Antimicrobial, antibiofilm adherent, fracture resistant nano zinc oxide (ZnO NP) formulations based on poly methyl methacrylate (PMMA) matrix were developed using a facile ex situ compression moulding technique. These formulations demonstrated potent, long-term biofilm-resisting effects against Candida albicans (9000 CFU to 1000 CFU) and Streptococcus mutans. Proposed mechanism of biofilm resistance was the release of metallic ions/metal oxide by 'particle-corrosion'. MTT and cellular proliferation assays confirmed both qualitatively and quantitatively equal human skin fibroblast cell line proliferations (approximately 75%) on both PMMA/ZnO formulation and neat PMMA. Mechanical performance was evaluated over a range of filler loading, and theoretical models derived from Einstein, Guth, Thomas and Quemade were chosen to predict the modulus of the nanoformulations. All the models gave better fitting at lower filler content, which could be due to restricted mobility of the polymer chains by the constrained zone/interfacial rigid amorphous zone and also due to stress absorption by the highly energized NPs. Fracture mechanics were clearly described based on substantial experimental evidence surrounding crack prevention in the initial zones of fracture. Filler-polymer interactions at the morphological and structural levels were elucidated through FTIR, XRD, SEM, TEM and AFM analyses. Major clinical challenges in cancer patient rehabilitation and routine denture therapy are frequent breakage of the prostheses and microbial colonization on the prostheses/tissues. In the present study, we succeeded in developing an antimicrobial, mechanically improved fracture resistant, biocompatible nanoformulation in a facile manner without the bio-toxic effects of surface modifiers/functionalization. This PMMA/ZnO nanoformulation could serve as a cost effective breakthrough biomaterial in the field of prosthetic rehabilitation and local drug delivery scaffolds for abused tissues.
Poly(methyl methacrylate) (PMMA) based dental prosthetic materials have an inferior transverse resistance value and a high water-retention capacity. These drawbacks cause frequent prosthesis fractures both inside and outside the mouth, which require the remaking or repair of the prosthesis. The mechanical and physical durability of the polymer matrix can be improved by the incorporation of a multifunctional filler. In this study, we focused on the reinforcing effect of silver nanoparticles (AgNPs) on the flexural properties of PMMA. Apart from that, the transport behavior of water and saliva through this composite matrix was also studied extensively. Morphological analyses with scanning electron microscopy (SEM) and atomic force microscopy imaging techniques confirmed the uniform distribution of nanoparticles in the matrix with an increased surface roughness proportionate to the amount of AgNPs. The flexural strength and modulus were enhanced by the addition of up to 5 wt % AgNPs (p < 0.05); we also observed a significant increase in the fracture resistance. The SEM micrographs of the fractured ends of AgNP-reinforced groups had smaller cracks compared to the large multidirectional cracks in the unreinforced group. The diffusion of oral fluid through the composite was investigated in detail as a function of the AgNP content, the nature of the solvent (water or saliva), and the temperature (5, 28, 37, or 60 C). The water and saliva uptake, diffusion, sorption, and permeation constants were investigated and were found to decrease with increasing AgNP loading. The transport properties could have been related to the morphology of the nanocomposites and followed the Korsmeyer-Peppas model. At high concentrations, the AgNPs formed a local filler-filler network in the polymer matrix. This network hindered the transport of water and saliva through the polymer. The outcome deduced from this study confirmed that the reinforced nanocomposites improved the durability of the denture base and could be an effective replacement for the conventional denture base.
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