Development of Remineralizing and Antibacterial Resin Coating for Provisional Crowns with Improved Bond Strength and...

Secondary caries and biofilm accumulation remain major causes of failure in provisional crowns and restorations, highlighting the need for multifunctional resin coatings with antibacterial and remineralizing capabilities. This study aimed to develop a novel bioactive and antibacterial resin-based surface coating incorporating 10% dimethylaminododecyl methacrylate (DMADDM), 20% nanoparticles of amorphous calcium phosphate (NACP), and/or 20% calcium fluoride nanoparticles (nCaF₂) within a urethane dimethacrylate/triethylene glycol divinylbenzyl ether (UDMA/TEG-DVBE) matrix. Coatings were evaluated for degree of conversion (DC), flow, shear bond strength, brushing wear resistance (10,000 cycles), and calcium (Ca), phosphate (PO₄), and fluoride (F) ion release up to 70 days. All groups achieved clinically acceptable polymerization, with the lowest DC at 50%. NACP-containing coatings significantly increased shear bond strength to 18.3 ± 2.8 MPa, representing a ~170% increase compared with the experimental control (6.8 ± 2.1 MPa) and exceeding the ISO 10477 minimum threshold of 5 MPa. After brushing simulation, experimental coatings demonstrated low wear depth (0.93-1.19 µm), which was ~40% lower than the commercial control (1.85 ± 0.40 µm). Sustained ion release was achieved for 70 days, with 20% NACP-formula releasing 1.22 mmol/L Ca and 0.90 mmol/L PO₄, while the dual NACP-nCaF₂ formulation provided simultaneous Ca (0.62 mmol/L) and F (0.33 mmol/L) release. The developed coatings demonstrated promising physicochemical properties, bonding performance, wear resistance, and sustained remineralizing ion release, supporting their potential application as therapeutic surface coatings for provisional restorations.