Background
To evaluate the antibacterial property of a modified orthodontic resin with different concentrations of silver-nanoparticles (AgNPs), and quantify its preventive effect on the formation of white spot lesions (WSLs).
Material and Methods
An orthodontic resin (Transbond XT) was modified with four concentrations of AgNPs (1%, 0.5%, 0.1%, and 0.05%), the orthodontic resin without AgNPs was used as control. Polymerized resin discs (n=80) were submitted to Agar diffusion test on Petri dishes inoculated with
Streptococcus mutans
and
Lactobacillus acidophilus
. In addition, resin discs of each group (n=40) were placed in 96-well plates with bacterial suspensions to evaluate the colony-forming-units (CFU). For the WSLs prevention test, brackets were bonded with the experimental orthodontic resins on 45 premolars (n=5), and were subjected to a microbiological caries induction method for 9 days. Photographs were taken before and after the test, and the images were evaluated with the Image J software to calculate the area of WSLs. The data were analyzed using ANOVA and Tukey-HSD test, Student´s t-test and Kruskal-Wallis test (α=0.05).
Results
The 0.5% and 1% AgNPs modified resin inhibit the growth of
S. mutans
and
L. acidophilus
. All the modified resins showed significantly less CFU, when compared to the control (
p
<0.05). 1% AgNPs resin promote the higher prevention of WSLs formation. There was no significant difference between the control group and the 0.1% and 0.05% groups.
Conclusions
0.5% and 1% of AgNPs modified orthodontic resin exhibit an important antibacterial activity against
S. mutans
and
L. acidophilus
, and prevent the formation of WSLs.
Key words:
White spot lesions, antibacterial, orthodontics, adhesive, Silver-nanoparticles.