Biodeterioration of dental materials: Influence of bacterial adherence

The aim of this work was to carry out a comparative study of microbial adhesion on dental alloys and glass ionomers that release fluoride. The action of NaF on the early stages of biofilm development and on the corrosion of the metallic dental materials was analysed. Open circuit potential measurements and potentiostatic electrochemical techniques with different perturbation programs as well as SEM observations, and optical and epifluorescence microscopy were employed. A notable effect of topography and the nature of the substratum on bacterial distribution was observed. In addition, changes in the density and thickness of microbial colonies were noticed when fluoride was present. The results show that the antimicrobial effect of fluoride was significant against planktonic but not against sessile microorganisms. Fluoride released by glass ionomers did not impede bacterial adhesion to the surface. With respect to corrosion, fluoride did not alter significantly the passivity of the dental metallic biomaterials assayed, except for Cu‐Al alloy. Titanium dissolution could occur at high fluoride concentrations (8gl^‐1) during oxide layer formation. Consequently, bacterial adherence was influenced by the nature and topography of the substratum and by the presence of fluoride which could also affect the electrochemical behaviour of some metallic substrata.     

Effects of fused-ring antibiotics on metallic corrosion

The effect on metallic corrosion of antibiotics containing the fused-ring structure of tetracycline (doxycycline and the dihydrate and hydrochloride salts of oxytetracycline) when present in 1% KCl solution was investigated. Corrosion potential and zero resistance ammetry studies were carried out; the effects observed were variable and depended upon the nature of the metal and its surface condition. All three antibiotics appeared to stimulate the corrosion of Vitallium (cobalt-chromium alloy), but corrosion inhibition was found for as-received titanium with all three antibiotics, for abraded titanium with doxycycline and for stainless steel with oxytetracycline dihydrate.     

Corrosion resistance of nanostructured titanium

The present work reports results of studies of corrosion resistance of pure nano-Ti-Grade 2 after hydrostatic extrusion. The grain size of the examined samples was below 90 nm. Surface analytical technique including AES combined with Ar(+) ion sputtering, were used to investigate the chemical composition and thicknesses of the oxides formed on nano-Ti. It has been found that the grain size of the titanium substrate did not influence the thickness of oxide formed on the titanium. The thickness of the oxide observed on the titanium samples before and after hydrostatic extrusion was about 6 nm. Tests carried out in a NaCl solution revealed a slightly lower corrosion resistance of nano-Ti in comparison with the titanium with micrometric grain size.     

Electrochemical and cytocompatibility assessment of NiTiNOL memory shape alloy for orthodontic use

Orthodontic arcs and wires are mostly realised from alloys and constitute the motor of dental shifting. Ti-base alloys rapidly replaced the formerly used stainless steel wires due to their excellent corrosion resistance, their high mechanical characteristics and their increased biocompatibility. NiTiNOL shape memory alloys add to these advantages their ability of deforming force. NiTiNOL, highly pure Nickel (hp-Ni) and commercially pure titanium (cp-Ti) were tested by electrochemical assays in artificial saliva and in vitro biological tests with L132 cells and HEPM cells. All tests gave concordant results: the electrochemical assays, the proliferation test, the colony forming method, and the inflammatory test clearly show, that nickel is a corrosive and a cytotoxic material. Ti and NiTiNOL are cytocompatible and in particular corrosion resistant. No significant differences are observed for both materials on the electrochemical and the biological level as well. The NiTiNOL shape memory alloy is a master trump for dental practitioners to repair occlusal defects by shifting teeth under optimal biological conditions. In spite of its high Ni-content, it is biocompatible. It considerably reduces the tune of therapeutic treatment, facilitate the occlusal concept and leads to a result of high clinical quality.     

Quantitative proteomic analysis of the effect of fluoride on the acquired enamel pellicle

The acquired enamel pellicle (AEP) is a thin film formed by the selective adsorption of salivary proteins onto the enamel surface of teeth. The AEP forms a critical interface between the mineral phase of teeth (hydroxyapatite) and the oral microbial biofilm. This biofilm is the key feature responsible for the development of dental caries. Fluoride on enamel surface is well known to reduce caries by reducing the solubility of enamel to acid. Information on the effects of fluoride on AEP formation is limited. This study aimed to investigate the effects of fluoride treatment on hydroxyapatite on the subsequent formation of AEP. In addition, this study pioneered the use of label-free quantitative proteomics to better understand the composition of AEP proteins. Hydroxyapatite discs were randomly divided in 4 groups (n = 10 per group). Each disc was exposed to distilled water (control) or sodium fluoride solution (1, 2 or 5%) for 2 hours. Discs were then washed and immersed in human saliva for an additional 2 hours. AEP from each disc was collected and subjected to liquid chromatography electrospray ionization mass spectrometry for protein identification, characterization and quantification. A total of 45 proteins were present in all four groups, 12 proteins were exclusively present in the control group and another 19 proteins were only present in the discs treated with 5% sodium fluoride. Relative proteomic quantification was carried out for the 45 proteins observed in all four groups. Notably, the concentration of important salivary proteins, such as statherin and histatin 1, decrease with increasing levels of fluoride. It suggests that these proteins are repulsed when hydroxyapatite surface is coated with fluoride. Our data demonstrated that treatment of hydroxyapatite with fluoride (at high concentration) qualitatively and quantitatively modulates AEP formation, effects which in turn will likely impact the formation of oral biofilms.     

Enhance Stability and in vitro Cell Response to a Bioinspired Coating on Zr Alloy with Increasing Chitosan Content

The aim of the present paper is to characterize bioinspired chitosan (CS) + hydroxyapatite (HA) coatings with various components ratio on a zirconium alloy with titanium.The coatings were characterized by FT-IR,SEM,hydrophilic/hydrophobic balance,adherence,roughness,electrochemical stability and in vitro cell response.Electrochemical tests,including potentiodynamic polarization curves and electrochemical impedance spectroscopy,were performed in normal saline physiological solution.Cell viability of MC3T3-E1 osteoblasts,lactate dehydrogenase,nitric oxide,and Reactive Oxygen Species (ROS) levels,as well as actin cytoskeleton morphology,were evaluated as biological in vitro tests.The results on in vitro cell response indicated good cell membrane integrity and viability for all samples,but an increased cell number,a decreased ROS level and a better cytoskeleton organization were noticed for the sample with a higher CS content.The coating with highest CS concentration indicated the best performance based on the experimental data.The highest hydrophilic character,highest resistance to corrosion and best biocompatibility as well recommend this coating for bioapplications in tissue engineering.     

Electrochemical properties of biocompatible material hardness modifications on titanium and steel under mechanical loads]

Friction corrosion may appear between different implant components or between implant and hard tissue. The sliding micro movements induce fretting wear corrosion and have been recently reported as a cause of joint prostheses failure. A surface coating is desirable, that retains the mechanical properties of the substrate, offers good biocompatibility and improves the fretting corrosion resistance. In this study it could be demonstrated that tantalum and niobium coatings fulfill the requirements. On titanium substrates the coating decreases the abrasion against PMMA, an orthopedic relevant material. Furthermore, in the case of medical steel substrates the biocompatibility and the corrosion properties are improved. The better abrasion-resistance is minimizing the release of allergological critical particles like nickel and chromium.     

Do oral biofilms influence the wear and corrosion behavior of titanium?

The main aim of this work was to study the simultaneous wear-corrosion of titanium (Ti) in the presence of biofilms composed of Streptococcus mutans and Candida albicans. Both organisms were separately grown in specific growth media, and then mixed in a medium supplemented with a high sucrose concentration. Corrosion and tribocorrosion tests were performed after 48 h and 216 h of biofilm growth. Electrochemical corrosion tests indicated a decrease in the corrosion resistance of Ti in the presence of the biofilms although the TiO₂ film presented the characteristics of a compact oxide film. While the open circuit potential of Ti indicated a tendency to corrosion in the presence of the biofilms, tribocorrosion tests revealed a low friction on biofilm covered Ti. The properties of the biofilms were similar to those of the lubricant agents used to decrease the wear rate of materials. However, the pH-lowering promoted by microbial species, can lead to corrosion of Ti-based oral rehabilitation systems.     

Metallic ion content and damage to the DNA in oral mucosa cells of children with fixed orthodontic appliances

Although the metal devices used in orthodontic treatments are manufactured highly resistance to corrosion, they may still suffer some localized corrosion resulting from the oral cavity conditions. The corrosion causes the release of metals from the alloys used for their manufacture. In this report, we evaluated the in vivo metal ions release of three alloys (stainless steel, titanium and nickel-free) usually used in the orthodontics treatments and its genotoxicity. We applied to 15 patients, between 12 and 16 years, 4 tubes and 20 brackets. Samples from oral mucosa were taken before the treatment and 30 days later. The concentration of the titanium, chromium, manganese, cobalt, nickel, molybdenum and iron were detected using inductively coupled plasma mass spectrometry (ICP-MS). The genotoxicity was measured with a comet assay (Olive moment). The oral mucosa cells in contact with the stainless steel alloy displayed the greatest titanium and manganese concentrations and those in contact with the nickel-free alloy presented the greatest concentration of chromium and iron. Both alloys, stainless steel and nickel-free, induced a higher DNA damage in the oral mucosa cells than the titanium alloy, in which the Olive moment was similar to controls. Based on the results of our study, we can conclude that titanium brackets and tubes are the most biocompatible of the three alloys.     

钛及钛合金种植体表面处理的研究进展

钛的优良特性早已被公认为首选牙用种植材料,其表面氧化膜是形成骨结合的关建。为了进一步增加其耐腐蚀性和生物相容性,人们采取了多种方式进行表面处理,最终达到在植入体的不同部位产生不同的粗糙表面,以利于不同细胞在不同地方的附着,增加其生物活性。同时,达到避免各种污染物对纯钛种植体影响的目的。近年来钛种植体材料表面处理已经成为研究热点,本文就表面处理的方法进行综述。     

医用多孔钛的研究进展

钛及钛合金由于其优良的抗腐蚀性、生物相容性、低密度和高强度等特点，已广泛应用于承力部位的骨修复，但是如何促进 植入体与骨组织界面的有效结合仍是技术瓶颈，一方面由于植入体的弹性模量与骨组织不匹配，由此产生的应力屏蔽易导致植 入体松动，另一方面植入体缺乏骨诱导作用，导致材料骨界面之间不能形成有效的生物化学结合。近来，具有表面优化处理的新 型生物医用多孔钛材料通过引入孔隙的方法，使其与骨组织的力学性能相匹配，并且应用活化改性技术，使其具有生物活性，成 为目前骨替代材料的研究热点和发展方向。本文简要总结了多孔钛材料在力学性能、生物相容性、制备方法和表面改性等方面的 研究进展，强调在保证其多孔优势性能的前提下，通过生物活性因子的引入，进一步改善其生物相容性，提高结合力，延长植入体 的寿命，使其具有诱导成骨功能，是新型多孔钛材料的发展趋势。     

Comparative analysis of corrosion resistance between beta titanium and Ti-6Al-4V alloys: A systematic review

BackgroundThe knowledge of the electrochemical property (corrosion resistance) of beta titanium alloys compared to Ti-6Al-4 V for implants is relevant because of the potential cytotoxic effects that the released ions could cause to long-term health.ObjectivesThe objective of this systematic review was to seek information on the electrochemical properties (corrosion resistance) of beta titanium alloys compared to Ti-6Al-4 V since the awareness of the electrochemical behavior of the implant surface in the medium is essential for the best indication of the alloys or compositional changes, which may promote benefits to bone-implant interaction in all areas that this procedure is required.MethodsThe PubMed, LILACS, COCHRANE Library, and Science Direct databases were electronically searched for the terms: dental implants AND beta-titanium AND Ti-6Al-4 V AND electrochemical technics. The inclusion criteria were research articles that studied beta-titanium compared to Ti-6Al-4 V using electrochemical techniques in electrolytes of chemical composition similar to body fluid, published in English, between 2000 and 2020. Articles that did not compare the corrosion resistance of these alloys in electrolytes similar to body fluids were excluded.ResultsA total of 189 articles were restored and selected by title and/or abstract according to the inclusion and exclusion criteria, which resulted in 15 articles that were reduced to 8 after read in full. The studies in vitro evaluated the corrosion resistance in electrolytes Hank, Ringer, SBF, and 0.9 % NaCl, between beta titanium alloys, obtained by arc fusion or bars stock, and Ti-6Al-4 V, for dental or biomedical implants submitted to surface treatments by heat treatment, plasma electrolytic oxidation (PEO), alkaline treatment, and thermomechanical.ConclusionThe evaluated literature allowed to determine that 1) The oxides Nb₂O ₅, Ta₂O _5, and ZrO₂ have higher stability and protection quality than that of TiO₂ modified by the oxides of Al and V; 2) A higher modulus of elasticity of the Ti-6Al-4 V alloy favors protection against corrosion by maintaining a thicker and more firmly adhered oxide layer; 3) The increase in the thickness of the Ti alloys superficial layer contributes to the improvement of the corrosion resistance.     

Serum Fluoride and Sialic Acid Levels in Osteosarcoma

Osteosarcoma is a rare malignant bone tumor most commonly occurring in children and young adults presenting with painful swelling. Various etiological factors for osteosarcoma are ionizing radiation, family history of bone disorders and cancer, chemicals (fluoride, beryllium, and vinyl chloride), and viruses. Status of fluoride levels in serum of osteosarcoma is still not clear. Recent reports have indicated that there is a link between fluoride exposure and osteosarcoma. Glycoproteins and glycosaminoglycans are an integral part of bone and prolonged exposure to fluoride for long duration has been shown to cause degradation of collagen and ground substance in bones. The present study was planned to analyze serum fluoride, sialic acid, calcium, phosphorus, and alkaline phosphatase levels in 25 patients of osteosarcoma and age- and sex-matched subjects with bone-forming tumours other than osteosarcoma and musculo-skeletal pain (controls, 25 each). Fluoride levels were analyzed by ISE and sialic acid was analyzed by Warren’s method. Mean serum fluoride concentration was found to be significantly higher in patients with osteosarcoma as compared to the other two groups. The mean value of flouride in patients with other bone-forming tumors was approximately 50% of the group of osteosarcoma; however, it was significantly higher when compared with patients of group I. Serum sialic acid concentration was found to be significantly raised in patients with osteosarcoma as well as in the group with other bone-forming tumors as compared to the group of controls. There was, however, no significant difference in the group of patients of osteosarcoma when compared with group of patients with other bone-forming tumors. These results showing higher level of fluoride with osteosarcoma compared to others suggesting a role of fluoride in the disease.     

Fluoride and environmental health: a review

The relationship between environmental fluoride and human health has been studied for over 100 years by researchers from a wide variety of disciplines. Most scientists believe that small amounts of fluoride in the diet can help prevent dental caries and strengthen bones, but there are a number of adverse affects that chronic ingestion at high doses can have on human health, including dental fluorosis, skeletal fluorosis, increased rates of bone fractures, decreased birth rates, increased rates of urolithiasis (kidney stones), impaired thyroid function, and lower intelligence in children. Chronic occupational exposure to fluoride dust and gas is associated with higher rates of bladder cancer and variety of respiratory ailments. Acute fluoride toxicity and even death from the ingestion of sodium fluoride pesticides and dental products have also been reported. The distribution of fluoride in the natural environment is very uneven, largely a result of the geochemical behavior of this element. Fluorine is preferentially enriched in highly evolved magmas and hydrothermal solutions, which explains why high concentrations are often found in syenites, granitoid plutonic rocks, alkaline volcanic, and hydrothermal deposits. Fluoride can also occur in sedimentary formations that contain fluoride-bearing minerals derived from the parent rock, fluoride-rich clays, or fluorapatite. Dissolved fluoride levels are usually controlled by the solubility of fluorite (CaF₂); thus, high concentrations are often associated with soft, alkaline, and calcium-deficient waters. Although much is known about the occurrence and health effects of fluoride, problems persist in Third World countries, where populations have little choice in the source of their drinking water and food. However, even in developed nations, fluoride ingestion can exceed the recommended dose when sources other than drinking water are ignored.     

Inhibition of myosin ATPase by metal fluoride complexes

Magnesium (Mg2+) is the physiological divalent cation stabilizing nucleotide or nucleotide analog in the active site of myosin subfragment 1 (S1). In the presence of fluoride, Mg2+ and MgADP form a complex that traps the active site of S1 and inhibits myosin ATPase. The ATPase inactivation rate of the magnesium trapped S1 is comparable but smaller than the other known gamma-phosphate analogs at 1.2 M-1 s-1 with 1 mM MgCl2. The observed molar ratio of Mg/S1 in this complex of 1.58 suggests that magnesium occupies the gamma-phosphate position in the ATP binding site of S1 (S1-MgADP-MgFx). The stability of S1-MgADP-MgFx at 4 degrees C was studied by EDTA chase experiments but decomposition was not observed. However, removal of excess fluoride causes full recovery of the K+-EDTA ATPase activity indicating that free fluoride is necessary for maintaining a stable trap and suggesting that the magnesium fluoride complex is bonded to the bridging oxygen of beta-phosphate more loosely than the other known phosphate analogs. The structure of S1 in S1-MgADP-MgFx was studied with near ultraviolet circular dichroism, total tryptophan fluorescence, and tryptophan residue 510 quenching measurements. These data suggest that S1-MgADP-MgFx resembles the M**.ADP.Pi steady-state intermediate of myosin ATPase. Gallium fluoride was found to compete with MgFx for the gamma-phosphate site in S1-MgADP-MgFx. The ionic radius and coordination geometry of magnesium, gallium and other known gamma-phosphate analogs were compared and identified as important in determining which myosin ATPase intermediate the analog mimics.     

The interplay between drug resistance and fitness in malaria parasites

Controlling the spread of antimalarial drug resistance, especially resistance of Plasmodium falciparum to artemisinin‐based combination therapies, is a high priority. Available data indicate that, as with other microorganisms, the spread of drug‐resistant malaria parasites is limited by fitness costs that frequently accompany resistance. Resistance‐mediating polymorphisms in malaria parasites have been identified in putative drug transporters and in target enzymes. The impacts of these polymorphisms on parasite fitness have been characterized in vitro and in animal models. Additional insights have come from analyses of samples from clinical studies, both evaluating parasites under different selective pressures and determining the clinical consequences of infection with different parasites. With some exceptions, resistance‐mediating polymorphisms lead to malaria parasites that, compared with wild type, grow less well in culture and in animals, and are replaced by wild type when drug pressure diminishes in the clinical setting. In some cases, the fitness costs of resistance may be offset by compensatory mutations that increase virulence or changes that enhance malaria transmission. However, not enough is known about effects of resistance mediators on parasite fitness. A better appreciation of the costs of fitness‐mediating mutations will facilitate the development of optimal guidelines for the treatment and prevention of malaria.     

Synthèse et greffage de polymères bioactifs sur des surfaces en titane pour favoriser l’ostéointégration

Titanium is widely used in orthopedic and dental implants for its excellent resistance to corrosion and its biocompatibility. In order to improve the long-term osteointegration of titanium, bioactive polymers bearing ionics groups such as sulfonates (sodium polysytrene sulfonate, polyNaSS) are grafted by a covalent way onto titanium surface. The surface is chemically modified and then bioactive polymers are grafted by radical polymerization. The chemical composition of grafted surfaces is given by ATR/FTIR and XPS which certified the presence of sulfonate groups at the surface of grafted titanium. Quantitative grafting of polyNaSS is determined by a colorimetric method and evaluated at 5 μg/cm².In vitro study is performed in order to see the effect of these bioactive polymers on the mineralization of human osteoblast (line MG63). After 28 days of cultured cells on grafted titanium surfaces and non-grafted ones, the amount of calcium onto surfaces is quantified. The results show that the mineralization of these cells is improved with the presence of polyNaSS. The amount of calcium is increased on grafted surfaces compared to non-grafted ones. Cell adhesion was evaluated. Cells were seeded onto grafted and non-grafted titanium and then subjected to detachment forces. The results show that the attachment of human osteoblasts-like cells is increased for grafted titanium with polyNaSS. A study on titanium surface grafted by polymers bearing ionics groups such as carboxylate and phosphate is in progress.     

Stimulatory effect of phenylmethylsulfonyl fluoride upon sulfate uptake by costal cartilage

Uptake of [35S]sulfate by segments of rat costal cartilage during culture was greatly stimulated when freshly prepared phenylmethylsulfonyl fluoride or diisopropylfluorophosphate was included in the incubation medium. By contrast, hydrolysed diisopropylfluorophosphate, sodium fluoride or soybean trypsin inhibitor did not stimulate [35S]sulfate uptake. Incorporation of four other radioactive precursors of cartilage synthesis was almost completely suppressed during cartilage incubation in the presence of phenylmethylsulfonyl fluoride. However, stimulation of [35S]sulfate binding by the latter was shown to occur at sites other than on glycosaminoglycan molecules and to a similar degree with both active and inactivated cartilage. These and other data indicate that the stimulatory effect of phenylmethylsulfonyl fluoride on [35S]sulfate uptake is independent of normal metabolic processes, and may involve the binding of phenylmethylsulfonyl fluoride to cartilage proteins.     

Insights into the fluoride-resistant regulation mechanism of <Emphasis Type="Italic">Acidithiobacillus ferrooxidans</Emphasis> ATCC 23270 based on whole genome microarrays

Acidophilic microorganisms involved in uranium bioleaching are usually suppressed by dissolved fluoride ions, eventually leading to reduced leaching efficiency. However, little is known about the regulation mechanisms of microbial resistance to fluoride. In this study, the resistance of Acidithiobacillus ferrooxidans ATCC 23270 to fluoride was investigated by detecting bacterial growth fluctuations and ferrous or sulfur oxidation. To explore the regulation mechanism, a whole genome microarray was used to profile the genome-wide expression. The fluoride tolerance of A. ferrooxidans cultured in the presence of FeSO₄ was better than that cultured with the S⁰ substrate. The differentially expressed gene categories closely related to fluoride tolerance included those involved in energy metabolism, cellular processes, protein synthesis, transport, the cell envelope, and binding proteins. This study highlights that the cellular ferrous oxidation ability was enhanced at the lower fluoride concentrations. An overview of the cellular regulation mechanisms of extremophiles to fluoride resistance is discussed.     

Microbiological Aspects of Ethylene Oxide Sterilization: I. Experimental Apparatus and Methods

A specially built thermochemical death-rate apparatus is described which can be used to determine the resistance of microorganisms to ethylene oxide under controlled conditions. The apparatus was designed to provide instantaneous exposure of microorganisms to ethylene oxide and to eliminate variables that could result in errors when death kinetic reaction rates are calculated. The apparatus is used to obtain ethylene oxide resistance data which are useful in evaluating and developing sterilizing cycles for materials with known bacterial concentrations, as well as for calculating probability factors on which a given test condition can be expected to provide sterilization.