4.6 Review

Strategies toward development of antimicrobial biomaterials for dental healthcare applications

Journal

BIOTECHNOLOGY AND BIOENGINEERING
Volume 118, Issue 12, Pages 4590-4622

Publisher

WILEY
DOI: 10.1002/bit.27948

Keywords

3D printing; antibacterial; antimicrobial resistance; dental material; nanomaterial

Funding

  1. DST INSPIRE FACULTY [DST/INSPIRE/04/2016/002483]

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Various approaches are being explored for the elimination of oral pathogens to improve dental health, including the use of antimicrobial biomaterials and strategies such as nanotechnology and antimicrobial peptides. Recent developments also focus on reducing antimicrobial drug resistance through the design and synthesis of antifouling polymers. Additionally, advanced techniques like additive manufacturing for the production of custom-made antibacterial dental products are being studied to combat dental pathogens effectively.
Several approaches for elimination of oral pathogens are being explored at the present time since oral diseases remain prevalent affecting approximately 3.5 billion people worldwide. Need for antimicrobial biomaterials in dental healthcare include but is not restricted to designing resin composites and adhesives for prevention of dental caries. Constant efforts are also being made to develop antimicrobial strategies for clearance of endodontic space prior root canal treatment and for treatment of periimplantitis and periodontitis. This article discusses various conventional and nanotechnology-based strategies to achieve antimicrobial efficacy in dental biomaterials. Recent developments in the design and synthesis of antimicrobial peptides and antifouling zwitterionic polymers to effectively lessen the risks of antimicrobial drug resistance are also outlined in this review. Further, the role of contemporary strategies such as use of smart biomaterials, ionic solvent-based biomaterials and quorum quenchers incorporated biomaterials in the elimination of dental pathogens are described in detail. Lastly, we mentioned the approach of using polymers to print custom-made three-dimensional antibacterial dental products via additive manufacturing technologies. This review provides a critical perspective on the chemical, biomimetic, and engineering strategies intended for developing antimicrobial biomaterials that have the potential to substantially improve the dental health.

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