Glass ionomer cements with milled, dry chlorhexidine hexametaphosphate filler particles to provide long-term antimicrobial properties with recharge capacity

Autor: Michele E Barbour, James A. Holder, Peter F. Duckworth, Candice A. Bellis, Owen Addison, Angela H. Nobbs
Jazyk: angličtina
Rok vydání: 2018
Předmět:
food.ingredient
Materials science
Compressive Strength
BFS
biaxial flexural strength

Glass ionomer cement
02 engineering and technology
Article
Phosphates
CS
compressive strength

Streptococcus mutans
03 medical and health sciences
0302 clinical medicine
food
Flexural strength
HMP
hexametaphosphate

Caries
Tensile Strength
Ultimate tensile strength
Flexural Strength
Materials Testing
medicine
Agar
General Materials Science
Agar diffusion test
Particle Size
General Dentistry
biology
CHX
chlorhexidine

Antimicrobials
Chlorhexidine
Saliva
Artificial

030206 dentistry
021001 nanoscience & nanotechnology
biology.organism_classification
Antimicrobial
Drug Combinations
Restorative materials
Mechanics of Materials
Glass Ionomer Cements
Anti-Infective Agents
Local

DTS
diametral tensile strength

Bifidobacterium
0210 nano-technology
GIC
glass ionomer cement

medicine.drug
Nuclear chemistry
Zdroj: Bellis, C A, Addison, O, Nobbs, A H, Duckworth, P F, Holder, J A & Barbour, M E 2018, ' Glass ionomer cements with milled, dry chlorhexidine hexametaphosphate filler particles to provide long-term antimicrobial properties with recharge capacity ', Dental Materials, vol. 34, no. 12, pp. 1717-1726 . https://doi.org/10.1016/j.dental.2018.09.003
Dental Materials
Bellis, C A, Addison, O, Nobbs, A H, Duckworth, P F, Holder, J A & Barbour, M E 2018, ' Glass ionomer cements with milled, dry chlorhexidine hexametaphosphate filler particles to provide long-term antimicrobial properties with recharge capacity ', Dental Materials . https://doi.org/10.1016/j.dental.2018.09.003
DOI: 10.1016/j.dental.2018.09.003
Popis: Highlights • Milled, dry chlorhexidine hexametaphosphate (CHX-HMP) was incorporated into a GIC. • CHX release was dose-dependent and sustained for at least 660 days. • GICs could be recharged with CHX and CHX-HMP. • 1% CHX-HMP did not affect compressive, tensile or biaxial flexural strength. • CHX-HMP GICs inhibited growth of cariogenic microorganisms in an agar diffusion model.
Objective Glass ionomer cements (GICs) are a versatile material, offering the opportunity for ion exchange with the oral environment. The aim of this study was to develop a GIC that delivers a controlled, rechargeable dose of chlorhexidine (CHX) over an extended period without compromising mechanical properties. Methods GICs were supplemented with finely milled particles of chlorhexidine hexametaphosphate (CHX-HMP). CHX release into artificial saliva was measured over 660 days, and recharge with CHX and CHX-HMP was investigated. Mechanical properties were investigated, and an agar diffusion test was carried out to assess antimicrobial properties using Streptococcus mutans and Scardovia wiggsiae. Results Dose-dependent CHX release was observed, and this was ongoing at 660 days. Compared with related studies of GICs containing CHX-HMP, the fine, dry particles resulted in fewer adverse effects on mechanical properties, including tensile, compressive and biaxial flexural strength, with 1% CHX-HMP GICs indistinguishable from control specimens. The GICs could be recharged with CHX using both a conventional CHX digluconate solution comparable to commercial mouthrinses, and a suspension of CHX-HMP of equivalent concentration. Recharging with CHX digluconate increased subsequent CHX release by 50% compared with no recharge, and recharging with CHX-HMP increased subsequent CHX release by 100% compared with no recharge. The GICs inhibited growth of St. mutans and Sc. wiggsiae in a simple agar diffusion model. Significance These materials, which provide sustained CHX release over clinically relevant timescales, may find application as a restorative material intended to inhibit secondary caries as well as in temporary restorations and fissure sealants.
Databáze: OpenAIRE