Novel Bioactive Nanocomposites Containing Calcium Fluoride and Calcium Phosphate with Antibacterial and Low-Shrinkage-Stress Capabilities to Inhibit Dental Caries

Objectives: Composites are commonly used for tooth restorations, but recurrent caries often lead to restoration failures due to polymerization shrinkage-stress-induced marginal leakage. The aims of this research were to: (1) develop novel low-shrinkage-stress (L.S.S.) nanocomposites containing dimet...

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Main Authors: Abdullah Alhussein, Rashed Alsahafi, Abdulrahman A. Balhaddad, Lamia Mokeem, Abraham Schneider, Mary-Ann Jabra-Rizk, Radi Masri, Gary D. Hack, Thomas W. Oates, Jirun Sun, Michael D. Weir, Hockin H. K. Xu
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Bioengineering
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Online Access:https://www.mdpi.com/2306-5354/10/9/991
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author Abdullah Alhussein
Rashed Alsahafi
Abdulrahman A. Balhaddad
Lamia Mokeem
Abraham Schneider
Mary-Ann Jabra-Rizk
Radi Masri
Gary D. Hack
Thomas W. Oates
Jirun Sun
Michael D. Weir
Hockin H. K. Xu
author_facet Abdullah Alhussein
Rashed Alsahafi
Abdulrahman A. Balhaddad
Lamia Mokeem
Abraham Schneider
Mary-Ann Jabra-Rizk
Radi Masri
Gary D. Hack
Thomas W. Oates
Jirun Sun
Michael D. Weir
Hockin H. K. Xu
author_sort Abdullah Alhussein
collection DOAJ
description Objectives: Composites are commonly used for tooth restorations, but recurrent caries often lead to restoration failures due to polymerization shrinkage-stress-induced marginal leakage. The aims of this research were to: (1) develop novel low-shrinkage-stress (L.S.S.) nanocomposites containing dimethylaminododecyl methacrylate (DMADDM) with nanoparticles of calcium fluoride (nCaF<sub>2</sub>) or amorphous calcium phosphate (NACP) for remineralization; (2) investigate antibacterial and cytocompatibility properties. Methods: Nanocomposites were made by mixing triethylene glycol divinylbenzyl ether with urethane dimethacrylate containing 3% DMADDM, 20% nCaF<sub>2</sub>, and 20% NACP. Flexural strength, elastic modulus, antibacterial properties against <i>Streptococcus mutans</i> biofilms, and cytotoxicity against human gingival fibroblasts and dental pulp stem cells were tested. Results: Nanocomposites with DMADDM and nCaF<sub>2</sub> or NACP had flexural strengths matching commercial composite control without bioactivity. The new nanocomposite provided potent antibacterial properties, reducing biofilm CFU by 6 logs, and reducing lactic acid synthesis and metabolic function of biofilms by 90%, compared to controls (<i>p</i> < 0.05). The new nanocomposites produced excellent cell viability matching commercial control (<i>p</i> > 0.05). Conclusions: Bioactive L.S.S. antibacterial nanocomposites with nCaF<sub>2</sub> and NACP had excellent bioactivity without compromising mechanical and cytocompatible properties. The new nanocomposites are promising for a wide range of dental restorations by improving marginal integrity by reducing shrinkage stress, defending tooth structures, and minimizing cariogenic biofilms.
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spelling doaj.art-16e23ad818d740d3a533b438e285d4352023-11-19T09:36:10ZengMDPI AGBioengineering2306-53542023-08-0110999110.3390/bioengineering10090991Novel Bioactive Nanocomposites Containing Calcium Fluoride and Calcium Phosphate with Antibacterial and Low-Shrinkage-Stress Capabilities to Inhibit Dental CariesAbdullah Alhussein0Rashed Alsahafi1Abdulrahman A. Balhaddad2Lamia Mokeem3Abraham Schneider4Mary-Ann Jabra-Rizk5Radi Masri6Gary D. Hack7Thomas W. Oates8Jirun Sun9Michael D. Weir10Hockin H. K. Xu11PhD Program in Dental Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, MD 21201, USADepartment of Restorative Dental Sciences, Umm Al-Qura University, College of Dentistry, Makkah 24211, Saudi ArabiaDepartment of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi ArabiaPhD Program in Dental Biomedical Sciences, University of Maryland School of Dentistry, Baltimore, MD 21201, USADepartment of Oncology and Diagnostic Sciences, University of Maryland School of Dentistry, Baltimore, MD 21201, USADepartment of Oncology and Diagnostic Sciences, University of Maryland School of Dentistry, Baltimore, MD 21201, USADepartment of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD 21201, USADepartment of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD 21201, USADepartment of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD 21201, USAThe Forsyth Institute, Harvard School of Dental Medicine Affiliate, Cambridge, MA 02142, USADepartment of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD 21201, USADepartment of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD 21201, USAObjectives: Composites are commonly used for tooth restorations, but recurrent caries often lead to restoration failures due to polymerization shrinkage-stress-induced marginal leakage. The aims of this research were to: (1) develop novel low-shrinkage-stress (L.S.S.) nanocomposites containing dimethylaminododecyl methacrylate (DMADDM) with nanoparticles of calcium fluoride (nCaF<sub>2</sub>) or amorphous calcium phosphate (NACP) for remineralization; (2) investigate antibacterial and cytocompatibility properties. Methods: Nanocomposites were made by mixing triethylene glycol divinylbenzyl ether with urethane dimethacrylate containing 3% DMADDM, 20% nCaF<sub>2</sub>, and 20% NACP. Flexural strength, elastic modulus, antibacterial properties against <i>Streptococcus mutans</i> biofilms, and cytotoxicity against human gingival fibroblasts and dental pulp stem cells were tested. Results: Nanocomposites with DMADDM and nCaF<sub>2</sub> or NACP had flexural strengths matching commercial composite control without bioactivity. The new nanocomposite provided potent antibacterial properties, reducing biofilm CFU by 6 logs, and reducing lactic acid synthesis and metabolic function of biofilms by 90%, compared to controls (<i>p</i> < 0.05). The new nanocomposites produced excellent cell viability matching commercial control (<i>p</i> > 0.05). Conclusions: Bioactive L.S.S. antibacterial nanocomposites with nCaF<sub>2</sub> and NACP had excellent bioactivity without compromising mechanical and cytocompatible properties. The new nanocomposites are promising for a wide range of dental restorations by improving marginal integrity by reducing shrinkage stress, defending tooth structures, and minimizing cariogenic biofilms.https://www.mdpi.com/2306-5354/10/9/991low polymerization stressnanocompositeremineralizationbio-interactiveantibiofilmoral biofilms
spellingShingle Abdullah Alhussein
Rashed Alsahafi
Abdulrahman A. Balhaddad
Lamia Mokeem
Abraham Schneider
Mary-Ann Jabra-Rizk
Radi Masri
Gary D. Hack
Thomas W. Oates
Jirun Sun
Michael D. Weir
Hockin H. K. Xu
Novel Bioactive Nanocomposites Containing Calcium Fluoride and Calcium Phosphate with Antibacterial and Low-Shrinkage-Stress Capabilities to Inhibit Dental Caries
Bioengineering
low polymerization stress
nanocomposite
remineralization
bio-interactive
antibiofilm
oral biofilms
title Novel Bioactive Nanocomposites Containing Calcium Fluoride and Calcium Phosphate with Antibacterial and Low-Shrinkage-Stress Capabilities to Inhibit Dental Caries
title_full Novel Bioactive Nanocomposites Containing Calcium Fluoride and Calcium Phosphate with Antibacterial and Low-Shrinkage-Stress Capabilities to Inhibit Dental Caries
title_fullStr Novel Bioactive Nanocomposites Containing Calcium Fluoride and Calcium Phosphate with Antibacterial and Low-Shrinkage-Stress Capabilities to Inhibit Dental Caries
title_full_unstemmed Novel Bioactive Nanocomposites Containing Calcium Fluoride and Calcium Phosphate with Antibacterial and Low-Shrinkage-Stress Capabilities to Inhibit Dental Caries
title_short Novel Bioactive Nanocomposites Containing Calcium Fluoride and Calcium Phosphate with Antibacterial and Low-Shrinkage-Stress Capabilities to Inhibit Dental Caries
title_sort novel bioactive nanocomposites containing calcium fluoride and calcium phosphate with antibacterial and low shrinkage stress capabilities to inhibit dental caries
topic low polymerization stress
nanocomposite
remineralization
bio-interactive
antibiofilm
oral biofilms
url https://www.mdpi.com/2306-5354/10/9/991
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