Remineralising composites with antibacterial properties may seal the cavity and prevent secondary caries. This study aimed at developing experimental flowable composites containing different concentrations of fluoride-doped calcium phosphate fillers and evaluating their remineralising and antibacterial properties. Experimental resin-based composites containing different concentrations (0-20 %) of fluoride-doped calcium phosphate fillers (VS10/VS20) were formulated. The release of calcium (Ca), phosphate (PO) and fluoride (F) ions was assessed for 30 days. Remineralisation properties were evaluated through ATR-FTIR and SEM/EDX after storage in simulated body fluid (SBF). The metabolic activity and viability of Streptococcus gordonii was also evaluated through ATP, CFU and live/dead confocal microscopy. The evaluation of specific monomer elution from the experimental composites was conducted using high-performance liquid chromatography (HPLC). The composites containing VS10 showed the highest release of Ca, those containing VS20 released more F over time (p < 0.05), while there was no significant difference in terms of PO ions release between the groups (p > 0.05). A quick 7-day mineral precipitation was observed in the tested composites containing VS10 or VS20 at 10 %; these materials also showed the greatest antibacterial activity (p < 0.05). Moreover, the tested composites containing VS10 presented the lowest elution of monomers (p < 0.05). Innovative composites were developed with low monomers elution, evident antibacterial activity against S. gordonii and important remineralisation properties due to specific ions release. Novel composites containing fluoride-doped calcium phosphates may be promising to modulate bacteria growth, promote remineralisation and reduce the risk of cytotoxicity related to monomers' elution.

Titanium implantation success may be compromised by Staphylococcus aureus surface colonization and posterior infection. To avoid this issue, different strategies have been investigated to promote an antibacterial character to titanium. In this work, two antibacterial agents (silver nanoparticles and a multifunctional antimicrobial peptide) were used to coat titanium surfaces. The modulation of the nanoparticle (≈32.1 ± 9.4 nm) density on titanium could be optimized, and a sequential functionalization with both agents was achieved through a two-step functionalization method by means of surface silanization. The antibacterial character of the coating agents was assessed individually as well as combined. The results have shown that a reduction in bacteria after 4 h of incubation can be achieved on all the coated surfaces. After 24 h of incubation, however, the individual antimicrobial peptide coating was more effective than the silver nanoparticles or their combination against Staphylococcus aureus. All tested coatings were non-cytotoxic for eukaryotic cells.

This study evaluated the effects of incorporating fluoride-doped calcium phosphate (FDCP) into glass ionomer cement (GIC) and resin-modified glass ionomer cement (RMGIC) on their physicochemical properties, mineralisation potential, and antibacterial behaviour. A conventional GIC (Riva SC, SDI Ltd., Australia) and RMGIC (Riva LC, SDI Ltd, Australia) were used to prepare experimental formulations containing different FDCP concentrations and were compared with unmodified controls. Water sorption, solubility, uptake, pH, calcium and fluoride release, compressive strength and modulus, setting time, and microhardness were assessed. Mineral deposition on material surfaces and demineralised dentine was analysed using FTIR-ATR, SEM-EDX, and XRD after storage in artificial saliva (30 days). Antibacterial activity against Streptococcus gordonii was evaluated by metabolic activity, colony-forming units, and SEM. Cytotoxicity was assessed using human gingival fibroblasts. FDCP incorporation stabilised pH and influenced ion release behaviour in both materials. Increased mineral deposition was observed in FDCP-modified groups, with evidence of apatite-like precipitation, particularly in SC 11%, LC 13%, and LC 18%. Improvements in long-term compressive strength and microhardness were mainly observed in the RMGIC formulations. Antibacterial effects were more evident in LC 13% and LC 18%, where reduced bacterial metabolic activity and surface colonisation were observed. However, reduced fibroblast viability was also observed in all the tested groups under the test conditions. The incorporation of FDCP enhanced several functional properties of GICs, particularly mineralisation and antibacterial behaviour, although some cytotoxic effects were also observed. FDCP-modified GICs may improve the performance of restorative materials in clinical situations, remineralisation, and antibacterial activity, thereby preventing secondary caries.

Doping of calcium phosphates (CaPs) with bioinorganic ions is a widely used strategy to enhance their biological performance in bone regeneration. However, conventional methods for ionic incorporation in CaP scaffolds often require high-temperature treatments or involve multiple complex steps. Here, we present two simple strategies to dope 3D-printed CaP scaffolds via incorporation of ions into the apatitic phase during the hydrolysis of α-tricalcium phosphate (α-TCP) to calcium deficient hydroxyapatite (CDHA). In the first strategy, ions were incorporated directly into the printing ink, whereas in the second, undoped robocasted scaffolds were immersed in ionic solutions, allowing ion incorporation into precipitated CDHA during phase transformation. We investigated several ions, including strontium (Sr²⁺), magnesium (Mg²⁺), silicon (SiO₄⁴⁻) and gallium (Ga³⁺). Sr²⁺ and Ga³⁺ were successfully incorporated into the scaffolds, either by direct ink doping (Sr²⁺) or by soaking in ionic solutions (Sr²⁺ and Ga³⁺). Direct incorporation of Sr²⁺ in the ink resulted in a higher ion loading and release, enhancing bone formation and bone quality, as evidenced by increased mineral-to-matrix ratio and Young's modulus, as well as osteoinductive properties relative to non-doped scaffolds. Furthermore, we demonstrated for the first time the osteoinductive capacity of Ga³⁺ in an ectopic in vivo model.

La impresión 3D de biomateriales es una tecnología de gran auge para la fabricación de injertos aptos para la reparación de defectos óseos con geometrías complejas. Los cementos de fosfato de calcio (CFC) son biocerámicos empleados en la medicina ortopédica debido a su similitud con la fase mineral del hueso, la capacidad para ser moldeados como una pasta y endurecer in situ. La impresión 3D de CFC potencializaría su aplicación al permitir cirugías reconstructivas de defectos con geometrías complejas, sin embargo, una limitante es la baja inyectabilidad de los CFC debido a la separación de fases que ocurre durante la inyección de la pasta. En este trabajo se ha estudiado la implementación de un polímero termosensible como el Poloxámero 407 para generar una tinta inyectable. Dicha tinta ha sido formulada para contener 5 % de hidroxiapatita carbonatada tipo B como agente nucleante biocompatible y biodegradable. Se evaluaron adiciones de soluciones acuosas de Poloxámero 407 al 0 %, 20 % y 40 % en peso como fase gel a una relación líquido/polvo de 0,75 mL/g. Se determinó el coeficiente de inyectabilidad, la cohesión de las tintas y se caracterizó la resistencia a la compresión de los cementos empleando análisis Weibull, determinado que la adición de polímero disminuye las propiedades mecánicas de los CFC en un 52,68 % y 81,23 %, respectivamente, en relación con el CFC de control (0%), atribuido a una menor densificación del cemento. Se concluyó que las adiciones del Poloxámero 407 no interfieren en la precipitación de hidroxiapatita deficiente en calcio ni en la degradación in vitro de los cementos y favorece el comportamiento de la tinta para su posible implementación en impresión 3D.

Tricalcium phosphate (TCP) synthetized by high temperature solid state reaction at 1400°C and three derived calcium phosphate cements (CPCs) prepared at liquid to powder (L/P) ratios of 0.33, 0.44 and 0.55 ml/g, respectively, were physicochemically characterized. Calcium deficient hydroxyapatite crystals were identified by scanning electron microscopy on CPC, and differences in crystal sizes were observed at different L/P ratios. Also, the biofilm thickness of two Staphylococcus Aureus (S.aureus) strains grown for 24 hours on the three CPC are reported. A dependence of the biofilm thickness with the specific surface area (SSA) of CPC was identified. They are directly proportional for non-extracellular polysaccharide substances (EPS) producing S.aureus and inversely proportional for EPS producing S.aureus. Non-proportional behavior between the SSA and mechanical strength of the CPC was observed as L/P ratio increases.