatility as vaccine adjuvants in many animal species ranging from laboratory rodents to large animal species. Their adjuvant activity has shown promising results with numerous viral and bacterial antigens, as well as with crude and purified antigens. Vaccines adjuvanted with polyphosphazenes can be delivered via systemic and mucosal administration including respiratory, oral, rectal, and intravaginal routes. Polyphosphazenes can be used in combination with other adjuvants, further enhancing immune responses to antigens. The mechanisms of action of polyphosphazenes have not fully been defined, but several systematic studies have suggested that they act primarily by activating innate immunity. In the present review, we will highlight progress in the development of polyphosphazenes as adjuvants in animals and their other medical applications.
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Affiliation(s)
- Dylan J Chand
- Vaccinology & Immunotherapeutic Program, School of Public Health, University of Saskatchewan, Saskatoon, SK, Canada.,Vaccine & Infectious Disease Organization-International Vaccine Centre (VIDO-InterVac), University of Saskatchewan, Saskatoon, SK, Canada
| | - Royford B Magiri
- Vaccinology & Immunotherapeutic Program, School of Public Health, University of Saskatchewan, Saskatoon, SK, Canada.,College of Agriculture, Fisheries and Forestry, Fiji National University, Nausori, Fiji
| | - Heather L Wilson
- Vaccinology & Immunotherapeutic Program, School of Public Health, University of Saskatchewan, Saskatoon, SK, Canada.,Vaccine & Infectious Disease Organization-International Vaccine Centre (VIDO-InterVac), University of Saskatchewan, Saskatoon, SK, Canada
| | - George K Mutwiri
- Vaccinology & Immunotherapeutic Program, School of Public Health, University of Saskatchewan, Saskatoon, SK, Canada.,Vaccine & Infectious Disease Organization-International Vaccine Centre (VIDO-InterVac), University of Saskatchewan, Saskatoon, SK, Canada
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30
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Feldmann A, Alexandrino LD, Santos VRD, Kapczinski MP, Fraga S, Silva WJD, Mengatto CM. Effect of a vinegar-hydrogen peroxide mixture on the surface properties of a cobalt-chromium alloy: A possible disinfectant for removable partial dentures. J Prosthet Dent 2021; 127:929-935. [PMID: 33461773 DOI: 10.1016/j.prosdent.2020.10.028] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Revised: 10/06/2020] [Accepted: 10/06/2020] [Indexed: 12/19/2022]
Abstract
STATEMENT OF PROBLEM A vinegar-hydrogen peroxide mixture has been reported to be effective in eliminating Candida albicans and Staphylococcus aureus from acrylic resin, and its action has been reported to be comparable with that of sodium hypochlorite or peracetic acid. However, the effects of this mixture on cobalt-chromium alloys remain unknown. PURPOSE The purpose of this in vitro study was to evaluate the surface roughness, Knoop microhardness, surface free energy, and wettability of a cobalt-chromium alloy when exposed to a vinegar-hydrogen peroxide mixture. MATERIAL AND METHODS Fifty specimens of cobalt-chromium alloy were fabricated and immersed for 900 minutes, simulating 3 months of a daily 10-minute immersion in the following chemical agents (n=10): distilled water (W); 0.5% sodium hypochlorite (H); 3% hydrogen peroxide and water dilution in 1:1 ratio (HP); white-wine vinegar and water dilution in 1:1 ratio (V); and vinegar and hydrogen peroxide mixture in 1:1 ratio (VHP). Surface roughness, Knoop microhardness, surface free energy, and wettability were measured with single blinding before and after immersions. Data were statistically analyzed by using 2-way repeated measures ANOVA (α=.05). RESULTS The vinegar-hydrogen peroxide mixture did not affect the surface roughness or Knoop microhardness. However, 0.5% sodium hypochlorite significantly increased the roughness and decreased microhardness. Surface free energy and wettability increased after immersions, regardless of the types of solution. CONCLUSIONS Immersion in a vinegar-hydrogen peroxide mixture did not affect the surface characteristics of a cobalt-chromium alloy.
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Affiliation(s)
- Alexandra Feldmann
- Master of Science candidate, Division of Prosthodontics, Department of Conservative Dentistry, School of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Larissa Dolfini Alexandrino
- Master of Science candidate, Department of Prosthodontics and Periodontology, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, Brazil
| | - Vinicius Rodrigues Dos Santos
- Doctorate candidate, Department of Prosthodontics and Periodontology, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, Brazil
| | - Myriam Pereira Kapczinski
- Professor, Division of Prosthodontics, Department of Conservative Dentistry, School of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Sara Fraga
- Professor, Division of Prosthodontics, Department of Conservative Dentistry, School of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Wander José da Silva
- Professor, Department of Prosthodontics and Periodontology, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, Brazil
| | - Cristiane Machado Mengatto
- Professor, Division of Prosthodontics, Department of Conservative Dentistry, School of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
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Le PH, Nguyen DHK, Aburto-Medina A, Linklater DP, Crawford RJ, MacLaughlin S, Ivanova EP. Nanoscale Surface Roughness Influences Candida albicans Biofilm Formation. ACS APPLIED BIO MATERIALS 2020; 3:8581-8591. [PMID: 35019629 DOI: 10.1021/acsabm.0c00985] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
The microbial contamination of surfaces presents a significant challenge due to the adverse effects associated with biofilm formation, particularly on implantable devices. Here, the attachment and biofilm formation of the opportunistic human pathogen, Candida albicans ATCC 10231, were studied on surfaces with decreasing magnitudes of nanoscale roughness. The nanoscale surface roughness of nonpolished titanium, polished titanium, and glass was characterized according to average surface roughness, skewness, and kurtosis. Nonpolished titanium, polished titanium, and glass possessed average surface roughness (Sa) values of 350, 20, and 2.5 nm; skewness (Sskw) values of 1.0, 4.0, and 1.0; and (Skur) values of 3.5, 16, and 4, respectively. These unique characteristics of the surface nanoarchitecture were found to play a key role in limiting C. albicans attachment and modulating the functional phenotypic changes associated with biofilm formation. Our results suggest that surfaces with a specific combination of surface topographical parameters could prevent the attachment and biofilm formation of C. albicans. After 7 days, the density of attached C. albicans cells was recorded to be 230, 70, and 220 cells mm-2 on nonpolished titanium, polished titanium, and glass surfaces, respectively. Despite achieving a very low attachment density, C. albicanscells were only observed to produce hyphae associated with biofilm formation on nonpolished titanium surfaces, possessing the highest degree of surface roughness (Sa = 350 nm). This study provides a more comprehensive picture of the impact of surface architectures on C. albicans attachment, which is beneficial for the design of antifungal surfaces.
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Affiliation(s)
- Phuc H Le
- School of Science, College of Science, Engineering and Health, RMIT University, Melbourne, Victoria 3000, Australia.,Australian Research Council Research Hub for Australian Steel Manufacturing, Wollongong, New South Wales 2500, Australia
| | - Duy H K Nguyen
- School of Science, College of Science, Engineering and Health, RMIT University, Melbourne, Victoria 3000, Australia
| | - Arturo Aburto-Medina
- School of Science, College of Science, Engineering and Health, RMIT University, Melbourne, Victoria 3000, Australia.,Australian Research Council Research Hub for Australian Steel Manufacturing, Wollongong, New South Wales 2500, Australia
| | - Denver P Linklater
- School of Science, College of Science, Engineering and Health, RMIT University, Melbourne, Victoria 3000, Australia
| | - Russell J Crawford
- School of Science, College of Science, Engineering and Health, RMIT University, Melbourne, Victoria 3000, Australia
| | | | - Elena P Ivanova
- School of Science, College of Science, Engineering and Health, RMIT University, Melbourne, Victoria 3000, Australia
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Grymak A, Aarts JM, Ma S, Waddell JN, Choi JJE. Comparison of hardness and polishability of various occlusal splint materials. J Mech Behav Biomed Mater 2020; 115:104270. [PMID: 33341739 DOI: 10.1016/j.jmbbm.2020.104270] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 12/06/2020] [Accepted: 12/10/2020] [Indexed: 10/22/2022]
Abstract
OBJECTIVES To measure polishability of occlusal splint materials manufactured by various methods. METHODS Seven occlusal splint materials manufactured by four different methods - Heat cured (Vertex Rapid simplified Clear), CAD-milled (Ceramill a-splint), Vacuum-formed (Proform splint) and 3D-printed (Freeprint Ortho, KeySplint Soft, DentaClear and FreePrint Splint 2.0) were tested for gloss, roughness, and surface hardness and elastic modulus. For all groups, the tests were repeated with the materials polished with three different polishing burs, pumice and high shine. All polishing procedures were standardised by applying the force of 1 N for 1 min at the set speed. 3D printed materials were further tested with additional specimens manufactured at different printing angles of 0°, 45° and 90°. Data was statistically analysed using ANOVA (SPSS Version 26) and MatLab (R2020a). Polished surfaces of each specimen were analysed under scanning electron microscope. RESULTS Vacuum-formed materials showed the highest polishability (80.61 ± 0.98 GU) with no statistical significance to heat-cured or CAD-milled (p = 1.00). Pumice and high shine polish significantly improved the gloss for all groups. The mean gloss and surface roughness for all 3D-printed materials ranged from 75.24 ± 25.05 GU to 0.18 ± 0.21 GU and 2.73 ± 3.18 μm to 0.06 ± 0.01 μm, which was significantly lower (p < 0.001) than heat-cured, CAD-milled and vacuum-formed materials. The highest hardness (0.40 ± 0.009 GPa), elastic modulus (6.06 ± 1.49 GPa) and gloss were found when materials were 3D-printed at 45°, with the lowest surface roughness. CONCLUSION Statistically significant differences in polishability were found among the different occlusal splint materials. The polishability and surface hardness of 3D-printed occlusal splint materials was influenced by the print angle. The 0° 3D-printed occlusal splint materials produced the highest gloss and the lowest surface roughness pre-polished, indicating that no polishing is required. While the 3D-printed occlusal splint materials at 45oand 90° required polishing with burs, pumice and high shine to reduce the surface roughness, there were layering structures created during printing.
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Affiliation(s)
- Anastasiia Grymak
- Faculty of Dentistry, Sir John Walsh Research Institute, University of Otago, New Zealand
| | - John M Aarts
- Faculty of Dentistry, Sir John Walsh Research Institute, University of Otago, New Zealand
| | - Sunyoung Ma
- Faculty of Dentistry, Sir John Walsh Research Institute, University of Otago, New Zealand
| | - John Neil Waddell
- Faculty of Dentistry, Sir John Walsh Research Institute, University of Otago, New Zealand
| | - Joanne Jung Eun Choi
- Faculty of Dentistry, Sir John Walsh Research Institute, University of Otago, New Zealand.
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Antagonistic effect of isolated and commercially available probiotics on the growth of Candida albicans on acrylic resin denture surfaces. J Prosthet Dent 2020; 127:338-344. [PMID: 33250196 DOI: 10.1016/j.prosdent.2020.10.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Revised: 10/06/2020] [Accepted: 10/07/2020] [Indexed: 11/22/2022]
Abstract
STATEMENT OF PROBLEM Biofilms can be retained on dental prostheses leading to the development of infections. The indiscriminate use of antifungal drugs can result in the development of microorganisms that are resistant to these antimicrobial agents. Whether probiotics are a suitable alternative for reducing the prevalence of oral candidiasis is unclear. PURPOSE The purpose of this in vitro study was to evaluate the influence of 6 different live strains of probiotics and 2 commercially available probiotic supplements used for inhibiting the growth of Candida albicans biofilm in heat-polymerized acrylic resin denture base material and to determine whether biofilm byproducts modify the surface of specimens. MATERIAL AND METHODS Biofilms of C. albicans were formed on acrylic resin specimens in the presence of probiotics and quantified by colony-forming units (CFUs), and the surface roughness (Ra) of the specimens was assessed before and after the formation of biofilms. The CFU and roughness data were analyzed by analysis of variance and the Tukey HSD test (α=.05). RESULTS A significant decrease in the number (CFU/mL) of C. albicans cells was found when they were cultured with 4 probiotics: B. lactis (P=.045), B. longum (P<.001), L. casei (P<.001), and L. helveticus (P<.001) and with the commercially available probiotic Prolive (P=.05). The Ra of specimens decreased after exposure to different microbial biofilms (P≤.05) except in 3 experimental groups. CONCLUSIONS In general, the tested probiotics had an antagonistic effect on the growth of C. albicans, and the surface of acrylic resin was altered after exposure to biofilm byproducts.
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Shim JS, Kim JE, Jeong SH, Choi YJ, Ryu JJ. Printing accuracy, mechanical properties, surface characteristics, and microbial adhesion of 3D-printed resins with various printing orientations. J Prosthet Dent 2020; 124:468-475. [DOI: 10.1016/j.prosdent.2019.05.034] [Citation(s) in RCA: 87] [Impact Index Per Article: 21.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Revised: 05/30/2019] [Accepted: 05/30/2019] [Indexed: 11/17/2022]
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Bachtiar BM, Fath T, Widowati R, Bachtiar EW. Quantification and Pathogenicity of Candida albicans in Denture-Wearing and Nondenture-Wearing Elderly. Eur J Dent 2020; 14:423-428. [PMID: 32542630 PMCID: PMC7440952 DOI: 10.1055/s-0040-1712779] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
Objective
The primary purpose of this study was to evaluate and compare the microbial loads and pathogenicity traits of oral
Candida albicans
in denture-wearing (DW;
n
= 15) and nondenture-wearing (NDW;
n
= 15) elderly persons.
Materials and Methods
The fungal counts of the saliva, tongue dorsa, and prosthesis-fitting surfaces of the participants were assessed using real-time polymerase chain reaction to compare the quantity and expression of selected
C. albicans
biofilm-associated genes (
ALS3
,
HWP1
, and
YWP1
).
Statistical Analysis
The obtained data were analyzed by one-way analysis of variance, followed by Bartlett’s test. When appropriate, the Student’s
t
-test was also used; a value of
p
< 0.05 was considered statistically significant.
Results
In both groups, the count of
C. albicans
was found to be significantly higher in saliva than in other oral samples. The expression of the hypha-specific genes (
ALS3
and
HWP1
) in the tongue dorsa was higher in the DW group (
p
< 0.05), whereas the transcription level of the yeast-specific gene (
YWP1)
was significantly higher in the NDW group.
Conclusion
Both tongue dorsa and dentures appear to be sharing factors that are important for
C. albicans
biofilm growth in abiotic and biotic oral surfaces of the elderly.
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Affiliation(s)
- Boy M Bachtiar
- Department of Oral Biology and Oral Science Research Center, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | - Turmidzi Fath
- Department of Biology, Graduate School, Universitas Nasional, South Jakarta, Indonesia
| | - Retno Widowati
- Department of Biology, Graduate School, Universitas Nasional, South Jakarta, Indonesia
| | - Endang W Bachtiar
- Department of Oral Biology and Oral Science Research Center, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
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Pentland DR, Stevens S, Williams L, Baker M, McCall C, Makarovaite V, Balfour A, Mühlschlegel FA, Gourlay CW. Precision Antifungal Treatment Significantly Extends Voice Prosthesis Lifespan in Patients Following Total Laryngectomy. Front Microbiol 2020; 11:975. [PMID: 32508787 PMCID: PMC7251058 DOI: 10.3389/fmicb.2020.00975] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Accepted: 04/22/2020] [Indexed: 11/13/2022] Open
Abstract
Indwelling silicone valves called voice prostheses (VPs) are the gold standard for speech rehabilitation in patients with laryngeal cancer following total laryngectomy. Reported VP lifespans amongst these patients are highly variable but when devices fail patients experience loss of voice and an increase risk of chest infection. Early failure of VP is a current clinical concern that is associated with regular hospital visits, reduced quality of life and associated medical cost. Poly-microbial biofilms comprised of both bacterial and fungal microorganisms readily colonize VPs and are linked to loss of device performance and its early failure in addition to providing a reservoir for potential infection. Our detailed analysis of poly-microbial biofilm composition on 159 early failing VPs from 48 total laryngectomy patients confirmed Candida albicans as the predominant fungal species and Staphylococcus aureus as the most common bacterial colonizer within our patient cohort. Using a combination of microbiological analysis, patient data and a high-throughput antifungal test assay mimicking in vivo conditions we established an evidence based precision antifungal treatment approach to VP management. Our approach has allowed us to implement a personalized VP management pathway, which increases device in situ lifespan by an average of 270%. Our study represents a significant step forward in both our understanding of the cause of VP failure and a new effective treatment pathway that offers tangible benefit to patients.
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Affiliation(s)
- Daniel R Pentland
- Kent Fungal Group, School of Biosciences, University of Kent, Kent, United Kingdom
| | - Sarah Stevens
- East Kent Hospitals, University NHS Foundation Trust, Kent, United Kingdom
| | - Leila Williams
- East Kent Hospitals, University NHS Foundation Trust, Kent, United Kingdom
| | - Mark Baker
- East Kent Hospitals, University NHS Foundation Trust, Kent, United Kingdom
| | - Carolyn McCall
- East Kent Hospitals, University NHS Foundation Trust, Kent, United Kingdom
| | | | - Alistair Balfour
- East Kent Hospitals, University NHS Foundation Trust, Kent, United Kingdom
| | | | - Campbell W Gourlay
- Kent Fungal Group, School of Biosciences, University of Kent, Kent, United Kingdom
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Biofilm Formed by Candida haemulonii Species Complex: Structural Analysis and Extracellular Matrix Composition. J Fungi (Basel) 2020; 6:jof6020046. [PMID: 32260180 PMCID: PMC7345111 DOI: 10.3390/jof6020046] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 04/01/2020] [Accepted: 04/01/2020] [Indexed: 01/18/2023] Open
Abstract
Candida haemulonii species complex (C. haemulonii, C. duobushaemulonii, and C. haemulonii var. vulnera) has emerged as opportunistic, multidrug-resistant yeasts able to cause fungemia. Previously, we showed that C. haemulonii complex formed biofilm on polystyrene. Biofilm is a well-known virulence attribute of Candida spp. directly associated with drug resistance. In the present study, the architecture and the main extracellular matrix (ECM) components forming the biofilm over polystyrene were investigated in clinical isolates of the C. haemulonii complex. We also evaluated the ability of these fungi to form biofilm on catheters used in medical arena. The results revealed that all fungi formed biofilms on polystyrene after 48 h at 37 °C. Microscopic analyses demonstrated a dense network of yeasts forming the biofilm structure, with water channels and ECM. Regarding ECM, proteins and carbohydrates were the main components, followed by nucleic acids and sterols. Mature biofilms were also detected on late bladder (siliconized latex), nasoenteric (polyurethane), and nasogastric (polyvinyl chloride) catheters, with the biomasses being significantly greater than on polystyrene. Collectively, our results demonstrated the ability of the C. haemulonii species complex to form biofilm on different types of inert surfaces, which is an incontestable virulence attribute associated with devices-related candidemia in hospitalized individuals.
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Nomura T, Murakami T, Shimoyama Y, Kobayashi T, Furuya J, Sasaki M, Kondo H. Effects of denture adhesives on growth and morphological transformation of Candida albicans. J Prosthodont Res 2020; 64:78-84. [DOI: 10.1016/j.jpor.2019.04.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2018] [Revised: 02/28/2019] [Accepted: 04/11/2019] [Indexed: 10/26/2022]
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Arslan S, Koç AN, Avcı B, Balkaya H, Çakır NN. ADHESION OF CANDIDA ALBICANS AND CANDIDA PARAPSILOSIS TO DIFFERENT RESTORATIVE MATERIALS. CUMHURIYET DENTAL JOURNAL 2019. [DOI: 10.7126/cumudj.644750] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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40
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Namangkalakul W, Benjavongkulchai S, Pochana T, Promchai A, Satitviboon W, Howattanapanich S, Phuprasong R, Ungvijanpunya N, Supakanjanakanti D, Chaitrakoonthong T, Muangsawat S, Thanyasrisung P, Matangkasombut O. Activity of chitosan antifungal denture adhesive against common Candida species and Candida albicans adherence on denture base acrylic resin. J Prosthet Dent 2019; 123:181.e1-181.e7. [PMID: 31813582 DOI: 10.1016/j.prosdent.2019.09.026] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2019] [Revised: 09/27/2019] [Accepted: 09/30/2019] [Indexed: 12/14/2022]
Abstract
STATEMENT OF PROBLEM Candida adherence to the denture base is an important cause of denture stomatitis. In addition, infections with drug-resistant Candida have become more prevalent, especially among elderly and immunocompromised patients. Thus, alternative safe antifungal agents for oral applications are needed. PURPOSE The purpose of this in vitro study was to investigate the activity of chitosan, a natural biopolymer, against common oral Candida species and its efficacy in inhibiting C albicans adherence to denture-base acrylic resin. MATERIAL AND METHODS The minimum fungicidal concentrations (MFCs) of 5 types of chitosan against 6 species of Candida and 10 C albicans clinical isolates were determined by broth and agar dilution, respectively. N-succinyl chitosan (NSC), low- and high-molecular-weight water-soluble chitosan (LMWC and HMWC), and oligomer and polymer shrimp-chitosan were examined. NSC and HMWC, as pure gel and as a mixture with carboxymethylcellulose (CMC), were applied to acrylic resin disks, incubated with C albicans for 24 hours, and washed, and adherent cells were collected for colony count. The effects of HMWC on human gingival fibroblasts after 1 and 24 hours of treatment were measured by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. The retention force of HMWC gel was measured by using a universal testing machine. The Kruskal-Wallis and Mann-Whitney U tests were used to compare the antiadherence activity (α=.05). RESULTS HMWC had the highest antifungal activity against most Candida species tested and C albicans clinical isolates. HMWC gel completely inhibited C albicans adherence to denture base acrylic resin (P<.001). CMC denture adhesive significantly increased C albicans adherence (P<.001), but adding 2×MFC HMWC into CMC reduced the adherence, although this was not statistically significant (P=.06). HMWC at 1×MFC and 2×MFC showed no toxic effect on gingival fibroblast viability and proliferation. Moreover, the retention force provided by HMWC gel was sufficient for use as a denture adhesive (>5000 Pa). CONCLUSIONS High-molecular-weight, water-soluble chitosan is a biocompatible biopolymer that could inhibit C albicans adherence and that showed properties suitable for development into an antifungal denture adhesive.
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Affiliation(s)
- Worachat Namangkalakul
- Instructor, Department of Anatomy, Faculty of Dentistry, Chulalongkorn University, Pathumwan, Bangkok, Thailand
| | - Sunpatch Benjavongkulchai
- Instructor, Department of Radiology, Faculty of Dentistry, Chulalongkorn University, Pathumwan, Bangkok, Thailand
| | - Teeraphat Pochana
- Student, Faculty of Dentistry, Chulalongkorn University, Pathumwan, Bangkok, Thailand
| | - Alitta Promchai
- Student, Faculty of Dentistry, Chulalongkorn University, Pathumwan, Bangkok, Thailand
| | - Wuttika Satitviboon
- Student, Faculty of Dentistry, Chulalongkorn University, Pathumwan, Bangkok, Thailand
| | | | - Rawi Phuprasong
- Student, Faculty of Dentistry, Chulalongkorn University, Pathumwan, Bangkok, Thailand
| | - Nicha Ungvijanpunya
- Instructor, Department of Orthodontics, Faculty of Dentistry, Chulalongkorn University, Pathumwan, Bangkok, Thailand
| | - Danaiya Supakanjanakanti
- Student, Faculty of Dentistry, Chulalongkorn University, Pathumwan, Bangkok, Thailand; Instructor, Faculty of Dentistry, Prince of Songkhla University, Hat Yai, Songkhla, Thailand
| | | | - Sureeporn Muangsawat
- Scientist, Department of Microbiology and Research Unit on Oral Microbiology and Immunology, Faculty of Dentistry, Chulalongkorn University, Pathumwan, Bangkok, Thailand
| | - Panida Thanyasrisung
- Associate Professor, Department of Microbiology and Research Unit on Oral Microbiology and Immunology, Faculty of Dentistry, Chulalongkorn University, Pathumwan, Bangkok, Thailand
| | - Oranart Matangkasombut
- Associate Professor, Department of Microbiology and Research Unit on Oral Microbiology and Immunology, Faculty of Dentistry, Chulalongkorn University, Pathumwan, Bangkok, Thailand; Researcher, Laboratory of Biotechnology, Chulabhorn Research Institute, Lak Si, Bangkok, Thailand.
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41
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AlBin‐Ameer MA, Alsrheed MY, Aldukhi IA, Matin A, Khan SQ, Abualsaud R, Gad MM. Effect of Protective Coating on Surface Properties and
Candida albicans
Adhesion to Denture Base Materials. J Prosthodont 2019; 29:80-86. [DOI: 10.1111/jopr.13118] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/20/2019] [Indexed: 01/08/2023] Open
Affiliation(s)
| | - Mahdi Y Alsrheed
- Imam Abdulrahman Bin Faisal University P.O. Box 1982 Dammam 31411 Saudi Arabia
| | - Ibrahim A Aldukhi
- Imam Abdulrahman Bin Faisal University P.O. Box 1982 Dammam 31411 Saudi Arabia
| | - Asif Matin
- Centre for Research Excellence in Desalination & Water Treatment King Fahd University of Petroleum & Minerals Dhahran 31261 Saudi Arabia
| | - Soban Q Khan
- Department of Clinical Affairs, College of DentistryImam Abdulrahman Bin Faisal University P.O. Box 1982 Dammam 31411 Saudi Arabia
| | - Reem Abualsaud
- Department of Substitutive Dental Sciences, College of DentistryImam Abdulrahman Bin Faisal University P.O. Box 1982 Dammam 31411 Saudi Arabia
| | - Mohammed M Gad
- Department of Substitutive Dental Sciences, College of DentistryImam Abdulrahman Bin Faisal University P.O. Box 1982 Dammam 31411 Saudi Arabia
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Fouda SM, Gad MM, Ellakany P, Al-Thobity AM, Al-Harbi FA, Virtanen JI, Raustia A. The effect of nanodiamonds on candida albicans adhesion and surface characteristics of PMMA denture base material - an in vitro study. J Appl Oral Sci 2019; 27:e20180779. [PMID: 31691740 PMCID: PMC6831028 DOI: 10.1590/1678-7757-2018-0779] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2019] [Accepted: 04/24/2019] [Indexed: 01/04/2023] Open
Abstract
Candida albicans is the main causative pathogen of denture stomatitis, which affects many complete denture patients. Objective: To evaluate the effect of different concentrations of nanodiamonds (NDs) added to polymethyl methacrylate (PMMA) denture base material on Candida albicans adhesion as well as on surface roughness and contact angle. Methodology: Acrylic resin specimens sized 10×10×3 mm3 were prepared and divided into four groups (n=30) according to ND concentration (0%, 0.5%, 1%, 1.5% by wt). Surface roughness was measured with a profilometer, and the contact angle with a goniometer. The effect of NDs on Candida albicans adhesion was evaluated using two methods: 1) slide count and 2) direct culture test. Analysis of variance (ANOVA) and Tukey's post hoc test were used in the statistical analyses. Results: Addition of NDs decreased the Candida albicans count significantly more than in the control group (p<0.05), with a lowest of 1% NDs. Addition of NDs also significantly decreased the surface roughness (p<0.05), but the contact angle remained the same. Incorporation of NDs into the PMMA denture base material effectively reduced Candida albicans adhesion and decreased surface roughness. Conclusion: PMMA/NDs composites could be valuable in the prevention of denture stomatitis, which is considered one of the most common clinical problems among removable denture wearers.
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Affiliation(s)
- Shaimaa M Fouda
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Mohammed M Gad
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Passent Ellakany
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Ahmad M Al-Thobity
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Fahad A Al-Harbi
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Jorma I Virtanen
- Department of Community Dentistry, Faculty of Medicine, University of Turku, Turku, Finland.,Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - Aune Raustia
- Research Unit of Oral Health Sciences, Prosthetic Dentistry and Stomatognathic Physiology, Faculty of Medicine, University of Oulu, Oulu, Finland.,Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
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43
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Leão RDS, Moraes SLDD, Gomes JMDL, Lemos CAA, Casado BGDS, Vasconcelos BCDE, Pellizzer EP. Influence of addition of zirconia on PMMA: A systematic review. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2019; 106:110292. [PMID: 31753402 DOI: 10.1016/j.msec.2019.110292] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/26/2018] [Revised: 09/23/2019] [Accepted: 10/07/2019] [Indexed: 11/28/2022]
Abstract
The objective of this systematic review is to evaluate the effect of the incorporation of zirconia (ZrO2) particles on the mechanical properties of PMMA (polymethyl methacrylate), and to establish which characteristics of this material yield the best results aiming their biomedical applicability. This study was carried out in accordance with the Items of Preferred Reports for Systematic Reviews and Meta-Analyzes (PRISMA) and is registered in PROSPERO under registration number: CRD42018095801. The searches were carried out in the PubMed, MEDLINE, Scopus and Cochrane Library databases for articles published up until April 2018. After the different stages of the article selection process, eight articles were selected for qualitative and quantitative analysis. All were in vitro studies, totaling 536 evaluated samples. The concentrations of zirconia ranged from 0.5% to 20% and the particle sizes were between 15 nm and 10 μm. The incorporation of zirconia particles did not increase the flexural strength of PMMA in only one study. While the concentration of zirconia influences PMMA, the type of acrylic resin, size, and silanization of zirconia particles did not influence the results. Thus, the addition of zirconia particles showed a positive effect on PMMA enhancing their use in the medical and dental field, especially when certain anatomical areas requires higher strength of the materials, providing longevity for the rehabilitation.
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Affiliation(s)
- Rafaella de Souza Leão
- Department of Prosthodontics, Dentistry School, University of Pernambuco (UPE), Camaragibe, Brazil
| | | | - Jéssica Marcela de Luna Gomes
- Department of Dental Materials and Prosthodontics, Araçatuba Dental School, São Paulo State University (UNESP), Araçatuba, Brazil
| | | | | | | | - Eduardo Piza Pellizzer
- Department of Dental Materials and Prosthodontics, Araçatuba Dental School, São Paulo State University (UNESP), Araçatuba, Brazil
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44
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Hayran Y. Determination of the Effective Time of Denture Cleanser Tablets on the Removal of Candida Albicans on Denture Base Resins. CUMHURIYET DENTAL JOURNAL 2019. [DOI: 10.7126/cumudj.566223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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45
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Abstract
Microbial adhesion to intraoral biomaterials is associated with surface roughness. For the prevention of oral pathologies, smooth surfaces with little biofilm formation are required. Ideally, appropriate roughness parameters make microbial adhesion predictable. Although a multitude of parameters are available, surface roughness is commonly described by the arithmetical mean roughness value (Ra). The present study investigates whether Ra is the most appropriate roughness parameter in terms of prediction for microbial adhesion to dental biomaterials. After four surface roughness modifications using standardized polishing protocols, zirconia, polymethylmethacrylate, polyetheretherketone, and titanium alloy specimens were characterized by Ra as well as 17 other parameters using confocal microscopy. Specimens of the tested materials were colonized by C. albicans or S. sanguinis for 2 h; the adhesion was measured via luminescence assays and correlated with the roughness parameters. The adhesion of C. albicans showed a tendency to increase with increasing the surface roughness—the adhesion of S. sanguinis showed no such tendency. Although Sa, that is, the arithmetical mean deviation of surface roughness, and Rdc, that is, the profile section height between two material ratios, showed higher correlations with the microbial adhesion than Ra, these differences were not significant. Within the limitations of this in-vitro study, we conclude that Ra is a sufficient roughness parameter in terms of prediction for initial microbial adhesion to dental biomaterials with polished surfaces.
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46
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Hamid SK, Al-Dubayan AH, Al-Awami H, Khan SQ, Gad MM. In vitro assessment of the antifungal effects of neem powder added to polymethyl methacrylate denture base material. J Clin Exp Dent 2019; 11:e170-e178. [PMID: 30805122 PMCID: PMC6383901 DOI: 10.4317/jced.55458] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2018] [Accepted: 12/17/2018] [Indexed: 12/12/2022] Open
Abstract
Background Denture with antimicrobial activities is desirable to prevent Candida albican adhesion subsequently decreasing the susceptibility of denture stomatitis incidence. Azadirachta Indica, commonly known as Neem powder has antimicrobial effect but the effect of its addition to acrylic denture base on C. albicans adhesion has not been investigated. The aim of this study was determine whether adding neem powder to acrylic denture base materials could reduce Candida albicansadhesion. Material and Methods One hundred and twenty acrylic resin denture specimens were fabricated and divided into heat-polymerized (n=60) and auto-polymerized (n=60) groups. Each group was further divided into 6 groups (n=10) based on the neem concentration: 0, 0.5, 1, 1.5, 2 and 2.5 wt% of the polymer. After polymerization, the specimens were polished, stored in distilled water, sonicated, sterilized, submerged in artificial saliva containing C. albicans, and finally, placed in an incubator at 37°C. Slide counting and direct culture methods were used to assess the antifungal effects of the neem addition. An analysis of variance and post hoc Tukey’s test were performed for the data analysis (p≤0.05 was statistically significant). Results Based on the results, the neem addition significantly decreased the C. albicans count when compared to the control group (p≤0.05). Moreover, the count decreased as the neem concentration increased (lowest count with 2.5 wt%). Conclusions The results suggest that adding neem powder to acrylic resin denture base materials reduces the adhesion of C. albicans; therefore, the incorporation of neem could be a possible denture stomatitis prevention method. Key words:Denture stomatitis, Candida albicans, Azadirachta indica, neem powder, denture base.
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Affiliation(s)
- Shorouq-Khalid Hamid
- Undergraduate student, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31411, Saudi Arabia
| | - AlAnoud-Hamad Al-Dubayan
- Undergraduate student, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31411, Saudi Arabia
| | - Heba Al-Awami
- Undergraduate student, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31411, Saudi Arabia
| | - Soban-Qadir Khan
- MSC, Lecturer of Biostatistics, Department of Clinical Affairs, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31411, Saudi Arabia
| | - Mohammed-Moustafa Gad
- BDS, MSc, Lecturer, Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31411, Saudi Arabia
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47
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Ergun G, Sahin Z, Ataol AS. The effects of adding various ratios of zirconium oxide nanoparticles to poly(methyl methacrylate) on physical and mechanical properties. J Oral Sci 2018; 60:304-315. [PMID: 29925715 DOI: 10.2334/josnusd.17-0206] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
The aim of the present study is to evaluate the transverse strength, modulus of elasticity, surface roughness, hardness, and water sorption/solubility of nanoparticle zirconium oxide (nano-ZrO2) added to heat-cured poly(methyl methacrylate) (PMMA) after thermocycling. The specimens were divided into four groups according to the ratio of nano-ZrO2 addition to heat-cured PMMA; group 1: 5% nano-ZrO2; group 2: 10% nano-ZrO2; group 3: 20% nano-ZrO2, and group 4 (control): PMMA without nano-ZrO2. A statistically significant decrease in transverse strength was observed by all additional rates of nano-ZrO2 compared with group 4 (control; P < 0.025). When hardness results were evaluated, groups 1 and 2 showed statistically higher values compared with groups 3 and 4 (P < 0.025). The surface roughness of group 3 was statistically higher than the other groups (P < 0.025), but it was within the clinically acceptable limits. As the nano-ZrO2 addition rate increased, water sorption/solubility values of the specimens also increased. Although nano-ZrO2 addition had an adverse effect on some mechanical and physical properties of heat-cured PMMA, it increased hardness values, implying that the addition of nano-ZrO2 would contribute positively to some mechanical properties of PMMA denture base material when nano-ZrO2 was homogeneously distributed in PMMA.
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Affiliation(s)
- Gulfem Ergun
- Department of Prosthodontics, Faculty of Dentistry, Gazi University
| | - Zeynep Sahin
- Department of Prosthodontics, Faculty of Dentistry, Mersin University
| | - Ayse Seda Ataol
- Department of Prosthodontics, Faculty of Dentistry, Mersin University
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Gad MM, Al-Thobity AM, Fouda SM, Näpänkangas R, Raustia A. Flexural and Surface Properties of PMMA Denture Base Material Modified with Thymoquinone as an Antifungal Agent. J Prosthodont 2018; 29:243-250. [PMID: 30178899 DOI: 10.1111/jopr.12967] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/27/2018] [Indexed: 12/01/2022] Open
Abstract
PURPOSE To evaluate the effect of addition of different concentrations of thymoquinone (TQ) on the flexural strength, elastic modulus, surface roughness, and hardness of PMMA denture base material. MATERIALS AND METHODS A total of 160 rectangular specimens were prepared from heat-polymerized acrylic resin, with dimensions of 65 × 10 × 2.5 mm3 for flexural strength testing and 10 × 20 × 3 mm3 for surface property testing. The specimens were divided into eight groups of 20 specimens: one control group without addition of TQ and seven test groups prepared by adding TQ to acrylic powder in concentrations of 0.5, 1, 1.5, 2, 2.5, 3, and 5 wt%. The polymer was added to the monomer before being mixed, packed, and processed using the conventional water bath method. A universal testing machine was used to measure flexural strength and elastic modulus. A profilometer and a Vickers hardness tester were used to measure surface roughness and hardness, respectively. One-way ANOVA and the Tukey-Kramer multiple-comparison test were used for statistical analysis, with statistical significance at p ≤ 0.05. RESULTS Addition of TQ to PMMA denture base material significantly decreased flexural strength and elastic modulus at high concentrations (p < 0.01), while no significant differences were observed at low concentrations (0.5%, 1% TQ) in comparison with the control group. At high TQ concentrations, surface roughness increased while hardness decreased (p < 0.0001), and no significant differences were observed at low concentrations (0.5%, 1% TQ) in comparison with the control group. The most favorable addition values were 0.5% and 1% TQ in all TQ groups. CONCLUSIONS Addition of TQ did not affect the flexural and surface properties of PMMA denture base material at low concentrations (0.5%, 1% TQ) and could be incorporated into PMMA denture base material as an antifungal agent.
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Affiliation(s)
- Mohammed M Gad
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Ahmad M Al-Thobity
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Shaimaa M Fouda
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Ritva Näpänkangas
- Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu, Oulu, Finland.,Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - Aune Raustia
- Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu, Oulu, Finland.,Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland
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Properties of an acrylic resin after immersion in antiseptic soaps: Low-cost, easy-access procedure for the prevention of denture stomatitis. PLoS One 2018; 13:e0203187. [PMID: 30161256 PMCID: PMC6117035 DOI: 10.1371/journal.pone.0203187] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2017] [Accepted: 08/14/2018] [Indexed: 01/22/2023] Open
Abstract
Denture stomatitis triggered by Candida species requires better preventive measures. This study evaluated the physical and biological properties of a denture base acrylic resin after immersion in antiseptic soaps. Acrylic resin specimens were prepared and stored in distinct solutions for 0, 7, 14, 21, and 28 days. The solutions were as follows: DW: distilled water at 37°C (control group); DS: cycles of daily immersion in Dettol soap for 8 hours at room temperature, followed by immersion in distilled water for 16 hours at 37°C; PS: cycles of daily immersion in Protex soap, as described for the previous group; LS: cycles of daily immersion in Lifebuoy soap, as described for the DS group. The parameters evaluated at each time point were the following: biofilm formation capacity by Candida albicans and reduction of preformed fungal biofilms, cytotoxicity, surface roughness, hardness, and color change. For the fungal adhesion phase, the type of soap had a statistically significant effect (p = 0.0292), but after 24 hours, no differences were found between solutions or between storage times. Regarding the efficacy of biofilm reduction, there was a significant difference when the groups were compared to each other (p = 0.014). Dettol and Lifebuoy eliminated the preformed biofilm on the specimens. Moreover, all the soaps were classified as non-cytotoxic (on HaCaT cell line) because there was no difference in cell viability between the different groups, except after 21 days, when a decrease in cell viability occurred, regardless of the type of soap. Regarding the roughness, there was no statistically significant difference (p > 0.05) between the groups. Lifebuoy decreased resin hardness regardless of storage time (p = 0.003). After 21 and 28 days of storage, there was an increase in hardness value, regardless of the type of soap. The specimens’ color, according to the National Bureau of Standards values, ranged from 0.27 to 0.58 (i.e., imperceptible or mild color changes). In general, the disinfectant soaps were not able to prevent biofilm formation, but all the soaps were effective in reducing the preformed biofilm. In addition, all soaps were non-cytotoxic and did not change surface roughness, hardness (except Lifebuoy), and color (except Lifebuoy). Therefore, immersion in two antiseptic soaps (Protex and Dettol) may be a cheap and easy procedure for preventing denture stomatitis.
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Türkcan İ, Nalbant AD, Bat E, Akca G. Examination of 2-methacryloyloxyethyl phosphorylcholine polymer coated acrylic resin denture base material: surface characteristics and Candida albicans adhesion. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2018; 29:107. [PMID: 29971499 DOI: 10.1007/s10856-018-6116-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2017] [Accepted: 06/05/2018] [Indexed: 05/27/2023]
Abstract
The aim of this study is to evaluate the effects of 2-methacryloyloxyethyl phosphorylcholine (MPC) polymer coating with various concentrations onto acrylic resin denture base material on surface characteristics such as contact angle and surface roughness and on Candida albicans adhesion which is the major factor of denture stomatitis. Specimens, prepared from heat-polymerized acrylic denture base material, were divided into control and three test groups, randomly. Surfaces of the specimens in test groups were coated with poly(MPC) (PMPC) by graft polymerization of MPC in different concentrations (0.25 mol/L; 0.50 mol/L and 0.75 mol/L), while no surface treatment was applied to the control group. Contact angles and surface roughness were examined, and chemical composition of the surfaces was analyzed by Attenuated Total Reflectance-Fourier Transform Infrared Spectroscopy (FTIR) to verify the presence of PMPC coatings. Then, specimens were incubated with C. albicans for 18 h and the number of adhered cells was determined. Upon PMPC coating, the contact angle values statistically decreased, but no difference was found in surface roughness values. A statistically significant decrease was observed in C. albicans adhesion in parallel with the increase in the MPC polymer concentration. There was no significant difference between 0.50 mol/L and 0.75 mol/L groups in terms of adhesion. These findings indicated that graft polymerization of MPC on acrylic denture base material reduces the adhesion of C. albicans, and may be evaluated as a coating for prevention of denture stomatitis.
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Affiliation(s)
- İrem Türkcan
- Özel Çankaya Hikmet Bozyel Oral and Dental Health Policlinic, Ankara, Turkey.
| | - A Dilek Nalbant
- Faculty of Dentistry, Department of Prosthodontics, Gazi University, Ankara, Turkey
| | - Erhan Bat
- Department of Chemical Engineering, Middle East Technical University, Ankara, Turkey
| | - Gülçin Akca
- Faculty of Dentistry, Department of Microbiology, Gazi University, Ankara, Turkey
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