Antimicrobial efficacy of self-locomotive manganese oxide nanozyme-doped diatom microbubbler on orthodontic brackets in vitro

Abstract Background Orthodontic brackets provide a favorable environment for Streptococcus mutans biofilm formation, increasing the risk of white spots and dental caries. Manganese oxide (MnO2) nanozyme-doped diatom microbubbler (DM) is a recently developed material for biofilm removal. DM can gener...

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Main Authors: Hyunsub Kim, Eun-Hyuk Lee, Sang-woo Lee, Yu-Heng Deng, Ho-Beom Kwon, Young-Jun Lim, Hyunjoon Kong, Myung-Joo Kim
Format: Article
Language:English
Published: BMC 2023-01-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-023-02739-z
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author Hyunsub Kim
Eun-Hyuk Lee
Sang-woo Lee
Yu-Heng Deng
Ho-Beom Kwon
Young-Jun Lim
Hyunjoon Kong
Myung-Joo Kim
author_facet Hyunsub Kim
Eun-Hyuk Lee
Sang-woo Lee
Yu-Heng Deng
Ho-Beom Kwon
Young-Jun Lim
Hyunjoon Kong
Myung-Joo Kim
author_sort Hyunsub Kim
collection DOAJ
description Abstract Background Orthodontic brackets provide a favorable environment for Streptococcus mutans biofilm formation, increasing the risk of white spots and dental caries. Manganese oxide (MnO2) nanozyme-doped diatom microbubbler (DM) is a recently developed material for biofilm removal. DM can generate oxygen by catalase-mimicking activity in Hydrogen peroxide (H2O2) solution and move with ejecting oxygen microbubbles to produce a mechanical self-cleansing effect. This study aimed to evaluate the feasibility of DM as a novel bracket cleaner. Methods DM was prepared according to the protocol and analyzed using a scanning electron microscope (SEM). We treated S. mutans biofilms grown over bracket with phosphate-buffered saline (PBS group), 0.12% chlorhexidine (CHX group), 3% H2O2 (H2O2 group), and co-treatment with 3 mg/mL of DM and 3% H2O2 (DM group). The biofilm removal effect was analyzed using crystal violet assay, and the results were observed using SEM. The viability of S. mutans in remaining biofilms was evaluated using confocal laser scanning microscopy (CLSM). Finally, we examined the effect of all materials on mature multispecies biofilms formed on debonded brackets. Results Crystal violet assay results revealed that the CHX group removed more biofilms than the control group, and the DM group removed biofilms more effectively than the CHX group (p < 0.0001). SEM and CLSM images showed that CHX killed S. mutans but failed to remove most biofilms on brackets. However, DM effectively removed biofilms and mature multispecies biofilms on debonded brackets (p < 0.0001). Conclusions Co-treatment with DM and H2O2 is effective in removing biofilms on orthodontic brackets compared to conventional antibacterial agents.
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spelling doaj.art-1aaf29af34a24998a8b1f837d0194d692023-01-22T12:27:12ZengBMCBMC Oral Health1472-68312023-01-012311910.1186/s12903-023-02739-zAntimicrobial efficacy of self-locomotive manganese oxide nanozyme-doped diatom microbubbler on orthodontic brackets in vitroHyunsub Kim0Eun-Hyuk Lee1Sang-woo Lee2Yu-Heng Deng3Ho-Beom Kwon4Young-Jun Lim5Hyunjoon Kong6Myung-Joo Kim7Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National UniversityDepartment of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National UniversityDepartment of Physiology, School of Dentistry and Dental Research Institute, Seoul National UniversityDepartment of Chemical and Biomolecular Engineering, Carle Illinois College of MedicineDepartment of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National UniversityDepartment of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National UniversityDepartment of Chemical and Biomolecular Engineering, Carle Illinois College of MedicineDepartment of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National UniversityAbstract Background Orthodontic brackets provide a favorable environment for Streptococcus mutans biofilm formation, increasing the risk of white spots and dental caries. Manganese oxide (MnO2) nanozyme-doped diatom microbubbler (DM) is a recently developed material for biofilm removal. DM can generate oxygen by catalase-mimicking activity in Hydrogen peroxide (H2O2) solution and move with ejecting oxygen microbubbles to produce a mechanical self-cleansing effect. This study aimed to evaluate the feasibility of DM as a novel bracket cleaner. Methods DM was prepared according to the protocol and analyzed using a scanning electron microscope (SEM). We treated S. mutans biofilms grown over bracket with phosphate-buffered saline (PBS group), 0.12% chlorhexidine (CHX group), 3% H2O2 (H2O2 group), and co-treatment with 3 mg/mL of DM and 3% H2O2 (DM group). The biofilm removal effect was analyzed using crystal violet assay, and the results were observed using SEM. The viability of S. mutans in remaining biofilms was evaluated using confocal laser scanning microscopy (CLSM). Finally, we examined the effect of all materials on mature multispecies biofilms formed on debonded brackets. Results Crystal violet assay results revealed that the CHX group removed more biofilms than the control group, and the DM group removed biofilms more effectively than the CHX group (p < 0.0001). SEM and CLSM images showed that CHX killed S. mutans but failed to remove most biofilms on brackets. However, DM effectively removed biofilms and mature multispecies biofilms on debonded brackets (p < 0.0001). Conclusions Co-treatment with DM and H2O2 is effective in removing biofilms on orthodontic brackets compared to conventional antibacterial agents.https://doi.org/10.1186/s12903-023-02739-zNanozymeManganese oxideDiatomBiofilmBracket
spellingShingle Hyunsub Kim
Eun-Hyuk Lee
Sang-woo Lee
Yu-Heng Deng
Ho-Beom Kwon
Young-Jun Lim
Hyunjoon Kong
Myung-Joo Kim
Antimicrobial efficacy of self-locomotive manganese oxide nanozyme-doped diatom microbubbler on orthodontic brackets in vitro
BMC Oral Health
Nanozyme
Manganese oxide
Diatom
Biofilm
Bracket
title Antimicrobial efficacy of self-locomotive manganese oxide nanozyme-doped diatom microbubbler on orthodontic brackets in vitro
title_full Antimicrobial efficacy of self-locomotive manganese oxide nanozyme-doped diatom microbubbler on orthodontic brackets in vitro
title_fullStr Antimicrobial efficacy of self-locomotive manganese oxide nanozyme-doped diatom microbubbler on orthodontic brackets in vitro
title_full_unstemmed Antimicrobial efficacy of self-locomotive manganese oxide nanozyme-doped diatom microbubbler on orthodontic brackets in vitro
title_short Antimicrobial efficacy of self-locomotive manganese oxide nanozyme-doped diatom microbubbler on orthodontic brackets in vitro
title_sort antimicrobial efficacy of self locomotive manganese oxide nanozyme doped diatom microbubbler on orthodontic brackets in vitro
topic Nanozyme
Manganese oxide
Diatom
Biofilm
Bracket
url https://doi.org/10.1186/s12903-023-02739-z
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