Bacteria have been confirmed as the main etiological factor for root canal infection as well as for root canal treatment failure. Thus the success of endodontic treatment depends on the complete elimination of bacteria and prevention of bacterial recolonization in the root canal system. The major challenge for conventional root canal disinfection strategies is the ability of bacteria to persist as biofilms within the anatomical complexities of the root canal system. In addition, the alterations in the ultrastructure of dentin tissue results in compromised structural integrity of root dentin leading to higher risk of fracture in root-filled teeth. The objectives of this study are twofold: 1) develop and test functionalized nanoparticles to eliminate biofilm bacteria and, 2) to stabilize and strengthen the dentin organic matrix by crosslinking collagen fibrils in the presence of biopolymeric nanoparticles. A bioactive polymeric nanoparticle functionalized with a photosensitizer may present as a single step treatment to achieve both the objectives. Chitosan a bioactive polymer was used owing to their inherent antibacterial and biocompatible characteristics. Chitosan micro-/nanoparticles were synthesized as well as functionalized with photosensitizer (rose bengal) for photodynamic activation. Bioactive chitosan nanoparticle functionalized with a rose bengal is expected to combine the properties of chitosan i.e., polycationic with higher affinity to bacterial cell wall and alter membrane integrity; that of a photosensitizer i.e., to generate singlet oxygen when photoactivated; and the nano-form further potentiate these specific properties. These photodynamically activable chitosan nanoparticles showed the distinct characteristics of chitosan and rose bengal. The synergistic effect of the chitosan conjugated nanoparticles was able to eliminate monospecies and multi-species bacterial biofilms with complete disruption of the biofilm structure. The singlet oxygen generated during photoactivation produced photochemical crosslinking of dentin collagen and infiltration of chitosan nanoparticles. Following crosslinking the dentin collagen showed significantly improved mechanical properties (ultimate tensile strength and toughness) and improved resistance to degradation by bacterial collagenase. In conclusion, this study presents a potential photosensitizer functionalized chitosan nanoparticles based treatment strategy to improve the success of endodontic treatment to achieve complete disinfection of the root canal system and enhanced the mechanical/ structural integrity of the root-filled teeth.
| Identifer | oai:union.ndltd.org:TORONTO/oai:tspace.library.utoronto.ca:1807/43726 |
| Date | 14 January 2014 |
| Creators | Shrestha, Annie |
| Contributors | Kishen, Anil |
| Source Sets | University of Toronto |
| Language | en_ca |
| Detected Language | English |
| Type | Thesis |
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