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Biological properties of an antimicrobial monomer for application in prosthodontics

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Author(s):
Romulo Rocha Regis
Total Authors: 1
Document type: Master's Dissertation
Press: Ribeirão Preto.
Institution: Universidade de São Paulo (USP). Faculdade de Odontologia de Ribeirão Preto (PCARP/BC)
Defense date:
Examining board members:
Raphael Freitas de Souza; Marco Antonio Compagnoni; Cláudia Helena Lovato da Silva
Advisor: Raphael Freitas de Souza
Abstract

Acrylic resins for removable denture base are capable of accumulating biofilm and thus favor the appearance of various problems in the edentulous oral cavity. An antiseptic agent immobilized within the polymeric matrix has a preventive potential against this accumulation, but requires further investigation. The aim of this study was to evaluate the biological properties of methacryloyloxyundecylpyridinium bromide (MUPB), an antiseptic monomer capable of copolymerizing with acrylic resins. The minimum inhibitory and fungicidal/bactericidal concentrations (MIC, MFC/MBC) of MUPB were determined against the species Candida albicans, Candida dubliniensis, Candida glabrata, Lactobacillus casei, Staphylococcus aureus and Streptococcus mutans, in comparison with cetylpyridinium chloride (CCP). After this, the cytotoxicity of MUPB was investigated in fibroblasts, compared with methyl methacrylate (MMA). The antimicrobial activity of different concentrations of MUPB (0, 0.3% and 0.6% w/w) incorporated into a heat polymerized denture base acrylic resin was evaluated by means of disk diffusion tests, and the CFUs adhered to the resin after contact with suspensions of each microorganism were quantified. Microbial adhesion was also evaluated by scanning electron microscopy. Comparisons were made between MUPB and the other substances, as well as between the concentrations incorporated into the resin (α=.05). MUPB presented a lower MIC than CCP for C. dubliniensis and S. mutans (P=.046 and .043, respectively). For the other species, the differences were not significant. For MFC or MBC, significant difference was found only for C. albicans (P=.046). Non polymerized MUPB was shown to be 20 times more cytotoxic than MMA. Irrespective of the concentration incorporated and the species, there was no growth of inhibition halo around the specimens. The incorporation of MUPB only influenced the adhesion of C. albicans (P=.003), with lower CFU counts for the group with the concentration of 0.6%. It was concluded that non polymerized MUPB has an antimicrobial capacity close to that of CCP, and high cytotoxicity when compared with MMA. The antimicrobial activity after incorporation within a denture base acrylic resin did not depend on its elution, but was shown to be restricted to C. albicans. (AU)