Surface morphology and in vitro leachability of soft liners modified by the incorporation of antifungals for denture stomatitis treatment.

OBJECTIVE: To evaluate the surface morphology and in vitro leachability of temporary soft linings modified by the incorporation of antifungals in minimum inhibitory concentrations (MIC) for Candida albicans biofilm. METHODOLOGY: Specimens of soft lining materials Softone and Trusoft were made without (control) or with the addition of nystatin (Ny), miconazole (Mc), ketoconazole (Ke), chlorhexidine diacetate (Chx), or itraconazole (It) at their MIC for C. albicans biofilm. The surface analyses were performed using Confocal laser scanning microscopy after 24 h, 7 days, or 14 days of immersion in distilled water at 37ºC. In vitro leachability of Chx or Ny from the modified materials was also measured using Ultraviolet visible spectroscopy for up to 14 days of immersion in distilled water at 37ºC. Data (µg/mL) were submitted to ANOVA 1-factor/Bonferroni (α=0.05). RESULTS: Softone had a more irregular surface than Trusoft. Morphological changes were noted in both materials with increasing immersion time, particularly, in those containing drugs. Groups containing Chx and It presented extremely porous and irregular surfaces. Both materials had biexponential release kinetics. Softone leached a higher concentration of the antifungals than Trusoft (p=0.004), and chlorhexidine was released at a higher concentration than nystatin (p<0.001). CONCLUSIONS: The surface of the soft lining materials changed more significantly with the addition of Chx or It. Softone released a higher concentration of drugs than Trusoft did, guiding the future treatment of denture stomatitis.

Surface morphology and in vitro leachability of soft liners modified by the incorporation of antifungals for denture stomatitis treatment

Abstract Objective: To evaluate the surface morphology and in vitro leachability of temporary soft linings modified by the incorporation of antifungals in minimum inhibitory concentrations (MIC) for Candida albicans biofilm. Methodology:Specimens of soft lining materials Softone and Trusoft were made without (control) or with the addition of nystatin (Ny), miconazole (Mc), ketoconazole (Ke), chlorhexidine diacetate (Chx), or itraconazole (It) at their MIC for C. albicans biofilm. The surface analyses were performed using Confocal laser scanning microscopy after 24 h, 7 days, or 14 days of immersion in distilled water at 37ºC. In vitro leachability of Chx or Ny from the modified materials was also measured using Ultraviolet visible spectroscopy for up to 14 days of immersion in distilled water at 37ºC. Data (µg/mL) were submitted to ANOVA 1-factor/Bonferroni (α=0.05). Results: Softone had a more irregular surface than Trusoft. Morphological changes were noted in both materials with increasing immersion time, particularly, in those containing drugs. Groups containing Chx and It presented extremely porous and irregular surfaces. Both materials had biexponential release kinetics. Softone leached a higher concentration of the antifungals than Trusoft (p=0.004), and chlorhexidine was released at a higher concentration than nystatin (p<0.001). Conclusions: The surface of the soft lining materials changed more significantly with the addition of Chx or It. Softone released a higher concentration of drugs than Trusoft did, guiding the future treatment of denture stomatitis.

Peel bond strength of soft lining materials with antifungal to a denture base acrylic resin.

The effect of the addition of nystatin, miconazole, ketoconazole, chlorhexidine, and itraconazole into the soft lining materials Softone and Trusoft on their peel bond strength to a denture base acrylic resin was evaluated. Specimens of soft lining materials (n=7) were made without (control) or with the incorporation of antifungals at their minimum inhibitory concentrations to the biofilm of C. albicans and bonded to the acrylic resin. Peel testing was performed after immersion in distilled water at 37ºC for 24 h, 7 and 14 days. Data (MPa) were analyzed by 3-way ANOVA/Tukey-Kramer test (α=0.05) and the failure modes were classified. The addition of nystatin and ketoconazole did not affect the peel bond strength for up to 14 days. Most failures were predominantly cohesive within soft lining materials. With the exception of itraconazole, incorporating the antifungals into the soft lining materials did not result in values below those recommended for peel bond strength after 7 and 14 days of analysis.

Estudio in vitro de la radiopacidad de los cementos de ionómero de vidrio comparada con dentina y esmalte / In vitro study of radiopacity of glass ionomer cements compared with dentine and enamel

El objetivo del presente estudio fue determinar la radiopacidad de los ionómeros de vidrio comparados con esmalte y dentina. Se utilizó un tercer molar permanente del cual se obtuvo un modelo en yeso extraduro con una preparación cavitaria oclusomesial de 3 milímetros de extensión bucopalatina y 4 milímetros de profundidad, en el cual se prepararon retauraciones indirectas utilizando los ionómeros: Ketac Molar (ESPE), Fuji IX (GC-América), Chemflex (Dentsply), Medifil IX (Promédica), Fuji II LC (GC-América) y Vitremer (3M). Se prepararon cilindros de 3 mm de grosor y 5 mm de diámetro de cada material. se tomaron registros radiográficos digitales con una distancia cono-placa de 5 centímetros de las diferentes muestras, se utilizó un captador CCD con fibra óptica (RVG by Trophy, Francia) de 41 x 25 mm. Cada imagen digital incluyó al diente con una muestra, los cilindros de cada material y uno de aluminio. Las imágenes fueron analizadas en el programa Trophy 2000. Los datos obtenidos fueron sometidos al análisis de varianza (ANOVA) donde se encontraron diferencias estadísticamente significativas entre los materiales y las estructuras dentarias. Todas las muestras presentaron una radiopacidad menor a la del esmalte. El ionómero Fuji IX fue el material más aceptable por presentar una radiopacidad intermedia entre el esmalte y dentina.