Novel Nano Calcium Fluoride Remineralizing and Antibacterial Dental Composites

J Dent. 2021 Oct:113:103789. doi: 10.1016/j.jdent.2021.103789. Epub 2021 Aug 26.

Abstract

Objective: Composites with remineralizing and antibacterial properties are favorable for caries inhibition. The objectives of this study were to develop a new bioactive nanocomposite with remineralizing and antibiofilm properties by incorporating dimethylaminohexadecyl methacrylate (DMAHDM) and nano-calcium fluoride (nCaF2).

Methods: nCaF2 was produced via a spray-drying method and integrated at 15% mass fraction into composite. DMAHDM was added at 3% mass fraction. Mechanical properties and F and Ca ion releases were assessed. Colony-forming units (CFU), lactic acid and metabolic activity of biofilms on composites were performed.

Results: The new composites had flexural strengths of (95.28±6.32) MPa and (125.93±7.49) MPa, which were within the ISO recommendations. Biofilm CFU were reduced by 3-4 log (p<0.05). The composites achieved high F releases of (0.89±0.01) mmol/L and (0.44±0.01) mmol/L, and Ca releases of (1.46±0.05) mmol/L and (0.54±0.005) mmol/L.

Conclusions: New nanocomposites were developed with good mechanical properties, potent antibacterial activity against salivary biofilms, and high F and Ca ion releases with potential for remineralization.

Clinical significance: Novel nanocomposites using nCaF2 and DMAHDM were developed with potent antibacterial and remineralizing effects and high F and Ca ion releases. They are promising to inhibit recurrent caries, promote remineralization, and possess long-term sustainability.

Keywords: Antibacterial; Antibiofilm; Bioactive; Calcium fluoride nanoparticles; Dental composites; Remineralizing.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Biofilms
  • Calcium Fluoride
  • Calcium Phosphates / pharmacology
  • Fluorides* / pharmacology
  • Methacrylates
  • Nanocomposites*

Substances

  • Anti-Bacterial Agents
  • Calcium Phosphates
  • Methacrylates
  • Calcium Fluoride
  • Fluorides