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a                       b




          Figure 3:  Filopodia of endothelial cells induced  by  nanotopography
                                                         [27]
          (used with permission)
          dentistry through the aid of nanorobotics, nanomaterials,
          and biotechnology.  Nanorobots have a diameter of
                           [33]
          0.5–3 µm and are made of components sized from 1 nm
          to  100  nm.  They  can  be  programmed,  thus  enabling
          clinicians to execute accurate procedures at the cellular        c
          and  molecular  levels.  Specifically,  they  have  roles  in   Figure 4:  In vivo antibacterial activity of nanosilver particle‑poly‑
          local anesthesia, diagnostics, therapeutics, dental and   DL‑lactic‑co‑glycolic acid (PLGA) composite grafts. After 2‑week
          maxillofacial hard tissue repositioning, and dentifrice. In   contamination  with  108  CFU  Staphylococcus aureus  Mu50,  rat  femoral
                                                              segmental defects with implanted grafts were harvested, fixed,
          maxillofacial surgery, nanomaterials can be used as bone   decalcified, embedded, sectioned and stained with Taylor modified
          replacement materials, prosthetic implants, dental fillers,   Brown  and  Brenn  Gram‑stain  as  well  as  H  and  E.  (a)  Compared  to
          dental restorative materials, impression materials, and   serious  bacterial  infection  (black  dots)  found  in  control  PLGA  grafts,
                                                              (b)  1.0%  nanosilver‑PLGA  composite  grafts  significantly  reduced
          even for orthodontic wires exhibiting very high strength   bacterial  survival to  colonized  collation  (red  arrows).  (c) On the other
          and excellent deformability, corrosion resistance, and   hand, only limited bacterial colonies (red arrows) were observed
          surface finish.  Finally, tissue  engineering with  natural   in 2.0% nanosilver particle‑PLGA composite grafts  in vivo, and more
                                                              red blood cells (blue arrows) were found in the grafts instead of
          nanomaterials holds the potential to completely     phagocytes (black arrows)  (used with permission)
                                                                                [35]
          reconstruct a patient’s dentition and craniofacial
          skeleton.                                           Table 1: Nanoscale drug delivery technologies
                                                                                                      [1]
                                                              (used with permission)
          DRUG DELIVERY                                        Drug       Materials             Nanostructure
                                                               delivery                         forms
          Nanoscale technologies have numerous applications in drug   technology
          delivery [Table 1]. Bone infections can be catastrophic and   Biologic  Lipids        Vesicles, nanotubes,
          are difficult to manage even in the age of modern antibiotics   Peptides              rings, nanoparticles
          and best surgical techniques.  Plastic surgeons are             Nucleic acids
                                     [34]
          frequently involved in the management of  these problems        Polysaccharides
          because they provide technical expertise with vascularized   Polymeric  Viruses       Vesicles, spheres,
                                                                          Poly (lactic acid)
          tissue transfer and soft tissue reconstruction. Deep tissue     Poly (glycolic acid)  nanoparticles,
          infection with multiple drug resistant organisms coupled        Poly (alkylcyanoacrylate)  micelles, dendrimers
          with the morbidity of serial operations and potentially         Poly (3-hydroxybutanoic acid)
          toxic systemic therapies begs for the introduction of new       Poly (organophosphazene)
          approaches. The antimicrobial properties of silver have         Poly (ethylene glycol)
          long  been  appreciated,  and  current  nanotechnological       Poly (caprolactone)
                                                                          Poly (ethylene oxide)
          techniques have allowed the production of nanoscaled            Poly (amidoamine)
          silver particles with a very high surface to mass ratio.        Poly (L-glutamic acid)
          Zheng et al.  examined PLGA composite grafts treated with       Poly (ethyleneimine)
                   [35]
          nanosilver compared with PLGA controls  [Figure  4]. They       Poly (propylene imine)
          were able to demonstrate that this composite had strong   Silicon   Silicon           Porous,
                                                                                                nanoparticles,
                                                               based
          antimicrobial  properties  and  that  the  presence  of  the    Silicon dioxide       nanoneedles
          nanosilver did not affect the osteoinductive properties of   Carbon   Carbon          Nanotubes,
          PLGA in the presence of bone morphogenic protein‑2. In a   based   Gold               fullerness,
          rat model, nanosilver‑PLGA composite grafts demonstrated   metallic  Silver           nanoparticles,
          complete healing without residual bacteria, while control       Palladium             nanoshells
          animals had residual bacterial contamination. This study        Platinum

          Plast Aesthet Res || Vol 1 || Issue 2 ||  Sep 2014                                                47
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