Abstract
Objectives
To modify the surface of denture base material by coating it with cinnamon-laden nanofibers to reduce Candida albicans (C. albicans) adhesion and/or proliferation.
Materials and methods
Heat-cured poly(methyl methacrylate) (PMMA) specimens were processed and coated, or not, with cinnamon-laden polymeric nanofibers (20 or 40 wt.% of cinnamon relative to the total polymer weight). Scanning electron microscopy (SEM) and Fourier-transform infrared spectroscopy (FTIR) analyses of the nanofibers were performed. Antifungal activity was assessed through agar diffusion and colony-forming unit (CFU/mL) assays. Representative SEM morphological analysis was carried out to observe the presence/absence of C. albicans on the fibers. Alamar blue assay was used to determine cell toxicity. Analysis of variance and the Tukey’s test were used to analyze the data (α = 0.05).
Results
SEM imaging revealed nanofibers with adequate (i.e., bead-free) morphological characteristics and uniform microstructure. FTIR confirmed cinnamon incorporation. The cinnamon-laden nanofibers led to growth inhibition of C. albicans. Viable fungal counts support a significant reduction on CFU/mL also directly related to cinnamon concentration (40 wt.%: mean log 6.17 CFU/mL < 20 wt.%: mean log 7.12 CFU/mL), which agrees with the SEM images. Cinnamon-laden nanofibers at 40 wt.% led to increased cell death.
Conclusions
The deposition of 20 wt.% cinnamon-laden nanofibers onto PMMA surfaces led to a significant reduction of the adhesive and/or proliferative ability of C. albicans, while maintaining epithelial cells’ viability.
Clinical relevance
The high recurrence rates of denture stomatitis are associated with patient non-adherence to treatments and contaminated prostheses use. Here, we provide the non-patients’ cooperation sensible method, which possesses antifungal action, hence improving treatment effectiveness.
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Acknowledgements
M.C.B. acknowledges the National Institutes of Health (NIH, National Institute of Dental and Craniofacial Research/NIDCR) (Grants K08DE023552 and R01DE026578). J.S.R. would like to thank Coordination for the Improvement of Higher Education Personnel (CAPES; code 001) Brazil for the scholarship.
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Conceptualization: Kantorski KZ, Valandro LF, Bottino MC. Data curation: Ribeiro JS, Bordini EAF, Polasani RR. Formal analysis: Ribeiro JS. Investigation: Ribeiro JS. Methodology: Ribeiro JS, Bordini EAF, Polasani RR. Project administration: Kantorski KZ, Valandro LF, Bottino MC. Resources: Bottino MC. Supervision: Bottino MC. Validation: Kantorski KZ. Visualization: Valandro LF. Writing—original draft: Ribeiro JS; Polasani RR. Writing—review and editing: Pereira GKR, Squarize CH, Kantorski KZ, Valandro LF, Bottino MC.
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Ribeiro, J.S., Bordini, E.A.F., Pereira, G.K.R. et al. Novel cinnamon-laden nanofibers as a potential antifungal coating for poly(methyl methacrylate) denture base materials. Clin Oral Invest 26, 3697–3706 (2022). https://doi.org/10.1007/s00784-021-04341-5
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DOI: https://doi.org/10.1007/s00784-021-04341-5