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Nanoparticle-modified PMMA to prevent denture stomatitis: a systematic review
Amanda Aparecida Maia Neves Garcia1, Carolina Yoshi Campos Sugio1, Lucas José de Azevedo-Silva1
1Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo (USP), Al. Octávio Pinheiro Brisola, 9-75, Bauru, SP, 17012-901, Brazil.
Abstract:
This systematic review aimed to evaluate the antifungal effectiveness of polymethylmetacrylate (PMMA) modified by nanoparticles (NPs) and to compare it with conventional acrylic resins for denture bases. The present study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Searches were performed using PubMed, SCOPUS, SciELO, EMBASE, and LILACS. Eligibility criteria were as recommended by PRISMA. The studies presented great variability regarding NP type, synthesis method, antifungal evaluation method, and antifungal effect. The most commonly used NPs were silver (AgNP) and zinc oxide (ZnONP), ranging in size from 10 to 100 nm. The incorporation methods were mechanical or agitated. Despite PMMA modification by ZnONP being shown in vitro to be a combination with the best antifungal effect, future studies are still needed to determine the minimum inhibitory concentration for Candida spp. and assess its biocompatibility before the protocol is clinically tested.
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