Evaluation of the antibacterial effect of titanium dioxide nanoparticles combined with acrylic laminates for functional orthodontic appliances: a randomized controlled clinical trial

Abstract Background The objective of this study was to evaluate the antibacterial effect of titanium dioxide nanoparticles incorporated into the acrylic baseplates of the maxillary part of twin block appliances in orthodontic patients during the treatment period. Materials and methods Twenty-six pat...

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Main Authors: Ghada M. Elabd, Waleed Eldars, Marwa S. Shamaa, Marwa A. Tawfik
Format: Article
Language:English
Published: BMC 2024-01-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-023-03805-2
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author Ghada M. Elabd
Waleed Eldars
Marwa S. Shamaa
Marwa A. Tawfik
author_facet Ghada M. Elabd
Waleed Eldars
Marwa S. Shamaa
Marwa A. Tawfik
author_sort Ghada M. Elabd
collection DOAJ
description Abstract Background The objective of this study was to evaluate the antibacterial effect of titanium dioxide nanoparticles incorporated into the acrylic baseplates of the maxillary part of twin block appliances in orthodontic patients during the treatment period. Materials and methods Twenty-six patients were selected randomly and divided into two groups(n = 13). Test group patients used orthodontic functional appliances containing 1% titanium dioxide nanoparticles in acrylic baseplates. Control group patients used orthodontic functional appliances without titanium dioxide nanoparticles in acrylic baseplates. Swap samples were taken from the palatal gingiva facing the fitting surface of the acrylic component of the maxillary part of a twin block appliance for each patient at five-time intervals (baseline sample, after one, two, four, and six months) and then cultured in blood agar plates to calculate bacterial colony count. The Mann‒Whitney U test and the Friedman test were used to compare data. Bonferroni correction (p value ≤ 0.05) was applied to detect significant differences. The results showed a decrease in the bacterial colony count in the test group compared to the control group. Pairwise comparisons revealed a statistically significant difference in samples after four- and six-month groups (p values = 0.002 and 0.011, respectively) vs. the one-month test group. A higher statistically significant difference was observed in the six-month group (p-value = 0.037) vs. the baseline group in the control group. Conclusion The addition of 1% titanium dioxide nanoparticles to acrylic baseplates of orthodontic functional appliances significantly reduced the bacterial colony count under the base plate after at least four months of application.
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spelling doaj.art-9365bb18e4e6412aaaf315cd54aae8c62024-01-07T12:51:23ZengBMCBMC Oral Health1472-68312024-01-0124111010.1186/s12903-023-03805-2Evaluation of the antibacterial effect of titanium dioxide nanoparticles combined with acrylic laminates for functional orthodontic appliances: a randomized controlled clinical trialGhada M. Elabd0Waleed Eldars1Marwa S. Shamaa2Marwa A. Tawfik3Department of Orthodontics, Faculty of Dentistry, Mansoura UniversityDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Mansoura UniversityDepartment of Orthodontics, Faculty of Dentistry, Mansoura UniversityDepartment of Orthodontics, Faculty of Dentistry, Mansoura UniversityAbstract Background The objective of this study was to evaluate the antibacterial effect of titanium dioxide nanoparticles incorporated into the acrylic baseplates of the maxillary part of twin block appliances in orthodontic patients during the treatment period. Materials and methods Twenty-six patients were selected randomly and divided into two groups(n = 13). Test group patients used orthodontic functional appliances containing 1% titanium dioxide nanoparticles in acrylic baseplates. Control group patients used orthodontic functional appliances without titanium dioxide nanoparticles in acrylic baseplates. Swap samples were taken from the palatal gingiva facing the fitting surface of the acrylic component of the maxillary part of a twin block appliance for each patient at five-time intervals (baseline sample, after one, two, four, and six months) and then cultured in blood agar plates to calculate bacterial colony count. The Mann‒Whitney U test and the Friedman test were used to compare data. Bonferroni correction (p value ≤ 0.05) was applied to detect significant differences. The results showed a decrease in the bacterial colony count in the test group compared to the control group. Pairwise comparisons revealed a statistically significant difference in samples after four- and six-month groups (p values = 0.002 and 0.011, respectively) vs. the one-month test group. A higher statistically significant difference was observed in the six-month group (p-value = 0.037) vs. the baseline group in the control group. Conclusion The addition of 1% titanium dioxide nanoparticles to acrylic baseplates of orthodontic functional appliances significantly reduced the bacterial colony count under the base plate after at least four months of application.https://doi.org/10.1186/s12903-023-03805-2Antibacterial activityOrthodontic functional appliancesTitanium dioxide nanoparticles
spellingShingle Ghada M. Elabd
Waleed Eldars
Marwa S. Shamaa
Marwa A. Tawfik
Evaluation of the antibacterial effect of titanium dioxide nanoparticles combined with acrylic laminates for functional orthodontic appliances: a randomized controlled clinical trial
BMC Oral Health
Antibacterial activity
Orthodontic functional appliances
Titanium dioxide nanoparticles
title Evaluation of the antibacterial effect of titanium dioxide nanoparticles combined with acrylic laminates for functional orthodontic appliances: a randomized controlled clinical trial
title_full Evaluation of the antibacterial effect of titanium dioxide nanoparticles combined with acrylic laminates for functional orthodontic appliances: a randomized controlled clinical trial
title_fullStr Evaluation of the antibacterial effect of titanium dioxide nanoparticles combined with acrylic laminates for functional orthodontic appliances: a randomized controlled clinical trial
title_full_unstemmed Evaluation of the antibacterial effect of titanium dioxide nanoparticles combined with acrylic laminates for functional orthodontic appliances: a randomized controlled clinical trial
title_short Evaluation of the antibacterial effect of titanium dioxide nanoparticles combined with acrylic laminates for functional orthodontic appliances: a randomized controlled clinical trial
title_sort evaluation of the antibacterial effect of titanium dioxide nanoparticles combined with acrylic laminates for functional orthodontic appliances a randomized controlled clinical trial
topic Antibacterial activity
Orthodontic functional appliances
Titanium dioxide nanoparticles
url https://doi.org/10.1186/s12903-023-03805-2
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