Investigating the Potential of Acacia nilotica-Enriched Glass Ionomer Cement: An Analysis of Antimicrobial Activity and Compressive Strength

Devi K., Paulraj J., George R.S., Shanmugam R., Maiti S.

Khan A.A., Bari A., Abdullah Al-Kheraif A., Alsunbul H., Alhaidry H., Alharthi R., Aldegheishem A.

This laboratory investigation aimed to synthesize and characterize micron-sized Gum Arabic (GA) powder and incorporate it in commercially available GIC luting formulation for enhanced physical and mechanical properties of GIC composite. Oxidation of GA was performed and GA-reinforced GIC in 0.5, 1.0, 2.0, 4.0 & 8.0 wt.% formulations were prepared in disc-shaped using two commercially available GIC luting materials (Medicem and Ketac Cem Radiopaque). While the control groups of both materials were prepared as such. The effect of reinforcement was evaluated in terms of nano hardness, elastic modulus, diametral tensile strength (DTS), compressive strength (CS), water solubility and sorption. Two-way ANOVA and post hoc tests were used to analyze data for statistical significance (p < 0.05). FTIR spectrum confirmed the formation of acid groups in the backbone of polysaccharide chain of GA while XRD peaks confirmed that crystallinity of oxidized GA. The experimental group with 0.5 wt.% GA in GIC enhanced the nano hardness while 0.5 wt.% and 1.0 wt.% GA in GIC increased the elastic modulus compared to the control. The CS of 0.5 wt.% GA in GIC and DTS of 0.5 wt.% and 1.0 wt.% GA in GIC demonstrated elevation. In contrast, the water solubility and sorption of all the experimental groups increased compared to the control groups. The incorporation of lower weight ratios of oxidized GA powder in GIC formulation helps in enhancing the mechanical properties with a slight increase in water solubility and sorption parameters. The addition of micron-sized oxidized GA in GIC formulation is promising and needs further research for improved performance of GIC luting composition.

Heboyan A., Vardanyan A., Karobari M.I., Marya A., Avagyan T., Tebyaniyan H., Mustafa M., Rokaya D., Avetisyan A.

The cementation of indirect restoration is one of the most important steps in prosthetic and restorative dentistry. Cementation aims to bond the prosthetic restoration to the prepared enamel or enamel and dentine. Successful cementation protocols prevent biofilm formation at the margin between tooth and restoration and minimize mechanical and biological complications. With the advancements in dental cements, they have been modified to be versatile in terms of handling, curing, and bond strengths. This review presents updates on dental cements, focusing on the composition, properties, advantages, limitations, and indications of the various cements available. Currently, dental restorations are made from various biomaterials, and depending on each clinical case, an appropriate luting material will be selected. There is no luting material that can be universally used. Therefore, it is important to distinguish the physical, mechanical, and biological properties of luting materials in order to identify the best options for each case. Nowadays, the most commonly used dental cements are glass-ionomer and resin cement. The type, shade, thickness of resin cement and the shade of the ceramic, all together, have a tangible influence on the final restoration color. Surface treatments of the restoration increase the microtensile bond strength. Hence, the proper surface treatment protocol of both the substrate and restoration surfaces is needed before cementation. Additionally, the manufacturer’s instructions for the thin cement-layer thickness are important for the long-term success of the restoration.

Singer L., Bierbaum G., Kehl K., Bourauel C.

Literature lacks sufficient data regarding addition of natural antibacterial agents to glass ionomer cement (GICs). Hence, the aim of the study was to increase the antimicrobial properties of GICs through its modification with mixture of plant extracts to be evaluated along with an 0.5% chlorohexidine-modified GIC (CHX-GIC) with regard to biological and compressive strength properties. Conventional GIC (freeze-dried version) and CHX were used. Alcoholic extract of Salvadora persica, Olea europaea, and Ficus carcia leaves were prepared using a Soxhlet extractor for 12 h. The plant extract mixture (PE) was added in three different proportions to the water used for preparation of the dental cement (Group 1:1 PE, 2:1 PE, and 1:2 PE). Specimens were then prepared and tested against the unmodified GIC (control) and the 0.5% CHX-GIC. Chemical analysis of the extract mixture was performed using Gas chromatography–mass spectrometry. Antimicrobial activity was evaluated using agar diffusion assay against Micrococcus luteus and Streptoccocus mutans. Compressive strength was evaluated according to ISO 9917-1:2007 using a Zwick testing machine at a crosshead speed of 0.5 mm/min. Antimicrobial activity against Streptoccocus mutans was significantly increased for all the extract-modified materials compared to the unmodified cement, and the highest concentration was comparable to the CHX-GIC mixture. The activity against Micrococcus luteus was also significantly increased, but only for the material with the highest extract concentration, and here the CHX-GIC group showed statistically the highest antimicrobial activity. Compressive strength results revealed that there was no statistically significant difference between the different mixtures and the control except for the highest tested concentration that showed the highest mean values. The plant extracts (PEs) enhanced the antimicrobial activity against S. mutans and also against M. luteus in the higher concentration while compressive strength was improved by addition of the PE at higher concentrations.

Miglani S.

Paulraj J.

Nirwana I., Rianti D., Soekartono R.H., Listyorini R.D., Basuki D.P.

Jamshidi-Kia F., Lorigooini Z., Amini-Khoei H.

Human societies have been in close contact with their environments since the beginning of their formation and used the ingredients of the environment to obtain food and medicine. Awareness and application of plants to prepare food and medicine have been realized through trial and error, and gradually human became able to meet his needs from his surroundings. Information about medicinal plants has long been transmitted gradually and from generation to generation, a human knowledge has gradually become complete with the formation of civilizations and the provision of more facilities. Medicinal plants are used as a medical resource in almost all cultures. Ensuring the safety, quality and effectiveness of medicinal plants and herbal drugs very recently became a key issue in industrialized and developing countries. By standardizing and evaluating the health of active plant-derived compounds, herbal drugs can help the emergence of a new era of the healthcare system to treat human diseases in the future. Awareness of traditional knowledge and medicinal plants can play a key role in the exploitation and discovery of natural plant resources. In order to maintain this knowledge, comprehensive approach and collaboration are needed to maintain historical records on medicinal plants and use these resources in favour of human beings, before they are destroyed forever. Therefore, this review was conducted to investigate and describe the process of using medicinal plants throughout history. This review focuses on the recent various important challenges in quality evaluation of medicinal plants in the authenticity, efficacy, toxicity and consistency.

Mittal S., Soni H., Sharma D., Mittal K., Pathania V., Sharma S.

Haque M.M., Alsareii S.A.

Vogel Patrícia, Kasper Machado Isabel, Garavaglia Juliano, Zani Valdeni Terezinha, de Souza Daiana, Morelo Dal Bosco Simone

Sharma A.

Becci A.C., Marti L.M., Zuanon A.C., Brighenti F.L., Spolidório D.M., Giro E.M.

INTRODUCTION: The aim of adding chlorhexidine (CHX) to glass ionomer cements (GIC) is to improve their antibacterial property, but it may interfere with their bond to dentin. OBJECTIVE: To evaluate the influence of adding chlorhexidine diacetate at different concentrations to a high-viscosity GIC on its bond to sound and artificial caries-affected dentin. MATERIAL AND METHOD: Eighty human third molars were used, on which an area of dentin was exposed on the occlusal surface. Half of the specimens were kept sound and the other half were subjected to artificially induced caries. CHX was mixed with GIC powder at 0.5%, 1% and 2% (w/w). GIC without CHX was used as control. On each dentin surface a specimen measuring 1 mm in diameter and 1 mm high was made. The samples were kept at 37 °C and 100% humidity for 24 hours and subject to microshear testing. The results were analyzed using Kruskal-Wallis and Mann Whitney tests (α=0.05). RESULT: There was no significant difference between bond strength of sound and caries-affected dentin (p>0.05). For both substrate conditions, groups GIC, GIC+0.5% CHX and GIC+1% CHX showed statistically similar bond strength (p>0.05), and higher than that of GIC+2% CHX (p<0.025). Cohesive and mixed failures were predominant in all groups. CONCLUSION: The addition of 0.5% and 1% chlorhexidine did not result in negative changes in the bond strength of GIC to caries-affected and sound dentin.

Marti L.M., Mata M.D., Ferraz-Santos B., Azevedo E.R., Giro E.M., Zuanon A.C.

The objective of this work was to determine the effect of different concentrations of chlorhexidine digluconate (CHX) on setting time, surface hardness, maximum tensile bond strength and antibacterial activity of a glass ionomer cement (GIC). The material used as control was Ketac Molar Easymix GIC. CHX was incorporated into the GIC during its manipulation at concentrations of 0.5, 1.0 and 2.0%. Antimicrobial activity against S. mutans and L. acidophilus was evaluated by means of agar diffusion test. Tensile bond strength data were analyzed statistically using Analysis of variance and Tukey's test. Setting time, Vickers hardness and agar diffusion test were analyzed using Kruskal-Wallis and Mann-Whitney tests at a significance level of 5%. It was observed that adding CHX at concentrations of 1% and 2% increased significantly the setting time of the material (p=0.012 and p=0.003, respectively). There was no significant difference between control and 0.5% CHX groups regarding the setting time. Addition of 2% CHX decreased significantly the surface hardness in relation to the control group (p=0.009), followed by the 1% CHX group (p=0.009). The tensile bond strength of the material also decreased significantly after adding CHX at a concentration of 2% (p=0.001). Addition of CHX promoted formation of an inhibition halo in both bacterial strains for all concentrations. The results showed that the best option for clinical use of GIC with CHX is at 0.5% concentration, since antibacterial activity increased and the physical-mechanical properties remained unchanged.

Mawa S., Husain K., Jantan I.

This paper describes the botanical features ofFicus caricaL. (Moraceae), its wide variety of chemical constituents, its use in traditional medicine as remedies for many health problems, and its biological activities. The plant has been used traditionally to treat various ailments such as gastric problems, inflammation, and cancer. Phytochemical studies on the leaves and fruits of the plant have shown that they are rich in phenolics, organic acids, and volatile compounds. However, there is little information on the phytochemicals present in the stem and root. Reports on the biological activities of the plant are mainly on its crude extracts which have been proven to possess many biological activities. Some of the most interesting therapeutic effects include anticancer, hepatoprotective, hypoglycemic, hypolipidemic, and antimicrobial activities. Thus, studies related to identification of the bioactive compounds and correlating them to their biological activities are very useful for further research to explore the potential ofF. caricaas a source of therapeutic agents.