Next Article in Journal
Solvent Effect on Cation⊗3π Interactions: A First-Principles Study
Previous Article in Journal
Visual Detection of Ascorbic Acid via Smartphone with Portable Probe Based on Assembled FePO4@GO Peroxidase-like Nanozyme
Previous Article in Special Issue
Structural and Biological Studies of Bioactive Silver(I) Complexes with Coumarin Acid Derivatives
 
 
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Fabrication of Rapidly Soluble Zn2+-Releasing Phosphate-Based Glass and Its Incorporation into Dental Resin

1
Department of Dental Biomaterials, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka, Suita 565-0871, Japan
2
Joint Research Laboratory of Advanced Functional Materials Science, Osaka University Graduate School of Dentistry, 1-8, Yamadaoka, Suita 565-0871, Japan
3
Department of Operative Dentistry, Faculty of Dentistry, Chulalongkorn University, Pathum Wan, Bangkok 10330, Thailand
*
Author to whom correspondence should be addressed.
Molecules 2024, 29(21), 5098; https://doi.org/10.3390/molecules29215098
Submission received: 16 September 2024 / Revised: 26 October 2024 / Accepted: 27 October 2024 / Published: 29 October 2024

Abstract

:
Phosphate-based glasses are known for their excellent biocompatibility and adjustable degradation rates. In this study, we fabricated a rapidly soluble zinc-ion-releasing phosphate-based glass (RG) specifically designed for use in dental cavity liners. The aim of this study was to evaluate the ion-releasing properties and antibacterial effects of RG. Additionally, a dental resin incorporating RG was fabricated to serve as a cavity liner, and its effectiveness was investigated in vitro. The RG formulation exhibited high solubility and released high concentrations of Zn2+ at various pH values. To assess the antibacterial properties of RG, six bacterial species detected in deep carious regions were incubated in the presence of RG. In vitro antibacterial testing against six bacterial species revealed that RG exhibited strong bactericidal effects against these prevalent bacteria. Furthermore, using a dentin model infected with Lactobacillus casei or Streptococcus mutans, the experimental resin containing RG demonstrated an effective bactericidal effect in the dentinal tubules, highlighting its potential as a promising material for cavity liners or pulp-capping applications.

1. Introduction

Despite advancements in preventive and therapeutic strategies, dental caries remain a significant challenge for both oral health professionals and patients [1]. Delayed or inadequate treatment of early caries can result in its progression beyond the enamel, reaching the dentin and pulp, thereby increasing the likelihood of deep caries [2]. For the treatment of deep caries, selective (incomplete) caries removal is widely recommended, a technique that involves partially removing carious dentin while leaving some affected dentin intact to avoid pulp exposure [3,4]. In addition to the less invasive technique, the application of cavity liners or indirect pulp-capping materials is often proposed to further protect the dentin and promote healing [5,6]. Calcium hydroxide (Ca(OH)2) is one of the most commonly employed liners and pulp-capping agents, known for its antibacterial properties, which are believed to result from the creation of a localized alkaline pH upon dissolution [7,8]. However, the efficacy of Ca(OH)2-based materials has been questioned in several studies, as their antibacterial effects may not be sufficiently strong to achieve bactericidal action on dentin [9,10]. Given the potential risk of bacteria remaining after selective caries removal, achieving a sterile cavity remains a critical goal.
Recently, several attempts have been made to produce ion-releasing glasses with antibacterial properties by incorporating zinc (Zn) [11,12,13]. Zn2+ has multiple inhibitory effects on the physiology of intact bacterial cells, including glycolysis, ATPase activity, and sugar phosphotransferases [14,15,16]. It enhances proton permeability in bacterial cell membranes, reduces acid tolerance, and disrupts cell metabolism [17,18]. Previously, we developed an acidity-responsive silicate-based glass containing Zn (AG) that exhibited on-demand Zn2+ release properties [19]. However, under the conditions required for cavity disinfectants, the Zn2+ release from AG is insufficient to achieve the high concentration of Zn2+ needed to effectively kill bacteria in dentinal tubules, due to the relatively low solubility of silicate-based glass.
Phosphate-based glass is a promising new-generation biomaterial due to its excellent biocompatibility and versatility, allowing for the design of materials optimized for various medical applications [20]. In engineering applications, phosphate-based glass rapidly dissolves under wet conditions, irrespective of whether the environment is acidic or alkaline [20]. This study presents a rapidly soluble Zn2+-releasing phosphate-based glass (RG), hypothesized to quickly release a high concentration of Zn2+ and exhibit cavity-disinfecting effects. In this study, the ion-releasing properties and antibacterial effects of RG were examined. Additionally, a dental resin incorporating RG as a cavity liner was fabricated, and its antibacterial efficacy was evaluated using infected dentin models.

2. Results

2.1. Characteristics of Rapidly Soluble Zn2+-Releasing Glass (RG)

Field-emission scanning electron microscope (FE-SEM) images of the RG particles revealed that the glass had an irregular shape (Figure 1a). Energy dispersive spectrometry (EDS) mapping images confirmed that P, Na, Ca, and Zn were homogeneously dispersed within the particles (Figure 1b). The size distribution of RG particles, shown in Figure 2, indicated a median diameter of approximately 11.95 µm. The X-ray diffraction (XRD) pattern confirmed that the sample structure was amorphous (Figure 3). X-ray fluorescence (XRF) analysis detected phosphorus pentoxide (P2O5), sodium oxide (Na2O), calcium oxide (CaO), and zinc oxide (ZnO) in RG at 41.2, 40.4, 4.5, and 11.9 mol%, respectively. No remarkable differences in composition were observed between the preparation and XRF analysis results.

2.2. Solubility of RG

Figure 4 shows the solubility of RG particles in a pH-adjusted buffer solution (pH 7.0, 6.0, or 5.0). The dissolution rates at pH 7.0, 6.0, and 5.0 were 98.7 ± 0.31%, 96.4 ± 0.63%, and 93.8 ± 0.92%, respectively. Across all three pH conditions, the solubility of RG after 24 h was greater than 90%.

2.3. Ion-Releasing Property of RG

The concentration of Zn2+ released from RG into the pH-adjusted BHI broth (pH 7.0, 6.0, or 5.0) is illustrated in Figure 5. The Zn2+ concentrations released from RG at pH 7.0, 6.0, and 5.0 were 8172.5 ± 299.8 ppm, 6851.6 ± 98.2 ppm, and 5978.5 ± 63.7 ppm, respectively. Under all three pH conditions, the concentrations of released Zn2+ exceeded 5900 ppm.

2.4. Minimum Inhibitory Concentrations (MICs) and Minimum Bactericidal Concentrations (MBCs) of Zn2+ Against Oral Bacteria

Table 1 lists the MICs and MBCs of Zn2+ against L. casei, A. naeslundii, E. faecalis, P. micra, F. nucleatum and S. mutans. For the six species, the MIC values ranged from 62.5 to 1000 ppm, while the MBC values ranged from 125 to 4000 ppm.

2.5. Antibacterial Activity of RG Against Oral Bacteria

Figure 6 shows the number of viable bacteria after incubation in the presence of RG particles. A significant decrease in the number of surviving cells was observed for all bacterial species tested. Although RG particles demonstrated only a 3–4 log reduction in the bactericidal effect against E. faecalis, they showed a 100% killing effect against all other bacteria.

2.6. Inhibition of Bacteria in Dentinal Tubules by Dental Resin Incorporating RG

Confocal laser scanning microscopy (CLSM) analysis confirmed that the depth of L. casei penetration in the dentinal tubules reached approximately 148 ± 80 µm (Figure 7a). Some viable bacteria remained in the dentinal tubules after RG treatment when the dentin specimens were dried (Figure 7b). In contrast, RG-containing dental resin completely eradicated L. casei in the wet state from the dentinal tubules (Figure 7c), whereas the control resin without RG did not exhibit antimicrobial effects against L. casei in the dentinal tubules (Figure 7d).
The depth of S. mutans penetration in the dentinal tubules was approximately 212 ± 71 µm (Figure 8a). Following RG treatment, some viable S. mutans remained when the specimens were dried (Figure 8b). However, the RG-containing dental resin fully eradicated S. mutans under wet conditions (Figure 8c), while the control resin without RG did not show antimicrobial effects (Figure 8d).

3. Discussion

The P-O-P bonds in phosphate-based glasses, which form the glass network structure, are highly susceptible to proton attack and are easily hydrolyzed in aqueous media [21]. The addition of cations such as Zn2+ enhances glass formation by strengthening the network and suppressing crystallization, thus expanding the glass-forming region of polyphosphate glasses [22]. In addition, ZnO contributes to the chemical stability of phosphate glass by forming [ZnO4] tetrahedra or P-O-Zn linkages within the glass network structure [23]. Previous studies have noted that pyrophosphates (P2O74−) are present in phosphate-based glasses when the P2O5 content is less than 50 mol% [24]. Pyare et al. [25] observed increased solubility of phosphate glasses with 50 mol% P2O5 as the pH increased, attributing this to hydroxyl ions (OH) breaking P-O-P bonds through the hydrolysis reaction: P2O74− + 2OH → 2PO43− + H2O. Even in the presence of network modifiers such as ZnO, the Zn-O-P linkages are susceptible to OH attack through the following reaction: Zn2+⋯P2O74−⋯Zn2+ + 2OH → 2Zn2+ + 2PO43− + H2O. In this study, the mol fraction of P2O5 in RG was 41.2 mol%, indicating a glass structure containing P2O74− units. This structure contributed to the reduced solubility and Zn2+ release with decreasing pH. Nevertheless, RG exhibited solubility over 90% after 24 h and Zn2+ concentrations exceeding 5900 ppm across all tested pH conditions, demonstrating its ability to release high concentrations of Zn2+ rapidly.
According to numerous reports on the microbiome associated with deep caries, Lactobacillus spp., Actinomyces spp., Fusobacterium spp., and Streptococcus spp. are prevalent in deep carious lesions [26,27,28,29]. Additionally, P. micra has been detected in carious dentin [30] and irreversible pulpitis [31,32], and E. faecalis has been isolated from deep carious lesions and infected root canals [33,34]. The MIC values of Zn2+ against L. casei, A. naeslundii, F. nucleatum, P. micra and E. faecalis were 500, 62.5, 125, 125, and 1000 ppm, respectively, and the MBC values were 2000, 125, 500, 250, and 4000 ppm, respectively. RG particles released Zn2+ concentrations exceeding 5900 ppm under pH conditions of 5.0, 6.0, and 7.0, which was significantly greater than the MIC and MBC values for each tested bacterium. Therefore, the amount of Zn2+ released from the RG particles was sufficient to exert a bactericidal effect on the bacterial species. However, RG particles demonstrated only a 3–4 log reduction in bactericidal effect against E. faecalis, while achieving a 100% killing effect against all other bacteria. Unlike the other bacterial species tested in this study, E. faecalis, a natural member of the intestinal flora, can survive in a wide range of pH, heat, and high metal concentrations [35]. Zincophore biosynthetic gene clusters have been identified in various bacteria, including Actinobacteria, Clostridia, Fusobacteria, and Bacilli, suggesting potential targets for antimicrobial therapies [36]. Likewise, Zn-responsive proteins have also been identified in E. faecalis genes, which mediate bacterial defense against Zn overload [37]. This suggests that E. faecalis is less affected by Zn2+ released from RG particles compared to other bacteria. Due to its ability to survive and persist as a pathogen in dentinal tubules, extensive research has been conducted to find effective methods to eradicate E. faecalis, and the antimicrobial efficacy of Zn-containing sealers against E. faecalis has been demonstrated [38].
The level of bacterial infection following dental caries removal varies clinically. Hirose et al. [39] created dentin models with varying infection levels by culturing dentin specimens in S. mutans suspension for 6 or 12 h. These models exhibited bacterial penetration into the dentinal tubules up to approximately 50 µm from the surface. Kitagawa et al. [40] prepared infected dentin specimens by immersing root dentin in E. faecalis suspension for 2 d, resulting in penetration of approximately 200 µm into the dentinal tubules. In this study, a dentin model infected with L. casei, a prevalent species in deep carious lesions, was established by culturing dentin specimens in L. casei suspension. Preliminary experiments showed no clear bacterial penetration into the dentinal tubules after 2 d of incubation. Consequently, dentin specimens were immersed in L. casei suspension for 7 d, resulting in L. casei penetrating approximately 150 µm into the dentinal tubules. Similarly, dentin specimens immersed in S. mutans suspension for 7 d exhibited bacterial penetration up to about 200 µm. There was no significant difference in penetration depth between L. casei and S. mutans. Factors influencing bacterial penetration include the status of dentinal tubules (size and orientation), microorganism size, and bacterial motility [41,42]. L. casei is nonmotile, rod-shaped (0.7–1.1 µm × 2.0–4.0 µm), and often exists singly or in short chains [43]. Its rod shape facilitates entry into the dentinal tubules, though its motility is relatively limited compared to other bacteria. In contrast, S. mutans are spherical (0.5–0.75 µm in diameter) and often found in pairs or chains [44]. Both bacteria are sufficiently small to enter dentinal tubules (3.47 ± 0.73 µm for permanent teeth) [45], and their penetration is likely driven by diffusion and passive processes rather than active movement [46]. Acid production by both bacteria can demineralize dentin, potentially enlarging the tubules and aiding in deeper penetration. The similarity in penetration depth suggests that factors other than morphology, such as acid production and the intrinsic properties of dentin, play a more critical role in bacterial infiltration of dentinal tubules. Therefore, using S. mutans as a reference for L. casei is crucial, as it validates the infection model for assessing the efficacy of dental resins incorporating RG in inhibiting bacterial growth in dentinal tubules.
The antibacterial effects of the experimental resins were evaluated using established infected dentin models. Under wet conditions, the bacteria in the dentin were effectively killed, whereas the dry state showed less efficacy. This difference is attributed to the greater Zn2+ release under wet conditions, due to the dissolution of the glass in the experimental resin. The RG-incorporating resin was designed as a cavity liner or pulp-capping material, which typically operates in moist environments. Under such conditions, Zn2+ is rapidly released and penetrates deeply into the dentinal tubules, resulting in swift bacterial eradication.
However, the infected dentin model used in this study did not fully replicate the complex environment of the dentinal cavity, which harbors multiple bacterial species. In vivo studies are essential for assessing the clinical effectiveness of RG-incorporating resins and for optimizing their composition. Additionally, it is important to investigate whether the rapid solubility of the glass might lead to potential drawbacks, such as weakening of the resin structure or adverse reactions in the surrounding tissues over time.

4. Materials and Methods

4.1. Fabrication of RG

Rapidly soluble phosphate-based glass containing Zn (RG) was fabricated using the melt-quenching method [47]. Briefly, phosphoric acid (H3PO4), sodium carbonate (Na2CO3), calcium carbonate (CaCO3), and zinc oxide (ZnO), purchased from FUJIFILM Wako Pure Chemical Corporation (Osaka, Japan), were mixed and melted in the furnace at 1100 °C for 1 h. The melted glass was quenched at 25 °C and pressed using an iron plate to obtain cullets. The glass cullets were ground into particles with ethyl alcohol using a rotating ball mill (Pot Mill Rotary Stand, Nitto Kagaku, Nagoya, Japan). The ground particles were passed through a stainless-steel sieve (250 µm mesh testing sieve, Nonaka Rikaki) to exclude insufficiently ground particles. The mixing ratios of the components were 42.0 P2O5, 40.0 Na2O, 4.0 CaO, and 12.0 ZnO in the mol fraction. The glass particles were sterilized using ethylene oxide.

4.2. Characterization of RG

High-resolution imaging of the RG surface was performed using FE-SEM (JSM-F100, JEOL, Tokyo, Japan), with elemental mapping performed via EDS (JSM-F100, JEOL). The glass structure was confirmed using XRD (PIXcel1D, Malvern Pan-Analytical Ltd., Worcestershire, UK). The size distribution of the glass particles was determined with a particle size analyzer (Partica LA-960V2, Horiba, Kyoto, Japan). The elemental composition of the glass was analyzed by XRF (ZSX Primus IV𝒾, Rigaku, Tokyo, Japan).

4.3. Evaluation of Solubility of RG

The solubility of RG particles in buffer solutions with varying pH values was assessed. Buffer solutions were prepared with 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES; FUJIFILM Wako Pure Chemical) at pH 7.0, and with acetate buffer (Kanto Chemical, Tokyo, Japan) at pH 6.0 and 5.0. Fifty milligrams of RG particles were immersed in 10 mL of each buffer solution. After 24 h of gyratory shaking at 37 °C and 100 rpm, the suspensions were filtered through a 55 mm glass fiber filter with a pore size of 0.5 μm (ADVANTEC, Tokyo, Japan), which had been pre-weighed. The filter was then dried at 110 °C for 6 h. The total weight of the glass fiber filter with the undissolved glass particles was measured, and the solubility of RG was calculated. The experiment was repeated five times.

4.4. Evaluation of Ion-Releasing Property of RG

The concentration of Zn2+ released from RG particles into pH-adjusted BHI broth was assessed. The pH of the BHI broth was adjusted to 7.0, 6.0, or 5.0 by adding 1 mol/L hydrochloric acid (Kanto Chemical). Twenty milligrams of RG particles were placed in each well of a 96-well microplate, and 200 μL of pH-adjusted BHI broth was added to the wells containing the glass particles. After 24 h of gyratory shaking at 37 °C and 100 rpm, the suspensions were filtered through a 0.22 μm syringe filter (Merck Millipore Ltd., Carrigtwohill, Ireland) and diluted with 9.8 mL of distilled water. The diluted samples were analyzed for Zn2+ concentration using inductively coupled plasma–optical emission spectrometry (ICP-OES; iCAP7200 ICP-OES Duo, Thermo Fisher Scientific, Cambridge, UK). The experiment was repeated five times.

4.5. Bacteria Used

Lactobacillus casei ATCC4646, Actinomyces naeslundii ATCC19246, Enterococcus faecalis SS497, Fusobacterium nucleatum 1436, and Parvimonas micra GIFU7745 were selected based on their presence in deep caries (Table 2). Streptococcus mutans NCTC10449 was used as the reference strain. Prior to the experiments, each bacterium was anaerobically cultured from a stock culture at 37 °C using the media specified in Table 2. E. faecalis was cultured for 12 h, A. naeslundii for 48 h, and L. casei, F. nucleatum, P. micra, and S. mutans for 24 h.

4.6. Measurements of MICs and MBCs of Zn2+ Against Oral Bacteria

The MIC and MBC values of Zn2+ against L. casei, A. naeslundii, E. faecalis, F. nucleatum, and P. micra were determined using the broth dilution method [48]. Zn standard solutions were obtained by dissolving zinc nitrate hexahydrate (Zn(NO3)2·6H2O; Kanto Chemical) into distilled water. Fifty microliters of these solutions, with concentrations ranging from 32.5 to 32,000 ppm obtained through serial two-fold dilutions, were poured into the wells of a 96-well microplate. Fifty microliters of each bacterial suspension, adjusted to approximately 2.0 × 106 CFU/mL in double-concentration broth, was poured into each well, resulting in Zn2+ concentrations ranging from 16.25 to 16,000 ppm and bacterial suspensions of 1 × 106 CFU/mL. After anaerobic incubation at 37 °C for 24 h, turbidity was assessed visually to determine the MIC, defined as the lowest concentration that prevents visible bacterial growth. Twenty microliters of samples showing no visible turbidity were inoculated onto agar plates. After anaerobic incubation at 37 °C for 48 h, the MBC was determined as the lowest concentration that resulted in no bacterial colonies on the agar plates. The experiment was repeated five times.

4.7. Evaluation of Antibacterial Activity of RG Against Oral Bacteria

The antibacterial activity of RG against L. casei, A. naeslundii, E. faecalis, F. nucleatum, P. micra, and S. mutans was also evaluated. Each bacterial suspension was adjusted to approximately 1 × 106 CFU/mL in the respective broths listed in Table 2. Twenty milligrams of RG was placed in a well of a 96-well microplate, and 200 μL of each bacterial suspension was poured into the wells containing RG particles. After anaerobic incubation at 37 °C for 24 h, 100 μL of each suspension was collected and diluted with 9.9 mL of the corresponding broth. The suspensions were further serially diluted with the respective broths, and 100 μL of each dilution was inoculated onto agar plates specified in Table 2. The number of colonies on the agar plates was counted after anaerobic incubation at 37 °C for 48 h. Bacterial suspensions incubated without RG served as controls. The experiment was repeated five times.

4.8. Fabrication of Dental Resin Incorporating RG

The resin was prepared by mixing RG with triethylene glycol dimethacrylate (TEGDMA), 2-hydroxyethyl methacrylate (HEMA), camphoroquinone (CQ), ethyl p-dimethylaminobenzoate (EPA), and 2,6-di-tert-butyl-p-benzoyl (BHT) (Table 3). RG particles and uncured resin liquid were mixed at a ratio of 1:9 (w/w), providing 10 wt% RG in the experimental resin. A resin without RG was used as a control.

4.9. Evaluation of Inhibition of Bacteria in Dentinal Tubules by Dental Resin Incorporating RG

To evaluate the inhibitory effect of dental resins incorporating RG on bacteria in dentinal tubules, infected dentin models were prepared using the method described by Kitagawa et al. [23]. Extracted human sound molars were obtained from patients at Osaka University Dental Hospital under a protocol approved by the Ethics Review Committee of Osaka University Graduate School of Dentistry and Osaka University Dental Hospital (approval number: R1-E52). The teeth were sectioned using a low-speed diamond saw (Isomet 2000, Buehler, Lake Bluff, IL, USA) with water cooling, and rectangular parallelepiped specimens were cut from the coronal dentin approximately 1 mm above the coronal pulp. The specimens were then adjusted to dimensions of 4 mm in length, 2 mm in width, and 2 mm in height using a grinder (EcoMet 3000, Buehler).
To remove the smear layer and open the dentinal tubules, dentin specimens were sequentially immersed in 5.25% sodium hypochlorite (Neo Dental Chemical Products Co., Tokyo, Japan) and 18% ethylenediaminetetraacetic acid (EDTA; Ultradent Products, South Jordan, UT, USA) for 10 min, with ultrasonication at 37 kHz. The specimens were then autoclaved at 120 °C for 20 min and anaerobically incubated in BHI broth at 37 °C for 48 h to confirm sterilization. The bottom and side surfaces of the specimens were covered with two layers of nail varnish.
Suspensions of L. casei and S. mutans were adjusted to approximately 1 × 106 CFU/mL. The specimens were anaerobically incubated in 5 mL of each bacterial suspension at 37 °C, with the culture medium being exchanged every 24 h. After 7 d, the inoculated dentin specimens were rinsed in distilled water for 5 s. The specimens were divided into two groups: one group was kept moist, while the other was air-dried for 5 s. Resin containing 10 wt% RG was applied to the top surface of the dentin specimens with a sterile microbrush (Microbrush Fine, Shofu, Kyoto, Japan) and left for 30 s, followed by 10 s light-curing (Pencure 2000, Morita, Kyoto, Japan) with a light intensity of 2000 mW/cm2. The dentin specimens were rinsed with distilled water and manually divided into two pieces. The surface of the cross-sections was stained using the LIVE/DEAD Bac-Light Bacterial Viability Kit (L-7007, Thermo Fisher Scientific) according to the manufacturer’s instructions. Briefly, 2 µL of component A (SYTO 9 dye, 1.67 mM/propidium iodide, 1.67 mM solution in DMSO) and 2 µL of component B (SYTO 9 dye, 1.67 mM/propidium iodide, 18.3 mM solution in DMSO) were mixed in 1 mL of distilled water. One hundred microliters of the mixed solution was dropped on the specimens and incubated at 37 °C for 15 min in the dark. After gentle irrigation with distilled water, the specimens were visualized using confocal laser scanning microscopy (CLSM; LSM 700, Carl Zeiss, Oberkochen, Germany) with excitation at 488 and 555 nm and emission at 500 and 635 nm. Images were captured using ZEN Imaging Software (Carl Zeiss). A preliminary image was taken to set the acquisition parameters, which were kept constant for all images. Scans were performed in 12-bit mode at a resolution of 1024 × 1024 with the following settings: speed = 8; pinhole size = 34 µm; digital offset = 0; and master gain (Ch1, SYTO 9) = 493; master gain (Ch2, propidium iodide) = 706. Three images were obtained from each sample and analyzed using Imaris software (Bitplane, Zurich, Switzerland). Resin without RG served as the control, and the experiment was repeated three times.

4.10. Statistical Analysis

All statistical analyses were performed using SPSS Statistics version 25 (IBM Corp., Armonk, NY, USA). Homogeneity of variances was first confirmed. The solubility and ion release results were analyzed using analysis of variance (ANOVA) followed by Tukey’s honest significant difference (HSD) test, with a significance level of p < 0.05. Bacterial growth was analyzed using Student’s t-test, also with a significance level of p < 0.05.

5. Conclusions

The rapidly soluble Zn2+-releasing glass was successfully fabricated. The glass particles released high concentrations of Zn2+ quickly under wet conditions, regardless of pH, which is effective for eliminating oral bacterial species prevalent in deep caries. When incorporated into dental resin at a ratio of 10 wt%, the experimental resin demonstrated strong inhibitory effects on bacteria within the dentinal tubules. The novel phosphate-based glass developed in this study shows potential for use in cavity liners or pulp-capping materials that aid in cavity disinfection.

Author Contributions

Conceptualization, S.I.; writing—original draft preparation, F.D., H.K. and S.I.; writing—review and editing, F.D., H.K. and S.I.; investigation, T.K. and T.W.; curation, P.T., H.L. and N.F.; and validation, G.L.A., R.K. and J.-I.S. All authors have read and agreed to the published version of the manuscript.

Funding

This research was funded in part by Grants-in-Aid for Scientific Research (Nos. JP23K09215, JP23K09181, JP24K12946, and JP24K23615) of the Japan Society for the Promotion of Science.

Institutional Review Board Statement

Not applicable.

Informed Consent Statement

Not applicable.

Data Availability Statement

Data are contained within the article.

Conflicts of Interest

The authors declare no conflicts of interest.

References

  1. Weintraub, J.A. The Oral Health in America report: A public health research perspective. Prev. Chronic Dis. 2022, 19, E58. [Google Scholar] [CrossRef] [PubMed]
  2. Pitts, N.B.; Ekstrand, K.R.; ICDAS Foundation. International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS)–methods for staging of the caries process and enabling dentists to manage caries. Community Dent. Oral Epidemiol. 2013, 41, e41–e52. [Google Scholar] [CrossRef] [PubMed]
  3. Maltz, M.; Henz, S.L.; de Oliveira, E.F.; Jardim, J.J. Conventional caries removal and sealed caries in permanent teeth: A microbiological evaluation. J. Dent. 2012, 40, 776–782. [Google Scholar] [CrossRef]
  4. Lim, Z.E.; Duncan, H.F.; Moorthy, A.; McReynolds, D. Minimally invasive selective caries removal: A clinical guide. Br. Dent. J. 2023, 234, 233–240. [Google Scholar] [CrossRef]
  5. Schwendicke, F.; Tu, Y.K.; Hsu, L.Y.; Göstemeyer, G. Antibacterial effects of cavity lining: A systematic review and network meta-analysis. J. Dent. 2015, 43, 1298–1307. [Google Scholar] [CrossRef]
  6. Kunert, M.; Lukomska-Szymanska, M. Bio-inductive materials in direct and indirect pulp capping—A review article. Materials 2020, 13, 1204. [Google Scholar] [CrossRef]
  7. Forsten, L.; Söderling, E. The alkaline and antibacterial effect of seven Ca(OH)2 liners in vitro. Acta Odontol. Scand. 1984, 42, 93–98. [Google Scholar] [CrossRef]
  8. Lado, E.A.; Pappas, J.; Tyler, K.; Stanley, H.R.; Walker, C. In vitro antimicrobial activity of six pulp-capping agents. Oral Surg. Oral Med. Oral Pathol. 1986, 61, 197–200. [Google Scholar] [CrossRef]
  9. Portenier, I.; Haapasalo, H.; Rye, A.; Waltimo, T.; Ørstavik, D.; Haapasalo, M. Inactivation of root canal medicaments by dentine, hydroxylapatite and bovine serum albumin. Int. Endod. J. 2001, 34, 184–188. [Google Scholar] [CrossRef]
  10. Mohammadi, Z.; Dummer, P.M. Properties and applications of calcium hydroxide in endodontics and dental traumatology. Int. Endod. J. 2011, 44, 697–730. [Google Scholar] [CrossRef]
  11. Boyd, D.; Li, H.; Tanner, D.A.; Towler, M.R.; Wall, J.G. The antibacterial effects of zinc ion migration from zinc-based glass polyalkenoate cements. J. Mater. Sci. Mater. Med. 2006, 17, 489–494. [Google Scholar] [CrossRef] [PubMed]
  12. Esteban-Tejeda, L.; Prado, C.; Cabal, B.; Sanz, J.; Torrecillas, R.; Moya, J.S. Antibacterial and antifungal activity of ZnO containing glasses. PLoS ONE 2015, 10, e0132709. [Google Scholar] [CrossRef] [PubMed]
  13. Raja, F.N.S.; Worthington, T.; Isaacs, M.A.; Rana, K.S.; Martin, R.A. The antimicrobial efficacy of zinc doped phosphate-based glass for treating catheter associated urinary tract infections. Mater. Sci. Eng. C Mater. Biol. Appl. 2019, 103, 109868. [Google Scholar] [CrossRef] [PubMed]
  14. Cummins, D. Zinc citrate/triclosan: A new anti-plaque system for the control of plaque and the prevention of gingivitis: Short-term clinical and mode of action studies. J. Clin. Periodontol. 1991, 18, 455–461. [Google Scholar] [CrossRef] [PubMed]
  15. He, G.; Pearce, E.I.F.; Sissons, C.H. Inhibitory effect of ZnCl2 on glycolysis in human oral microbes. Arch. Oral Biol. 2002, 47, 117–129. [Google Scholar] [CrossRef]
  16. Sheng, J.; Nguyen, P.T.M.; Marquis, R.E. Multi-target antimicrobial actions of zinc against oral anaerobes. Arch. Oral Biol. 2005, 50, 747–757. [Google Scholar] [CrossRef]
  17. Phan, T.N.; Buckner, T.; Sheng, J.; Baldeck, J.D.; Marquis, R.E. Physiologic actions of zinc related to inhibition of acid and alkali production by oral streptococci in suspensions and biofilms. Oral Microbiol. Immunol. 2004, 19, 31–38. [Google Scholar] [CrossRef]
  18. Koo, H.; Sheng, J.; Nguyen, P.T. Marquis Re. Cooperative inhibition by fluoride and zinc of glucosyl transferase production and polysaccharide synthesis by mutans streptococci in suspension cultures and biofilms. FEMS Microbiol. Lett. 2006, 254, 134–140. [Google Scholar] [CrossRef]
  19. Deng, F.; Sakai, H.; Kitagawa, H.; Kohno, T.; Thongthai, P.; Liu, Y.; Kitagawa, R.; Abe, G.L.; Sasaki, J.I.; Imazato, S. Fabrication of pH-responsive Zn2+-releasing glass particles for smart antibacterial restoratives. Molecules 2022, 27, 7202. [Google Scholar] [CrossRef]
  20. Knowles, J.C. Phosphate based glasses for biomedical applications. J. Mater. Chem. 2003, 13, 2395–2401. [Google Scholar] [CrossRef]
  21. Bunker, B.C.; Arnold, G.W.; Wilder, J.A. Phosphate glass dissolution in aqueous solutions. J. Non-Cryst. Solids 1984, 64, 291–316. [Google Scholar] [CrossRef]
  22. Severenkov, I.A.; Ustyugova, E.V.; Alekseeva, L.A.; Zaichuk, T.V.; Spiridonov, Y.A. Glass formation and crystallization in strontium-aluminum-silicate glass: Influence of modifying additives on melting and crystallization. Glass Ceram. 2021, 78, 259–263. [Google Scholar] [CrossRef]
  23. Refka, O.; Krimi, S.; Videau, J.; Khattech, I.; El Jazouli, A.; Jemal, M. Structural and thermochemical study of Na2O−ZnO−P2O5 glasses. J. Non-Cryst. Solids 2014, 390, 5–12. [Google Scholar] [CrossRef]
  24. Ahmed, I.; Lewis, M.; Olsen, I.; Knowles, J.C. Phosphate glasses for tissue engineering: Part 1. Processing and characterisation of a ternary-based P2O5−CaO−Na2O glass system. Biomaterials 2004, 25, 491–499. [Google Scholar] [CrossRef]
  25. Pyare, R.; Lai, L.J.; Joshi, V.C.; Singh, V.K. Leachability of molybdenum from ternary phosphate glasses. J. Am. Ceram. Soc. 1996, 79, 1329–1334. [Google Scholar] [CrossRef]
  26. Liu, G.; Wu, C.; Abrams, W.R.; Li, Y. Structural and functional characteristics of the microbiome in deep-dentin caries. J. Dent. Res. 2020, 99, 713–720. [Google Scholar] [CrossRef]
  27. Kianoush, N.; Adler, C.J.; Nguyen, K.A.T.; Browne, G.V.; Simonian, M.; Hunter, N. Bacterial profile of dentine caries and the impact of pH on bacterial population diversity. PLoS ONE 2014, 9, e92940. [Google Scholar] [CrossRef]
  28. Aas, J.A.; Griffen, A.L.; Dardis, S.R.; Lee, A.M.; Olsen, I.; Dewhirst, F.E.; Leys, E.J.; Paster, B.J. Bacteria of dental caries in primary and permanent teeth in children and young adults. J. Clin. Microbiol. 2008, 46, 1407–1417. [Google Scholar] [CrossRef]
  29. Lima, K.C.; Coelho, L.T.; Pinheiro, I.V.; Rôças, I.N.; Siqueira, J.F., Jr. Microbiota of dentinal caries as assessed by reverse-capture checkerboard analysis. Caries Res. 2011, 45, 21–30. [Google Scholar] [CrossRef]
  30. Hoshino, E. Predominant obligate anaerobes in human carious dentin. J. Dent. Res. 1985, 64, 1195–1198. [Google Scholar] [CrossRef]
  31. Martin, F.E.; Nadkarni, M.A.; Jacques, N.A.; Hunter, N. Quantitative microbiological study of human carious dentine by culture and real-time PCR: Association of anaerobes with histopathological changes in chronic pulpitis. J. Clin. Microbiol. 2002, 40, 1698–1704. [Google Scholar] [CrossRef]
  32. Watanabe, T.; Hara, Y.; Yoshimi, Y.; Fujita, Y.; Yokoe, M.; Noguchi, Y. Clinical characteristics of bloodstream infection by Parvimonas micra: Retrospective case series and literature review. BMC Infect. Dis. 2020, 20, 578. [Google Scholar] [CrossRef]
  33. Kuzmanović Radman, I.K.; Djeri, A.; Arbutina, A.; Milašin, J. Microbiological findings in deep caries lesions. Serb. Dent. J. 2016, 63, 7–14. [Google Scholar] [CrossRef]
  34. Blancas, B.; Lanzagorta, M.L.; Jiménez-Garcia, L.F.; Lara, R.; Molinari, J.L.; Fernández, A.M. Study of the ultrastructure of Enterococcus faecalis and Streptococcus mutans incubated with salivary antimicrobial peptides. Clin. Exp. Dent. Res. 2021, 7, 365–375. [Google Scholar] [CrossRef] [PubMed]
  35. Ramsey, M.; Hartke, A.; Huycke, M. The Physiology and Metabolism of Enterococci. In Enterococci: From Commensals to Leading Causes of Drug Resistant Infection; Gilmore, M.S., Clewell, D.B., Ike, Y., Shankar, N., Eds.; Massachusetts Eye and Ear Infirmary: Boston, MA, USA, 2014. [Google Scholar]
  36. Morey, J.R.; Kehl-Fie, T.E. Bioinformatic mapping of opine-like zincophore biosynthesis in bacteria. mSystems 2020, 5, e00554-20. [Google Scholar] [CrossRef] [PubMed]
  37. Abrantes, M.C.; Kok, J.; Silva Lopes, M.D.F. Enterococcus faecalis zinc-responsive proteins mediate bacterial defence against zinc overload, lysozyme and oxidative stress. Microbiology 2014, 160, 2755–2762. [Google Scholar] [CrossRef]
  38. Stuart, C.H.; Schwartz, S.A.; Beeson, T.J.; Owatz, C.B. Enterococcus faecalis: Its role in root canal treatment failure and current concepts in retreatment. J. Endod. 2006, 32, 93–98. [Google Scholar] [CrossRef]
  39. Hirose, N.; Kitagawa, R.; Kitagawa, H.; Maezono, H.; Mine, A.; Hayashi, M.; Haapasalo, M.; Imazato, S. Development of a cavity disinfectant containing antibacterial monomer MDPB. J. Dent. Res. 2016, 95, 1487–1493. [Google Scholar] [CrossRef]
  40. Kitagawa, H.; Kitagawa, R.; Tsuboi, R.; Hirose, N.; Thongthai, P.; Sakai, H.; Ueda, M.; Ono, S.; Sasaki, J.I.; Ooya, T.; et al. Development of endodontic sealers containing antimicrobial-loaded polymer particles with long-term antibacterial effects. Dent. Mater. 2021, 37, 1248–1259. [Google Scholar] [CrossRef]
  41. Al-Nazhan, S.; Al-Sulaiman, A.; Al-Rasheed, F.; Alnajjar, F.; Al-Abdulwahab, B.; Al-Badah, A. Microorganism penetration in dentinal tubules of instrumented and retreated root canal walls. In vitro SEM study. Restor. Dent. Endod. 2014, 39, 258–264. [Google Scholar] [CrossRef]
  42. Zegadło, K.; Gieroń, M.; Żarnowiec, P.; Durlik-Popińska, K.; Kręcisz, B.; Kaca, W.; Czerwonka, G. Bacterial motility and its role in skin and wound infections. Int. J. Mol. Sci. 2023, 24, 1707. [Google Scholar] [CrossRef] [PubMed]
  43. Gobbetti, M.; Minervini, F. Lactobacillus|Lactobacillus casei. In Encyclopedia of Food Microbiology, 2nd ed.; Batt, C.A., Tortorello, M.L., Eds.; Academic Press: Oxford, UK, 2014; pp. 432–438. [Google Scholar]
  44. Zhou, X.; Li, Y.; Peng, X.; Ren, B.; Li, J.; Xu, X.; He, J.; Cheng, L. Chapter 3. Supragingival Microbes. In Atlas of Oral Microbiology: From Healthy Microflora to Disease; Springer: Singapore, 2020; pp. 81–143. [Google Scholar]
  45. Lenzi, T.L.; Guglielmi, C.D.A.B.; Arana-Chavez, V.E.; Raggio, D.P. Tubule density and diameter in coronal dentin from primary and permanent human teeth. Microsc. Microanal. 2013, 19, 1445–1449. [Google Scholar] [CrossRef] [PubMed]
  46. Love, R.M.; Jenkinson, H.F. Invasion of dentinal tubules by oral bacteria. Crit. Rev. Oral Biol. Med. 2002, 13, 171–183. [Google Scholar] [CrossRef] [PubMed]
  47. Kaur, G.; Pandey, O.P.; Singh, K.; Homa, D.; Scott, B.; Pickrell, G. A review of bioactive glasses: Their structure, properties, fabrication and apatite formation. J. Biomed. Mater. Res. A 2014, 102, 254–274. [Google Scholar] [CrossRef] [PubMed]
  48. Stalons, D.R.; Thornsberry, C. Broth-dilution method for determining the antibiotic susceptibility of anaerobic bacteria. Antimicrob. Agents Chemother. 1975, 7, 15–21. [Google Scholar] [CrossRef]
Figure 1. Field-emission scanning electron microscope (a) and elemental mapping (b) images of RG.
Figure 1. Field-emission scanning electron microscope (a) and elemental mapping (b) images of RG.
Molecules 29 05098 g001
Figure 2. Particle size distribution of RG.
Figure 2. Particle size distribution of RG.
Molecules 29 05098 g002
Figure 3. X-ray diffraction pattern of RG.
Figure 3. X-ray diffraction pattern of RG.
Molecules 29 05098 g003
Figure 4. Solubility of RG in the pH-adjusted buffer solution (pH 7.0, 6.0, or 5.0). Bars represent the standard deviation of five replicates. * indicates significant differences (p < 0.05, ANOVA, Tukey’s HSD test).
Figure 4. Solubility of RG in the pH-adjusted buffer solution (pH 7.0, 6.0, or 5.0). Bars represent the standard deviation of five replicates. * indicates significant differences (p < 0.05, ANOVA, Tukey’s HSD test).
Molecules 29 05098 g004
Figure 5. Release of Zn2+ from RG exposed to pH-adjusted BHI broth (pH 7.0, 6.0, or 5.0). Bars represent the standard deviation of five replicates. * indicates significant differences (p < 0.05, ANOVA, Tukey’s HSD test).
Figure 5. Release of Zn2+ from RG exposed to pH-adjusted BHI broth (pH 7.0, 6.0, or 5.0). Bars represent the standard deviation of five replicates. * indicates significant differences (p < 0.05, ANOVA, Tukey’s HSD test).
Molecules 29 05098 g005
Figure 6. Number of viable bacteria after incubation in the absence (−) and presence (+) of RG. Arrows indicate 100% killing effect. Bars represent the standard deviations of five replicates. * indicates significant differences (p < 0.05, Student’s t-test). The dashed line indicates the initial amount of bacteria.
Figure 6. Number of viable bacteria after incubation in the absence (−) and presence (+) of RG. Arrows indicate 100% killing effect. Bars represent the standard deviations of five replicates. * indicates significant differences (p < 0.05, Student’s t-test). The dashed line indicates the initial amount of bacteria.
Molecules 29 05098 g006
Figure 7. CLSM images of L. casei-infected dentin model (a), L. casei-infected dentin model treated by dental resin incorporating 10 wt% RG under the dry condition (b), L. casei-infected dentin model treated by dental resin incorporating 10 wt% RG under the wet condition (c), and L. casei-infected dentin model treated by control resin without RG (d) after LIVE/DEAD staining. Scale bar, 50 μm.
Figure 7. CLSM images of L. casei-infected dentin model (a), L. casei-infected dentin model treated by dental resin incorporating 10 wt% RG under the dry condition (b), L. casei-infected dentin model treated by dental resin incorporating 10 wt% RG under the wet condition (c), and L. casei-infected dentin model treated by control resin without RG (d) after LIVE/DEAD staining. Scale bar, 50 μm.
Molecules 29 05098 g007
Figure 8. CLSM images of S. mutans-infected dentin model (a), S. mutans-infected dentin model treated by dental resin incorporating 10 wt% RG under the dry condition (b), S. mutans-infected dentin model treated by dental resin incorporating 10 wt% RG under the wet condition (c), and S. mutans-infected dentin model treated by control resin without RG (d) after LIVE/DEAD staining. Scale bar, 50 μm.
Figure 8. CLSM images of S. mutans-infected dentin model (a), S. mutans-infected dentin model treated by dental resin incorporating 10 wt% RG under the dry condition (b), S. mutans-infected dentin model treated by dental resin incorporating 10 wt% RG under the wet condition (c), and S. mutans-infected dentin model treated by control resin without RG (d) after LIVE/DEAD staining. Scale bar, 50 μm.
Molecules 29 05098 g008
Table 1. Minimum inhibitory concentrations (MICs) and minimum bactericidal concentrations (MBCs) of Zn2+ against oral bacteria.
Table 1. Minimum inhibitory concentrations (MICs) and minimum bactericidal concentrations (MBCs) of Zn2+ against oral bacteria.
SpeciesMIC (ppm)MBC (ppm)
Lactobacillus casei ATCC46465002000
Actinomyces naeslundii ATCC1924662.5125
Enterococcus faecalis SS49710004000
Fusobacterium nucleatum 1436125500
Parvimonas micra GIFU7745125250
* Streptococcus mutans NCTC10449125250
* Note: the MIC/MBC values for Streptococcus mutans NCTC10449 were from our previous study [19].
Table 2. Bacteria and culture conditions.
Table 2. Bacteria and culture conditions.
SpeciesBrothAgar
Lactobacillus casei
ATCC4646
Lactobacilli Inoculum BrothLactobacilli Inoculum Broth plates supplemented with 1.5% Bacto agar
Actinomyces naeslundii ATCC19246Brain Heart Infusion BrothBrain Heart Infusion agar
Enterococcus faecalis
SS497
Brain Heart Infusion BrothBrain Heart Infusion agar
Fusobacterium nucleatum
1436
Todd Hewitt Broth containing 0.1% L-cysteineTodd Hewitt Broth agar containing 0.1% L-cysteine
Parvimonas micra
GIFU7745
Brain Heart Infusion BrothBrain Heart Infusion agar
Streptococcus mutans
NCTC10449
Brain Heart Infusion BrothBrain Heart Infusion agar
Table 3. Components of uncured resin.
Table 3. Components of uncured resin.
ComponentsFunctionwt%
Triethylene glycol dimethacrylate (TEGDMA)Monomer89.0
2-hydroxyethyl methacrylate (HEMA)Monomer10.0
Camphorquinone (CQ)Initiator0.3
Ethyl p-dimethylaminobenzoate (EPA)Reducing agent0.6
2,6-di-tert-butyl-p-benzoyl (BHT)Inhibitor0.1
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content.

Share and Cite

MDPI and ACS Style

Deng, F.; Kitagawa, H.; Kohno, T.; Wu, T.; Funayama, N.; Thongthai, P.; Li, H.; Abe, G.L.; Kitagawa, R.; Sasaki, J.-I.; et al. Fabrication of Rapidly Soluble Zn2+-Releasing Phosphate-Based Glass and Its Incorporation into Dental Resin. Molecules 2024, 29, 5098. https://doi.org/10.3390/molecules29215098

AMA Style

Deng F, Kitagawa H, Kohno T, Wu T, Funayama N, Thongthai P, Li H, Abe GL, Kitagawa R, Sasaki J-I, et al. Fabrication of Rapidly Soluble Zn2+-Releasing Phosphate-Based Glass and Its Incorporation into Dental Resin. Molecules. 2024; 29(21):5098. https://doi.org/10.3390/molecules29215098

Chicago/Turabian Style

Deng, Fan, Haruaki Kitagawa, Tomoki Kohno, Tingyi Wu, Naoya Funayama, Pasiree Thongthai, Hefei Li, Gabriela L. Abe, Ranna Kitagawa, Jun-Ichi Sasaki, and et al. 2024. "Fabrication of Rapidly Soluble Zn2+-Releasing Phosphate-Based Glass and Its Incorporation into Dental Resin" Molecules 29, no. 21: 5098. https://doi.org/10.3390/molecules29215098

APA Style

Deng, F., Kitagawa, H., Kohno, T., Wu, T., Funayama, N., Thongthai, P., Li, H., Abe, G. L., Kitagawa, R., Sasaki, J. -I., & Imazato, S. (2024). Fabrication of Rapidly Soluble Zn2+-Releasing Phosphate-Based Glass and Its Incorporation into Dental Resin. Molecules, 29(21), 5098. https://doi.org/10.3390/molecules29215098

Article Metrics

Back to TopTop