Abstract

Chitosan (CS) and its derivatives show antimicrobial properties. This is of interest in preventing and treating denture stomatitis, which can be caused by fungi. Therefore, the aim of this study was the development of a novel antifungal denture base material by modifying polymethyl methacrylate (PMMA) with CS-salt and characterizing its antifungal and surface properties in vitro. For this purpose, the antifungal effect of chitosan-hydrochloride (CS-HCl) or chitosan-glutamate (CS-G) as solutions in different concentrations was determined. To obtain modified PMMA resin specimens, the CS-salts were added to the PMMA before polymerization. The roughness of these specimens was measured by contact profilometry. For the evaluation of the antifungal properties of the CS-salt modified resins, a C. albicans biofilm assay on the specimens was performed. As solutions, both the CS-G and CS-HCl-salt had an antifungal effect and inhibited C. albicans growth in a dose-dependent manner. In contrast, CS-salt modified PMMA resins showed no significant reduced C. albicans biofilm formation. Furthermore, the addition of CS-salts to PMMA significantly increased the surface roughness of the specimens. This study shows that despite the antifungal effect of CS-salts in solution, a modification of PMMA resin with these CS-salts does not improve the antifungal properties of PMMA denture base material.

Highlights

  • Fungal infections show increased prevalence worldwide [1]

  • Antifungal Test: Effectantifungal of Chitosan-Salt Solutions modified with chitosan capacity of each CS-salt was determined

  • Resins modified with chitosan (CS)-salts, the antifungal capacity of each CS-salt was determined

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Summary

Introduction

Fungal infections show increased prevalence worldwide [1]. Candida spp. have several virulence factors promoting the colonization and opportunistic infection of host organisms by appropriate conditions [1]. Candida can adhere and grow on different surfaces, e.g., biomaterials as denture base materials. Adhesion of proteins and microorganisms, e.g., Candida to biomaterials depends on several factors such as surface charge, surface free energy, polarity, hydrophobicity, morphology, and roughness, as well as the composition of biomaterials. The acquired oral pellicle covers tissues and dental materials in the oral cavity [2]. It functions, e.g., as a protective layer and contains

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