Orthodontic Acrylic Resin Research Articles

Static Loading of Different Intraradicular Preparation Depths of Trinia Endocrowns in Maxillary Canines.

The aim of this study is to compare the fracture resistance of canine teeth restored using TRINIA Endocrowns with three different types of preparations (2, 3, and 4 intracanal preparations). Thirty maxillary-extracted canines were collected. All teeth were fixed in orthodontic acrylic resin and decapitated at the level of the proximal cemento-enamel junction (CEJ). After being endodontically treated, specimens were distributed equally between 3 groups (n = 10) with different preparation depths (GT: 2 mm Intraradicular Preparation, GH: 3 mm Intraradicular Preparation, GF: 4 mm Intraradicular Preparation). Thirty TRINIA endocrowns were dry milled. After surface treatment, all endocrowns were bonded to their corresponding roots using Permaflo a dual-cure resin cement. Each specimen was then fixed in the lower part of a universal testing machine with a load cell of 5 KN, at an angle of 45 degrees to the tooth long-axis at 0.5 mm/min crosshead speed. Failure loads were recorded in Newton's. Data were recorded, organized, and statistically investigated. Shapiro-Wilk tests revealed that the data were not normally distributed. Descriptive statistics revealed a high mean fracture resistance of GH (647 N), then GT (475.6 N), and finally GF (353.9 N). The Kruskal-Wallis test revealed a significant difference that existed between the groups being studied (p = 0.036). TRINIA endocrowns with intracanal preparations of 2 and 3 mm provide more promising fracture resistance than those with intracanal preparations of 4 mm as a way of treating of root-canal-treated maxillary canines. TRINIA endocrowns (2 and 3 mm intracanal preparations) are as promising as fiber posts and all ceramic crowns in terms of fracture resistance. TRINIA endocrowns with 2 mm intracanal preparations are mostly reparable after failure, but those of 3 and 4 mm are mostly irreparable after failure. Modifying endocrowns to have intraradicular projections, simulating Nayyar core, may improve the success and longevity of endocrowns in anterior teeth. How to cite this article: Alahmad AM, Alenezi AY, Rayyan M, et al. Static Loading of Different Intraradicular Preparation Depths of Trinia Endocrowns in Maxillary Canines. J Contemp Dent Pract 2024;25(6):575-580.

In vitro antifungal and physicochemical properties of polymerized acrylic resin containing strontium-modified phosphate-based glass

Acrylic resins are widely used as the main components in removable orthodontic appliances. However, poor oral hygiene and maintenance of orthodontic appliances provide a suitable environment for the growth of pathogenic microorganisms. In this study, strontium-modified phosphate-based glass (Sr-PBG) was added to orthodontic acrylic resin at 0% (control), 3.75%, 7.5%, and 15% by weight to evaluate the surface and physicochemical properties of the novel material and its in vitro antifungal effect against Candida albicans (C. albicans). Surface microhardness and contact angle did not vary between the control and 3.75% Sr-PBG groups (p > 0.05), and the flexural strength was lower in the experimental groups than in the control group (p < 0.05), but no difference was found with Sr-PBG content (p > 0.05). All experimental groups showed an antifungal effect at 24 and 48 h compared to that in the control group (p < 0.05). This study demonstrated that 3.75% Sr-PBG exhibits antifungal effects against C. albicans along with suitable physicochemical properties, which may help to minimize the risk of adverse effects associated with harmful microbial living on removable orthodontic appliances and promote the use of various materials.

Assessment of the Antifungal Activity of PMMA-MgO and PMMA-Ag Nanocomposite

Orthodontic acrylic resin is used in the construction of orthodontic appliances. It lacks antimicrobial properties and is prone to microbial infection. So, the infection associated with it can be reduced via modification of orthodontic acrylic resin with nanoparticles (NPs) incorporation. The study directed to evaluate the antifungal properties of modified orthodontic acrylic resin incorporated with magnesium oxide (MgO)-NPs and silver (Ag)-NPs. NPs were mixed with polymethylmethacrylate (PMMA) in ethanol-assisted mixing method. Disc samples (10 mm in diameter and 2 mm thick) of PMMA-MgO, PMMA-Ag nanocomposites and PMMA alone (as control) were prepared. Then, C. albicans was isolated and identified clinically through taking swabs from acrylic denture base orthodontic appliances, cultured on a Sabouraud Dextrose Agar medium, followed by transferring on HiCrome™ candida Differential agar which is a selective and differential medium to distinguish distinct Candida species. The polymerase chain reaction was performed and the amplicon was separated by 2% gel electrophoresis and then visualised by ethidium bromide. DNA sequencing was performed on the sample at Sanger sequencing/ ABI 3500. Antifungal activity of PMMA-MgO and PMMA-Ag (1%, 3% and 5% of NPs) was conducted through disc diffusion assay and colony forming unit counts. The result showed a decrease in the number of adhered Candida albicans (C. albicans) of all concentrations of both nanocomposite and the decrease was statistically significant (P&lt;0.05) in all experimental groups except MgO-NPs 1% and 3%. Increasing the concentration of NPs was associated with decrease in the adhered C. albicans. It was concluded that PMMA-MgO and PMMA-Ag nanocomposites showed anti-adherence activities against clinically isolated C. albicans in concentration dependent manner.

Embryotoxicity and teratogenesis of orthodontic acrylic resin in zebrafish

ObjectivesThis study investigated the in vivo embryotoxicity, teratogenic potential, and additional effects of orthodontic acrylic resin as well as its components, utilizing zebrafish as a model organism. The research focused on morphological, cardiac, behavioral, and cognitive evaluations that were performed on embryos and larval-stage animals subjected to chronic exposure. Materials and methodsEmbryo and larval-stage zebrafish were categorized into five experimental groups, which were further subdivided into five subgroups. These subgroups included three specific doses for each tested substance, a control with the vehicle (0.1 % dimethyl sulfoxide in water), and an absolute control (water). Assessments were performed on day 5 post-fertilization, which included morphological, cardiac, behavioral, and cognitive evaluations. All experiments had a sample size of ten animals and were performed in triplicate. Survival and hatching rates were analyzed using the Kaplan-Meier test, while other measurements were assessed using one-way analysis of variance (ANOVA), followed by the Tukey post hoc test. ResultsStatistically significant differences were observed between the control and treatment groups across all the tested substances for heart rate, cognitive responsiveness, and cellular apoptosis. However, survival, hatching rate, and other parameters exhibited no significant variation, except for the highest dose in the dibutyl phthalate group, which demonstrated a notable difference in survival. ConclusionsChronic exposure to acrylic resin and its components may be associated with decreased cognitive ability and cardiac rhythm, as well as an increase in the level of cellular apoptosis in zebrafish.

Comparative Evaluation of Candida Albicans Adherence, Flexural strength and Water Sorption of Orthodontic Self-Cure Acrylic Resin Modified with 2-Methacryloyloxyethyl Phosphorylcholine by Two Different Techniques: in-vitro Study

Comparative Evaluation of Candida Albicans Adherence, Flexural strength and Water Sorption of Orthodontic Self-Cure Acrylic Resin Modified with 2-Methacryloyloxyethyl Phosphorylcholine by Two Different Techniques: in-vitro Study

The flexural strength of orthodontic acrylic resin containing resveratrol nanoparticles as antimicrobial agent: An in vitro study

This study aimed to evaluate how the addition of resveratrol nanoparticles (RNPs), which act as an antimicrobial agent, affects the strength of acrylic resin used in orthodontics. According to ISO 20795-1-2013, 76 cold cure acrylic resin samples (65×10×3.3mm) were prepared. The samples were divided into four groups (19samples in each group) based on RN concentrations added to 1mL acrylic monomer (0 for control, 256, 512, and 1024μg/mL). Flexural strength was assessed in megapascal (MPa) using a universal testing machine. Data analysis involved nonparametric Kruskal-Wallis analysis of variance and pairwise post-hoc Dunn's test. The flexural strength decreased as the concentration of RNPs increased, with the lowest value observed at 1024μg/mL (63.06±5.33MPa). The control group exhibited the highest mean of flexural strength (88.43±4.41MPa), followed by the groups with RNPs at the concentrations of 256μg/mL (82.69±4.41MPa) and 512μg/mL (76.02±4.59MPa). In conclusion, the addition of RNs to orthodontic acrylic resin had a dose-dependent impact on its flexural strength. Based on the findings, we recommend incorporating RNs at a concentration of 256μg/mL as an antimicrobial agent in orthodontic acrylic resin. However, further research is necessary to assess the long-term effects and clinical applications of this approach.

Study on the role of nano antibacterial materials in orthodontics (a review).

Nanoparticles (NPs) are insoluble particles with a diameter of fewer than 100 nanometers. Two main methods have been utilized in orthodontic therapy to avoid microbial adherence or enamel demineralization. Certain NPs are included in orthodontic adhesives or acrylic resins (fluorohydroxyapatite, fluorapatite, hydroxyapatite, SiO2, TiO2, silver, nanofillers), and NPs (i.e., a thin layer of nitrogen-doped TiO2 on the bracket surfaces) are coated on the surfaces of orthodontic equipment. Although using NPs in orthodontics may open up modern facilities, prior research looked at antibacterial or physical characteristics for a limited period of time, ranging from one day to several weeks, and the limits of in vitro studies must be understood. The long-term effectiveness of nanotechnology-based orthodontic materials has not yet been conclusively confirmed and needs further study, as well as potential safety concerns (toxic effects) associated with NP size.

Evaluation of the flexural strength of orthodontic acrylic resin incorporated with propolis nanoparticles: an in vitro study.

Nanopropolis has become the subject of interest in medicine and dentistry as a natural product due to its outstanding properties, particularly antimicrobial activity. This study aimed at investigating the effect of nanopropolis on flexural strength of polymethyl methacrylate (PMMA).

Effect of nanoparticle addition on antimicrobial properties for acrylic removable orthodontic appliance

Removable orthodontic appliances have acrylic resin-based plate components that often result in plaque retention and bacterial build-up, leading to dental and periodontal problems. Several studies have tried adding nanoparticles to acrylic resins to over-come these problems. This review discusses the effect of nanoparticle addition on the antimicrobial properties of orthodontic removable acrylic resin. A literature review was conducted on 10 articles obtained from PubMed, ScienceDirect, and Google Scholar by determining inclusion, exclusion and keyword criteria. Literature search using boolean search based on inclusion criteria obtained data that the addition of various nanoparticle materials such as zinc oxide, titanium dioxide, magnesium oxide produces good antimicrobial properties, especially in the process of inhibiting microbial adhesion. It is concluded that the addi-tion of nanoparticles to acrylic resin orthodontic appliances provides effective antimicrobial properties so that it can be applied clinically to prevent diseases in the oral cavity such as gingivitis and dental caries.

Anti-multispecies microbial biofilms and anti-inflammatory effects of antimicrobial photo-sonodynamic therapy based on acrylic resin containing nano-resveratrol

BackgroundPolymethylmethacrylate (PMMA)-based removable orthodontic appliances are susceptible to microbial colonization due to the surface porosity, and accumulating the biofilms causes denture stomatitis. the present study evaluated the anti-biofilm and antiinflammatory effects of antimicrobial photo-sonodynamic therapy (aPSDT) against multispecies microbial biofilms (Candida albicans, Staphylococcus aureus, Streptococcus sobrinus, and Actinomyces naeslundii) formed on acrylic resin modified with nanoresveratrol (NR). Materials and methodsFollowing the determination of the minimum biofilm inhibitory concentration (MBIC) of NR, in vitro anti-biofilm activity of NR was evaluated. The antibiofilm efficacy against multispecies microbial biofilm including C. albicans, S. aureus, S. sobrinus, and A. naeslundii, were assessed by biofilm inhibition test and the results were measured. To reveal the anti-inflammatory effects of aPSDT on human gingival fibroblast (HGF) cells, the gene expression levels of tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) were evaluated via quantitative real-time polymerase chain reaction (qRT-PCR). ResultsAccording to the results, the MBIC dose of NR against multispecies microbial biofilm was considered 512 µg/mL. The highest biofilm reduction activity was observed in MBIC treated with aPSDT and 2 × MBIC exposed to light emitting diode (LED) and ultrasound waves (UW). The expression level of TNF-α and IL-6 genes were significantly increased when HGF cells were exposed to multispecies microbial biofilms (P<0.05), while after treatment with aPSDT, the expression levels of genes were significantly downregulated in all groups (P<0.05). ConclusionOverall, NR-mediated aPSDT reduced the growth of the multispecies microbial biofilm and downregulated the expression of TNF-α and IL-6 genes. Therefore, modified PMMA with NR can be serving as a promising new orthodontic acrylic resin against multispecies microbial biofilms and the effect of this new material is amplified when exposed to LED and UW.

Antimicrobial and Mechanical Properties of Orthodontic Acrylic Resin Containing Zinc Oxide and Titanium Dioxide Nanoparticles Supported on 4A Zeolite.

Polymethyl methacrylate (PMMA) is widely used to manufacture removable orthodontic appliances. However, since the porous structure, cold-curing acrylic resins are susceptible to bacterial adhesion and colonization. The aim of this study was to investigate the antibacterial and mechanical properties of a cold-curing PMMA resin containing ZnO and TiO2 nanoparticles supported on the 4A zeolite. ZnO and TiO2 nanoparticles supported on the 4A zeolite were synthesized. Nanoparticles were added in three compositions as ZnO/4A, TiO2/4A, and ZnO/TiO2/4A at 2wt% and 4wt% concentrations to cold-curing acrylic resin powder (SR Triplex® Cold Ivoclar Vivadent AG, FL-9494 Schaan/Liechtenstein). X-ray diffraction (XRD), Field Emission Scanning Electron Microscopy (FE-SEM), energy dispersive X-ray (EDX), transmission electron microscopy (TEM), and dynamic light scattering (DLS) were performed to investigate the nanocomposite characteristics. A direct test method was used to assess the antibacterial properties against Streptococcus mutans, Klebsiella pneumoniae, and Escherichia coli. The surface roughness of acrylic samples was measured with a profilometer. Flexural strength was evaluated by a three-point bending test, and one-way ANOVA and Tukey's post hoc tests were used for statistical evaluation of the data. A p value of less than 0.05 was considered statistically significant. XRD confirmed the accurate crystalline structure of synthesized nanoparticles; FE-SEM images showed nanoparticle dispersion within polymerized acryl. The addition of 2 and 4 wt% of ZnO/4A, TiO2/4A, and ZnO/TiO2/4A caused colony reduction in all types of tested microorganisms more than 99% and 100%, respectively. The mean flexural strengths of acrylic specimens containing 2wt% and 4wt% of synthesized nanoparticles were significantly lower than those of the resin without nanoparticles. Fabricated samples showed favorable antibacterial properties but decreased flexural strength.

Antimicrobial effects and mechanical properties of poly(methyl methacrylate) as an orthodontic acrylic resin containing Curcumin-Nisin-poly(L-lactic acid) nanoparticle: an in vitro study.

BackgroundThe porous surface of acrylic orthodontic removable appliances creates a niche for microbial plaque accumulation, and changes the oral flora by raising cariogenic bacteria including Streptococcus mutans. In this study, we evaluated the mechanical properties and antimicrobial activities of incorporating different concentrations of Curcumin-Nisin-poly(l-lactic acid) nanoparticle (CurNisNps) into orthodontic acrylic resin against Streptococcus mutans and Candida albicans.MethodsFollowing synthesis and characterization of CurNisNps, acrylic resin specimens with different concentrations of CurNisNps (0, 1, 2, 5, and 10% w/w) were fabricated. Flexural strength values, antimicrobial effects, anti-biofilm potential, and anti-metabolic activity against S. mutans and C. albicans were assessed at different time intervals. Also, the expression of the virulence-factor-related genes of S. mutans and C. albicans was assessed by quantitative real-time polymerase chain reaction following treatment with CurNisNps.ResultsAcrylic resin containing 10% CurNisNps (30.76 ± 3.91 MPa) showed flexural failure in comparison with acrylic resin specimens without CurNisNps (50.67 ± 1.82 MPa) as the control group (P < 0.05). There was no significant decrease in the flexural strength values in samples containing 1, 2, and 5% of CurNisNps in comparison to the control group (P > 0.05). Acrylic resin with 5% CurNisNps showed the highest concentration of CurNisNps and clinically accepted flexural strength value (14.89 ± 3.26 MPa, P < 0.05) simultaneously. In the disc agar diffusion assay, 5% CurNisNps showed a high level of inhibitory activity for the test microorganisms. The reduction of growth inhibition zones of the different concentrations of CurNisNps against test microorganisms was positively associated with the time, in such a way that it was reduced significantly after 60 days. The anti-biofilm and anti-metabolic activities of acrylic resin specimens containing a 5% concentration of CurNisNps against S. mutans and C. albicans could significantly decrease the expression levels of gtfB (6.8-fold) and HWP (3.4-fold) in S. mutans and C. albicans, respectively.ConclusionsOur data support that 5% (w/w) of CurNisNps can serve as an excellent orthodontic acrylic resin additive against S. mutans and C. albicans biofilm without adverse effects on its mechanical property.

The Effect of Bleach Liquid and Household Cleaner on Surface Hardness and Roughness of Acrylic Base of Orthodontic Appliances

Introduction: The daily use of orthodontic removable plates can interfere with the self-cleansing function of the mouth. Although various techniques have been proposed for cleaning removable orthodontic appliances, there is no consensus on the use of a safe method that preserves the physical properties of the appliance. This study aimed to investigate the effect of using hydrochloric acid (10%, for removal of mineral deposits) and sodium hypochlorite (5.25%, to remove organic matter and discolorations) on surface hardness and roughness of self-cure orthodontic acrylic resins. Materials &amp; Methods: This cross-sectional laboratory study was conducted in the fall of 2017 at Isfahan University of Medical science and Isfahan University of Technology. In this study two orthodontic acrylic resins (Orthocryl® and Acropars®) were used. Eighty samples (12×10×3 mm) from each one were fabricated and divided into four groups (n = 20). Group 1: 15 minutes immersion in household cleaner liquid (Hydrochloric acid, 10%) followed by15 minutes immersion in household bleach liquid (Sodium Hypochlorite, 5.25%). In group 2, immersions were repeated just like group two times and in group 3, were done three times. Group 4 was as control and had no immersion. The surface hardness and roughness of samples were measured. Data were analyzed with Two Way ANOVA and the significance level was set at 0.05. Results: The number of immersion procedures did not significantly affect the surface hardness (p value = 0.958) and surface roughness (p value = 0.657) in the different study groups. There was no significant difference in the surface hardness between the two acrylic resin brands (p value = 0.077); however, Acropars acrylic resin samples exhibited significantly higher surface roughness compared to the Orthocryl acrylic resin samples(p value &lt; 0.001). Conclusion: 15 minutes of immersion in 10% HCl, followed by 15 minutes of immersion in 5.25% NaOCl and repetition of the procedure three times did not significantly affect the surface hardness and roughness of self-cured acrylic resins.

Effect of adding zinc oxide nanoparticles supported in 4A zeolite on antibacterial properties and flexural strength of self-curing acrylic resin used in removable orthodontic appliances

Background: Self-curing acrylic resins, mainly composed of Polymethyl Methacrylate (PMMA), are widely used to manufacture removable orthodontic appliances. Self-curing acrylic resins have higher porosity than heat-curing acrylic resins leading to a susceptible place for microbial plaque colonization. Due to some of these microorganisms' activities, a very unpleasant odor is emitted from orthodontic base plates, which has adverse effects on patients' cooperation. This study aimed to investigate the antimicrobial properties of cold-curing PMMA acrylic resin containing ZnO nanoparticles supported in 4A zeolite and evaluating its mechanical properties. Methods: The synthesized nanocomposite ZnO/4A zeolite was added to SR Triplex® Cold orthodontic self-curing acrylic resin powder with 2wt% and 4wt% concentrations. X-ray diffraction (XRD), Field Emission Scanning Electron Microscopy (FE-SEM), energy dispersive X-ray (EDX), MAP analysis, and Dynamic light scattering (DLS) were performed to investigate the sample's characteristics. Direct test method was used to assess the antibacterial properties of the fabricated acrylic samples against three bacterial strains Streptococcus mutans, Klebsiella Pnemoniae, and Esherichia coli. Flexural strength was evaluated by a three-point bending test, and One-way ANOVA and Tukey's post hoc test were used for statistical evaluation of data. The p-value of less than 0.05 was considered significant. Results: The addition of ZnO/4A in 2wt% and 4 wt% concentrations lead to more than 99% destruction of colonies in all three types of microorganisms. The mean flexural strength of acrylic specimens containing 2wt% and 4wt% of ZnO/4A significantly lower than the control group. Despite the considerable reduction, all mean values are greater than 50 MPa. Conclusion: The ZnO/4A zeolite nanocomposite due to its potent antibacterial properties and minimal toxicity can reduce the unfavorable odor of orthodontic base plates consequently increases patient cooperation and reaching the desired result. Method: The synthesized nanocomposite ZnO/4A zeolite was added to SR Triplex® Cold orthodontic self-curing acrylic resin powder with 2wt% and 4wt% concentrations. X-ray diffraction (XRD), Field Emission Scanning Electron Microscopy(FE-SEM), energy dispersive X-ray (EDX), MAP analysis, and Dynamic light scattering (DLS) were performed to investigate the sample's characteristics. Direct test method was used to assess the antibacterial properties of the fabricated acrylic samples against three bacterial strains Streptococcus mutans, Klebsiella Pnemoniae, and Esherichia coli. Flexural strength was evaluated by a three-point bending test, and One-way ANOVA and Tukey's post hoc test were used for statistical evaluation of data. The p-value of less than 0.05 was considered significant. Results: The addition of ZnO/4A in 2wt% and 4 wt% concentrations lead to more than 99% destruction of colonies in all three types of microorganisms. The mean flexural strength of acrylic specimens containing 2wt% and 4wt% of ZnO/4A significantly lower than the control group. Despite the considerable reduction, all mean values are greater than 50 MPa. Conclusion: The addition of ZnO/4A zeolite nanocomposite due to its potent antibacterial properties and minimal toxicity can reduce the unfavorable odor of orthodontic base plates consequently increases patient cooperation and reaching the desired result.

An orthodontic acrylic resin containing seaweed Ulva lactuca as a photoactive phytocompound in antimicrobial photodynamic therapy: Assessment of anti-biofilm activities and mechanical properties

BackgroundUncontrolled accumulation of microbial plaque and formation of biofilm on the surface orthodontic acrylic removable appliances increases the risk of enamel decalcification and periodontal diseases. The purpose of the present study was to evaluate antimicrobial activities, anti-virulence potencies, and mechanical properties of orthodontic acrylic resin containing different concentrations of Ulva lactuca (a green marine macroalga) following photo-activation against Streptococcus mutans. Materials and methodsMinimum inhibitory concentration (MIC) of U. lactuca was determined against S. mutans. Acrylic resin specimens with different concentrations of U. lactuca (0.2 %, 0.5 %, 1%, 2.5 %, 5%, and 10 % weight/weight) were fabricated. Flexural strength values, antimicrobial effects, and anti-biofilm activities of samples were assessed in comparison with original acrylic resin as the control group. Also, the expression of the virulence-associated genes was assessed by quantitative real-time polymerase chain reaction. ResultsU. lactuca at concentrations of 1–10% significantly reduced the S. mutans growth rate by 20.3%–63.3% in comparison to the control group (P < 0.05). Therefore, the concentration of 1% of U. lactuca was considered as a MIC. The highest and lowest flexural strength values were observed in the control group (43.5 ± 2.4 MPa) and the group with a 10 % concentration of U. lactuca (19.2 ± 1.8 MPa), respectively. Flexural strength values decreased in samples containing 2.5 %, 5%, and 10 % concentrations of U. lactuca in comparison to the control group significantly (P > 0.05). In the disc agar diffusion test, the growth inhabitation zones around samples containing different concentrations of photo-activated U. lactuca ranged from 13 mm to 25 mm in diameter. Interestingly, the anti-biofilm activity of U. lactuca-mediated aPDT against S. mutans was dose-dependent. Additionally, the sub-MIC dose of U. lactuca (0.5 %) following photo-activation could significantly decrease the expression levels of gtfB, gtfC, and gtfD to 4.1-, 5.3-, and 7.4-fold, respectively. ConclusionsAdding photo-activated U. lactuca to the orthodontic acrylic resin at a concentration of 1% increases its antibacterial and anti-biofilm activities besides not detrimentally affects its flexural strength.

Incorporation of Chitosan Nanoparticles into a Cold-Cure Ortho-Dontic Acrylic Resin: Effects on Mechanical Properties.

Improvement of the antibacterial properties of acrylic resins, used in the construction of removable orthodontic appliances, is an important strategy to reduce the incidence of caries and oral diseases in orthodontic treatments. The addition of antimicrobial agents to acrylic resins is one of the effective methods to enhance the antimicrobial properties of these materials. However, one main concern is that modification of acrylic resin has negative effects on its mechanical properties. Recently, chitosan nanoparticles (NPs), as biocompatible and biodegradable polysaccharides with remarkable antimicrobial properties, have been used in different areas of dentistry and medicine. This study aimed to investigate the effects of adding chitosan NPs on the mechanical properties of a cold-cure orthodontic acrylic resin. The chitosan NPs were added to the acrylic resin in various weight percentages: 0% (control), 0.5%, 1%, 2%, and 4%. The flexural strength, compressive strength, Vickers microhardness, and impact strength measurements were performed for all five groups. The results showed that adding up to 1% (w/w) chitosan NPs to an acrylic resin had no significant negative effects on its flexural strength and compressive strength, while it decreased these parameters at weight percentages of 2% and 4% (w/w). The results also revealed that modification of acrylic resin with chitosan NPs up to 4% had no significant negative effects on the microhardness and impact strength of acrylic resin. In conclusion, the addition of chitosan NPs up to 1% (w/w) had no significant negative effects on the mechanical properties of cold-cure acrylic resin.

The Analysis of the Differences between the Influence of Herbal Mouthwashes and the Chlorhexidine Mouthwash on the Physical Characteristics of Orthodontic Acrylic Resin

The present study, intended to compare the effects of immersion in herbal mouthwashes and the Chlorhexidine mouthwash on orthodontic acrylic resin, specifically with regard to alterations in its hardness, roughness and color. Seventy-two specimens of Orthodontic self-cured acrylic resin were used for the experiments. After preparation, specimens were placed in three types of mouthwash including Chlorhexidine 0.2 % (CHX), Persica and Matrica. The changes in microhardness (ΔKNH), Surface roughness (ΔRa) and color (ΔE) were evaluated prior to and following the immersion in mouthwashes. In order to analyze the data, we made use of SPSS version 22. One-Way ANOVA test was used to find the differences between groups. The Tukey test was conducted in the final stage. It was revealed that acrylic resins had lower microhardness when 12 hours after immersion had taken place. There were significant differences after 12h, 24h and 7 days between the groups in the softening of acrylic resins. The reduction in microhardness of acrylic resin with herbal mouthwashes in the three-time intervals was higher than CHX. With regard to increasing surface roughness, the disparity between herbal mouthwashes was insignificant. However herbal mouthwashes significantly increased the value of roughness more than CHX. Changes in color were significantly higher in all mouthwashes. Herbal mouthwashes caused more color variation than CHX. The color, roughness and hardness of acrylic resin undergo changes as a result of being immersed in the mouthwashes. However, the effect of herbal mouthwashes was more than that of CHX.

Effect of nanoparticle incorporation on mechanical properties evaluation of orthodontic acrylic resin

Effect of nanoparticle incorporation on mechanical properties evaluation of orthodontic acrylic resin

Assessment of surface roughness changes on orthodontic acrylic resin by all-in-one spray disinfectant solutions

Background. The disinfection of orthodontic acrylic resins might change the physical and mechanical properties of these materials. We aimed to investigate the impact of four different commercially available disinfectants on the surface roughness of acrylic resins used for orthodontic appliances. Methods. Four disinfectant solutions (BirexSE, Opti-Cide3, COEfect MinuteSpray, and CaviCide Spray) were used to disinfect orthodontic acrylic resins using the spraying method. The resins were subjected to repeated disinfection protocols. Distilled water, also applied via spraying method, was used as a control. Surface roughness was scrutinized to examine the extent of surface topography changes by stylus profilometry. Data normality was evaluated via the Shapiro–Wilk test, followed by the Wilcoxon Signed-Rank test for non-parametric data or paired Student’s t-test for parametric data to compare intra-group differences in roughness before and after the use of the disinfectant solutions. Results. Some of the disinfectants (BirexSE and CaviCide) resulted in significant changes in surface roughness values before and after the disinfection compared to the controls (P<0.05). The groups that were in contact with distilled water, Opti-Cide, and Coeffect did not exhibit significant differences in surface roughness before and after the intervention (P>0.05). However, from a clinical perspective, the resulting variations in surface roughness (<%0.15) induced by these solutions might not reflect clinically significant differences. Conclusion. The use of disinfectant solutions is unlikely to harm the surface of orthodontic acrylic resins. Oral care providers need to be attentive to the interpretation and implementation of clinically significant changes in their evidence-based approach regarding potential material damages by disinfection sprays.

Evaluation of flexural strength and antibacterial effect of orthodontic acrylic resins containing Galla chinensis extract.

ABSTRACTObjective: To evaluate different concentrations of Galla chinensis extract (GCE) added to poly(methyl methacrylate) (PMMA), which is widely used for fabrication of removable orthodontic appliances, regarding the effectiveness of this herbal extract on antimicrobial effect and flexural strength of PMMA. Methods: Acrylic resin samples containing 0.4%, 0.8% and 1.6% GCE were prepared. Flexural strength was investigated via three-point flexural strength test for the 15 acrylic resin blocks of each concentration. Disk diffusion test was used to evaluate antibacterial effects of incorporating the same concentrations of GCE into acrylic resin. All these three groups were compared with the control group, with no added GCE, regarding flexural strength and antibacterial properties.Results: Comparison of flexural strength between the three study groups and the control group showed significant differences between the groups (P=0.018). However, there was no significant difference between the groups containing GCE. There were significant differences in antimicrobial activity between the four groups (P=0.026). Conclusion: Within the limitations of this study, it is suggested that incorporation of GCE into PMMA would be beneficial for antimicrobial activity and flexural strength of PMMA, but further studies on other physical properties and antimicrobial effects on other bacterial strain would be beneficial prior to clinical investigations.