Thesis (MTech (Biomedical Technology))--Cape Peninsula University of Technology, 2013. / Newly developed and commercial dental resins which are commonly used nowadays have to be tested for their antimicrobial susceptibility. The purpose of this in vitro study was to investigate the antimicrobial activity of a titanium oxide (Ti02) nano-composite which was prepared with different antibacterial substances and used as restoratives in dentistry to combat certain selected bacteria that are considered the principle causes of some tooth diseases, for example, tooth decay and to prevent unsuccessful dental restoration. The Ti02 nano-composite was prepared and divided into four groups: The first group was an untreated Ti02 nano-composite. The second group was silane-treated Ti02 nano-composite. The third group was treated Ti02 nano-composite which was combined with chlorhexidine gluconate (CHxG). The fourth group was treated Ti02 nano-composite which was combined with benzalkonium chloride (BzCI).

Orientador: João Carlos Silos Moraes / Banca: Claudio Luiz Carvalho / Banca: Cecilia Pedroso Turssi / Resumo: As resinas compostas vêm sendo estudadas de longa data, sempre na procura de propiciar aos clínicos um melhor entendimento do seu processo de polimerização e a obtenção de melhores resultados nos procedimentos restauradores. A proposta deste trabalho foi determinar o grau de conversão, a microdureza e o coeficiente de expansão térmica das resinas restauradoras TPH Spectrum (Dentsply) e Filtek P60 (3M), em função da profundidade. Os materiais foram polimerizados por uma fonte de luz halógena durante 40 segundos em anéis de alumínio em diferentes espessuras (1, 2, 3 e 4 mm). O grau de conversão foi determinado através da espectroscopia no infravermelho próximo com transformada de Fourier, utilizando a razão entre bandas de absorção correspondentes às ligações duplas alifáticas e aromáticas. Para tanto, foram confeccionadas pastilhas contendo 20mg de resina e 150mg de KBr e os espectros foram obtidos em um espectrômetro Nexus 670 (Nicolet). As medidas de microdureza Vickers foram obtidas com um aparelho HMV 2000 (Shimadzu), utilizando uma amostra de cada espessura. A expansão térmica foi estudada através da técnica da extensometria. Os resultados mostraram que para as duas resinas ocorre uma diminuição no grau de conversão e na microdureza à medida que se aumenta a profundidade, como esperado. Para as medidas de expansão térmica, a resina Filtek P60 não apresentou diferenças significativas nas quatro profundidades, enquanto para a resina TPH Spectrum houve um aumento no coeficiente de expansão térmica com a profundidade. Não foi observada uma correlação entre o grau de conversão e a microdureza nas duas resinas estudadas. A determinação do grau de conversão através de espectros de absorção no infravermelho próximo mostrou-se mais preciso do que quando determinado a partir de espectros na região infravermelho médio. / Abstract: The composite resins have been widely studied allowing a better understanding of the process of polymerization. As consequence, better results in the clinical procedures have been obtained. The purpose of this work was to study the degree of conversion, the hardness and the thermal expansion of the TPH Spectrum (Dentsply) and Filtek P60 (3M) resins in different depths. Samples were prepared for each resin using aluminum rings 10 mm in internal diameter and with different thickness (1, 2, 3, and 4 mm). Resin composites were cured with a halogen light curing unit for 40 s. The degree of conversion was determined from FTIR spectra by comparison of the aliphatic =CH2 bond at 4743 cm -1 with that of the aromatic component at 4623 cm -1 for the cured and uncured states. For that, pellets containing 20 mg of resin powder (cured or uncured) and 150 mg of KBr powder were made. The near infra-red spectra were obtained in a FT-IR spectrophotometer (model Nexus 670, Nicolet). The Vickers hardness was measured with a Micro Hardness Tester (model HMV 2000, Shimadzu). The thermal expansion was studied through the strain gauge technique. The results showed a decrease in the value of DC and hardness as increases the depth. For Filtek P60 resin, it was not observed significant difference in the coefficient of thermal expansion at different depths. On the other hand, an increase was observed in the coefficient as it increases the depth for the TPH Spectrum resin. There is not correlation between the conversion degree and the microhardness for the two studied resins. DC values more accurate were obtained from near infra-red spectra when compared with those obtained from medium infra-red spectra. / Mestre

Indiana University-Purdue University Indianapolis (IUPUI) / Both quaternary ammonium bromide (QAB) and furanone derivatives were synthesized, characterized and formulated into dental resin composites for improved antibacterial properties. Compressive strength (CS) and S. mutans viability were used to evaluate the mechanical strength and antibacterial activity of the restoratives. The effects of chain length, loading, saliva and aging on CS and S. mutans viability were investigated. Chapter 2 describes how we studied and evaluated the formulated antibacterial resin composites by incorporating the synthesized QAB-containing oligomers into the formulation. The results show that all the QAB-modified resin composites showed significant antibacterial activity and mechanical strength reduction. Increasing chain length and loading significantly enhanced the antibacterial activity but dramatically reduced the CS as well. The 30-day aging study showed that the incorporation of the QAB accelerated the degradation of the composite, suggesting that the QAB may not be well suitable for development of antibacterial dental resin composites or at least the QAB loading should be well controlled. Chapter 3 describes how we studied and evaluated the formulated antibacterial resin composite by incorporating the synthesized furanone derivative into the formulation. The results show that the modified resin composites showed a significant antibacterial activity without substantially decreasing the mechanical strengths. With 5 to 30% addition of the furanone derivative, the composite kept its original CS unchanged but showed a significant antibacterial activity with a 16-68% reduction in the S. mutans viability. Further, the antibacterial function of the new composite was found not to be affected by human saliva. The aging study indicates that the composite may have a long-lasting antibacterial function. In summary, we have developed a novel QAB- and furanone-containing antibacterial system for dental restoratives. Both QAB- and furanone-modified resin composites have demonstrated significant antibacterial activities. The QAS-modified experimental resin composite may not be well suitable for development of antibacterial dental resin composites due to its accelerated degradation in water unless the QAB loading is well controlled. The furanone-modified resin composite shows nearly no reduction in mechanical strength after incorporation of the antibacterial furanone derivative. It appears that the furanone-modified resin composite is a clinically attractive dental restorative that can be potentially used for long-lasting restorations due to its high mechanical strength and permanent antibacterial function.

CAPES; CNPq; Fundação Araucária / Esta tese de doutorado apresenta um sistema de monitoração heterogêneo para a caracterização do processo de secagem e cura de filmes poliméricos e resina odontológica. Essa caracterização é de suma importância para aperfeiçoar o processo de fabricação e a escolha das matérias-primas dos mesmos, uma vez que parâmetros como a variação da espessura e a deformação mecânica no material estão diretamente ligadas à sua qualidade e durabilidade. O sensor heterogêneo emprega técnicas complementares para a quantificação de múltiplos parâmetros físicos, visando a compreensão das etapas que acontecem durante o processo de secagem e cura. Os ensaios se deram em períodos de 24 horas analisando amostras de tinta e verniz acrílicos e resina dentária. Foram quantificadas deformações longitudinais, variação de massa, espessura e índice de refração médio. Nas amostras de tinta e verniz acrílicos, obteve-se redução entre 60% e 70% no valor inicial da espessura, enquanto o comportamento do índice de refração do verniz foi associado às diferentes etapas do processo de secagem. As amostras de resina odontológica apresentaram redução da espessura menor que 5% em todos os ensaios realizados, percentual semelhante à variação do índice de refração. Todavia, as redes de Bragg identificaram um aumento de temperatura da resina odontológica de aproximadamente 20°C durante a fotoativação. A flexibilidade do sistema sensor heterogêneo demonstrado permite a análise do processo de secagem ou cura de uma ampla gama de filmes poliméricos e resinas, sem a necessidade de adaptações significativas no arranjo experimental. Com uma caracterização correta das etapas envolvidas na secagem ou cura, todo o processo que vai desde a formulação do produto à aplicação final pode ser otimizado, levando à melhoria da relação custo-benefício para cada aplicação pretendida. / This thesis presents a heterogeneous system to characterize the drying and curing process of polymer films and dental resin. This characterization is important to improve the manufacturing process and the choice of the raw materials, since parameters such as thickness variation and the mechanical deformation in the material are directly related to their quality and durability. The sensor employs heterogeneous complementary techniques for the quantification of multiple physical parameters, aimed to understand the steps that occur during drying and curing. The tests took place in periods of 24 hours analyzing samples of both acrylic paint and varnish, as well as dental resin. Longitudinal deformation, mass variation, thickness and mean refractive index were quantified. In samples of acrylic paint and varnish, a reduction between 60% and 70% in the initial value of the thickness was obtained, while the behavior of the refractive index of the varnish was associated with the different stages of the drying process. Samples of dental resin presented thickness decreasing less than 5% in all tests, percentage similar to the variation of the refractive index. However, fiber Bragg gratings have identified a temperature increase of the dental resin about 20 ° C during the polymerization. The flexibility of the heterogeneous sensor system demonstrated allows the analysis of drying or cure processes of a great variety of polymer films and resins, without the need for important changes in the experimental setup. With the correct characterization of the stages involved in the drying or cure, the whole process from the product formulation to the final application may result in an optimized and cost effective product for any intended application.

Among the prosthetic and implant biomaterials in the oral cavity currently exciting tremendous interest, titanium and resin are the main components of implants and dentures respectively. From their introduction in the oral cavity, a highly complex heterogeneous biofilm coats these biomaterials. The present thesis analyzes the complex relationships that are formed between one single microorganism (Candida albicans), one defence system of the oral cavity (oral peroxidases) and the two aforementioned biomaterials (titanium and resin). These biomaterials are indeed in contact with peroxidases: myeloperoxidase from neutrophils and sialoperoxidase from salivary secretions. Oral peroxidases belong to the salivary non immune innate defence mechanisms that control the oral microbial flora. In the presence of hydrogen peroxide (H2O2), they catalyze in vivo the oxidation of thiocyanate (SCN-) into hypothiocyanite (OSCN-), in vitro the oxidation of iodide (I-) into hypoiodite (OI-). In the salivary compartment and in oral biofilms, H2O2 is mainly formed by bacteria. In our investigations, H2O2 was produced by an enzyme sequence glucose (G) / glucose-oxidase (GOD). The OSCN- and OI- are antibacterial, antiviral and antifungal oxidants. Few studies have considered their action on Candida biofilms.<p>Candida albicans is a commensal yeast of the oral cavity which can turn parasitic when the host immune defences are weakened. This fungus forms biofilms on biomaterials within the mouth, especially on dentures, the decontamination of these prostheses is therefore essential to avoid the risk of candidosis. (Candida et prothèses dentaires. Ahariz M. Loeb I. Courtois Ph. Rev. Stomatol. Chir. Maxillofac. 111: 74-78, 2010).<p>In vitro, our investigations aimed to analyze the relationships between peroxidase systems and Candida. The effect of peroxidase systems (G / GOD / KI or KSCN / peroxidase) on Candida suspensions, on biofilms already formed or in formation was evaluated with various inputs of hydrogen peroxide and was studied by incorporation of enzymatic sequences in the culture media used for Candida biofilms formation. The susceptibility of Candida albicans ATCC 10231 to OSCN- versus to OI-, produced by lactoperoxidase (LPO), was studied in three different experimental models: - in a liquid culture medium – on a solid medium (with agarose gel), - in a biofilm model developed in the context of this work. The latter consisted of titanium powder suspended in Sabouraud broth contaminated with Candida albicans. The growth of Candida in the supernatant (planktonic phase) was evaluated by turbidimetry and the biomass of yeasts adherent to biomaterials (attached phase) by the tetrazolium salt MTT method. Enzymatic studies have allowed the optimization of the concentrations and activities of peroxidase systems components and the illustration of the competition between thiocyanate and iodide for lactoperoxidase. Peroxidase systems G/GOD/I-/LPO and G/GOD/SCN-/LPO prevented or limited the growth of Candida in the planktonic and attached phases on titanium powder for at least 21 days. At a dose of GOD (0.2 U / ml), the system G/GOD/I-/LPO has limited the development of planktonic and attached phases for 4 days while the system G/ GOD/SCN-/LPO has shown an inhibitory effect only in the first 2 days of incubation. (Candida albicans susceptibility to lactoperoxidase-generated hypoiodite. Ahariz M. Courtois Ph. Clinical, cosmetic and investigational dentistry; 2: 69-78, 2010).<p>In other experiments, peroxidase was adsorbed on titanium sheets in order to modify their surface and give them the property of inhibiting biofilm formation of Candida after addition of the enzyme substrates. Enzymatic studies and X-ray photoelectron spectroscopy (XPS) showed the adsorption of lactoperoxidase to titanium. In vivo, peroxidases are adsorbed on titanium healing abutments. (Adsorption of peroxidase on titanium surfaces: A pilot study. Ahariz M. Mouhyi J. Louette P. Van Reck J. Malevez C. Courtois P. J. Biomed. Mater. Res. 52: 567-571, 2000).<p>The development of the Candida biofilm was followed on titanium (powder or sheets) as well as on resin. Planktonic and attached phases have been monitored for 21 days. The presence of an exopolysaccharide matrix secreted by the yeasts has been observed with light microscopy and confirmed with fluorescence using the calcofluor method. In a series of experiments on titanium and resin sheets, an attached phase was demonstrated by the same techniques. The efficiency of the peroxidase system using iodide as a substrate was demonstrated when the enzyme was in solution and when it was preadsorbed on titanium (Candida albicans biofilm on titanium: effect of peroxidase precoating. Ahariz M. Courtois Ph. Medical Devices: Evidence and Research; 3: 33-40, 2010).<p>The incorporation in oral gels of other molecules present in exocrine secretions is a research direction that was also discussed: the present studies have demonstrated the in vitro benefits of peroxidase systems (with thiocyanate, chloride or especially iodide as substrates) acting in synergy with colostrum, lactoferrin and lysozyme. But the formulation of specialities that contain these natural antimicrobials is difficult to transpose in vivo as the complexity of the oral environment is very large (Denture contamination by yeasts in the elderly. Vanden Abbeele A. de Meel H. Ahariz M. Perraudin J.-P. Beyer I. Courtois P. Gerodontology; 25: 222-228, 2008).<p>Investigations pursued in vivo in 155 patients allowed the determination of the wild strains of Candida sp present on the fitting surface of the removable dental appliance and on the corresponding palatal mucosa. The link between the presence of yeasts and a reduced salivary flow was confirmed. These wild strains were directly grown and identified on Petri dishes (ChromAgar™ medium) from the macroscopic morphology of colonies and from additional tests (germination test in human serum, formation of chlamydoconidies on RAT medium, API™ galleries identification system ). For a period of two weeks, 14 patients accepted the daily application of a gel on the fitting surface of their denture. It was a double-blind comparison of an active gel containing the thiocyanate - lysozyme - lactoferrin - colostrum complete system with a control gel inactivated by heating. Data analysis showed a reduction in the number of colonies on the palatal mucosa by Candida sp, but not on the denture itself. By contrast, decontamination ex vivo of dentures by immersion in a bath (at room temperature or 37° C) containing either G/GOD producing H2O2 or the complete peroxidase system G/GOD/KI/L producing OI- demonstrated the efficiency of hypoiodite.<p><p><p>Parmi les biomatériaux prothétiques et implantaires qui connaissent actuellement un essor considérable dans la sphère orale, le titane est le composant principal des implants et la résine celui des prothèses dentaires. Dès leur introduction dans la cavité orale, un biofilm hétérogène très complexe les recouvre. Cette thèse analyse la complexité des relations qui se nouent entre un seul micro-organisme (Candida albicans), un système de défense de la cavité orale (les peroxydases orales) et les 2 biomatériaux précités (titane, résine). Ces biomatériaux sont en effet, dans le milieu oral, au contact de peroxydases: la myéloperoxydase des neutrophiles et la sialoperoxydase des sécrétions salivaires. Les peroxydases orales appartiennent aux mécanismes salivaires de défense innée non immunitaires qui contrôlent la flore microbienne orale. En présence de peroxyde d’hydrogène (H2O2), elles catalysent in vivo l’oxydation du thiocyanate (SCN-) en hypothiocyanite (OSCN-) et in vitro l’oxydation d’iodure (I-) en hypoiodite (OI-). Dans le compartiment salivaire et dans les biofilms oraux, l’H2O2 provient essentiellement des bactéries. Dans nos investigations, l’H2O2 était produit par une séquence enzymatique glucose (G) / glucose-oxydase (GOD). L’OSCN- et l’OI- sont des oxydants antibactériens, antiviraux et antifongiques. Peu d’études envisagent leur action sur les biofilms à Candida.<p>\ / Doctorat en Sciences dentaires / info:eu-repo/semantics/nonPublished