Dasmawati Mohamad

Review on Zinc Oxide Nanoparticles: Antibacterial Activity and Toxicity Mechanism

Antibacterial activity of zinc oxide nanoparticles (ZnO-NPs) has received significant interest worldwide particularly by the implementation of nanotechnology to synthesize particles in the nanometer region. Many microorganisms exist in the range from hundreds of nanometers to tens of micrometers. ZnO-NPs exhibit attractive antibacterial properties due to increased specific surface area as the reduced particle size leading to enhanced particle surface reactivity. ZnO is a bio-safe material that possesses photo-oxidizing and photocatalysis impacts on chemical and biological species. This review covered ZnO-NPs antibacterial activity including testing methods, impact of UV illumination, ZnO particle properties (size, concentration, morphology, and defects), particle surface modification, and minimum inhibitory concentration. Particular emphasize was given to bactericidal and bacteriostatic mechanisms with focus on generation of reactive oxygen species (ROS) including hydrogen peroxide (H2O2), OH− (hydroxyl radicals), and O2−2 (peroxide). ROS has been a major factor for several mechanisms including cell wall damage due to ZnO-localized interaction, enhanced membrane permeability, internalization of NPs due to loss of proton motive force and uptake of toxic dissolved zinc ions. These have led to mitochondria weakness, intracellular outflow, and release in gene expression of oxidative stress which caused eventual cell growth inhibition and cell death. In some cases, enhanced antibacterial activity can be attributed to surface defects on ZnO abrasive surface texture. One functional application of the ZnO antibacterial bioactivity was discussed in food packaging industry where ZnO-NPs are used as an antibacterial agent toward foodborne diseases. Proper incorporation of ZnO-NPs into packaging materials can cause interaction with foodborne pathogens, thereby releasing NPs onto food surface where they come in contact with bad bacteria and cause the bacterial death and/or inhibition.

Water sorption characteristics of restorative dental composites immersed in acidic drinks

OBJECTIVES To determine the diffusion coefficient, water sorption and solubility of various types of restorative dental composites and to evaluate the effect of acidic media (orange juice and coke) on their characteristics. METHODS Resin composite specimens (Filtek™ Z350, Spectrum(®) TPH(®)3 and Durafill(®) VS) were prepared in a stainless steel mold of 1mm thickness and 10mm diameter (n=5) and light-cured. All samples were dried at 37°C, immersed in media (distilled water, orange and coke) at 37°C and weighed at suitable time intervals (15, 35, 155, 320, 785, etc.min) until 40 days of immersion and then were dried again for 40 days. Diffusion coefficient (m(2)s(-1)) was determined according to Ficks second law while water sorption and solubility (μg/mm(3)) were calculated based on BS EN ISO 4049:2000. Data of water sorption and solubility were analyzed with One-Way ANOVA and post hoc Scheffe test at p=0.05. RESULTS The experimental data obtained were obeyed and nearly fitted to the diffusion theoretical data plot. The highest values of diffusion coefficients were presented by Durafill(®) VS (32.23-45.25×10(-13)m(2)s(-1)). Diffusion coefficients of Filtek™ Z350 and Spectrum(®) TPH(®)3 were the highest when immersed in coke media followed by distilled water and orange juice. The water sorption of most composites was significantly increased after immersion in coke and orange (p<0.05). Meanwhile only Spectrum(®) TPH(®)3 showed an increase in solubility when immersed in coke media. Z350 presented the highest water sorption after immersion in distilled water and coke (16.13 and 18.22μg/mm(3)) while Durafill(®) VS presented the highest solubility (7.20-9.27μg/mm(3)). SIGNIFICANCE The exposure of restorative dental composites to acidic drinks can cause an increase in diffusion coefficient, water sorption and solubility parameters which may accelerate the degradation process and thus reduce the life span of composite restoration.

Preparation and characterization of a newly developed polyamide composite utilising an affordable 3D printer

In this work, the potential of polyamide composite prepared by a 3D printer was evaluated. Polyamide 12 was compounded with 5 wt% hydroxyapatite and 15 wt% zirconium oxide fillers via a twin screw extruder. The compound was then pelletized prior to the preparation of the filament by a desktop filament extruder. The filament was finally applied to a 3D printer to prepare the printed tensile samples. Pure polyamide 12 and commercial polyamide filament, Taulman 618, were also printed and tested for control. Melt flow and thermal analysis were carried out to estimate the processing conditions. Tensile test was also conducted to evaluate the strength and modulus. The new polyamide composite was successfully prepared and tested. The strength of polyamide composite was comparable to Taulman 618. The modulus of the composite was improved due to the incorporation of fillers. The morphology of the printed composite was porous, which could provide pros and cons to biological and mechanical properties, respectively. Polyamide composite presented a promising polymer material for a 3D printer and may be applied for biomaterial application.

Genotoxicity evaluation of dental restoration nanocomposite using comet assay and chromosome aberration test

Nanocomposite is used as a dental filling to restore the affected tooth, especially in dental caries. The dental nanocomposite (KelFil) for tooth restoration used in this study was produced by the School of Dental Sciences, Universiti Sains Malaysia, Malaysia and is incorporated with monodispersed, spherical nanosilica fillers. The aim of the study was to determine the genotoxic effect of KelFil using in vitro genotoxicity tests. The cytotoxicity and genotoxicity of KelFil was evaluated using MTT assay, comet assay and chromosome aberration tests with or without the addition of a metabolic activation system (S9 mix), using the human lung fibroblast cell line (MRC-5). Concurrent negative and positive controls were included. In the comet assay, no comet formation was found in the KelFil groups. There was a significant difference in tail moment between KelFil groups and positive control (p < 0.05). Similarly, no significant aberrations in chromosomes were noticed in KelFil groups. The mitotic indices of treatment groups and negative control were significantly different from positive controls. Hence, it can be concluded that the locally produced dental restoration nanocomposite (KelFil) is non-genotoxic under the present test conditions.

Association between Emotional Intelligence and Perceived Stress in Undergraduate Dental Students

BACKGROUND This study investigated the association of emotional intelligence (EI) and other factors with perceived stress (PS) in undergraduate dental students. METHODS A total of 234 undergraduate dental students at the School of Dental Sciences, Universiti Sains Malaysia (USM), in the academic year of 2009/2010, participated in this cross-sectional study. Self-administered questionnaires, the Assessing Emotions Scale and the Perceived Stress Scale (PSS-10), were used to evaluate EI and PS, respectively. RESULTS The mean EI score was 121.2 (SD 11.85). The scores were significantly higher in females than males, and in students who chose dentistry based on their own interest rather than in those who were motivated by others to study dentistry. The mean PSS-10 score was 21.2 (SD 5.08). Pearson correlation analysis indicated a significant inverse relationship between EI and PSS-10 scores (r = -0.337). Multi-variable regression analysis also indicated a significant negative linear association between EI and PSS-10 scores (b = -0.156, 95% CI: -0.207, -0.104). PSS-10 scores were significantly higher for students who were in the clinical years rather than the preclinical years. CONCLUSIONS This study of USM undergraduate dental students shows that a low EI, female sex, and being in the clinical years were significant predictors of PS.

In-vitro efficacy of different morphology zinc oxide nanopowders on Streptococcus sobrinus and Streptococcus mutans

ZnO with two different morphologies were used to study the inhibition of Streptococcus sobrinus and Streptococcus mutans which are closely associated with tooth cavity. Rod-like shaped ZnO-A and plate-like shaped ZnO-B were produced using a zinc boiling furnace. The nanopowders were characterized using energy filtered transmission electron microscopy (EFTEM), X-ray diffraction (XRD), photoluminescence (PL) spectroscopy, Raman spectroscopy and dynamic light scattering (DLS) to confirm the properties of the ZnO polycrystalline wurtzite structures. XRD results show that the calculated crystallite sizes of ZnO-A and ZnO-B were 36.6 and 39.4nm, respectively, whereas DLS revealed particle size distributions of 21.82nm (ZnO-A) and 52.21nm (ZnO-B). PL spectra showed ion vacancy defects related to green and red luminescence for both ZnO particles. These defects evolved during the generation of reactive oxygen species which contributed to the antibacterial activity. Antibacterial activity was investigated using microdilution technique towards S. sobrinus and S. mutans at different nanopowder concentrations. Results showed that ZnO-A exhibited higher inhibition on both bacteria compared with ZnO-B. Moreover, S. mutans was more sensitive compared with S. sobrinus because of its higher inhibition rate.

Shear bond strength of computer-aided design and computer-aided manufacturing feldspathic and nano resin ceramics blocks cemented with three different generations of resin cement.

Aim: To evaluate the shear bond strength between the dentin substrate and computer-aided design and computer-aided manufacturing feldspathic ceramic and nano resin ceramics blocks cemented with resin cement. Materials and Methods: Sixty cuboidal blocks (5 mm × 5 mm × 5 mm) were fabricated in equal numbers from feldspathic ceramic CEREC® Blocs PC and nano resin ceramic Lava™ Ultimate, and randomly divided into six groups (n = 10). Each block was cemented to the dentin of 60 extracted human premolar using Variolink® II/Syntac Classic (multi-steps etch-and-rinse adhesive bonding), NX3 Nexus® (two-steps etch-and-rinse adhesive bonding) and RelyX™ U200 self-adhesive cement. All specimens were thermocycled, and shear bond strength testing was done using the universal testing machine at a crosshead speed of 1.0 mm/min. Data were analyzed using one-way ANOVA. Results: Combination of CEREC® Blocs PC and Variolink® II showed the highest mean shear bond strength (8.71 Mpa), while the lowest of 2.06 Mpa were observed in Lava™ Ultimate and RelyX™ U200. There was no significant difference in the mean shear bond strength between different blocks. Conclusion: Variolink® II cement using multi-steps etch-and-rinse adhesive bonding provided a higher shear bond strength than the self-adhesive cement RelyX U200. The shear bond strength was not affected by the type of blocks used.

Mechanical and cytotoxicity properties of hybrid ceramics filled polyamide 12 filament feedstock for craniofacial bone reconstruction via fused deposition modelling

OBJECTIVE To compare the mechanical and biological properties of newly developed hybrid ceramics filled and unfilled polyamide 12 (PA 12) for craniofacial reconstruction via a fused deposition modelling (FDM) framework. METHODS 15wt% of zirconia (ZrO2) as well as 30, 35, and 40wt% of beta-tricalcium phosphate (β-TCP) were compounded with PA 12, followed by the fabrication of filament feedstocks using a single screw extruder. The fabricated filament feedstocks were used to print the impact specimens. The melt flow rate, tensile properties of fabricated filament feedstocks, and 3D printed impact properties of the specimens were assessed using melt flow indexer, universal testing machine, and Izod pendulum tester, respectively. The microstructure of selected filament feedstocks and broken impact specimens were analysed using a field emission scanning electron microscope and universal testing machine. Human periodontal ligament fibroblast cells (HPdLF) were used to evaluate the cytotoxicity of the materials by (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazoliumbromid) (MTT) assay. RESULTS Hybrid ceramics filled PA 12 indicated sufficient flowability for FDM 3D printing. The tensile strength of hybrid ceramics filled PA 12 filament feedstocks slightly reduced as compared to unfilled PA 12. However, the tensile modulus and impact strength of hybrid ceramics filled PA 12 increased by 8%-31% and 98%-181%, respectively. A significant increase was also detected in the cell viability of the developed composites at concentrations of 12.5, 25, 50 and 100mg/ml. SIGNIFICANCE The newly developed hybrid ceramics filled PA 12 filament feedstock with improved properties is suitable for an FDM-based 3D printer, which enables the creation of patient-specific craniofacial implant at a lower cost to serve low-income patients.

Effect of zinc oxide on flexural and physical properties of PMMA composites

Polymethylmethacrylate (PMMA) is the most widely accepted material in maxillofacial implants due to its superior advantages. The material used for craniofacial implant should have good mechanical and antibacterial properties to withstand forces and eliminate infection. A study was conducted to prepare PMMA incorporated with β-tricalcium phosphate (β -TCP) filler and zinc oxide as an antibacterial agent at different compositions and investigate the flexural properties of the produced PMMA/β- TCP/ZnOcomposites. Pure PMMA as control,15 % β –TCP filled, 15% β –TCPwith 2.5% ZnO filled as well as15% β -TCPwith5% ZnOfilled PMMA were prepared. PMMA were mixed together with β -TCP and zinc oxide manually according to the percentages specified until it has reached the homogeneous state. Flexural specimens were prepared by casting the paste in silicone mould which has been fabricated using 3D printed flexural template. The number of samples was n=7 for each composition. Statistical analysis of One Way ANOVA was empl...

Surface topography study of prepared 3D printed moulds via 3D printer for silicone elastomer based nasal prosthesis

Conventional prosthesis fabrication is highly depends on the hand creativity of laboratory technologist. The development in 3D printing technology offers a great help in fabricating affordable and fast yet esthetically acceptable prostheses. This study was conducted to discover the potential of 3D printed moulds for indirect silicone elastomer based nasal prosthesis fabrication. Moulds were designed using computer aided design (CAD) software (Solidworks, USA) and converted into the standard tessellation language (STL) file. Three moulds with layer thickness of 0.1, 0.2 and 0.3mm were printed utilizing polymer filament based 3D printer (Makerbot Replicator 2X, Makerbot, USA). Another one mould was printed utilizing liquid resin based 3D printer (Objet 30 Scholar, Stratasys, USA) as control. The printed moulds were then used to fabricate maxillofacial silicone specimens (n=10)/mould. Surface profilometer (Surfcom Flex, Accretech, Japan), digital microscope (KH77000, Hirox, USA) and scanning electron microsc...