Skip to main content Skip to main navigation menu Skip to site footer
Review
Published: 10-04-2023

Main approaches of biofilm formation in composite resins: a concise systematic review

UNORTE - University Center of Northern São Paulo, Dentistry department, São José do Rio Preto, São Paulo, Brazil
UNORTE - University Center of Northern São Paulo, Dentistry department, São José do Rio Preto, São Paulo, Brazil
UNORTE - University Center of Northern São Paulo, Dentistry department, São José do Rio Preto, São Paulo, Brazil
UNORTE - University Center of Northern São Paulo, Dentistry department, São José do Rio Preto, São Paulo, Brazil / UNIPOS - Post graduate and continuing education, Dentistry department, São José do Rio Preto, São Paulo, Brazil
Composite resins Biofilms Resin veneers Polymerization retraction

Abstract

Introduction: Composite resins are widely used in clinical dental practice to restore the structure lost by caries and dental defects, achieving aesthetic and functional results. Failures in the photoactivation process can cause problems in the mechanical resistance to wear in regions of direct occlusal contact on the restorative material. This occurs due to the reduction in the degree of conversion of monomers into polymers, compromising the clinical performance of the composite resin. Polymerization shrinkage leads to microleakage of the restoration, leading to staining and the development of bacterial biofilms. Objective: It was to carry out a systematic review of the main scientific evidence of biofilm formation on composite resin veneers, identifying potential predictors, as well as proposals to mitigate this problem. Methods: The systematic review rules of the PRISMA Platform were followed. The search was carried out from December 2022 to March 2023 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases, using articles from 2015 to 2022. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed accordingly, according to the Cochrane instrument. Results and Conclusion: A total of 125 articles were found, 25 articles were evaluated and 20 were included and developed in this systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 10 studies with a high risk of bias and 70 studies that did not meet GRADE. It was concluded that the surface properties of resin-based composite materials, as well as surface treatments, can strongly affect bacterial adhesion and biofilm formation. In addition, scientific evidence highlights that cariogenic biofilm formation can alter the surface properties of materials, thus stimulating bacterial adhesion and biofilm formation. Photoactivation allows the curing and crosslinking of polymer chains, essential for the clinical longevity of the composite resin. Insufficient photoactivation culminates in marginal microleakage in restorations and biofilm accumulation on surfaces exposed to the oral environment.

Metrics

Metrics Loading ...

References

  1. Nguyen AT, Goswami S, Ferracane J, Koley D. Real-time monitoring of the pH microenvironment at the interface of multispecies biofilm and dental composites. Anal Chim Acta. 2022 Apr 8;1201:339589. doi: 10.1016/j.aca.2022.339589.
  2. Wiriyasatiankun P, Sakoolnamarka R, Thanyasrisung P. The impact of an alkasite restorative material on the pH of Streptococcus mutans biofilm and dentin remineralization: an in vitro study. BMC Oral Health. 2022 Aug 8;22(1):334. doi: 10.1186/s12903-022-02354-4.
  3. Rodrigues RAA, Silva RMFDCE, Ferreira LAQ, Branco NTT, Ávila ÉS, Peres AM, Fernandes-Braga W, Sette-Dias AC, Andrade ÂL, Palma-Dibb RG, Magalhães CS, Ladeira LO, Silveira RRD, Moreira AN, Martins Júnior PA, Yamauti M, Diniz IMA. Enhanced mechanical properties, anti-biofilm activity, and cytocompatibility of a methacrylate-based polymer loaded with native multiwalled carbon nanotubes. J Mech Behav Biomed Mater. 2022 Oct 11;136:105511. doi: 10.1016/j.jmbbm.2022.105511.
  4. Mosayebi N, Toodehzaeim MH, Zandi H, Joshan N, Haerian A. Evaluation of the effects of fluoride mouth rinse and varnish on the early biofilm formation of Streptococcus mutans in two types of orthodontic adhesive resins: An in vitro study. Dent Res J (Isfahan). 2022 Jul 18;19:54.
  5. Cazzaniga G, Ottobelli M, Ionescu A, Garcia-Godoy F, Brambilla E. Surface properties of resin-based composite materials and biofilm formation: A review of the current literature. Am J Dent. 2015 Dec;28(6):311-20.
  6. Astasov-Frauenhoffer M, Glauser S, Fischer J, Schmidli F, Waltimo T, Rohr N. Biofilm formation on restorative materials and resin composite cements. Dent Mater. 2018 Nov;34(11):1702-1709. doi: 10.1016/j.dental.2018.08.300.
  7. Wadia R. Composite resin roughness and biofilms. Br Dent J. 2019 Dec;227(12):1041. doi: 10.1038/s41415-019-1111-z.
  8. Kurt A, Özyurt E, Topcuoğlu N. Effect of different beverages on surface properties and cariogenic biofilm formation of composite resin materials. Microsc Res Tech. 2021 Dec;84(12):2936-2946. doi: 10.1002/jemt.23852.
  9. Ionescu AC, Cazzaniga G, Ottobelli M, Garcia-Godoy F, Brambilla E. Substituted NanoHydroxyapatite Toothpastes Reduce Biofilm Formation on Enamel and Resin-Based Composite Surfaces. J Funct Biomater. 2020 Jun 1;11(2):36. doi: 10.3390/jfb11020036.
  10. Ionescu AC, Hahnel S, König A, Brambilla E. Resin composite blocks for dental CAD/CAM applications reduce biofilm formation in vitro. Dent Mater. 2020 May;36(5):603-616. doi: 10.1016/j.dental.2020.03.016.
  11. Barbon FJ, Perin L, Di Domênico BP, Pancotte L, Ghiggi P, Calza JV. Interferência da distância de fotopolimerização na intensidade da luz emitida pelos fotopolimerizadores à luz led. Journal of Oral Investigations, 2016, 4(1), 4-8.
  12. Borges MG, Silva GR, Neves FT, Soares CJ, Faria-e-Silva AL, Carvalho RF, Menezes M. S. Inibição de oxigênio de compósitos de superfície e sua correlação com grau de conversão e estabilidade de cor. Revista Brasileira de Odontologia, 2021, 32, 91-97.
  13. Cruz GAC, Bezerra RB, Pereira TMDS. Harmonização estética de dentes ânterosuperiores com resina composta: relato de caso clínico. RGO-Revista Gaúcha de Odontologia, 2021, 69.
  14. Ferracane JL. Models of Caries Formation around Dental Composite Restorations. Journal of dental research, 2017, 96(4), 364–371.
  15. Escamilla-Gómez G, Sánchez-Vargas O, Escobar-García DM, Pozos-Guillén A, ZavalaAlonso NV, Gutiérrez-Sánchez M, Pérez-López JE, Sánchez-Balderas G, Romo-Ramírez GF, Ortiz-Magdaleno M. Surface degradation and biofilm formation on hybrid and nanohybrid composites after immersion in different liquids. J Oral Sci. 2022 Oct 1;64(4):263-270. doi: 10.2334/josnusd.22-0085.
  16. Guimarães GF, Marcelino E, Cesariano I, Vicente FB, Grandini CR, Simões RP. Minimization of polymerization shrinkage effects on composite resins by the control of irradiance during the photoactivation process. J. Appl. Oral Sci, 2018, 26.
  17. Hao Y, Huang X, Zhou X, Li M, Ren B, Peng X, Cheng L. Influence of Dental Prosthesis and Restorative Materials Interface on Oral Biofilms. International journal of molecular sciences, 2018, 19(10), 3157.
  18. Mazurek-Popczyk J, Nowicki A, Arkusz K, Pałka Ł, Zimoch-Korzycka A, Baldy-Chudzik K. Evaluation of biofilm formation on acrylic resins used to fabricate dental temporary restorations with the use of 3D printing technology. BMC Oral Health. 2022 Oct 13;22(1):442. doi: 10.1186/s12903-022-02488-5.
  19. Mouhat M, Mercer J, Stangvaltaite L, Örtengren U. Light-curing units used in dentistry: factors associated with heat development-potential risk for patients. Clinical oral investigations, 2017, 21(5), 1687–1696. https://doi.org/10.1007/s00784-016-1962-5.
  20. Mouhat M, Stangvaltaite L, Mercer J, Nilsen BW, Örtengren U. Light-curing units used in dentistry: Effect of their characteristics on temperature development in teeth. Dental materials journal, 2021, 40(5), 1177–1188.

How to Cite

Oliveira, K. M. M. de, Perelli, J. V., Costa, C. C. dos S. da, & Kassis, E. N. (2023). Main approaches of biofilm formation in composite resins: a concise systematic review. MedNEXT Journal of Medical and Health Sciences, 4(S2). https://doi.org/10.54448/mdnt23S204