Sevagaperumal Annapoorani, R Jesanth Joel, Periyasamy Sugavanesh
Department of Public Health Dentistry, CSI College of Dental Sciences and Research, Madurai, Tamil Nadu, India.
Int J Clin Pediatr Dent. 2024 Jun;17(6):630-636. doi: 10.5005/jp-journals-10005-2855.
The current study is aimed to evaluate the antimicrobial and remineralizing properties of toothpaste containing nanosilver and nanohydroxyapatite (NH-NS TP).
The toothpaste was prepared by incorporating NH-NS TP into a toothpaste base. Following this, a physicochemical analysis of the prepared toothpaste was carried out. The toxicity against human gingival fibroblast (HGF-1) cells was assessed. The antimicrobial activity of the toothpaste was evaluated against and using the disk diffusion method. Subsequently, 15 selected human premolar teeth extracted for orthodontic purposes were used to measure the remineralization potential. The surfaces of the selected teeth were demineralized using a prepared demineralizing solution [323.4 mg of calcium chloride (CaCl), M450 µL of calcium acetate (CHCOO)Ca, 300 mg of potassium dihydrogen phosphate (KHPO) at pH 4.4-4.7] for 72 hours and were subjected to a toothbrush simulator applying the prepared toothpaste. The remineralization potential was evaluated by measuring the microhardness of the enamel surface before and after treatment with the toothpaste. Further, the remineralization potential was assessed based on scanning electron microscopy (SEM) imaging accompanied by energy-dispersive X-ray spectroscopy.
The results showed that the NH-NS TP had significantly greater antimicrobial activity compared to the control toothpaste and no toxicity against HGF-1 up to 40 µg. Approximately, 7-9 mm inhibition zone against and 4-6 mm inhibition against was achieved. Additionally, the toothpaste significantly increased (31.4%) the microhardness of the enamel surface, indicating its potential for remineralization. The SEM images revealed the presence of regular deposits, mostly pertaining to the demineralized spots, resulting in a regained smooth surface. Following this, physicochemical analysis of the prepared toothpaste was carried out, resulting in a pH of 7.38 and showing good extrusion, frothing, and organoleptic properties. Additionally, the toothpaste significantly increased the microhardness of the enamel surface, further indicating its potential for remineralization.
NH-NS TP may provide a promising approach for improving oral health by enhancing antimicrobial efficacy and promoting enamel remineralization, while exhibiting reduced toxicity.
Sevagaperumal A, Joel JR Periyasamy S. Formulation and Evaluation of Characteristics, Remineralization Potential, and Antimicrobial Properties of Toothpaste Containing Nanohydroxyapatite and Nanosilver Particles: An Study. Int J Clin Pediatr Dent 2024;17(6):630-636.
本研究旨在评估含纳米银和纳米羟基磷灰石的牙膏(NH - NS TP)的抗菌和再矿化特性。
通过将NH - NS TP掺入牙膏基质中来制备牙膏。在此之后,对制备好的牙膏进行理化分析。评估其对人牙龈成纤维细胞(HGF - 1)的毒性。采用纸片扩散法评估该牙膏对变形链球菌和白色念珠菌的抗菌活性。随后,选取15颗因正畸目的拔除的人类前磨牙来测量其再矿化潜力。使用配制的脱矿溶液[323.4毫克氯化钙(CaCl)、450微升醋酸钙(CH₃COO)₂Ca、300毫克磷酸二氢钾(KH₂PO₄),pH值为4.4 - 4.7]对所选牙齿表面进行72小时脱矿处理,然后使用牙刷模拟器涂抹制备好的牙膏。通过测量牙膏处理前后牙釉质表面的显微硬度来评估再矿化潜力。此外,基于扫描电子显微镜(SEM)成像并结合能量色散X射线光谱来评估再矿化潜力。
结果表明,与对照牙膏相比,NH - NS TP具有显著更强的抗菌活性,且在浓度高达40微克时对HGF - 1无毒性。对变形链球菌形成了约7 - 9毫米的抑菌圈,对白色念珠菌形成了4 - 6毫米的抑菌圈。此外,该牙膏显著提高了(31.4%)牙釉质表面的显微硬度,表明其具有再矿化潜力。SEM图像显示存在规则沉积物,主要与脱矿斑点有关,使表面恢复光滑。在此之后,对制备好的牙膏进行理化分析,pH值为7.38,且具有良好的挤出性、起泡性和感官特性。此外,该牙膏显著提高了牙釉质表面的显微硬度,进一步表明其具有再矿化潜力。
NH - NS TP可能为改善口腔健康提供一种有前景的方法,通过增强抗菌效果和促进牙釉质再矿化,同时降低毒性。
Sevagaperumal A, Joel JR Periyasamy S.含纳米羟基磷灰石和纳米银颗粒牙膏特性、再矿化潜力及抗菌性能的配方与评估:一项体外研究。国际临床儿科牙科学杂志2024;17(6):630 - 636。