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Method Article

Oral Biofilm Formation on Different Materials for Dental Implants

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DOI:

10.3791/57756

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June 24th, 2018

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In This Article

Summary

Here, we present a protocol to evaluate oral biofilm formation on titanium and zirconia materials for dental prosthesis abutments, including the analysis of bacterial cells viability and morphological characteristics. An in situ model associated with powerful microscopy techniques is used for the oral biofilm analysis.

Abstract

Dental implants and their prosthetic components are prone to bacterial colonization and biofilm formation. The use of materials that provides low microbial adhesion may reduce the prevalence and progression of peri-implant diseases. In view of the oral environment complexity and oral biofilm heterogeneity, microscopy techniques are needed that can enable a biofilm analysis of the surfaces of teeth and dental materials. This article describes a series of protocols implemented for comparing oral biofilm formation on titanium and ceramic materials for prosthetic abutments, as well as the methods involved in oral biofilms analyses at the morphological and cellular levels. The in situ model to evaluate oral biofilm formation on titanium and zirconia materials for dental prosthesis abutments as described in this study provides a satisfactory preservation of the 48 h biofilm, thereby demonstrating methodological adequacy. Multiphoton microscopy allows the analysis of an area representative of the biofilm formed on the test materials. In addition, the use of fluorophores and the processing of the images using multiphoton microscopy allows the analysis of the bacterial viability in a very heterogeneous population of microorganisms. The preparation of biological specimens for electron microscopy promotes the structural preservation of biofilm, images with good resolution, and no artifacts.

Introduction

Bacterial biofilms are complex, functionally and structurally organized microbial communities, characterized by a diversity of microbial species that synthesize an extracellular, biologically active polymer matrix1,2. The bacterial adhesion to biotic or abiotic surfaces is preceded by a formation of the acquired pellicle, mainly consisting of salivary glycoproteins1,3,4. Weak physicochemical interactions between the microorganisms and the pellicle are initially established and followed by stronger interactions between....

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Protocol

This study was approved by the Institutional Review Board of the School of Dentistry of Ribeirão Preto, and the volunteer participant signed the written consent (Process 2011.1.371.583).

1. Biofilm Formation in Situ

  1. Selection of participants
    1. Select patients based on the following inclusion criteria: a healthy individual with a complete dentition and no clinical signs of oral diseases.
    2. Exclude patients based on the following exclusion criteria: pregnancy, lactation, dental caries, a periodontal disease or antibiotic treatment in the last 3 months, smoker, or any systemic disea....

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Results

The colonization density of the biofilm after 48 h of in situ growth was represented in this study by the proportion of the colonized area on the titanium and zirconia disks in relation to the total scanned area of the specimen using multiphoton microscopy (26.64 mm2). Figure 2 represents the bacterial colonization density on the surface of the 3 tested materials. A higher density of biofilm was observed on the surfaces of the cast and on .......

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Discussion

The protocol described in this study was developed to evaluate the biofilm formation on titanium and zirconia materials for prosthetic abutments, including the analysis of bacterial cell viability and morphological characteristics. In order to accomplish this, an in situ model of biofilm formation was designed, consisting of an intraoral device capable to accommodate samples of the test materials and keep them exposed to the dynamic oral environment for 48 h. The device was considered comfortable and easy to ins.......

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Disclosures

The authors have nothing to disclose.

Acknowledgements

The authors thank José Augusto Maulin from Microscopy Multiuser Laboratory (School of Medicine of Ribeirão Preto) for his generous assistance with the EDS and SEM analyses and Hermano Teixeira Machado for his generous technical assistance in the video edition.

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Materials

List of materials used in this article
NameCompanyCatalog NumberComments
Hydrogum 5Zhermack DentalC302070
Durone IVDentsply17130500002
NiCr wire Morelli55.01.070
JET auto polymerizing acrylicClássico
Dental wax Clássico
Pressure pot Essencedental
Sandpapers 600 gritNORTONT216
Sandpapers 1200 gritNORTONT401
Sandpapers 2000 gritNORTONT402
Metallographic Polishing MachineArotec
Isopropyl alcoholSIGMA-ALDRICHW292907
Hot melt adhesiveTECSILPAH M20017
Filmtracer LIVE/DEAD Biofilm Viability KitInvitrogenL10316
Pipette Tips, 10 µLKASVIK8-10  
Pipette Tips, 1,000 µLKASVIK8-1000B  
24-well plate KASVIK12-024
Glass Bottom DishThermo Scientific150680
AxioObserver inverted microscope ZEISS
Chameleon vision ii laserCoherent
Objective EC Plan-Neofluar 40x/1.30 Oil DICZEISS440452-9903-000
SDD sensors - X-Max 20mm²Oxford Instruments
Glutaraldehyde solutionSIGMA-ALDRICHG5882
Sodium cacodylate Buffer SIGMA-ALDRICH97068 
Osmium tetroxideSIGMA-ALDRICH201030
Na2HPO4SIGMA-ALDRICHS9638Used for preparation of phosphate buffered saline
KH2PO4SIGMA-ALDRICHP9791 
NaClMERK1.06404
KclSIGMA-ALDRICHP9333 
Ethanol absolute for analysis EMSUREMERK1.00983
CPD 030 Critical Point DryerBAL-TEC
JSM-6610 Series Scanning Electron MicroscopeJEOL
SCD 050 Sputter CoaterBAL-TEC

References

  1. Do, T., Devine, D., Marsh, P. D. Oral biofilms: molecular analysis, challenges, and future prospects in dental diagnostics. Clinical, Cosmetic and Investigational Dentistry. 5, 11-19 (2013).
  2. Samaranayake, L., Matsubara, V. H.

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Titanium MaterialsZirconia MaterialsMultiphoton MicroscopyScanning Electron MicroscopyBiofilm AnalysisBacterial ViabilitySpecimen PreparationIn Situ Model