Alfouzan Afnan F, Tuwaym Malath, Aldaghri Ebtihal N, Alojaymi Tagreed, Alotiabi Hadeel Minife, Taweel Sara M Al, Al-Otaibi Hanan N, Ali Rizwan, Alshehri Huda, Labban Nawaf
Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia.
College of Dentistry, King Saud University, P.O. Box 60169, Riyadh 11545, Saudi Arabia.
Polymers (Basel). 2023 Jan 15;15(2):460. doi: 10.3390/polym15020460.
This study assessed the efficacy of five denture cleansers on the microbial adherence and surface topography of conventional and CAD/CAM denture base resins. Acrylic resin discs were fabricated using conventional, milling, and 3D printing methods (N = 180). The discs were contaminated with dual species of and biofilm for 72 h and then disinfected with either of the denture cleansers (Fittydent cleansing tablets, 2% Chlorhexidine gluconate, 0.2% Chlorhexidine gluconate, 0.5% sodium hypochlorite, and 1% sodium hypochlorite (n = 10). Distilled water served as the control group. The colony-forming units of the microorganisms were calculated, followed by post-treatment surface roughness. Data were statistically analyzed using one-way ANOVA, paired -test, and post hoc Tukey HSD test (α = 0.05). Among the denture cleansers, 2% Chlorhexidine gluconate, 0.5% sodium hypochlorite, and 1% sodium hypochlorite had the best cleansing effect on the resin discs and demonstrated zero growth of colonies for both the species. Comparing the material groups, the 3D-processed discs showed higher colony-forming units followed by the conventional and CAD/CAM milled group. The highest surface roughness was demonstrated by the 3D-printed discs (0.690 ± 0.08 μm), followed by the conventional (0.493 ± 0.11 μm) and the milled groups (0.301 ± 0.08 μm). The tested chemical denture cleansers affected the and adhesion compared to control discs immersed in distilled water. The clinician may recommend to their patient to use 2% chlorhexidine gluconate for the disinfection of CAD/CAM PMMA denture base materials.
本研究评估了五种义齿清洁剂对传统及计算机辅助设计/计算机辅助制造(CAD/CAM)义齿基托树脂的微生物黏附及表面形貌的影响。采用传统、铣削和3D打印方法制作丙烯酸树脂圆盘(N = 180)。将圆盘用两种细菌的混合生物膜污染72小时,然后用任意一种义齿清洁剂进行消毒(Fittydent清洁片、2%葡萄糖酸氯己定、0.2%葡萄糖酸氯己定、0.5%次氯酸钠和1%次氯酸钠,n = 10)。蒸馏水作为对照组。计算微生物的菌落形成单位,随后测量处理后的表面粗糙度。数据采用单因素方差分析、配对t检验和事后Tukey HSD检验进行统计学分析(α = 0.05)。在义齿清洁剂中,2%葡萄糖酸氯己定、0.5%次氯酸钠和1%次氯酸钠对树脂圆盘的清洁效果最佳,两种细菌的菌落生长均为零。比较材料组,3D加工的圆盘菌落形成单位较高,其次是传统组和CAD/CAM铣削组。3D打印圆盘的表面粗糙度最高(0.690±0.08μm),其次是传统圆盘(0.493±0.11μm)和铣削组(0.301±0.08μm)。与浸泡在蒸馏水中的对照圆盘相比,测试的化学义齿清洁剂影响了两种细菌的黏附。临床医生可建议患者使用2%葡萄糖酸氯己定对CAD/CAM聚甲基丙烯酸甲酯义齿基托材料进行消毒。