Effect of nanogold incorporation into polymethyl methacrylate denture bases on microbial activity in implant-retained mandibular overdentures.

Int J Implant Dent

Lecturer at removable prosthodontic department, Faculty of dental medicine for Girls, Al-Azhar University, Cairo, Egypt.

Published: January 2025

AI Article Synopsis

  • A clinical trial tested the effectiveness of adding nanogold particles to denture bases made of polymethyl methacrylate (PMMA) against standard acrylic bases, focusing on their impact on bacterial growth.
  • Twenty-two male patients with no teeth received either traditional acrylic dentures or those enhanced with nanogold, and microbial growth was measured over time around the implants.
  • Results showed that dentures with nanogold significantly reduced bacteria counts (Candida albicans, Escherichia coli, and Streptococcus mutans) at 2, 4, and 6 months compared to traditional dentures, suggesting a promising improvement in oral hygiene.

Article Abstract

Purpose: In this randomized clinical trial, we examined the incorporation of nanogold particles into polymethyl methacrylate denture bases and compared these modified bases with conventional ones in mandibular implant-retained overdentures, focusing on microbiological growth and adhesion characteristics.

Methods: In this study, twenty-two male patients who were completely edentulous participated in a rehabilitation program involving mandibular overdentures retained by two dental implants placed in the canine area. The subjects were categorized into two equal groups, each comprising eleven patients. Group I received mandibular overdentures fabricated from conventional acrylic denture bases, whereas Group II received mandibular overdentures with bases that had undergone nanogold treatment. Microbial growth and colonization were evaluated around the implant's necks and the fitting surface of each patient's mandibular dentures. Three types of bacteria were studied: Candida albicans, Escherichia coli, and Streptococcus mutans. The mean difference in the counts of bacteria before the denture was inserted and after two, four, and six months has been calculated and analyzed statistically.

Results: Regarding colony count (log 10 CFUs/mmL), there was a significant difference between the research groups. Group II had significantly lower values measured at 2, 4, and 6 months for Candida albicans, Escherichia coli, and Streptococcus mutans, respectively, than group I.

Conclusion: The addition of gold nanoparticles to PMMA denture bases was of greater benefit in inhibiting microbial growth than conventional acrylic resin bases.

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Source
http://dx.doi.org/10.1186/s40729-024-00579-2DOI Listing

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Article Synopsis
  • A clinical trial tested the effectiveness of adding nanogold particles to denture bases made of polymethyl methacrylate (PMMA) against standard acrylic bases, focusing on their impact on bacterial growth.
  • Twenty-two male patients with no teeth received either traditional acrylic dentures or those enhanced with nanogold, and microbial growth was measured over time around the implants.
  • Results showed that dentures with nanogold significantly reduced bacteria counts (Candida albicans, Escherichia coli, and Streptococcus mutans) at 2, 4, and 6 months compared to traditional dentures, suggesting a promising improvement in oral hygiene.
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Purpose: The purpose of this in vitro study was to evaluate and compare the shear bond strength (SBS) of 3 chemically activated, chairside hard reline materials on CAD-CAM milled and conventional heat-polymerized PMMA denture bases.

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A comparative evaluation of retention of record bases fabricated digitally in various types of posterior palatal seal area.

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