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In Vitro Biofilm Formation on 3D-Printed, Milled, and Conventionally Manufactured Denture Base Resins
Michael Del Hougne1, Alexander Mitzscherling1, Andrea Ewald2
1Department of Prosthodontics, University of Würzburg, Pleicherwall 2, 97070 Würzburg, Germany.
Bioengineering (Basel, Switzerland)
|May 4, 2026
Summary
Biofilm formation on denture materials varies by manufacturing method and bacterial species. Milled materials showed less biofilm from Streptococcus sanguinis compared to additive or conventional methods.
Area of Science:
- Biomaterials Science
- Microbiology
- Prosthodontics
Background:
- Biofilm formation on denture bases contributes to oral diseases like denture stomatitis.
- Understanding biofilm accumulation is crucial for effective prosthodontic treatment.
Purpose of the Study:
- To investigate and compare biofilm formation on dental prosthetic materials produced via additive, subtractive, and conventional manufacturing techniques.
- To assess the influence of different manufacturing methods on the colonization of denture base materials by specific oral bacteria.
Main Methods:
- Fabrication of disc specimens from 3D-printed resin, milled polymethyl methacrylate (PMMA), and conventionally processed materials.
- Incubation with Streptococcus mutans and Streptococcus sanguinis over 21 days.
- Quantification of biofilm using crystal violet staining and photometric OD measurements; surface analysis via scanning electron microscopy.
Main Results:
- Streptococcus sanguinis formed significantly more biofilm than Streptococcus mutans across all materials.
- Milled PMMA showed lower S. sanguinis biofilm accumulation compared to additive and conventional materials.
- Material-dependent differences for S. mutans were minimal, while S. sanguinis showed pronounced differences based on manufacturing technique.
Conclusions:
- Both the manufacturing technique and the bacterial species significantly influence biofilm formation on denture base materials.
- Milled materials may offer an advantage in reducing S. sanguinis biofilm accumulation.
- Further research into material properties and bacterial interactions is warranted for improved denture design.

