Engineering Nitric Oxide-Releasing Antimicrobial Dental Coating for Targeted Gingival Therapy

ACS Appl Bio Mater. 2024 May 20;7(5):2993-3004. doi: 10.1021/acsabm.4c00051. Epub 2024 Apr 9.

Abstract

Bacterial biofilms play a central role in the development and progression of periodontitis, a chronic inflammatory condition that affects the oral cavity. One solution to current treatment constraints is using nitric oxide (NO)─with inherent antimicrobial properties. In this study, an antimicrobial coating is developed from the NO donor S-nitroso-N-acetylpenicillamine (SNAP) embedded within polyethylene glycol (PEG) to prevent periodontitis. The SNAP-PEG coating design enabled a controlled NO release, achieving tunable NO levels for more than 24 h. Testing the SNAP-PEG composite on dental floss showed its effectiveness as a uniform and bioactive coating. The coating exhibited antibacterial properties against Streptococcus mutans and Escherichia coli, with inhibition zones measuring up to 7.50 ± 0.28 and 14.80 ± 0.46 mm2, respectively. Furthermore, SNAP-PEG coating materials were found to be stable when stored at room temperature, with 93.65% of SNAP remaining after 28 d. The coatings were biocompatible against HGF and hFOB 1.19 cells through a 24 h controlled release study. This study presents a facile method to utilize controlled NO release with dental antimicrobial coatings comprising SNAP-PEG. This coating can be easily applied to various substrates, providing a user-friendly approach for targeted self-care in managing gingival infections associated with periodontitis.

Keywords: antimicrobial coating; biofilm; dental pathogens; nitric oxide; periodontitis.

MeSH terms

  • Anti-Bacterial Agents* / chemistry
  • Anti-Bacterial Agents* / pharmacology
  • Biofilms / drug effects
  • Coated Materials, Biocompatible* / chemistry
  • Coated Materials, Biocompatible* / pharmacology
  • Escherichia coli* / drug effects
  • Gingiva / cytology
  • Humans
  • Materials Testing*
  • Microbial Sensitivity Tests
  • Nitric Oxide* / chemistry
  • Nitric Oxide* / metabolism
  • Particle Size
  • Periodontitis / drug therapy
  • Periodontitis / microbiology
  • Polyethylene Glycols / chemistry
  • Polyethylene Glycols / pharmacology
  • S-Nitroso-N-Acetylpenicillamine / chemistry
  • S-Nitroso-N-Acetylpenicillamine / pharmacology
  • Streptococcus mutans* / drug effects
  • Surface Properties