Influence of artificial ageing on surface properties and <Emphasis Type="Italic">Streptococcus mutans</Emphasis> adhesion to dental composite materials

The aim of this in vitro study was to investigate the influence of artificial ageing on the surface properties and early Streptococcus mutans adhesion to current dental composites for the direct restoration of class II defects. Three hundred and thirty specimens each were prepared from five dental composites, and were randomly allotted to various artificial ageing protocols (storage in distilled water/ethanol/artificial saliva for 7/90/365 days; thermal cycling, 6,000 cycles 5/55°C). Prior and after each treatment, surface roughness (R_a) and hydrophobicity were determined, and S. mutans adhesion (ATCC 25175; 2.5 h, 37°C) was simulated with and without prior exposition to human whole saliva (2 h, 37°C). Adherence of S. mutans was determined fluorometrically. Means and standard deviations were calculated, and analyzed using three-way ANOVA and post-hoc analysis (α = 0.05). For both R_a and S. mutans adherence to uncoated and saliva-coated specimens, significant influences of the composite material, the ageing medium and the ageing duration have been observed; for surface hydrophobicity, significant influences of the composite material and the ageing duration were found. For uncoated specimens, significant increases in S. mutans adhesion were observed with prolonged artificial ageing, whereas significant decreases in S. mutans adhesion were found for the saliva-coated specimens. The data indicate influences of the artificial ageing method on surface parameters such as R_a and hydrophobicity as well as microbial adhesion. The results underline the relevance of saliva coating on the outcome of studies simulating microbial adhesion, and highlight differences in the susceptibility of dental composites for the adhesion of oral bacteria.     

Adherent bacteria cells in five dental materials: sonication effect

Adherent bacterial cells on the surfaces of two dental porcelain ceramics, three composite resins and human enamel were examined using four types of bacteria strains. Their adherent cells were counted on saliva-coated and uncoated material surfaces after sonication, and contact angle and potential were measured for each adherent cell tested. A correlation between contact angle and bacterial cells on an uncoated surface was found to be higher in two Streptococcus sanguis cells than in S. mutans Ingbritt and S. sobrinus OMZ 176, whereas there appeared to be a higher correlation between S. mutans Ingbritt or S. sobrinus OMZ 176 and potential on the uncoated surface. On the saliva-coated surface, a significantly high correlation was found between the adherent cells, with the exception of S. sanguis ATCC 10 557, and the potential. Contact angle and potential values were small when the surfaces of the materials were coated with saliva, as compared with those on the uncoated surface. The sonication condition (120 s) of adherent cells on the surface of the material significantly depended on the types of bacteria cells, showing that S. mutans Ingbritt (>50–60%) had a greater removal percentage than the others (<50%). © 1998 Chapman & Hall     

Antibacterial activity of a triclosan-containing resin composite matrix against three common oral bacteria

This study investigated the antibacterial effect of a resin composite matrix with or without incorporated triclosan (0.3 wt%) on Streptococcus mutans, Actinomyces viscosus and Lactobacillus casei. In the quantitative assay, bacterial suspensions were filled into 20-μl cavities within temporary restorative resins. After 0, 4, 8, 12, 24 and 48 h of incubation, the suspensions were removed from the restoratives and the numbers of viable bacteria were determined. Bacterial suspensions incubated without restoratives served as the controls. Ten replicates were carried out for each experiment. The resin composite containing triclosan demonstrated variable degrees of antibacterial activity against the microorganisms, revealing a significant inhibitory effect on S. mutans within 12 h compared to the control. The viable counts of A. viscosus significantly decreased after 24 h. A significant reduction of L. casei was observed after 48 h. The unloaded resin composite did not reveal a marked antibacterial effect. The resin composite loaded with triclosan might be beneficial in preventing cavity contamination and minimizing the risk of pulpal irritation in the short-term.     

The adherence of <Emphasis Type="Italic">Candida albicans</Emphasis> to acrylic resin reinforced with different fibers

One important aethiological factor in the pathogenesis of chronic atrophic candidosis is the presence of Candida albicans on the fitting surface of the dentures. Fibers may come into contact with oral mucosa during the finishing procedures of acrylic resins. The exposed fibers may provide mechanical retention for yeast cells at the interface of the components. The effect of two different glass fibers and two different environments were evaluated in respect of Candida albicans adhesion to the acrylic surface. Half of the acrylic samples reinforced with two different fibers (Sticknet and Eversticknet) were pretreated with phosphate-buffered saline (PBS) and the rest with unstimulated saliva. The test specimens were placed in yeast suspension. The adhered cells were examined with a scanning electron microscope. The amount of adhered cells in PBS was lower for Eversticknet but the difference was not significant (p > 0.05). The number of yeast cells decreased in saliva for both groups and the difference was statistically significant for the samples reinforced with Eversticknet (p < 0.01). The use of Sticknet or Eversticknet as reinforcing material for poly(methylmethacrylate) had no effect on surface topography due to the same adhesion state of Candida albicans. The presence of a salivary pellicle derived from unstimulated saliva reduced adhesion of Candida albicans.     

HPLC analysis of components released from dental composites with different resin compositions using different extraction media

Components released from dental composite resins are essential factors in the assessment of biocompatibility of these materials. The effect of different extraction media on monomer release from composite resins based on different monomer types was evaluated. Three types of visible light cured composite resins were formulated based on the following monomers: triethylene glycol dimethacrylate (TEGDMA), bisphenol A glycerolate dimethacrylate (BisGMA), and urethane dimethacrylate (UDMA). Seventy-five composite resin discs were fabricated and light cured for 1 min in the absence of oxygen. Extraction media used were: distilled water, saline solution, artificial saliva, serum-free culture medium, and culture medium with 10% fetal calf serum. The analysis of extracts from the composite resins was carried out by High Performance Liquid Chromatography (HPLC). Quantifiable amounts of TEGDMA were released into the aqueous media. However, BisGMA and UDMA were not detectable in any of the extracts from the composite resins. Statistical analysis by one-way ANOVA followed by Tukey’s test showed that there was a significant difference in TEGDMA release between culture media and other media (p < 0.05). From the results of this experiment it can be concluded that TEGDMA-based composite resins can release a high quantity of monomer into aqueous environments. The type of extraction medium may have a significant effect on monomer release from composite resins.     

Influence of fluoride-containing solutions on the translucency of flowable composite resins

The aim of this study was to evaluate the influence of fluoride-containing solutions on the translucency of flowable composite resins, with respect the immersion time. Flow-It! (FI) and Natural Flow (NF) composite resins and three commercial brands of fluoride-containing solutions (Fluordent, Fluorgard and Oral B) were used. Specimens were prepared and stored in the solutions at 37°C, until the measurements were made after the following treatments: T1 - after 1 hour in relative humidity; T2 - after 1 h in solution; T3 - 24 h; T4 - 48 h; T5 - after a week; from T9, the measurements were accomplished weekly, up to 30-day immersion. To obtain translucency values an electrophoresis equipment was employed. Data were submitted to ANOVA and Tukey tests. The results disclosed that NF showed highest values of translucency and was statistically different from FI (p< 0.001). As regards the solutions, Fluordent and Oral B presented similar values and were statistically superior to Fluorgard (p< 0.05). Concerning the immersion time, similar results were observed for the different evaluation periods. It may be concluded that the fluoride-containing solutions affected the translucency of the composite resins, independently of the materials used. Among the tested resins, NF presented the best performance.     

Conditioning film and environmental effects on the adherence of Candida spp. to silicone and poly(vinylchloride) biomaterials

The reported incidence of colonization of oropharyngeal medical devices with Candida spp. has increased in recent years, although few studies that have systematically examined the adherence of yeast cells to such biomaterials, the primary step in the process of colonization. This study, therefore, examined the effects of oropharyngeal atmospheric conditions (5% v/v carbon dioxide) and the presence of a salivary conditioning film on both the surface properties and adherence of Candida albicans, Candida krusei and Candida tropicalis to PVC and silicone. Furthermore, the effects of the salivary conditioning film on the surface properties of these biomaterials are reported. Growth of the three Candida spp. in an atmosphere containing 5% v/v CO₂ significantly increased their cell surface hydrophobicity and reduced the zeta potential of C. albicans and C. krusei yet increased the zeta potential of C. tropicalis (p<0.05). Furthermore, growth in 5% v/v CO₂ decreased the adherence of C. tropicalis and C. albicans to both PVC and silicone, however, increased adherence of C. krusei (p<0.05). Pre-treatment of the microorganisms with pooled human saliva significantly decreased their cell surface hydrophobicity and increased their adherence to either biomaterial in comparison to yeast cells that had been pre-treated with PBS (p<0.05). Saliva treatment of the microorganisms had no consistent effect on microbial zeta potential. Interestingly, adherence of the three, saliva-treated Candida spp. to saliva-treated silicone and PVC was significantly lower than whenever the microorganisms and biomaterials had been treated with PBS (p<0.05). Treatment of silicone and PVC with saliva significantly altered the surface properties, notably reducing both the advancing and receding contact angles and, additionally, the microrugosity. These effects may contribute to the decreased adherence of saliva-treated microorganisms to these biomaterials. In conclusion, this study has demonstrated the effects of physiological conditions within the oral cavity on the adherence of selected Candida spp. to biomaterials employed as oropharyngeal medical devices. In particular, this study has ominously shown that these materials act as substrates for yeast colonization, highlighting the need for advancements in biomaterial design. Furthermore, it is important that physiological conditions should be employed whenever biocompatibility of oropharyngeal biomaterials is under investigation. © 2001 Kluwer Academic Publishers     

Determination of corrosion rate of orthodontic wires based on nickel‐titanium alloy in artificial saliva

The goal of this study was to determine corrosion behavior of three orthodontic wires based on nickel‐titanium alloy (NiTi) in artificial saliva at temperature of 37 °C as function of immersion time. Following orthodontic wires were used: uncoated (NiTi), rhodium coated (Rh NiTi) and nitrified (N NiTi) orthodontic wires. Corrosion of investigated orthodontic wires were monitored by measuring of Ni²⁺ and Ti⁴⁺ ions released in artificial saliva by inductively coupled plasma‐optical emission spectroscopy (ICP‐OES) after 3, 7, 14, 21 and 28 days of immersion. Obtained results indicate that corrosion reaction of the NiTi wires in artificial saliva follows the parabolic rate law. According to the obtained values of parabolic corrosion rate constants, corrosion susceptibility of orthodontic wires decreases in the following order: Rh NiTi wire (K_p = 2.48 μg²/cm⁴ h) > NiTi wire (K_p = 1.6 × 10^–3 μg²/cm⁴ h) > N NiTi wire (K_p = 6.0 × 10^–4 μg²/cm⁴ h). These results indicate that in comparison with uncoated NiTi wire, rhodium coating significantly increases corrosion susceptibility, while nitrification effectively suppresses the release of Ni²⁺ and Ti⁴⁺ ions.     

Mechanical properties of high strength and high toughness metallic filament composites with epoxy and poly(ether ether ketone) matrices

High strength and high toughness metallic filament was produced by glass-coated melt spinning. The mechanical properties of the composite consisting of the filaments uniaxially aligned in brittle epoxy resin, ductile epoxy resin with plasticizer and poly(ether ether ketone) matrices were investigated. It was found that the Young's modulus (E _c) and tensile strength (,_cu) of the composite consisting of uncoated filaments in brittle epoxy matrix were higher than those predicted by a linear function of the filament content (Vf), and the filaments fractured tightly in contact with the matrix. On the other hand, no improvement of the mechanical properties of the composite consisting of glass-coated filaments in brittle epoxy matrix was detected, due to the weak interfacial force between metallic filaments and the coating glass. The composite consisting of filaments in a ductile matrix was a high toughness material with a long range of plasticity deformation, and the experimental values ofE _c and _cu against V_f agreed with the simple law of mixtures.     

Improved adherence and spreading of Saos-2 cells on polypropylene surfaces achieved by surface texturing and carbon nitride coating

The adhesion and contact guidance of human primary osteogenic sarcoma cells (Saos-2) were characterized on smooth, microstructured (MST) and micro- and nano-structured (MNST) polypropylene (PP) and on the same samples with a silicon-doped carbon nitride (C₃N₄-Si) coating. Injection molding was used to pattern the PP surfaces and the coating was obtained by using ultra-short pulsed laser deposition (USPLD). Surfaces were characterized using atomic force microscopy and surface energy components were calculated according to the Owens-Wendt model. The results showed C₃N₄-Si coated surfaces to be significantly more hydrophilic than uncoated ones. In addition, there were 86% more cells in the smooth C₃N₄-Si coated PP compared to smooth uncoated PP and 551%/476% more cells with MST/MNST C₃N₄-Si coated PP than could be obtained with MST/MNST uncoated PP. Thus the adhesion, spreading and contact guidance of osteoblast-like cells was effectively improved by combining surface texturing and deposition of osteocompatible C₃N₄-Si coating.     

N-Trimethyl chitosan-coated multivesicular liposomes for oxymatrine oral delivery

Background: Multivesicular liposomes (MVLs), uncoated and coated with N-trimethyl chitosan (TMC), have been studied for their potential use for drug delivery by the oral route. Method: Synthesized TMC was characterized by infrared spectroscopy, revealing the presence of trimethyl groups, and by proton nuclear magnetic resonance spectroscopy, allowing the calculation of the degree of substitution quaternization (70.2%). Oxymatrine (OM), a natural quinolizidine alkaloid used clinically for treating hepatitis B, was chosen as a model drug. The surface-modified MVLs and uncoated MVLs were characterized in vitro in terms of their shape, size, zeta potential, entrapment efficiency, coating efficiency, the stability of MVLs in polymer suspension, and the stability in simulated gastric and intestinal fluids. Results: In vivo, the area under the plasma concentration–time curve obtained from the pharmacokinetics study of TMC-coated MVLs was found to be about 3.26- and 1.96-fold higher than that of OM solution and uncoated MVLs, respectively. Conclusion: TMC-coated MVLs can be considered as a potential carrier for oral drug administration.     

Interfacial microstructure and mechanical behaviour in laser clad TiCp/Ni alloy coatings

Abstract

Coatings of TiC_p reinforced composite have been produced by laser cladding. Two kinds of coating with different TiC_p origins were investigated, i.e. undissolved TiC_p and in situ TiC_p. For undissolved TiC_p, epitaxial growth of TiC, precipitation of CrB, and a chemical reaction occur at phase interfaces, and nanoindentation loading curves show pop in marks caused by the plastic deformation associated with crack formation or debonding of TiC_p from the matrix. As for in situ TiC_p, no pop in mark appears. Meanwhile, in situ TiC_p produces hardness and elastic modulus values that are higher than those produced by the coating that contains undissolved TiC_p.     

Microstructural analysis of implant-bone interface of hydroxyapatite-coated and uncoated Schanz screws

The aim of the study was to compare the pin-bone interface microstructural characteristics of hydroxyapatite-coated (HAC) and stainless steel Schanz screws after 2, 4 and 6 months of implantation in a sheep model. The microstructure and composition of the hydroxyapatite coating were analyzed using scanning electron microscopy (SEM) and X-ray diffraction (XRD) analysis. Twelve coated and 12 uncoated screws were implanted into both femora of three sheep, each sheep receiving eight screws. Specimens of polished bone with screws were examined with SEM and light microscope for morphometric analyses. The HAC was approx. 40 μ m thick, the grain size ranged from 5 to 40 μ m, with pores less than 20 μ m. The atomic ratio of Ca/P was 1.62. SEM showed that the bone-implant contact was better with HAC than with uncoated implants. The ingrowth of the bone in the HAC was clearly seen. Morphometric analysis showed good bone-implant contact in 65.1 (± 24.6)% in the HAC and 32.0 (± 23.3)% in the uncoated group (p < 0.001). Although the percentage of good contact increased with time for both groups, it was significantly higher for HAC screws. Our investigation demonstrated a time dependent improvement of implant-bone contact of the HAC compared to standard stainless steel implants in the chosen experimental conditions.     

Formation of persisters in <Emphasis Type="Italic">Streptococcus mutans</Emphasis> biofilms induced by antibacterial dental monomer

Antibacterial monomers can combat oral biofilm acids and caries; however, little is known on whether quaternary ammonium monomers (QAMs) would induce drug persistence in oral bacteria. The objectives of this study were to investigate the interactions of Streptococcus mutans (S. mutans) with dimethylaminohexadecyl methacrylate (DMAHDM), and determine for the first time whether DMAHDM could induce persisters in S. mutans. DMAHDM was synthesized using a modified Menschutkin reaction. Dose-dependent killing curves and time-dependent killing curves of planktonic S. mutans and biofilms were determined to evaluate drug persistence, using chlorhexidine (CHX) as control. The inheritability assay, minimum inhibitory concentration (MIC) and live/dead biofilm assay were determined to investigate persister characteristics. DMAHDM matched the killing potency of the gold standard CHX against S. mutans biofilms. DMAHDM and CHX induced drug persistence in S. mutans biofilms but not in planktonic bacteria. S. mutans biofilm persistence was not inheritable in that the tolerance to DMAHDM or CHX of the surviving persisters in the initial population was not transferred to subsequent generations, as displayed by the inheritability assay. The MIC of S. mutans parental strain and induced persisters remained the same. The induced persisters in S. mutans biofilms could be eliminated via higher doses of 300?μg/mL of DMAHDM and CHX. In conclusion, this study showed for the first time that (1) DMAHDM induced persisters only in biofilms, but not in planktonic bacteria; and (2) both DMAHDM-induced and CHX-induced S. mutans persister biofilms could be completely eradicated by even higher concentrations of DMAHDM and CHX. More studies are needed on the induction of persisters in oral biofilms for the development and use of a new generation of antibacterial dental monomers and resins.     

Surface analysis of carbon fibres modified with PVAL coating and the composite interfaces

High-resolution X-ray photoelectron spectroscopy (XPS) has been used to analyse the fibre surface and composite interfaces with and without polyvinyl alcohol (PVAL) coating (both fibres being commercially surface-treated and sized). Major functional groups on the fibre surface are also identified by Gaussian curve-fitting of carbon peaks to study the correlations of surface chemistry with the observed failure mechanisms of the uncoated and coated fibre composites. The main difference in the fracture surface of the fibre composites with and without the coating is that the latter has a significant amount of silicon (about 6 at% concentration) associated with the epoxy matrix, but silicon is almost absent in the PVAL-coated fibre composites. This suggests that the debonding mechanism in the uncoated fibre composite, which has a strong interfacial bonding, is controlled by the combination of cohesive failure of the matrix material and adhesive failure at the interface. In contrast, the PVAL coating promotes adhesive failure due to the weak bonding at the fibre-matrix interface. This observation is consistent with SEM observations in that the uncoated fibre composite consists of significant deformation of matrix material which covers the majority of the fracture surface and tiny epoxy resin particles adhering to the debonded fibre surface, whereas the coated fibre composite shows a lesser amount of matrix deformation with relatively clean fibre surface.     

A histological and histomorphometrical evaluation of screw-type calciumphosphate (Ca-P) coated implants; an in vivo experiment in maxillary cancellous bone of goats

The bone response to different calcium phosphate (Ca-P) coated implants was evaluated in a goat animal model. Two types of plasma spray coatings were applied to a commercially pure titanium (cpTi) tapered, conical screw-design implant (BioComp^®); hydroxyapatite (HA-PS) and a dual coating, consisting of FA and HA (FA/HA-PS). In addition an amorphous RF magnetron sputter coating (Ca-P-a) and uncoated implants were investigated. Forty-eight implants were inserted in the maxilla of 12 adult female goats. After implantation periods of 3 and 6 months, the bone implant interface was evaluated histologically and histomorphometrically. After both implantation periods all plasma spray coated implants were maintained. On the other hand three Ca-P-a and two cpTi implants were lost. Histological examination revealed a better bone response to both plasma spray coated implants. Histomorphometrical evaluation confirmed this finding. At 3 and 6 months significantly higher percentages of bone contact (p<0.001, ANOVA) were measured for both plasma spray coated implants than for the cpTi and Ca-P-a implants, while no significant difference (p<0.05) existed between both implantation periods. Degradation of both plasma spray coatings was observed. Supported by the results, it is concluded that, although Ca-P coatings can improve the performance of dental implants, the presence of a Ca-P coating is not the only important factor for bone healing around implants placed in low density trabecular bone.     

Effect of three surface conditioning methods to improve bond strength of particulate filler resin composites

The use of resin-based composite materials in operative dentistry is increasing, including applications in stress-bearing areas. However, composite restorations, in common with all restorations, suffer from deterioration and degradation in clinical service. Durable repair alternatives by layering a new composite onto such failed composite restorations, will eliminate unnecessary loss of tooth tissue and repeated insults to the pulp. The objective of this study was to evaluate the effect of three surface conditioning methods on the repair bond strength of a particulate filler resin-composite (PFC) to 5 PFC substrates. The specimens were randomly assigned to one of the following surface conditioning methods: (1) Hydrofluoric (HF) acid gel (9.5%) etching, (2) Air-borne particle abrasion (50 m Al₂O₃), (3) Silica coating (30 m SiO_x, CoJet®-Sand). After each conditioning method, a silane coupling agent was applied. Adhesive resin was then applied in a thin layer and light polymerized. The low-viscosity diacrylate resin composite was bonded to the conditioned substrates in polyethylene molds. All specimens were tested in dry and thermocycled (6.000, 5–55°C, 30 s) conditions. One-way ANOVA showed significant influence of the surface conditioning methods (p < 0.001), and the PFC types (p < 0.0001) on the shear bond strength values. Significant differences were observed in bond strength values between the acid etched specimens (5.7–14.3 MPa) and those treated with either air-borne particle abrasion (13.0–22.5 MPa) or silica coating (25.5–41.8 MPa) in dry conditions (ANOVA, p < 0.001). After thermocycling, the silica coating process resulted in the highest bond values in all material groups (17.2–30.3 MPa).     

Effects of SiC coating on ablation resistance of carbon fibre reinforced BN–Si3N4 matrix composite

Abstract

A SiC coating was prepared on the surface of a carbon fibre reinforced BN–Si₃N₄ composite by chemical vapour deposition. The coating was characterised by SEM and XRD, and the ablation behaviours of the coated and uncoated composites were investigated and compared. The coating is mainly amorphous SiC and quite compact; the ablated area of the composite is reduced considerably by the coating and the coated composite presents a lower linear ablation rate of 21˙4% and a lower mass ablation rate of 51˙6%. The SiC coating covers over the pores on the surface of the ablative composite, which prevents the flame from spreading to other regions and from penetrating the inside of the composite. As a result, both the chemical erosion and the mechanical denudation are restrained and the ablation resistance of the composite is improved.     

Changes in mechanical properties of dental alloys induced by saliva and oral probiotic supplements

The effects of the saliva and oral probiotic supplements on roughness, friction and microhardness of the stainless steel (SS) and nickel-titanium (NiTi) alloys used in dentistry was studied. The specimens of stainless steel, uncoated, rhodium-coated and nitrided NiTi were exposed to artificial saliva with pH 4.8 and artificial saliva with addition of probiotic supplements containing bacteria Lactobacillus reuteri Prodentis through 28 days. First 5 days specimens were subjected to thermocycling to simulate intraoral conditions, 2500 cycles from 5 °C to 50 °C and the following days to the temperature of the 37±2 °C. Analyses demonstrated that oral probiotic supplements do not influence microhardness, roughness or friction of stainless steel above the influence of saliva. Probiotics increase roughness in NiTi, but without significant influence on friction, while microhardness in NiTi is not influenced. Surface nitriding reduces the influence of probiotics on roughness while rhodium coating increases it.     

Interfacial reactions in K2Ti6O13(w)/Al2O3/Al composite

Abstract

A pure Al matrix composite, reinforced by potassium titanate whiskers coated with sol–gel alumina, was fabricated by squeeze casting. Good interface bonding was achieved in the coated composite. Interfacial reactions in the composite were found to be less severe than those in an uncoated composite, owing to the barrier effect of sol–gel -Al₂O₃ coating. After the composite was thermally exposed at 530°C for 30 h, the alumina coating still restrained the decomposition of the whisker structure, and thus prevented a decrease in the strength of the composite. However, after a thermal exposure at 700°C for 10 h, the coating was no longer held on whisker surfaces. Mechanical testing showed that tensile fracturing of the coated composite tended to occur at the coating/matrix interface where the interfacial bonding is weaker than at the coating/whisker interface.