Biocompatibility and biofilm formation on conventional and CAD/CAM provisional implant restorations

Abstract Dental implant treatment is a complex and sophisticated process, and implant provisional restorations play a vital role in ensuring its success. The advent of computer-aided design and computer-aided manufacturing (CAD/CAM) technology has revolutionized the field of implant restorations by...

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Main Authors: Tipparat Parakaw, Nisarat Ruangsawasdi, Pornpen Dararat, Chareerut Phruksaniyom, Sirada Srihirun, Pobploy Petchmedyai
Format: Article
Language:English
Published: BMC 2023-10-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-023-03468-z
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author Tipparat Parakaw
Nisarat Ruangsawasdi
Pornpen Dararat
Chareerut Phruksaniyom
Sirada Srihirun
Pobploy Petchmedyai
author_facet Tipparat Parakaw
Nisarat Ruangsawasdi
Pornpen Dararat
Chareerut Phruksaniyom
Sirada Srihirun
Pobploy Petchmedyai
author_sort Tipparat Parakaw
collection DOAJ
description Abstract Dental implant treatment is a complex and sophisticated process, and implant provisional restorations play a vital role in ensuring its success. The advent of computer-aided design and computer-aided manufacturing (CAD/CAM) technology has revolutionized the field of implant restorations by providing improved precision leading to a reduction in chair time and more predictable treatment outcomes. This technology offers a promising solution to the drawbacks of conventional methods and has the potential to transform the way implant procedures are approached. Despite the clear advantages of CAD/CAM over conventional provisional implant restorations including higher accuracy of fit and superior mechanical properties, little research has been conducted on the biological aspect of these novel restorations. This study aims to fill that gap, comprehensively assessing the biocompatibility, gingival tissue attachment and biofilm formation of a range of provisional implant restorations using CAD/CAM technology through milling and 3-D printing processes compared to conventional fabrication. The biocompatibility of the tested restorations was assessed by MTT assay, Calcein-AM assay as well as SEM analysis. The surface roughness of the tested samples was evaluated, alongside the attachment of Human Gingival Fibroblasts (HGF) cells as well as biofilm formation, and estimated Porphyromonas gingivalis (P. gingivalis) cell count from DNA detection. The results showed all tested provisional implant restorations were non-toxic and good HGF cell attachment but differed in their quantity of biofilm formation, with surface texture influenced by the material and fabrication technique, playing a role. Within the limitation of this study, the findings suggest that CAD/CAM-fabricated provisional implant restorations using a milling technique may be the most favourable among tested groups in terms of biocompatibility and periodontal-related biofilm formation.
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spelling doaj.art-2c90802b0229483ca27af3481c7848ac2023-11-20T11:07:19ZengBMCBMC Oral Health1472-68312023-10-0123111510.1186/s12903-023-03468-zBiocompatibility and biofilm formation on conventional and CAD/CAM provisional implant restorationsTipparat Parakaw0Nisarat Ruangsawasdi1Pornpen Dararat2Chareerut Phruksaniyom3Sirada Srihirun4Pobploy Petchmedyai5Department of Pharmacology, Faculty of Dentistry, Mahidol UniversityDepartment of Pharmacology, Faculty of Dentistry, Mahidol UniversityDepartment of Pharmacology, Faculty of Dentistry, Mahidol UniversityDepartment of Pharmacology, Faculty of Dentistry, Mahidol UniversityDepartment of Pharmacology, Faculty of Dentistry, Mahidol UniversityDental Implant Center, Faculty of Dentistry, Mahidol UniversityAbstract Dental implant treatment is a complex and sophisticated process, and implant provisional restorations play a vital role in ensuring its success. The advent of computer-aided design and computer-aided manufacturing (CAD/CAM) technology has revolutionized the field of implant restorations by providing improved precision leading to a reduction in chair time and more predictable treatment outcomes. This technology offers a promising solution to the drawbacks of conventional methods and has the potential to transform the way implant procedures are approached. Despite the clear advantages of CAD/CAM over conventional provisional implant restorations including higher accuracy of fit and superior mechanical properties, little research has been conducted on the biological aspect of these novel restorations. This study aims to fill that gap, comprehensively assessing the biocompatibility, gingival tissue attachment and biofilm formation of a range of provisional implant restorations using CAD/CAM technology through milling and 3-D printing processes compared to conventional fabrication. The biocompatibility of the tested restorations was assessed by MTT assay, Calcein-AM assay as well as SEM analysis. The surface roughness of the tested samples was evaluated, alongside the attachment of Human Gingival Fibroblasts (HGF) cells as well as biofilm formation, and estimated Porphyromonas gingivalis (P. gingivalis) cell count from DNA detection. The results showed all tested provisional implant restorations were non-toxic and good HGF cell attachment but differed in their quantity of biofilm formation, with surface texture influenced by the material and fabrication technique, playing a role. Within the limitation of this study, the findings suggest that CAD/CAM-fabricated provisional implant restorations using a milling technique may be the most favourable among tested groups in terms of biocompatibility and periodontal-related biofilm formation.https://doi.org/10.1186/s12903-023-03468-zDental prosthesisComputer-aided manufacturingPorphyromonas gingivalisFibroblastCytotoxicity tests
spellingShingle Tipparat Parakaw
Nisarat Ruangsawasdi
Pornpen Dararat
Chareerut Phruksaniyom
Sirada Srihirun
Pobploy Petchmedyai
Biocompatibility and biofilm formation on conventional and CAD/CAM provisional implant restorations
BMC Oral Health
Dental prosthesis
Computer-aided manufacturing
Porphyromonas gingivalis
Fibroblast
Cytotoxicity tests
title Biocompatibility and biofilm formation on conventional and CAD/CAM provisional implant restorations
title_full Biocompatibility and biofilm formation on conventional and CAD/CAM provisional implant restorations
title_fullStr Biocompatibility and biofilm formation on conventional and CAD/CAM provisional implant restorations
title_full_unstemmed Biocompatibility and biofilm formation on conventional and CAD/CAM provisional implant restorations
title_short Biocompatibility and biofilm formation on conventional and CAD/CAM provisional implant restorations
title_sort biocompatibility and biofilm formation on conventional and cad cam provisional implant restorations
topic Dental prosthesis
Computer-aided manufacturing
Porphyromonas gingivalis
Fibroblast
Cytotoxicity tests
url https://doi.org/10.1186/s12903-023-03468-z
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