Atsushi Ehara

Antibacterial activity of dentine primer containing MDPB after curing

OBJECTIVES A monomer methacryloyloxydodecylpyridinium bromide (MDPB) has antibacterial activity before polymerization. Furthermore, the antibacterial agent is immobilized by the polymerization of MDPB and the resin-based material incorporating MDPB is able to show an antibacterial effect even after being cured. The purpose of this study was to investigate the antibacterial effect of a dentine primer containing MDPB after curing. METHODS The inhibitory effect of a cured MDPB-containing primer on the growth of Streptococcus mutans, Actinomyces viscosus and Lactobacillus casei was determined by the agar-disc method. The bactericidal activity of cured primer during a 1-h contact period was assessed using S. mutans, and the elution of unpolymerized MDPB was measured with high performance liquid chromatography. RESULTS Cured MDPB-containing primer showed an inhibitory effect on the growth of all species which were in contact with the specimen surface, and displayed a little bactericidal effect on S. mutans without releasing any unpolymerized antibacterial components. CONCLUSION Incorporation of antibacterial monomer MDPB into dentine primer is beneficial for providing antibacterial activity after curing.

Degree of conversion of composites measured by DTA and FTIR

OBJECTIVE Differential thermal analysis (DTA) using a split fiber optic light source has been reported to be a convenient method of measuring the degree of conversion (DC) of light-activated composites. The purpose of this study was to compare the results by DTA and Fourier transformation infrared spectroscopy (FTIR), and evaluate the usefulness of the DTA method. METHODS Experimental 2,2-bis[4-(3-methacryloyloxy-2-hydroxypropoxy)phenyl]propane-based composites containing SiO2 filler and various amounts of triethyleneglycol dimethacrylate (TEGDMA) were prepared, and the DC of each composite was determined by DTA or FTIR with 60s irradiation. The DC of three proprietary composites containing hybrid filler or prepolymerized resin filler were also measured by both methods with 20 or 60s irradiation. The results were analyzed by ANOVA and Fishers protected least significant difference test. RESULTS By both DTA and FTIR, the DC of experimental composites increased as the proportion of TEGDMA increased, although DTA showed 3-10% greater values (p<0.05) than FTIR. For proprietary composites that contain hybrid filler, the values by DTA were not significantly different from those by FTIR at 20s exposure. Longer irradiation time resulted in greater DC (p<0.05) for both methods, and DTA showed 5-7% greater values than FTIR. However, the DC of the composite containing prepolymerized resin filler was 30% less by FTIR than by DTA, possibly due to the influence of unpolymerized species in the filler. SIGNIFICANCE The DC values determined by DTA and FTIR showed good agreement for most materials including model composites. In addition, DTA may be more useful than FTIR to measure the DC of composites containing prepolymerized resin filler.

Participation of bacterial biofilms in refractory and chronic periapical periodontitis.

The aim of this study was to examine morphologically the participation of extraradicular biofilm in refractory periapical periodontitis. Six teeth and five extruded root filling gutta-percha points associated with refractory periapical periodontitis were investigated by scanning electron microscope. In nine of 11 samples examined, bacterial biofilms were seen at the extraradicular area. The gutta-percha surface was covered with glycocalyx-like structures, and filaments, long rods, and spirochete-shaped bacteria were predominant in the extraradicular sites. Planktonic cells, which were filaments and spirochete-shaped bacteria, emigrated from the glycocalyx structures in some spots. In the extracted teeth, biofilm consisting of both bacteria and glycocalyx-like structures were observed on the periapical root surfaces. Next to the residual periodontal ligament, a few filaments, rods, and fusiforms were attached on the healthy cementum surface. The present findings suggested that bacterial biofilms formed in the extraradicular areas were related to refractory periapical periodontitis.

Post-irradiation polymerization of composites containing bis-GMA and TEGDMA

OBJECTIVE This study was conducted to evaluate the effect of the amount of TEGDMA on post-irradiation polymerization of bis-GMA based composites. METHODS Four experimental composites containing bis-GMA and TEGDMA at the ratios (w/w) of 75/25, 70/30, 67/33, and 50/50 were prepared. The degree of conversion of each composite was measured by Fourier transformation infrared spectroscopy immediately after being cured and after 24 h of storage, and the post-irradiation polymerization was determined. In addition, the change in respective amounts of residual bis-GMA and TEGDMA in cured specimens over 24 h was determined by high performance liquid chromatography. Data were analyzed by means of ANOVA, followed by a Fishers PLSD test at a significance level of 0.05. RESULTS At both stages of as-cured and after 24 h-sotrage, the composites containing greater amounts of TEGDMA showed a greater degree of conversion. The amount of post-irradiation polymerization decreased as the content of the incorporated TEGDMA increased. The reduction in the amount of TEGDMA remaining unreacted during post-irradiation polymerization also decreased as the content of TEGDMA increased, while the amount of unreacted bis-GMA showed almost constant values. SIGNIFICANCE An increase in the amount of TEGDMA-incorporation in bis-GMA based composites resulted in less post-irradiation polymerization. As the change in the amount of residual unreacted TEGDMA in cured specimens showed the same trend as the results of the post-irradiation polymerization. TEGDMA is considered to be the main contributor to post-irradiation polymerization of bis-GMA based composites.

Antibacterial Activities and Release Kinetics of a Newly Developed Recoverable Controlled Agent-release System

We attempted to develop a resin with a recoverable antibacterial activity based on the desorption/adsorption of a cationic bactericide by the ion-exchange mechanism. The aims of this study were to investigate the release kinetics of the agent and the antibacterial activity of this newly designed resin system. An experimental resin was prepared by the addition of methacrylic acid as a cation-exchanger and a cationic antibacterial agent, cetylpyridinium chloride (CPC), to triethyleneglycol dimethacrylate. The amount of CPC desorbed from the experimental resin into buffer solutions at pH 4-8 was measured. The adsorption of CPC to control resin and re-adsorption of CPC to the experimental resin, which had once desorbed the agent, were also determined. The antibacterial activity of experimental resin against Streptococcus mutans was evaluated, and the relationship between bacterial acid production and antibacterial effect was assessed. The experimental resin desorbed CPC at pH << 6, and the amount of agent desorbed increased with increasing acidity. The control resin adsorbed CPC when immersed in CPC aqueous solution at a rate determined by the concentration of the agent and immersion time. The experimental resin, once desorbed CPC, could re-adsorb the bactericide by being exposed to a solution of the agent. Less plaque formed on the experimental resin, and the growth and survival of S. mutans was inhibited in the condition in which acid was produced. These results demonstrate that the resin system proposed was able to desorb and re-adsorb the cationic bactericide by an ion-exchange mechanism and could show an inhibitory effect on S. mutans growth and plaque formation.

Control of hydroxyapatite crystallinity by mechanical grinding method

Crystallinity of hydroxyapatite reflecting crystal size and crystal elastic strain was controlled by the mechanical grinding (MG) technique using a set of container and balls made of SUS304 stainless steel or agate. Variation in the crystallinity through MG was monitored by the XRD method and represented by the broadening of the diffraction peak. Effect of changes in crystallite size and strain on the crystallinity was also examined using the Hall-plot method.Crystallinity rapidly decreased with milling time. Significant crystallographic diffraction peaks disappeared and a broad diffraction around 2θ=32° was observed after MG for 72 h. The broadening was dominantly due to an increase in crystal strain in addition to fine crystallite size. Contamination from the container and balls during MG was more suppressed using agate than SUS304 stainless steel.The recovery process of crystallinity during heating between 300 °C and 1200 °C was examined focusing on the decrease in residual elastic strain. Low crystallinity was maintained at annealing temperatures below 800 °C but lattice defects were recovered above 1000 °C.© 2001 Kluwer Academic Publishers

Effects of Cyclosporin-A-induced Immunosuppression on Periapical Lesions in Rats

Cyclosporin A (CsA) might induce immune response alterations in periapical lesions and modify bone remodeling. This study determined the changes that occur in the periapical lesions of rats during CsA administration and after CsA withdrawal. After the induction of periapical lesions, the animals were treated with CsA (0–20 mg/kg/day) for 4 wks. Lesion volumes were measured by computed tomography. Histological observations and immunohistochemical evaluations were performed with anti-CD3 and anti-CD25 antibodies. CsA administration reduced lesion volumes, and the lesions significantly expanded after CsA withdrawal. CsA inhibited the proliferation and activation of T-cells at lesion sites. The effects of CsA on T-cells were dose-dependent up to 10 mg/kg/day, after which no significant difference was evident. These results suggest that CsA inhibits periapical destruction by interfering with T-cell function in periapical lesions.