Novel antibacterial dental resin containing silanized hydroxyapatite nanofibers with remineralization capability

Dent Mater. 2022 Dec;38(12):1989-2002. doi: 10.1016/j.dental.2022.11.014. Epub 2022 Nov 21.

Abstract

Objectives: Secondary caries is the primary issue that causes restoration failure. The objectives of this study were to: (1) synthesize silanized hydroxyapatite nanofibers loaded with erythromycin (s-HAFs@EM); (2) evaluate the mechanical property, antibacterial activity, and remineralization capability of the novel dental resin containing s-HAFs@EM.

Methods: s-HAFs were prepared by the solvothermal approach and loaded with EM. Characterization and antibacterial activity were evaluated. Subsequently, s-HAFs@EM were incorporated into dental resin at different mass fractions (5 %, 10 %, 15 %, and 20 %), and then they were submitted to characterization, including mechanical property, antibacterial activity, remineralization capability, and cytotoxicity.

Results: s-HAFs@EM were successfully synthesized, and they exhibited excellent antibacterial activity. Resin containing 15 % s-HAFs@EM exhibited the best flexural strength (118.67 ± 15.71 MPa) and elastic modulus (2.02 ± 0.30 GPa) (P < 0.05), which were increased by 65.43 % and 90.7 %, compared to those of neat resin, respectively. Resin with 15-20 % s-HAFs@EM showed high antibacterial rate (>85 %) when compared control group (P < 0.05). Furthermore, resin also exhibited a definite remineralization capability and good biosafety in vitro.

Significance: This novel multifunctional resin with improved mechanical property, desirable antibacterial activity and remineralization capability is promising to combat secondary caries.

Keywords: Antibacterial; Erythromycin; Hydroxyapatite nanofibers; Mechanical property; Remineralization; Resin; Silanization.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Dental Care
  • Dental Caries* / drug therapy
  • Durapatite / pharmacology
  • Humans
  • Nanofibers*
  • Resins, Synthetic

Substances

  • Durapatite
  • Anti-Bacterial Agents
  • Resins, Synthetic