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Kaur M, Anderson P, Shahid S, Wong FSL. Chemical kinetics of silver diammine fluoride in demineralization and remineralization solutions-an in vitro study. FRONTIERS IN ORAL HEALTH 2024; 5:1374333. [PMID: 38708061 PMCID: PMC11069299 DOI: 10.3389/froh.2024.1374333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2024] [Accepted: 04/08/2024] [Indexed: 05/07/2024] Open
Abstract
Introduction Silver Diammine Fluoride (SDF) is a clinical minimal intervention to manage dentin caries. Its chemistry in demineralization conditions has been investigated widely, but far less in remineralization conditions. The aim was to investigate and compare the chemical reactions when SDF is added to remineralization and demineralization solutions. Methods 0.01 ml SDF (Riva Star) was added to deionized water (DW); demineralization (DS = pH4) and remineralization (RS = pH7.0) solutions. The time sequence of concentrations of NH4+, F-, and Ag+ were measured using ion selective electrodes (ISEs) every 2 min. The pH was also measured. Precipitates were characterized using x-ray Diffraction (XRD) and, 31P and 19F nuclear magnetic resonance spectroscopy (NMR). Results The concentrations of NH4+ and Ag+ showed decreasing trends in DW (-0.12 and -0.08 mM/h respectively), and in DS (-1.06 and -0.5 mM/h respectively); with corresponding increase in F- concentration (0.04 and 0.7 mM/h respectively). However, in RS, NH4+ concentration showed little change (0.001 mM/h), and Ag+ and F- concentrations were negligible. XRD results showed that precipitates (in RS only) contained AgCl, and metallic Ag. NMR showed that fluorapatite/carbonated fluorapatite (FAP/CFAP) were formed. The pH increased after SDF addition in all three solutions. Discussion SDF dissolved to release NH4+, F- and Ag + . In DW and DS, NH4+ combined with Ag+ to form diamminesilver, causing an increase of F- and pH. In RS, F- reacted with Ca2+ and (PO)43- to form FAP/CFAP, and Ag+ reacted with Cl- to form AgCl/Ag. These suggests why SDF is effective in managing dentin caries.
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Affiliation(s)
| | | | | | - F. S. L. Wong
- Dental Physical Sciences Unit, Centre for Oral Bioengineering, Institute of Dentistry, Faculty of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom
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Binhezaim A, Almutairi T, Alsaleem A, Albegamy A, Alsaadon S, Shaikh MS. Effect of light curing on the efficacy of silver diamine fluoride: A systematic review. J Taibah Univ Med Sci 2024; 19:54-63. [PMID: 37868099 PMCID: PMC10589879 DOI: 10.1016/j.jtumed.2023.09.003] [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: 07/12/2023] [Revised: 08/12/2023] [Accepted: 09/11/2023] [Indexed: 10/24/2023] Open
Abstract
Objective This study was aimed at comparing the performance of light-cured (LC) silver diamine fluoride (SDF) to non-LC SDF in dental applications, in terms of various properties. Methods Articles published until April 2023 were retrieved from electronic databases (PubMed, Scopus and Science Direct) according to Boolean operators, and the reference lists of the included articles were manually searched. The included articles were all full-text, original studies in English that assessed the effects of LC SDF compared with SDF alone. The risk of bias in the in vitro studies on dental materials was evaluated with the modified Consolidated Standards of Reporting Trials (CONSORT) checklist. Results Six studies (five in vitro and one ex vivo) were included in qualitative analysis after a comprehensive manual search and electronic database search. Every study compared LC SDF versus non-LC SDF in terms of properties such as penetration depth, silver ion precipitation, dentine hardness, surface morphology and anti-bacterial characteristics. Four studies were categorised as low quality with a high risk of bias, whereas the remaining two studies were considered high quality with a low risk of bias. Conclusion In this investigation, LC SDF, compared with non-LC SDF, was found to be an efficacious approach for enhancing SDF properties. Future high-quality studies, particularly randomised clinical trials, remain necessary to verify these findings. Clinical significance The use of light curing with SDF can be a beneficial strategy that enhances SDF's clinical use. This review comparing various properties of LC SDF and non-LC SDF may help clinicians enhance clinical use and patient acceptance of LC SDF.
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Affiliation(s)
- Alhanouf Binhezaim
- Department of Pedodontics, Prince Sultan Military Medical City, Riyadh, KSA
| | - Tahani Almutairi
- Department of Pedodontics, Prince Sultan Military Medical City, Riyadh, KSA
| | - Afnan Alsaleem
- Department of Pedodontics, Prince Sultan Military Medical City, Riyadh, KSA
| | - Aida Albegamy
- Department of Orthodontics, Prince Sultan Military Medical City, Riyadh, KSA
| | - Sultana Alsaadon
- Department of Pedodontics, Prince Sultan Military Medical City, Riyadh, KSA
| | - Muhammad Saad Shaikh
- Department of Oral Biology, Sindh Institute of Oral Health Sciences, Jinnah Sindh Medical University, Karachi, Pakistan
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Hemraz UD, Lam E, Sunasee R. Recent advances in cellulose nanocrystals-based antimicrobial agents. Carbohydr Polym 2023; 315:120987. [PMID: 37230623 DOI: 10.1016/j.carbpol.2023.120987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 04/02/2023] [Accepted: 05/03/2023] [Indexed: 05/27/2023]
Abstract
Over the past five years, there has been growing interest in the design of modified cellulose nanocrystals (CNCs) as nanoscale antimicrobial agents in potential end-user applications such as food preservation/packaging, additive manufacturing, biomedical and water purification. The interest of applying CNCs-based antimicrobial agents arise due to their abilities to be derived from renewable bioresources and their excellent physicochemical properties including rod-like morphologies, large specific surface area, low toxicity, biocompatibility, biodegradability and sustainability. The presence of ample surface hydroxyl groups further allows easy chemical surface modifications for the design of advanced functional CNCs-based antimicrobial materials. Furthermore, CNCs are used to support antimicrobial agents that are subjected to instability issues. The current review summarizes recent progress in CNC-inorganic hybrid-based materials (Ag and Zn nanoparticles, other metal/metal oxide) and CNC-organic hybrid-based materials (polymers, chitosan, simple organic molecules). It focuses on their design, syntheses and applications with a brief discussion on their probable modes of antimicrobial action whereby the roles of CNCs and/or the antimicrobial agents are highlighted.
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Affiliation(s)
- Usha D Hemraz
- Aquatic and Crop Resource Development Research Centre, National Research Council Canada, Montreal, Quebec H4P 2R2, Canada.
| | - Edmond Lam
- Aquatic and Crop Resource Development Research Centre, National Research Council Canada, Montreal, Quebec H4P 2R2, Canada; Department of Chemistry, McGill University, 801 Sherbrooke St. West, Montreal, Quebec H3A 0B8, Canada.
| | - Rajesh Sunasee
- Department of Chemistry and Biochemistry, State University of New York at Plattsburgh, Plattsburgh, NY 12901, USA.
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Liang H, Wang Z, Wu J, Li X, Semirumi DT. Microstructural and micromechanical modeling of gum-gelatin-based soft tissue engineering scaffolds. Int J Biol Macromol 2023; 241:124544. [PMID: 37086767 DOI: 10.1016/j.ijbiomac.2023.124544] [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: 12/08/2022] [Revised: 03/23/2023] [Accepted: 04/17/2023] [Indexed: 04/24/2023]
Abstract
Oral and dental diseases, including periodontal disease, are among the most common conditions in the field of dentistry. The best treatment for this complication is the use of different polymers and multi-component biological tissue prepared through the freeze-drying technique. In this study, biocompatible and biodegradable polymers, namely polyvinyl alcohol (PVA) and gelatin (GN), were used for this purpose, along with Arabian gum-hydroxyapatite (HA) for its antibacterial properties. Arabian gum, with weight percentages of 0, 2, 4, and 6 wt%, was added to the polyvinyl alcohol-gelatin composition at -55 °C for 28 h in the freezer and 48 h at -45 °C under a pressure of 0.01 mbar. The resulting porous biological tissue, with four different ratios, was tested for mechanical and biological analysis in a physiological solution. Then, the samples were analyzed using a scanning electron microscope (SEM) and X-ray diffraction (XRD) technique to study the morphology and structure of the compounds before and after placement in biological solutions. Additionally, a wettability and antibacterial test were performed on the nanocomposite specimen. The SEM observations revealed that this method can create a porous structure with a porosity of about 30-50 μm with a spherical and circular architecture, which was further improved by the addition of gum, reducing the percentage of porosity and improving the tissue's tensile strength and elastic modulus. The porosity changes showed a decrease from 72 % to 60 %, and the tensile strength increased from 53.5 KPa to 76 KPa, resulting in an elastic modulus of 510 KPa to 800 KPa. The addition of gum also reduced the rate of destruction of the biological tissue, making it more suitable for soft tissue applications. The obtained results of the pH test showed that the concentration changes were neutral. The contact angle of water droplets was measured to determine hydrophilicity, indicating an improvement in hydrophilicity after the addition of gum. The results showed that the use of PVA and gelatin, due to their ductility and suitable mechanical properties, along with Arabian gum-HA, could accelerate the healing process of dental periodontal problems.
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Affiliation(s)
- Huixing Liang
- School of Marine and Bioengineering, Yancheng Institute of Technology, Yancheng 224051, China.
| | - Ziming Wang
- School of Mechanical Engineering, Yancheng Institute of Technology, Yancheng 224051, China
| | - Junsong Wu
- Department of Basic Medical Science, Jiangsu Vocational Collere of Medicine, Yancheng 224000, China
| | - Xiang Li
- School of Marine and Biological Engineering, Yancheng Teachers University, Yancheng 224005, China.
| | - D T Semirumi
- School of Marine and Bioengineering, Yancheng Institute of Technology, Yancheng 224051, China
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Wilson J, Swanbeck S, Banning G, Alhwayek T, Sullivan V, Howard KM, Kingsley K. Assessment of Sodium Diamine Fluoride (SDF) with Light Curing Technique: A Pilot Study of Antimicrobial Effects. Methods Protoc 2022; 5:31. [PMID: 35448696 PMCID: PMC9033077 DOI: 10.3390/mps5020031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Revised: 03/29/2022] [Accepted: 04/05/2022] [Indexed: 11/16/2022] Open
Abstract
Silver diamine fluoride (SDF) has been useful in clinical dentistry for the purpose of caries arrest and prevention. Although methods for the application of SDF are well-known among dental professionals, such as microbrush applications, few studies have explored the effect of light curing, which accelerates precipitation onto dentin, and whether this has any effect on the antimicrobial properties of SDF. To assess this technique, single (Streptococcus gordonii) and polymicrobial (mixed salivary) colonies were grown and plated using SDF applied to hydroxyapatite discs with and without treatment with curing light. Kirby-Bauer Zone of Inhibition assay results revealed no significant differences in the areas between the two treatment groups (SDF: 1.27 mm, SDF plus curing light: 1.25 mm), p = 0.887 in the single culture (S. gordonii) experiments. In addition, no significant differences were found between the two treatment groups (SDF: 1.26 mm, SDF plus curing light: 1.24 mm), p = 0.771 in the polymicrobial culture experiments. Although there may be specific properties associated with SDF induced following light curing, these differences do not appear to be associated with the antimicrobial properties affecting gram-positive or polymicrobial films.
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Affiliation(s)
- Jens Wilson
- Department of Advanced Education in Pediatric Dentistry, School of Dental Medicine, University of Nevada-Las Vegas, 1700 W, Charleston Boulevard, Las Vegas, NV 89106, USA; (J.W.); (V.S.)
| | - Sarah Swanbeck
- Department of Clinical Sciences, School of Dental Medicine, University of Nevada-Las Vegas, 1700 W, Charleston Boulevard, Las Vegas, NV 89106, USA; (S.S.); (G.B.); (T.A.)
| | - Gavin Banning
- Department of Clinical Sciences, School of Dental Medicine, University of Nevada-Las Vegas, 1700 W, Charleston Boulevard, Las Vegas, NV 89106, USA; (S.S.); (G.B.); (T.A.)
| | - Tatiana Alhwayek
- Department of Clinical Sciences, School of Dental Medicine, University of Nevada-Las Vegas, 1700 W, Charleston Boulevard, Las Vegas, NV 89106, USA; (S.S.); (G.B.); (T.A.)
| | - Victoria Sullivan
- Department of Advanced Education in Pediatric Dentistry, School of Dental Medicine, University of Nevada-Las Vegas, 1700 W, Charleston Boulevard, Las Vegas, NV 89106, USA; (J.W.); (V.S.)
| | - Katherine M. Howard
- Department of Biomedical Sciences, School of Dental Medicine, University of Nevada-Las Vegas, 1001 Shadow Lane Boulevard, Las Vegas, NV 89106, USA;
| | - Karl Kingsley
- Department of Biomedical Sciences, School of Dental Medicine, University of Nevada-Las Vegas, 1001 Shadow Lane Boulevard, Las Vegas, NV 89106, USA;
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Inherent and Composite Hydrogels as Promising Materials to Limit Antimicrobial Resistance. Gels 2022; 8:gels8020070. [PMID: 35200452 PMCID: PMC8870943 DOI: 10.3390/gels8020070] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2021] [Revised: 12/22/2021] [Accepted: 01/11/2022] [Indexed: 01/25/2023] Open
Abstract
Antibiotic resistance has increased significantly in the recent years, and has become a global problem for human health and the environment. As a result, several technologies for the controlling of health-care associated infections have been developed over the years. Thus, the most recent findings in hydrogel fabrication, particularly antimicrobial hydrogels, could offer valuable solutions for these biomedical challenges. In this review, we discuss the most promising strategies in the development of antimicrobial hydrogels and the application of hydrogels in the treatment of microbial infections. The latest advances in the development of inherently and composite antimicrobial hydrogels will be discussed, as well as hydrogels as carriers of antimicrobials, with a focus on antibiotics, metal nanoparticles, antimicrobial peptides, and biological extracts. The emergence of CRISR-Cas9 technology for removing the antimicrobial resistance has led the necessity of new and performant carriers for delivery of the CRISPR-Cas9 system. Different delivery systems, such as composite hydrogels and many types of nanoparticles, attracted a great deal of attention and will be also discussed in this review.
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