Characterization and antimicrobial efficacy of Portland cement impregnated with silver nanoparticles

PURPOSE This study investigated the effects of silver nanoparticle (SN) loading into hydraulic calcium silicate-based Portland cement on its mechanical, antibacterial behavior and biocompatibility as a novel dental bone substitute. MATERIALS AND METHODS Chemically reduced colloidal SN were combined with Portland cement (PC) by the concentrations of 0 (control), 1.0, 3.0, and 5.0 wt%. The physico-mechanical properties of silver-Portland cement nanocomposites (SPNC) were investigated through X-ray diffraction (XRD), setting time, compressive strength, solubility, and silver ion elution. Antimicrobial properties of SPNC were tested by agar diffusion against Streptococcus mutans and Streptococcus sobrinus. Cytotoxic evaluation for human gingival fibroblast (HGF) was performed by MTS assay. RESULTS XRD certified that SN was successfully impregnated in PC. SPNC at above 3.0 wt% significantly reduced both initial and final setting times compared to control PC. No statistical differences of the compressive strength values were detected after SN loadings, and solubility rates of SPNC were below 3.0%, which are acceptable by ADA guidelines. Ag ion elutions from SPNC were confirmed with dose-dependence on the concentrations of SN added. SPNC of 5.0 wt% inhibited the growth of Streptococci, whereas no antimicrobial activity was shown in control PC. SPNC revealed no cytotoxic effects to HGF following ISO 10993 (cell viability > 70%). CONCLUSION Addition of SN promoted the antibacterial activity and favored the bio-mechanical properties of PC; thus, SPNC could be a candidate for the futuristic dental biomaterial. For clinical warrant, further studies including the inhibitory mechanism, in vivo and long-term researches are still required.

[1]  Nelson Durán,et al.  Silver nanoparticles: A new view on mechanistic aspects on antimicrobial activity. , 2016, Nanomedicine : nanotechnology, biology, and medicine.

[2]  M. Izadi,et al.  The effects of silver nanoparticles on antimicrobial activity of ProRoot mineral trioxide aggregate (MTA) and calcium enriched mixture (CEM) , 2016, Journal of clinical and experimental dentistry.

[3]  V. Zand,et al.  Tissue Reaction and Biocompatibility of Implanted Mineral Trioxide Aggregate with Silver Nanoparticles in a Rat Model , 2015, Iranian endodontic journal.

[4]  S. Afshar,et al.  Improved Photodegradation of Organic Contaminants Using Nano‐TiO2 and TiO2–SiO2 Deposited on Portland Cement Concrete Blocks , 2016, Photochemistry and photobiology.

[5]  M. Samiei,et al.  A New Simulated Plasma for Assessing the Solubility of Mineral Trioxide Aggregate , 2014, Iranian endodontic journal.

[6]  A. Bahador,et al.  In vitro evaluation of the antimicrobial activity of nanosilver-mineral trioxide aggregate against frequent anaerobic oral pathogens by a membrane-enclosed immersion test , 2015, Biomedical journal.

[7]  Young-Kyun Kim,et al.  Alveolar ridge preservation of an extraction socket using autogenous tooth bone graft material for implant site development: prospective case series , 2014, The journal of advanced prosthodontics.

[8]  J. Guerreiro-Tanomaru,et al.  Effect of Zirconium Oxide and Zinc Oxide Nanoparticles on Physicochemical Properties and Antibiofilm Activity of a Calcium Silicate-Based Material , 2014, TheScientificWorldJournal.

[9]  B. Badran,et al.  Physicochemical Characteristics of Bone Substitutes Used in Oral Surgery in Comparison to Autogenous Bone , 2014, BioMed research international.

[10]  Young-Kyun Kim,et al.  Guided bone regeneration using demineralized allogenic bone matrix with calcium sulfate: case series , 2013, The journal of advanced prosthodontics.

[11]  R. Shelton,et al.  Development of Portland cement for orthopedic applications, establishing injectability and decreasing setting times. , 2012, Journal of biomedical materials research. Part B, Applied biomaterials.

[12]  L. F. Gorup,et al.  Silver distribution and release from an antimicrobial denture base resin containing silver colloidal nanoparticles. , 2012, Journal of prosthodontics : official journal of the American College of Prosthodontists.

[13]  K. Nam In vitro antimicrobial effect of the tissue conditioner containing silver nanoparticles , 2011, The journal of advanced prosthodontics.

[14]  James S Hodges,et al.  Ex vivo mechanical properties of dental implant bone cement used to rescue initially unstable dental implants: a rabbit study. , 2011, The International journal of oral & maxillofacial implants.

[15]  Alexander M Seifalian,et al.  Nanosilver as a new generation of nanoproduct in biomedical applications. , 2010, Trends in biotechnology.

[16]  L. Â. Cintra,et al.  Tissue reaction to silver nanoparticles dispersion as an alternative irrigating solution. , 2010, Journal of endodontics.

[17]  R. Hirata Junior,et al.  The antimicrobial activity of gray-colored mineral trioxide aggregate (GMTA) and white-colored MTA (WMTA) under aerobic and anaerobic conditions. , 2010, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[18]  L. Bertassoni,et al.  Effect of additives on the compressive strength and setting time of a Portland cement. , 2010, Brazilian oral research.

[19]  C. Bramante,et al.  The influence of calcium chloride on the setting time, solubility, disintegration, and pH of mineral trioxide aggregate and white Portland cement with a radiopacifier. , 2009, Journal of endodontics.

[20]  Hejun Li,et al.  Effect of carbon fiber dispersion on the mechanical properties of carbon fiber-reinforced cement-based composites , 2008 .

[21]  L. Gilula,et al.  Percutaneous vertebral augmentation: vertebroplasty, kyphoplasty and skyphoplasty. , 2008, Radiologic clinics of North America.

[22]  C. Bergmann,et al.  Injectability evaluation of tricalcium phosphate bone cement , 2008, Journal of materials science. Materials in medicine.

[23]  G. P. Stewart,et al.  Chemical modification of proroot mta to improve handling characteristics and decrease setting time. , 2007, Journal of endodontics.

[24]  H. Khorshidi,et al.  Histological Analysis of the Effect of Accelerated Portland Cement as a Bone Graft Substitute on Experimentally-Created Three-Walled Intrabony Defects in Dogs , 2007, Journal of dental research, dental clinics, dental prospects.

[25]  Ling Chen,et al.  Influence of anti-washout agents on the rheological properties and injectability of a calcium phosphate cement. , 2007, Journal of biomedical materials research. Part B, Applied biomaterials.

[26]  J. Chavasco,et al.  In vitro evaluation of the antimicrobial activity of endodontic sealers. , 2006, Brazilian oral research.

[27]  Helmut Münstedt,et al.  Polyamide/silver antimicrobials: effect of filler types on the silver ion release. , 2005, Journal of biomedical materials research. Part B, Applied biomaterials.

[28]  L. Di Silvio,et al.  The chemical constitution and biocompatibility of accelerated Portland cement for endodontic use. , 2005, International endodontic journal.

[29]  Michael Wagener,et al.  An in vitro assessment of the antibacterial properties and cytotoxicity of nanoparticulate silver bone cement. , 2004, Biomaterials.

[30]  J. Guggenbichler,et al.  Prevention of catheter-related infections: the potential of a new nano-silver impregnated catheter. , 2004, International journal of antimicrobial agents.

[31]  S. Imazato,et al.  Antibacterial activity of bactericide-immobilized filler for resin-based restoratives. , 2003, Biomaterials.

[32]  Qiang Zhu,et al.  Cell and tissue reactions to mineral trioxide aggregate and Portland cement. , 2003, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[33]  J. Nicholson,et al.  An evaluation of accelerated Portland cement as a restorative material. , 2002, Biomaterials.

[34]  F. Cui,et al.  A mechanistic study of the antibacterial effect of silver ions on Escherichia coli and Staphylococcus aureus. , 2000, Journal of biomedical materials research.

[35]  J. D. PÉcora,et al.  Antimicrobial and chemical study of MTA, Portland cement, calcium hydroxide paste, Sealapex and Dycal. , 2000, Brazilian dental journal.

[36]  K. Yoshida,et al.  Characterization and inhibitory effect of antibacterial dental resin composites incorporating silver-supported materials. , 1999, Journal of biomedical materials research.

[37]  H. Nakajima,et al.  Antibacterial temporary filling materials: the effect of adding various ratios of Ag-Zn-Zeolite. , 1998, Journal of oral rehabilitation.

[38]  T R Pitt Ford,et al.  Sealing ability of a mineral trioxide aggregate when used as a root end filling material. , 1993, Journal of endodontics.

[39]  R. S. Tobias Antibacterial properties of dental restorative materials: a review. , 2007, International endodontic journal.