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The need for removable prostheses will continue due to the increase
in human aged population. Poly(methyl methacrylate) (PMMA) is
the denture based material of choice for more than 50 years and
up to now owing to its applicable mechanical, physiochemical, and
working properties. However, denture PMMA may be colonized
by some oral microorganisms. These oral microorganisms may
contribute to oral infections as denture stomatitis, systemic infections,
and pneumonia. Denture cleansers alone are ineffective against
denture plaque removal and also, may cause significant damage
to dentures. Systemic antibiotic has been specified for management
of oral infections; however, excessive use of systemic drugs led to
the development of microbial resistant strains.On the other hand,
the topical application of antibiotics may be ineffective due to its
inability to maintain physical contact with oral mucosal tissue, limiting
anatomical features of the oral cavity as well as constant washing
effect caused by the salivary flow. Therefore, there is a need for
a technology that permits controlled drug delivery with optimal
concentration at the required site. the introduction of nanoparticlebased
drug delivery technologies allows an effective and targeted
drug delivery without undesirable side effects. Local drug delivery
technology is more appropriate to patients as it does not require
frequent application regimes. In addition, direct delivery of the
drug to the site of infection reduces the risk of systemic side effects
or drug-drug interactions. For a material to be used as a drug
carrier, it must have the ability to carry a drug either physically
or chemically. Drug carrier must preserve the drug until it reaches
the targeted site, being progressively degraded, and deliver the
drug in a controllable manner over time. Conclusion: Removable
dental prosthesis fabricated from PMMA can be used as a vehicle
for drug nanocarriers for management of oral infections. PMMA
can incorporate additives up to 20% w/w without significantly
altering the surface micro-hardness.
1-Elboraey AN, Abo-Almaged HH, El-Ashmawy AA, Abdou AR,
Moussa AR, Emara LH, El-Masry HM, El Bassyouni GE, Ramzy MI.
Biological and Mechanical Properties of Denture Base Material as
a Vehicle for Novel Hydroxyapatite Nanoparticles Loaded
with Drug. Advanced Pharmaceutical Bulletin. 2021 Jan;11(1):86.
2-Khalil MF, Sanad ME, Ahmed GA, Elboraey AN. Effect of
Two Types of Surface Treatment of Dental Implants Retaining
Mandibular Complete Overdenture on Bone Density Changes. Al-
Azhar Dental Journal for Girls. 2020 Jan 1;7(1):23-9.
3-Elmorsy, Ayman A., Mohamed Zaki, Hafiz Elbahnaswi, Amani
R. Moussa, and Asmaa N. Elboraey. "The Effect of Alteration of
Vertical Dimension of Occlusion on Brain Activity in Complete
Denture Wearers." Open Access Macedonian Journal of Medical
Sciences 9, no. D (2021): 108-112.
4-Moussa, Amani R., Eman M. Ibraheem, and Asmaa N. Elboraey.
"Evaluation of changes in brain activity and cognitive function of
diabetic patients wearing removable partial dentures." Journal of
The Arab Society for Medical Research 15, no. 2 (2020): 42.
5-Amani R.Moussa, Abeer M El-kady, Asmaa N Elboraey, Dalia
Y Zaki, Hanaa M Elgamily, Magda I Ramzy and Gehan T El-
Bassyouni., Antimicrobial properties of tissue conditioner containing
silver doped bioactive glass nanoparticles: in vitro study. Adv. Nat.
Sci.: Nanosci. Nanotechnol. 9, 035003 :1-10, August 2018.
Biography
Associate professor of removable prosthodontics, Fixed and Removable Prosthodontics Department, Oral and Dental Research Institute, National Research Center Cairo, Egypt. Principle investigator of research project “Anti-Microbial Drug Loaded Nanoparticles As a New Drug Delivery System for Dental Applications. Project ID: 11010201(2016-2019).
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