Evidence map›Paper›PMID 39661792›Full record

ArticleBrazilian oral research2024

Antimicrobial activity of PMMA enriched with nano-clay loaded with metronidazole and chlorhexidine.

Eduardo Buozi Moffa, Samuel Santana Malheiros, Larissa Tavares Sampaio Silva, Delcio Ildefonso Branco, Regis Cléo Fernandes Grassia Junior, William Cunha Brandt, Flavia Goncalves, Valentim Adelino Ricardo Barao, Letícia Cristina Cidreira Boaro

Abstract readEvaluation Study
In one paragraph

Article in Brazilian oral research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Eduardo Buozi MoffaUniversity of Saskatchewan, College of Dentistry, Saskatchewan, Canada.ORCID http://orcid.org/0000-0002-0372-6830
Samuel Santana MalheirosUniversidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Prosthodontics and Periodontology, Piracicaba, SP, Brazil.ORCID http://orcid.org/0000-0002-5411-5431
Larissa Tavares Sampaio SilvaUniversidade de São Paulo - USP, School of Dentistry, Department of Biomaterials, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-6937-2003
Delcio Ildefonso BrancoUniversidade de Santo Amaro - Unisa, School of Dentistry, São Paulo, SP, Brazil.ORCID http://orcid.org/0009-0004-0934-7606
Regis Cléo Fernandes Grassia JuniorUniversidade de Santo Amaro - Unisa, School of Dentistry, São Paulo, SP, Brazil.ORCID http://orcid.org/0009-0000-6190-110X
William Cunha BrandtUniversidade de Santo Amaro - Unisa, School of Dentistry, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-6362-0499
Flavia GoncalvesUniversidade de Santo Amaro - Unisa, School of Dentistry, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-7202-7849
Valentim Adelino Ricardo BaraoUniversidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Prosthodontics and Periodontology, Piracicaba, SP, Brazil.ORCID http://orcid.org/0000-0002-6391-9917
Letícia Cristina Cidreira BoaroUniversity of Saskatchewan, College of Dentistry, Saskatchewan, Canada.ORCID http://orcid.org/0000-0002-6687-585X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Poly(methyl methacrylate) (PMMA) materials are highly susceptible to microbial colonization, predisposing patients to oral infections. To address this concern, we loaded PMMA samples with montmorillonite clay (MMT), a crystalline nanoparticle, in combination with chlorhexidine (CHX) or metronidazole (MET) targeting improved antimicrobial action. PMMA samples were prepared with or without MMT loaded with either CHX or MET, establishing the following groups: control (acrylic resin without the addition of nanoparticles), MMT/CHX (acrylic resin with 5% by weight of MMT loaded with CHX), and MMT/MET (acrylic resin with 5% by weight of MMT loaded with MET). Mechanical properties such flexural strength, flexural modulus, and Knoop hardness were evaluated using a universal testing machine. Antimicrobial efficacy was assessed via agar diffusion tests against Enterococcus faecalis and Porphyromonas gingivalis. The addition of MMT loaded with CHX did not affect the flexural strength and flexural modulus of PMMA compared to the control group (p > 0.05). However, MMT/MET reduced all mechanical properties of PMMA (p < 0.05). Both loaded-PMMA materials demonstrated antibacterial activity against E. faecalis but not against P. gingivalis. In conclusion, the incorporation of MMT/CHX into acrylic resin appears to be the most promising approach to combat microbial colonization while preserving PMMA mechanical properties. Future research should focus on optimizing material characteristics to enhance antimicrobial properties, paving the way for clinical applicability.

Indexed as

ChlorhexidineEnterococcus faecalisFlexural StrengthMaterials TestingMetronidazoleNanoparticlesPolymethyl MethacrylatePorphyromonas gingivalisAluminum SilicatesAnalysis of VarianceAnti-Infective AgentsBentoniteClayHardness TestsMicrobial Sensitivity TestsReference ValuesAluminum SilicatesAnti-Infective AgentsBentoniteChlorhexidineClayMetronidazolePolymethyl Methacrylate

Identifiers

PMID39661792
PMCPMC11654885

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.