无氟防龋体系浅析

牙膏无氟防龋体系应用的防龋材料主要有纳米级羟基磷灰石（HAP）、免疫球蛋白（IgY）和中药如两面针、厚朴、茶多酚和蜂胶等.纳米级羟基磷灰石可以使脱矿的牙釉质再矿化,提高牙釉质抗龋能力;免疫球蛋白对变形链球菌和牙菌斑的形成有较好的抑制作用.检测试验或临床结果表明,两面针、厚朴、茶多酚和蜂胶等中药对致龋菌和牙菌斑的形成的抑制效果也比较好,这些都可以组成效果比较好的无氟防龋体系.     

Bio-Interactive Zwitterionic Dental Biomaterials for Improving Biofilm Resistance: Characteristics and Applications

Biofilms are formed on surfaces inside the oral cavity covered by the acquired pellicle and develop into a complex, dynamic, microbial environment. Oral biofilm is a causative factor of dental and periodontal diseases. Accordingly, novel materials that can resist biofilm formation have attracted significant attention. Zwitterionic polymers (ZPs) have unique features that resist protein adhesion and prevent biofilm formation while maintaining biocompatibility. Recent literature has reflected a rapid increase in the application of ZPs as coatings and additives with promising outcomes. In this review, we briefly introduce ZPs and their mechanism of antifouling action, properties of human oral biofilms, and present trends in anti-biofouling, zwitterionic, dental materials. Furthermore, we highlight the existing challenges in the standardization of biofilm research and the future of antifouling, zwitterated, dental materials.     

Dental Chatter: Bacterial Cross-Talk in the Biofilm of the Oral Cavity

Dental biofilms are composed of hundreds of bacterial species. These biofilms are diverse biological structures due to the heterogeneity of the many different types of supports in the oral cavity. The bacteria immobilized in these biofilms are exposed to rapid environmental changes such as pH, temperature, nutrition and anti-plaque agents. One mode in which these bacteria adapt in the dental biofilm is by quorum sensing. This cell-cell communication regulates diverse sets of adhesion modes, physiological changes, virulence properties, allowing the bacteria to persist in the dental biofilm under rapid environmental changes. In this review, we will concentrate mostly on the cariogenic bacterium Streptococcus mutans as one of the pivotal microorganisms in the supra-gingival biofilm that plays a major role in dental caries.     

Bioadhesion on Textured Interfaces in the Human Oral Cavity—An In Situ Study

Extensive biofilm formation on materials used in restorative dentistry is a common reason for their failure and the development of oral diseases like peri-implantitis or secondary caries. Therefore, novel materials and strategies that result in reduced biofouling capacities are urgently sought. Previous research suggests that surface structures in the range of bacterial cell sizes seem to be a promising approach to modulate bacterial adhesion and biofilm formation. Here we investigated bioadhesion within the oral cavity on a low surface energy material (perfluorpolyether) with different texture types (line-, hole-, pillar-like), feature sizes in a range from 0.7–4.5 µm and graded distances (0.7–130.5 µm). As a model system, the materials were fixed on splints and exposed to the oral cavity. We analyzed the enzymatic activity of amylase and lysozyme, pellicle formation, and bacterial colonization after 8 h intraoral exposure. In opposite to in vitro experiments, these in situ experiments revealed no clear signs of altered bacterial surface colonization regarding structure dimensions and texture types compared to unstructured substrates or natural enamel. In part, there seemed to be a decreasing trend of adherent cells with increasing periodicities and structure sizes, but this pattern was weak and irregular. Pellicle formation took place on all substrates in an unaltered manner. However, pellicle formation was most pronounced within recessed areas thereby partially masking the three-dimensional character of the surfaces. As the natural pellicle layer is obviously the most dominant prerequisite for bacterial adhesion, colonization in the oral environment cannot be easily controlled by structural means.     

Surface changes in polyhydroxyalkanoate films during biodegradation and biofouling

BACKGROUND: Despite the recognition that microbial biofilms play a role in environmental degradation of bioplastics, few studies investigate the relationship between bioplastic biodegradation and microbial colonisation. We have developed protocols based on a combination of confocal laser scanning microscopy and contact angle goniometry to qualitatively and quantitatively map surface changes due to biofilm formation and biopolymer degradation of solvent cast poly(3‐hydroxyalkanoate) films in an accelerated in vitro biodegradation system. RESULTS: A significant regression relationship between biofilm formation and polymer biodegradation (R² = 0.96) was primarily conducted by cells loosely attached to the film surfaces (R² = 0.95), rather than the strongly attached biofilm (R² = 0.78). During biodegradation the surface rugosity of poly(3‐hydroxybutyrate) and poly[(3‐hydroxybutyrate)‐co‐(3‐hydroxyvalerate)] increased by factors of 1.5 and 1.76, respectively. In contrast, poly(3‐hydroxyoctanoate) films showed little microbial attachment, negligible weight loss and insignificant changes in surface rugosity. CONCLUSION: A statistically significant link is established between polymer weight loss and biofilm formation. Our results suggest that this degradation is primarily conducted by cells loosely attached to the polymer rather than those strongly attached. Biofilm formation and its type are dependent upon numerous factors; the flat undifferentiated biofilms observed in this study produce a gradual increase in surface rugosity, observed as an increase in waviness. Copyright © 2008 Society of Chemical Industry     

The role of antimicrobial peptides in preventing multidrug-resistant bacterial infections and biofilm formation

Over the last decade, decreasing effectiveness of conventional antimicrobial-drugs has caused serious problems due to the rapid emergence of multidrug-resistant pathogens. Furthermore, biofilms, which are microbial communities that cause serious chronic infections and dental plaque, form environments that enhance antimicrobial resistance. As a result, there is a continuous search to overcome or control such problems, which has resulted in antimicrobial peptides being considered as an alternative to conventional drugs. Antimicrobial peptides are ancient host defense effector molecules in living organisms. These peptides have been identified in diverse organisms and synthetically developed by using peptidomimic techniques. This review was conducted to demonstrate the mode of action by which antimicrobial peptides combat multidrug-resistant bacteria and prevent biofilm formation and to introduce clinical uses of these compounds for chronic disease, medical devices, and oral health. In addition, combinations of antimicrobial peptides and conventional drugs were considered due to their synergetic effects and low cost for therapeutic treatment.     

Depth-Profiling of Crystal Structure, Texture, and Microhardness in a Functionally Graded Tooth Enamel

The graded nature of crystal structure, texture, and microhardness of human enamel has been characterized by grazing-incidence synchrotron radiation diffraction and Vickers indentation. Results show that the composition of tooth enamel consists mainly of calcium apatite or hydroxyapatite (HAP). The HAP crystals formed near the occlusal surface are aligned approximately orthogonal to each other between the axial and occlusal sections. In addition, the tooth enamel has been shown to be a hierarchical graded biomaterial with a distinct gradation in crystallinity, texture, crystallite size, and hardness, which is somewhat akin to that of the fibrous microstructures found in natural plants. A "graded-interface" approach is proposed as a biomimetic model for designing new dental or restorative materials as well as for joining of dissimilar materials.     

Investigation of bacterial attachment and biofilm formation of two different Pseudoalteromonas species: Comparison of different methods

Biological fouling in marine environments creates numerous problems for engineered structures. Microbial attachment to a solid surface and biofilm formation initiates the process of biofouling. Therefore, detecting the initial bacterial attachment and understanding the mechanism of biofilm formation are important for controlling biofouling. In the present study, the mechanisms of bacterial attachment and biofilm formation of two marine isolated bacteria, namely Pseudoalteromonas sp. and Pseudoalteromonas flavipulchra on Ti-coated samples were examined through different electrochemical, surface analysis and thermodynamic methods. The results revealed that the rate of bacterial attachment and mechanism of biofilm formation varied for different species of bacteria. The amount of exopolysaccharide production could affect the bacterial attachment rate. Open circuit potentiometry has been found to be a valid and simple technique for continuous real-time monitoring of the biofilm formation compared to other electrochemical and thermodynamic techniques. Finally, two different models have been suggested to explain initial adhesion and biofilm formation of bacteria of different species.     

Influence of fluoride concentration and pH on corrosion behavior of titanium in artificial saliva

Titanium (Ti) exhibits excellent corrosion resistance in most aqueous media due to the formation of a stable oxide film and is chosen for surgical and odontological implants for this resistance and its biocompatibility. Treatment with fluorides (F) is the main method to prevent plaque formation and dental caries. Toothpastes, mouthwashes and prophylactic gels can contain from 200 to 20,000 ppm F and have neutral to acidic character, which can affect the corrosion behavior of titanium devices present in the oral cavity. In this work the behavior of Ti has been evaluated in artificial saliva of pH 2, 5 and 7 and different fluoride concentrations (0, 1,000, 5,000 and 10,000 ppm F), through open-circuit potential measurements, potentiodynamic polarization and electrochemical impedance spectroscopy. Limits of pH value and fluoride concentration at which Ti corrosion behavior changed could be established. Active behavior was observed for pH 2 and 1,000–10,000 ppm F, and for pH 5 and 5,000 and 10,000 ppm F. The other conditions led to passive behavior. Decrease in corrosion resistance and less tendency for passivation were observed as fluoride concentration increased and pH decreased.     

An electrochemical impedance model for integrated bacterial biofilms

Bacterial cells attachment onto solid surfaces and the following growth into mature microbial biofilms may result in highly antibiotic resistant biofilms. Such biofilms may be incidentally formed on tissues or implanted devices, or intentionally formed by directed deposition of microbial sensors on whole-cell bio-chip surface. A new method for electrical characterization of the later on-chip microbial biofilm buildup is presented in this paper. Measurement of impedance vs. frequency in the range of 100 mHz to 400 kHz of Escherichia coli cells attachment to indium-tin-oxide-coated electrodes was carried out while using optical microscopy estimating the electrode area coverage. We show that impedance spectroscopy measurements can be interpreted by a simple electrical equivalent model characterizing both attachment and growth of the biofilm. The correlation of extracted equivalent electrical lumped components with the visual biofilm parameters and their dependence on the attachment and growth phases is confirmed.     

Antibacterial silver-doped calcium phosphate synthesized by an enzymatic strategy for initial caries treatment

As a chronic and infectious disease, dental caries has become a part of the heavy burdens of individuals and society, which is featured with tooth mineral loss and mainly caused by oral bacteria. Anti-caries agent should be safe, and capable of both high bacterial inhibition and remineralization, yet very few ones can meet these requirements simultaneously. In this study, a silver-doped amorphous calcium phosphate (Ag-EACP) is prepared by a biomimetic enzymatic reaction, with the in vivo energy storage biomolecule adenosine triphosphate disodium (Na₂ATP) as the phosphorus source. Ag-EACP has an amorphous phase, with high content of ATP. The doped silver in the form of Ag⁺ ion is stabilized against transformation, can help adjust the size of Ag-EACP. The Ag-EACP can effectively inhibit the growth of Streptococcus mutans and Lactobacillus acidophilus, two main cariogenic pathogens, both in planktonic and free states, and suppress the formation of bio-film. Moreover, this nanocomposite generates significant remineralization and micro-hardness recovery of initial caries lesion. Ag-EACP shows great anti-caries effects on initial caries lesions and is promising for caries prevention in dentistry.     

Impact of Oral Microbiome in Periodontal Health and Periodontitis: A Critical Review on Prevention and Treatment

The skin, oral cavity, digestive and reproductive tracts of the human body harbor symbiotic and commensal microorganisms living harmoniously with the host. The oral cavity houses one of the most heterogeneous microbial communities found in the human organism, ranking second in terms of species diversity and complexity only to the gastrointestinal microbiota and including bacteria, archaea, fungi, and viruses. The accumulation of microbial plaque in the oral cavity may lead, in susceptible individuals, to a complex host-mediated inflammatory and immune response representing the primary etiological factor of periodontal damage that occurs in periodontitis. Periodontal disease is a chronic inflammatory condition affecting about 20–50% of people worldwide and manifesting clinically through the detection of gingival inflammation, clinical attachment loss (CAL), radiographic assessed resorption of alveolar bone, periodontal pockets, gingival bleeding upon probing, teeth mobility and their potential loss in advanced stages. This review will evaluate the changes characterizing the oral microbiota in healthy periodontal tissues and those affected by periodontal disease through the evidence present in the literature. An important focus will be placed on the immediate and future impact of these changes on the modulation of the dysbiotic oral microbiome and clinical management of periodontal disease.     

Molecular dynamics simulation of hydroxyapatite–polyacrylic acid interfaces

Polymer–hydroxyapatite (HAP) composites are widely studied as potential bone replacement materials. The HAP–polymer interfacial molecular interactions have significant role on the mechanical response of composite systems. We have used molecular dynamics (MD) simulations to evaluate the nature of these interfaces in polyacrylic acid–hydroxyapatite composites. We have obtained the parameters for monoclinic hydroxyapatite in CVFF (consistent valence force field) from the known potential energy function of apatites. Our simulations indicate that potential sites for chelation and hydrogen bond formation between HAP and polyacrylic acid (PAAc) exist. Earlier, we have synthesized in situ HAP–polymer composites wherein intimate interaction between HAP and polymer is enabled through participation of polymer during HAP mineralization. Our simulations indicate that for in situ HAP, the most favorable orientation of PAAc for attachment with HAP is along the c-axis of HAP aligned parallel to polymer chains. Also, binding energy for ex situ HAP composites is found to be lower as compared to that of in situ HAP.     

Assessment of the sealant/tooth interface using optical coherence tomography

Sealant materials are typically employed in dentistry in order to prevent the development of cavities on the teeth. They prevent bacterial adhesion to enamel, thus arresting the development of demineralization and of caries. In this study, the critical zone of the interface between different sealant materials and the results of the dental work for the teeth processed were investigated ex vivo using swept source (SS) optical coherence tomography (OCT). Optical inspection and X-ray investigation revealed no defects, while SS-OCT proved capable to asses exactly the position, the nature, and the dimensions of each type of these defects. Specifically, different failures were targeted into the structure of pit and fissure sealants, including bubbles, internal cracks, structural defects of sealant material, and structural defects of enamel, with uncovered sealant material and enamel/sealant interface (marginal integrity and marginal adaptation of dental sealant). The investigation of the possible types of defects that may appear into this dental interface was thus accomplished – for the dental practitioner.     

基于电化学技术检测微生物吸附

为研究微生物在固体表面吸附的过程,探索微生物黏膜的形成机理,采用电化学交流阻抗法对铜电极表面黏液形成菌吸附形成的生物黏膜进行表征,实验结果表明：由实验数据拟合出的等效电路与根据理论分析而设计出的等效电路基本吻合,通过测量生物膜电容计算出的生物黏膜厚度为1.8 μm,与用SEM观测显示的黏膜厚度基本一致,由此说明了用交流阻抗表征生物膜的可行性和微生物在固体表面吸附传质成膜过程分析的正确性,该方法为探索微生物黏膜的形成机理提供了有力的检测手段,并对静态下实时监测生物黏膜的形成具有重要意义。     

Superhydrophobic PDMS/SiNPs/T-ZnOw coating with reduced adhesion of Streptococcus mutans for dental caries prevention

The prevention of dental caries is based mainly on killing the cariogenic bacteria Streptococcus mutans. Prevention of S. mutans adhesion through the development of physical structures is rarely utilized. In this study, a superhydrophobic PDMS/SiNPs/T-ZnOw (PST) coating was prepared for use on a bovine tooth by mixing polydimethylsiloxane (PDMS), silicon dioxide nanoparticles (SiNPs), and tetrapod-like zinc oxide whiskers (T-ZnOw) using one-pot solution and spray methods. The results showed that the superhydrophobicity and roughness of the coating, affected by the PDMS content, were positively correlated with the anti-adhesive effect on S. mutans. The PST coating with PDMS, SiNPs, and T-ZnOw at a ratio of 2.5:1:1 exhibited the highest water contact angle (161°) and the best anti-adhesion effect (97.2% at 4 h and 98.1% at 12 h). The anti-adhesion property towards S. mutans was attributed to its needle-like structure, and the biofilm live-dead staining test showed that the coating had no bactericidal effect. In addition, the coating exhibited favorable durability and biocompatibility, providing a solid foundation for application in the human oral cavity. Thus, this study provides an effective method for caries prevention.     

Spatial Patterns of Microbial Retention on Polymer Surfaces

Microbial adhesion and retention on surfaces are complex phenomena, critical to the formation and development of biofilms. Recently, the focus of research has been more and more on the importance of retention of bacteria under fluctuating high shear forces in biofilm formation. The aim of the present work was to carry out a comparative study of the retention process of different bacterial and yeast species using: (1) a range of surfaces with different surface free energy properties and (2) a number of different bacterial cell physiological states. It was found for the first time that once a threshold cell number is retained on the surface, microbial retention patterns are formed following a power law, i.e., not stochastic. Our results demonstrated that the overall spatial patterns of microbial retention observed for the different substrates are similar for the all investigated cell types and that the drastic modification of the surface free energy does not affect this spatial organization. On the other hand, the microbial retention patterns appear to be significantly affected by the physiological state of the cells. Finally, the experimental retention patterns have been well simulated by a general agent-based model, confirming that the typical fractal distribution of retained cells is the result of a self-organization process.     

Synthesis and characterization of new poly(ethylene glycol)bisphosphonate vinylic monomer and non-fluorescent and NIR-fluorescent bisphosphonate micrometer-sized particles

Bisphosphonates (BPs) are non-hydrolysable pyrophosphate analogs with high affinity to hydroxyapatite (HAP, the main inorganic ingredient in bones) and are mainly used for bone diseases treatments.A new stable PEG-BP monomer and particles have been prepared for enhanced long term bone-targeted imaging and therapy applications. The new formed BP particles possess dual functionalities: chelation to the bone mineral, HAP, through the BP groups and covalent attachment of a dye or drug through primary amine groups.The BP particles showed no cytotoxic effect on human osteosarcoma cell lines and minor toxicity on mouse macrophage cells, indicating that these BP particles are good candidates for in vivo testing. The BP monomer and particles exhibited inhibition of HAP formation and dissolution, similar to a commercial Alendronate. Near IR (NIR) fluorescent BP particles were obtained by conjugation of Cy7-NHS ester to the primary amine groups of the BP particles.     

Synthetic Arabinomannan Heptasaccharide Glycolipids Inhibit Biofilm Growth and Augment Isoniazid Effects in Mycobacterium smegmatis

Biofilm formation, involving attachment to an adherent surface, is a critical survival strategy of mycobacterial colonies in hostile environmental conditions. Here we report the synthesis of heptasaccharide glycolipids based on mannopyranoside units anchored on to a branched arabinofuranoside core. Two types of glycolipids—2,3‐branched and 2,5‐branched—were synthesized and evaluated for their efficacies in inhibiting biofilm growth by the non‐pathogenic mycobacterium variant Mycobacterium smegmatis. Biofilm formation was inhibited at a minimum biofilm growth inhibition concentration (MBIC) of 100 μg mL^?1 in the case of the 2,5‐branched heptasaccharide glycolipid. Further, we were able to ascertain that a combination of the drug isoniazid with the branched heptasaccharide glycolipid (50 μg mL^?1) potentiates the drug, making it three times more effective, with an improved MBIC of 30 μg mL^?1. These studies establish that synthetic glycolipids not only act as inhibitors of biofilm growth, but also provide a synergistic effect when combined with significantly lowered concentrations of isoniazid to disrupt the biofilm structures of the mycobacteria.