Antimicrobial property and Cytotoxicity of hesperidin incorporated dentin adhesive – an invitro study

Main Article Content

M.Shamly
Iffat Nasim

Keywords

Hesperidin, Flavonoid, Total etch dentin adhesive, Micro-organisms, Quality of life

Abstract

Introduction: Dentin adhesives are frequently used in restorative dentistry, although they can be vulnerable to bacterial colonisation, which can result in recurrent caries. Citrus fruits contain the flavonoid hesperidin (HPN), which has demonstrated potential antibacterial activity against a variety of microorganisms. This study looked at the cytotoxicity and antibacterial effects of total etch dentin adhesive that was incorporated with hesperidin.
Materials and Methods: Four groups of dentin adhesive formulations with different hesperidin concentrations (25μL, 50μL, and 100μL) were made. The test microbes for the antimicrobial investigation were Lactobacillus acidophilus, Streptococcus mutans, and Enterococcus faecalis. For this experiment, Mueller Hinton Agar was used to measure the zone of inhibition. Also, the cytotoxicity of the hesperidin-incorporated total etch dentin adhesive was examined using the Brine Shrimp Lethality Assay.
Results: Dimethyl sulfoxide (DMSO), total etch bonding agent, and HPN work together synergistically to combat L. acidophilus, E. faecalis, and S. mutans in particular. Hesperidin concentration in the adhesive led to an expansion of the zone of inhibition. The hesperidin-incorporated adhesive did not have any harmful effects, as shown by the Brine shrimp lethality experiment.
Conclusion: According to the results of this in vitro investigation, adding hesperidin to dentin adhesive may improve its antibacterial capabilities without harming dental pulp stem cells. These findings open up new directions for investigation into the development of dental adhesive formulations with enhanced antibacterial characteristics for superior clinical results.
Clinical Significance: Hesperidin and other natural substances could be used into dentin adhesive to prevent bacterial colonisation and avoid recurrent caries. Furthermore, the hesperidin-incorporated adhesive's lack of cytotoxicity proves that it is safe for usage in clinical settings.

Abstract 454 | PDF Downloads 281

References

1. Asl HRM, Asl EM. A review on restorative and preventive materials used in dentistry. Journal of Dental Health, Oral Disorders & Therapy 2018; 9: 526–529.
2. Zou Y, Jessop JLP, Armstrong SR. Apparent conversion of adhesive resin in the hybrid layer, Part II:In situstudies of the resin-dentin bond. Journal of Biomedical Materials Research Part A 2009; 89A: 355–362.
3. Walter R, Miguez PA, Arnold RR, et al. Effects of Natural Cross-Linkers on the Stability of Dentin Collagen and the Inhibition of Root Caries in vitro. Caries Research 2008; 42: 263–268.
4. Lührs A-K, Guhr S, Günay H, et al. Shear bond strength of self-adhesive resins compared to resin cements with etch and rinse adhesives to enamel and dentin in vitro. Clinical Oral Investigations 2010; 14: 193–199.
5. Jacobsen T, Söderholm K-JM, Garcea I, et al. Calcium leaching from dentin and shear bond strength after etching with phosphoric acid of different concentrations. European Journal of Oral Sciences 2000; 108: 247–254.
6. Vidal CMP, Tjäderhane L, Scaffa PM, et al. Abundance of MMPs and Cysteine Cathepsins in Caries-affected Dentin. Journal of Dental Research 2014; 93: 269–274.
7. Van Doren SR. Matrix metalloproteinase interactions with collagen and elastin. Matrix Biology 2015; 44-46: 224–231.
8. Abdullah H, Khodair Z, AL-Zanganawee J, et al. Study of inter laminate layer effect on Impact and Hardness Properties for Unsaturated Polyester resin reinforced Hybrid Fabric composite. Journal of Garmian University 2017; 4: 401–408.
9. Rudawska A. Adhesives: Applications and Properties. BoD – Books on Demand, 2016.
10. Wdowiak K, Walkowiak J, Pietrzak R, et al. Bioavailability of Hesperidin and Its Aglycone Hesperetin—Compounds Found in Citrus Fruits as a Parameter Conditioning the Pro-Health Potential (Neuroprotective and Antidiabetic
Activity)—Mini-Review. Nutrients 2022; 14: 2647.
11. Adapa S, Sushanth VH, Prashant GM, et al. In vitro antimicrobial activity of Spinacia Oleracea against Streptococcus mutans and Lactobacillus acidophilus. Journal of Indian Association of Public Health Dentistry 2018; 16: 251.
12. Berto LA. Antimicrobial activity of plants from Brazilian Cerrado against Streptococcus mutans. DOI: 10.47749/t/unicamp.2014.927794.
13. Fujimori K, Arita A, Kumagai T. Effect of mechanical properties of adhesives on bond strength. Dental Materials 2019; 35: e15.
14. de Macedo FAA, Souza NO, Lemos MVS, et al. Dentin bonding and physicochemical properties of adhesives incorporated with epigallocatechin-3-gallate. Odontology 2019; 107: 23–28.
15. Malli Sureshbabu N, Selvarasu K, V JK, et al. Concentrated Growth Factors as an Ingenious Biomaterial in Regeneration of Bony Defects after Periapical Surgery: A Report of Two Cases. Case Rep Dent 2019; 2019: 7046203.
16. Ahad M, Gheena S. Awareness, attitude and knowledge about evidence based dentistry among the dental practitioner in Chennai city. J Adv Pharm Technol Res 2016; 9: 1863.
17. PradeepKumar AR, Shemesh H, Jothilatha S, et al. Diagnosis of Vertical Root Fractures in Restored Endodontically Treated Teeth: A Time-dependent Retrospective Cohort Study. J Endod 2016; 42: 1175–1180.
18. Jangid K, Alexander AJ, Jayakumar ND, et al. Ankyloglossia with cleft lip: A rare case report. J Indian Soc Periodontol 2015; 19: 690–693.
19. Kumar A, Sherlin HJ, Ramani P, et al. Expression of CD 68, CD 45 and human leukocyte antigen-DR in central and peripheral giant cell granuloma, giant cell tumor of long bones, and tuberculous granuloma: An immunohistochemical study. Indian J Dent Res 2015; 26: 295–303.
20. Manohar J, Abilasha R. A Study on the Knowledge of Causes and Prevalance of Pigmentation of Gingiva among Dental Students. Indian Journal of Public Health Research & Development 2019; 10: 95.
21. Sekar D, Mani P, Biruntha M, et al. Dissecting the functional role of microRNA 21 in osteosarcoma. Cancer Gene Ther 2019; 26: 179–182.
22. Girija SA, Jayaseelan VP, Arumugam P. Prevalence of VIM- and GIM-producing Acinetobacter baumannii from patients with severe urinary tract infection. Acta Microbiol Immunol Hung 2018; 65: 539–550.
23. Maheswari TNU, Venugopal A, Sureshbabu NM, et al. Salivary micro RNA as a potential biomarker in oral potentially malignant disorders: A systematic review. Ci Ji Yi Xue Za Zhi 2018; 30: 55–60.
24. Subashri A, Maheshwari TNU. Knowledge and attitude of oral hygiene practice among dental students. J Adv Pharm Technol Res 2016; 9: 1840.
25. Sridharan G, Ramani P, Patankar S, et al. Evaluation of salivary metabolomics in oral leukoplakia and oral squamous cell carcinoma. J Oral Pathol Med 2019; 48: 299–306.
26. Ezhilarasan D, Apoorva VS, Ashok Vardhan N. Syzygium cumini extract induced reactive oxygen species-mediated apoptosis in human oral squamous carcinoma cells. J Oral Pathol Med 2019; 48: 115–121.
27. Mathew MG, Samuel SR, Soni AJ, et al. Evaluation of adhesion of Streptococcus mutans, plaque accumulation on zirconia and stainless steel crowns, and surrounding gingival inflammation in primary molars: randomized controlled trial. Clin Oral Investig 2020; 24: 3275–3280.
28. Vijayashree Priyadharsini J. In silico validation of the non-antibiotic drugs acetaminophen and ibuprofen as antibacterial agents against red complex pathogens. J Periodontol 2019; 90: 1441–1448.
29. Chandrasekar R, Chandrasekhar S, Sundari KKS, et al. Development and validation of a formula for objective assessment of cervical vertebral bone age. Prog Orthod 2020; 21: 38.
30. Hass V, Liu H, Cook W, et al. Distinct effects of polyphenols and solvents on dentin collagen crosslinking interactions and biostability. Dental Materials 2021; 37: 1794–1805.
31. Wu Y, Chai B, Wang L, et al. Antibacterial activity of total flavonoids from Ilex rotunda Thunb. and different antibacterials on different multidrug-resistant bacteria alone or in combination. DOI: 10.1101/457911.
32. Ghorab S, Ibraheim A. Effect of hesperidin on antibacterial activity and adhesive properti es of an etch-and-rinse adhesive system. Egyptian Dental Journal 2018; 64: 3801–3812.
33. Tronchet JMJ, Zerelli S, Dolatshahi N, et al. Influence of the structure of the sugar moiety on the cytotoxic and antiviral properties of sugar electrophiles. Chemical and Pharmaceutical Bulletin 1988; 36: 3722–3725.
34. Parhiz H, Roohbakhsh A, Soltani F, et al. Antioxidant and Anti-Inflammatory Properties of the Citrus Flavonoids Hesperidin and Hesperetin: An Updated Review of their Molecular Mechanisms and Experimental Models. Phytotherapy Research 2015; 29: 323–331.
35. Johnson A. Activity of daptomycin against multi-resistant Gram-positive bacteria including enterococci and Staphylococcus aureus resistant to linezolid. International Journal of Antimicrobial Agents 2004; 24: 315–319.
36. Islam S, Hiraishi N, Nassar M, et al. Effect of natural cross-linkers incorporation in a self-etching primer on dentine bond strength. J Dent 2012; 40: 1052–1059.
37. Stape THS, Tjäderhane L, Szesz A, et al. DMSO improves long-term dentin bonding of etch-and-rinse and self-etch adhesives. Dental Materials 2015; 31: e27–e28.
38. Camim F da S, da Silva Camim F. Influence of MMP inhibitors on bond strength of adhesive restorations: systematic review and meta-analysis. DOI: 10.11606/d.25.2019.tde-25112019-205524.
39. Coli P, Alaeddin S, Wennerberg A, et al. In vitro dentin pretreatment, Surface roughness and adhesive shear bond strength. European Journal of Oral Sciences 1999; 107: 400–413.
40. Zabeu GS. Use of dimethyl sulfoxide (DMSO) to optimize adhesive interface: analysis of its effectiveness on the mechanical and biological properties in dentin bonding. DOI: 10.11606/t.25.2021.tde-07022022-113825.
41. Cao R, Zhao Y, Zhou Z, et al. Enhancement of the water solubility and antioxidant activity of hesperidin by chitooligosaccharide. Journal of the Science of Food and Agriculture 2018; 98: 2422–2427.