The aerosol transmissibility of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has impacted the delivery of health care and essentially stopped the provision of medical and dental therapies. Dentistry uses rotary, ultrasonic, and laser-based instruments that produce water-based aerosols in the daily, routine treatment of patients. Abundant aerosols are generated, which reach health care workers and other patients. Viruses, including SARS-CoV-2 virus and related coronavirus disease (COVID-19) pandemic, continued expansion throughout the USA and the world. The virus is spread by both droplet (visible drops) and aerosol (practically invisible drops) transmission. The generation of aerosols in dentistry—an unavoidable part of most dental treatments—creates a high-risk situation. The US Centers for Disease Control and The Occupational Safety and Health Administration consider dental procedures to be of “highest risk” in the potential spreading of SARS-CoV-2 and other respiratory viruses. There are several ways to reduce or eliminate the virus: (i) cease or postpone dentistry (public and personal health risk), (ii) screen patients immediately prior to dental treatment (by appropriate testing, if any), (iii) block/remove the virus containing aerosol by engineering controls together with stringent personal protective equipment use. The present work takes a novel, fourth approach. By altering the physical response of water to the rotary or ultrasonic forces that are used in dentistry, the generation of aerosol particles and the distance any aerosol may spread beyond the point of generation can be markedly suppressed or completely eliminated in comparison to water for both the ultrasonic scaler and dental handpiece.
Antimicrobial
nonwovens for single use applications (e.g., diapers,
sanitary napkins, medical gauze, etc.) are of utmost importance as
the first line of defense against bacterial infections. However, the
utilization of petrochemical nondegradable polymers in such nonwovens
creates sustainability-related issues. Here, sustainable poly(hydroxybutyrate)
(PHB) and ε-poly-l-lysine (ε-PLL) submicro- and
microfiber-based antimicrobial nonwovens produced by a novel industrially
scalable process, solution blowing, have been proposed. In such nonwovens,
ε-PLL acts as an active material. In particular, it was found
that most of ε-PLL is released within the first hour of deployment,
as is desirable for the applications of interest. The submicro- and
microfiber mat was tested against C. albicans and E. coli, and it was found that ε-PLL-releasing
microfibers result in a significant reduction of bacterial colonies.
It was also found that ε-PLL-releasing antimicrobial submicro-
and microfiber nonwovens are safe for human cells in fibroblast culture.
Mechanical characterization of these nonwovens revealed that, even
though they are felt as soft and malleable, they possess sufficient
strength, which is desirable in the end-user applications.
Over the last few years, traditional drug delivery systems (DDSs) have been transformed into smart DDSs. Recent advancements in biomedical nanotechnology resulted in introducing stimuli-responsiveness to drug vehicles. Nanoplatforms can enhance drug release efficacy while reducing the side effects of drugs by taking advantage of the responses to specific internal or external stimuli. In this study, we developed an electrospun nanofibrous photo-responsive DDSs. The photo-responsivity of the platform enables on-demand elevated drug release. Furthermore, it can provide a sustained release profile and prevent burst release and high concentrations of drugs. A coaxial electrospinning setup paired with an electrospraying technique is used to fabricate core-shell PVA-PLGA nanofibers decorated with plasmonic nanoparticles. The fabricated nanofibers have a hydrophilic PVA and Rhodamine-B (RhB) core, while the shell is hydrophobic PLGA decorated with gold nanorods (Au NRs). The presence of plasmonic nanoparticles enables the platform to twice the amount of drug release besides exhibiting a long-term release. Investigations into the photo-responsive release mechanism demonstrate the system's potential as a "smart" drug delivery platform.
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