A novel stable biomimetic adhesive coating for functionalization of orthodontic brackets against bacterial colonization and white spot lesions

Abstract Background This study aimed to evaluate the efficacy of polydopamine (PDA) functionalization on orthodontic brackets in inhibiting biofilm formation and promoting surface bioactivity to buffer the acidity of caries-causing bacteria around orthodontic brackets and prevent demineralization. T...

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Main Authors: Lamia Singer, Sabina Karačić, Gabriele Bierbaum, Brianne Palmer, Christian Kirschneck, Christoph Bourauel
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-024-05313-3
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author Lamia Singer
Sabina Karačić
Gabriele Bierbaum
Brianne Palmer
Christian Kirschneck
Christoph Bourauel
author_facet Lamia Singer
Sabina Karačić
Gabriele Bierbaum
Brianne Palmer
Christian Kirschneck
Christoph Bourauel
author_sort Lamia Singer
collection DOAJ
description Abstract Background This study aimed to evaluate the efficacy of polydopamine (PDA) functionalization on orthodontic brackets in inhibiting biofilm formation and promoting surface bioactivity to buffer the acidity of caries-causing bacteria around orthodontic brackets and prevent demineralization. The stability of the coating in artificial saliva (AS) and distilled water was evaluated, along with its effect on pH changes in simulated body fluid (SBF) and distilled water. Methods Maxillary incisor orthodontic brackets underwent PDA functionalization using a dopamine hydrochloride solution following a specific protocol. Biofilm formation on both control (Br-0) and coated (Br-PDA) brackets was assessed immediately after coating and after two months of aging (Aged Br-PDA) in artificial saliva. The adherent biofilm bacteria on brackets were quantified with colony count assessment and optical density. Surface morphology, Bioactivity, and coating stability were analyzed using Scanning Electron Microscopy (SEM). Coated and uncoated samples were immersed in SBF and deionized water, and pH changes were monitored over 7 days using a pH meter. Results PDA-functionalized brackets, both freshly coated (1.08 OD) and aged for two months (1.6 OD), showed significantly reduced biofilm formation compared to non-functionalized control brackets (2.07 OD), with p-value < 0.05. This reduction was confirmed through optical density measurements and colony-forming unit (CFU) counts (1.63E + 06, 4.53E + 07, and 7.56E + 07 respectively, p-value < 0.05). SEM analysis revealed alterations in surface morphology and composition, suggesting enhanced biointeraction in the coated brackets. Stability assessments in artificial saliva and deionized water demonstrated the durability of the coating. pH measurements indicated minimal changes in SBF and water, with PDA-functionalized brackets showing slight alterations. Conclusions Our research findings suggest that PDA-functionalized brackets possess promising antimicrobial properties and stability, offering potential applications in orthodontic treatment to mitigate biofilm formation and prevent white spot lesions around orthodontic brackets. Further investigation is required to optimize the coating formulation and explore its long-term efficacy in clinical settings.
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publishDate 2025-01-01
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spelling doaj-art-14a935a23db6427fb2d3c3e18d1a4ea22025-01-05T12:48:17ZengBMCBMC Oral Health1472-68312025-01-0125111010.1186/s12903-024-05313-3A novel stable biomimetic adhesive coating for functionalization of orthodontic brackets against bacterial colonization and white spot lesionsLamia Singer0Sabina Karačić1Gabriele Bierbaum2Brianne Palmer3Christian Kirschneck4Christoph Bourauel5Oral Technology, University Hospital BonnInstitute of Medical Microbiology, Immunology and Parasitology, University Hospital BonnInstitute of Medical Microbiology, Immunology and Parasitology, University Hospital BonnBonn Institute of Organismic Biology, Division of Palaeontology, University of BonnDepartment of Orthodontics, University Hospital BonnOral Technology, University Hospital BonnAbstract Background This study aimed to evaluate the efficacy of polydopamine (PDA) functionalization on orthodontic brackets in inhibiting biofilm formation and promoting surface bioactivity to buffer the acidity of caries-causing bacteria around orthodontic brackets and prevent demineralization. The stability of the coating in artificial saliva (AS) and distilled water was evaluated, along with its effect on pH changes in simulated body fluid (SBF) and distilled water. Methods Maxillary incisor orthodontic brackets underwent PDA functionalization using a dopamine hydrochloride solution following a specific protocol. Biofilm formation on both control (Br-0) and coated (Br-PDA) brackets was assessed immediately after coating and after two months of aging (Aged Br-PDA) in artificial saliva. The adherent biofilm bacteria on brackets were quantified with colony count assessment and optical density. Surface morphology, Bioactivity, and coating stability were analyzed using Scanning Electron Microscopy (SEM). Coated and uncoated samples were immersed in SBF and deionized water, and pH changes were monitored over 7 days using a pH meter. Results PDA-functionalized brackets, both freshly coated (1.08 OD) and aged for two months (1.6 OD), showed significantly reduced biofilm formation compared to non-functionalized control brackets (2.07 OD), with p-value < 0.05. This reduction was confirmed through optical density measurements and colony-forming unit (CFU) counts (1.63E + 06, 4.53E + 07, and 7.56E + 07 respectively, p-value < 0.05). SEM analysis revealed alterations in surface morphology and composition, suggesting enhanced biointeraction in the coated brackets. Stability assessments in artificial saliva and deionized water demonstrated the durability of the coating. pH measurements indicated minimal changes in SBF and water, with PDA-functionalized brackets showing slight alterations. Conclusions Our research findings suggest that PDA-functionalized brackets possess promising antimicrobial properties and stability, offering potential applications in orthodontic treatment to mitigate biofilm formation and prevent white spot lesions around orthodontic brackets. Further investigation is required to optimize the coating formulation and explore its long-term efficacy in clinical settings.https://doi.org/10.1186/s12903-024-05313-3Orthodontic bracketsPolydopamineBiofilm formationSurface bioactivitypH change
spellingShingle Lamia Singer
Sabina Karačić
Gabriele Bierbaum
Brianne Palmer
Christian Kirschneck
Christoph Bourauel
A novel stable biomimetic adhesive coating for functionalization of orthodontic brackets against bacterial colonization and white spot lesions
BMC Oral Health
Orthodontic brackets
Polydopamine
Biofilm formation
Surface bioactivity
pH change
title A novel stable biomimetic adhesive coating for functionalization of orthodontic brackets against bacterial colonization and white spot lesions
title_full A novel stable biomimetic adhesive coating for functionalization of orthodontic brackets against bacterial colonization and white spot lesions
title_fullStr A novel stable biomimetic adhesive coating for functionalization of orthodontic brackets against bacterial colonization and white spot lesions
title_full_unstemmed A novel stable biomimetic adhesive coating for functionalization of orthodontic brackets against bacterial colonization and white spot lesions
title_short A novel stable biomimetic adhesive coating for functionalization of orthodontic brackets against bacterial colonization and white spot lesions
title_sort novel stable biomimetic adhesive coating for functionalization of orthodontic brackets against bacterial colonization and white spot lesions
topic Orthodontic brackets
Polydopamine
Biofilm formation
Surface bioactivity
pH change
url https://doi.org/10.1186/s12903-024-05313-3
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