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Biomedical Engineering

The Biomedical Engineering blog is the place for conversation and discussion about topics related to engineering principles of the medical field. Here, you'll find everything from discussions about emerging medical technologies to advances in medical research. The blog's owner, Chelsey H, is a graduate of Rensselaer Polytechnic Institute (RPI) with a degree in Biomedical Engineering.

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11 comments

Silver Bullet for Oral Bacteria

Posted May 15, 2012 12:00 AM by Chelsey H

A while ago I wrote about the understandable fear that red heads have when going to the dentist office. In the future, they (and everyone else) can rest easy that return visits won't be necessary. Scientists at the University of Maryland have invented a dental filling that kills bacteria on the tooth and remineralizes the decayed area, preventing a new cavity in the same spot.

She doesn't look scared of the dentist. Image Credit: Acacia Lane Dental

Tooth decay, which often results in a cavity (or worse), is when organic acids secreted by bacteria residing in biofilms or plaques on the tooth surface dissolve the mineral content in the tooth. The organic acids come from the breakdown of carbohydrates by the bacteria. When the dentist is filling a cavity, the first thing they do is drill out the decayed tooth. He or she then rebuilds the missing tooth structure with a filling material. As the dentist removes the decayed tooth, the dental pulp is left exposed to bacteria in the area and on the surrounding teeth. This bacterium is difficult, if not impossible to remove. Also, the dentist may not be able to remove all of the decayed material in the tooth. If the dental pulp comes infected by these bacteria the tooth may need a new filling or a root canal.

Cavity and removal process. Image Credit: bhdentists.com

A new nanomaterial was developed by a team of researchers. The material not only limits the decay but it can control harmful bacteria in the mouth. The filling cement acts as an antibacterial primer and antibacterial adhesive. It is made from quaternary ammonium and silver nanoparticles (diameter of roughly 1/1000th the width of a human hair) along with a high pH that limits acid production by tooth bacteria. Although not fully tested for longevity, the team expects the primer to last five to 10 years. The adhesive nature of the primer is calcium phosphate nanoparticles that regenerate tooth minerals. This material is added to the tooth after the decayed area has been removed because it has the ability to fill in tiny holes inside the tooth.

SEM image of silver nanomaterials. Image Credit: Dhiraj Sardar, University of Texas at San Antonio

Nanosilver is known to kill bacteria and other microbes. Because of this, these particles have been added to surgery instruments, bandages, home air filters and more. The mechanism used is not fully understood yet, but scientists think the silver particles anchor to cell walls present in bacteria cells. The nanosilver then penetrates the cell wall which allows environment contaminants into the bacteria, killing the cell.


Image Credit: scienceyhairblog.blogspot.com.

The product has been tested using biofilms from human saliva. The patent is currently pending for the new material, but if a company takes up the office, the next step will be to test the product on animal teeth and in human volunteers to gain FDA approval. The research report, Anti-biofilm Dentin Primer with Quaternary Ammonium and Silver Nanoparticles, was reported in the Journal of Dental Research.

Resources

School of Dentistry Invents Dental Fillings That Kill Bacteria and Remineralize the Tooth

Tiny dental filling kills bacteria, strengthens teeth

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Guru

Join Date: Jun 2007
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#1

Re: Silver Bullet for Oral Bacteria

05/17/2012 8:51 AM

I'd say "sounds promising", except....I am left wondering:

"The filling cement acts as an antibacterial primer and antibacterial adhesive... Although not fully tested for longevity, the team expects the primer to last five to 10 years."

Is this (new) material actually the 'standalone-filler' material? Or is it a "primer" for an otherwise standard filler? Either way, IF it only lasts 5-yrs or so, does the filling then NEED to be redone?

I have several fillings that are well beyond 20 years old, and have never had a problem with any of them. Gotta believe that the dentist's personal 'giftedness' (or experience) plays a much larger role than the materials that are used. (?)

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#3
In reply to #1

Re: Silver Bullet for Oral Bacteria

05/23/2012 7:23 PM

as long as the nanosilver stays in place, the germs will die. They can't develop immunity to it. Expect the FDA to fight this tooth and nail. Even though silver has been used for its antimicrobial characteristics for hundreds or maybe even thousands of years,and new uses along these lines are found every day, even though silver is routinely used in hospital sprays (destroys MRSA), water purification, clothing to prevent body odor and enable wearer to go for days and even weeks without washing (great for hikers, mountain climbers, and astronauts), even though the best antibiotic cream, Silvadene, has silver as its primary ingredient, even though silver was only recently displaced by "conventional" antibiotics as an eye ointment for babies at birth, even though doctors desperate to help their patients IN HOSPITALS with pneumonia use silver to fight the infection, etc, etc., the FDA has taken a "pooh-pooh" approach, ignoring mountains of evidence concerning its efficacy, and taking the word of its naysayers without requiring evidence from the naysayers.

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#4
In reply to #3

Re: Silver Bullet for Oral Bacteria

05/24/2012 11:09 AM

My own cynicism is (regrettably) easily fueled, as by your statement regarding the FDA : "... FDA has taken a "pooh-pooh" approach, ignoring mountains of evidence concerning its efficacy, and taking the word of its naysayers without requiring evidence from the naysayers."

I learned of Silvadene's exemplary performance from the ER staff, when they used it (following clean-up) on some sulfuric acid burns on my back (a co-worker had poured some, full strength, into some tubing ~ part of a heat-treating oven ~ to clean it out, and the reaction with deposits caused it to shoot-out ... straight past him, onto my unexpecting back-side).

I was most impressed by what Jeffrey Hillman (kramarat's 1st link) has been working on; taking a gene from Zymomonas mobilis, with which to genetically modify 'his' Streptococcus mutans, to replace the lactic-acid producing ("cavity-forming") bacteria on our teeth with a strain that can eradicate the bad bacteria, without producing the deleterious (cavity-forming) acid.

NOW, I wonder whether the 'Silver_Bullet' might turn-out to be a problem, if used in (multiple cavities of) a mouth having Hillman's "new strain" of oral bacteria....

Hmmmmm.....

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#5
In reply to #4

Re: Silver Bullet for Oral Bacteria

05/24/2012 12:10 PM

I wonder? Don't quote me on this, but it seems like I read that Hillman became his own guinea pig, long before entering the approval process. At the time I read it, I believe it had been 2 years or more. The cavity, "acid" producing bacteria still had not reestablished themselves in his mouth. No ill effects whatsoever............and no signs of tooth decay. I wish I could get my hands on some of it.

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#6
In reply to #3

Re: Silver Bullet for Oral Bacteria

05/31/2012 4:18 AM

Silver as an anti bacterial agent has been around for thousands of years. There are reports in documents dating back to Egyptian times of silver being put in water to 'cleanse' it. Old wives tales that the pharmacies routinely dismiss are littered with uses of silver in a similar vein. An old parchment I once read recommended a '..silver coin be left in a vessel by the bed and drunk in the morning to dispel vapours..' I left out the silly spelling.

Why do the authorities spend so much time trying to disprove old remedies rather than finding out why they evidently do work?

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Power-User

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#7
In reply to #6

Re: Silver Bullet for Oral Bacteria

05/31/2012 4:49 AM

The drug companies can only patent synthetic substances. They can't patent a plant, they can't patent a mineral (or element). The drug company CEOs or higher-ups go to the FDA, do a stint there, and return to the drug companies. Just like Wall street bankster gangsters go to Washington, (treasury dept, Fed Reserve chairman) and back to Wall Street (GOldman Sachs, JP Morgan, The Federal Reserve system). The answer in short is corruption. My naturopath explained it to me back in 1994. it has only gotten worse then. The FDA and the AMA and the drug companies have a stranglehold on the healthcare system. As an example you can verify for yourself, a cure for diabetes was found in a children's hospital in Canada 6 to 10 years ago. It's really simple, inject pharmaceutical grade capsaicin into the pancreas. Stops it cold. You would think this would be a widely publicized watershed event and people would be lining up to be guinea pigs, BEGGING to be freed from EXPENSIVE insulin, and test strips and finger pricks and thrice daily injections.

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#8
In reply to #7

Re: Silver Bullet for Oral Bacteria

05/31/2012 4:54 AM

I have friends and know children with diabetes (not weight related as so many cases are these days), where can one find information on the case you mentioned? Did it counter type 1 diabetes?

If this works reliably and it's not being talked about then I can feel a Facebook 'Cause' coming on!

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#9
In reply to #8

Re: Silver Bullet for Oral Bacteria

05/31/2012 5:41 AM

I have studied this extensively as my GF has diabetes. I do not remember WHICH hospital, it was a children's hospital in Canada. There are lots of things that can be done. The HUGE lie is that you need carbs. You don't. You get plenty of carbs from vegetables. You'll notice the quacks have you countering your carb intake with insulin? THEN QUIT TAKING CARBS!!!. A raw vegetable diet (Gersin diet?) is something to look into as it is reputed to cure diabetes as well. There is also the Turmeric, black pepper, and onion skin treatment I read about recently. All spices. Try it and see what happens and post here, I want to know. It is supposed to work wonders. You take that mixture with each meal and within two hours it is supposed to have your insulin where it belongs. RAW aloe vera (the kind you put on skin) is proven by research to lower insulin requirements. Exercise is absolutely crucial. Do not eat artificial sweeteners, they are poisonous. If you must have sweets, and u r scared of real sugar, use Stevia or maybe agave. Diabetes is a result of pancreatic inflammation. That is why the capsaicin injection works. Avoid starchy food. Avoid grains, period. you don't need them, it is an utter myth. If a diabetic leans on vegetables and meat and avoids the other food groups, insulin requirements will drop. Also, look into food sequencing, eating your food in the right order. Vanadium helps. Cinnamon helps.

Here is the info you requested: In December of 2006, a possible revolutionary treat for both Type I and Type II diabetes was announced in Canada. Dr. Michael Salter and Dr. Hans Michael Dosch of The Hospital for Sick Children in Toronto, Canada found that injections of capsaicin into the pancreas of mice with a condition similar to Tyep I and Type II diabetes reversed those conditions overnight. The first problem these two had was getting their results published. Even after the researchers jumped through hoops to finally get their results published, why is this news being so largely ignored by the US medical community? Hey, American Diabetes Association, have you heard the news? You have a lot of clout and research dollars, put a spotlight on this! What is everyone waiting for? Could it be that treating diabetes is just too big a business? After all, as the American Diabetes Association website claims, "The total annual economic cost of diabetes in 2007 was estimated to be $174 billion. Medical expenditures totaled $116 billion and were comprised of $27 billion for diabetes care, $58 billion for chronic diabetes-related complications, and $31 billion for excess general medical costs."

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#10
In reply to #6

Re: Silver Bullet for Oral Bacteria

06/01/2012 9:52 AM

"Silver as an anti-bacterial agent has been around for thousands of years" ... and WILL be for thousands more to come...!

As the "Killer Stainless Steel" blog (posted yesterday) states:

"...a process for giving stainless steel a coating that killed all E. coli bacteria present within two hours in laboratory tests ... involves applying a layer of a bio-inspired adhesive to the steel, then four alternating layers of a negatively-charged polymer and positively-charged polymer micelles containing silver-based particles, which are highly bactericidal."

Sooner or later, you'd think the price of silver might nudge a wee bit closer to gold, eh?

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Power-User

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#11
In reply to #10

Re: Silver Bullet for Oral Bacteria

06/01/2012 12:57 PM

It would already be there if JP Morgan wasn't leveraged 100:1 with paper (fraud) silver on the short side. A London metals trader (Andrew Maguire) blew the whistle on them and in response the govt (comex) covered up and somebody performed vehicular assault on Maguire and his wife. Assailant escaped, banging into parked cars on his way out of there, cops caught him and then...... nothing. Silence. NOW I read that JP just took a 2 billion dollar loss and Jaime Dimon is talking out the side of his mouth. As the EVIDENCE rolls in it appears that huge silver short is finally costing JP Morgan dearly. Silver is cheap right now, BTW.

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#2

Re: Silver Bullet for Oral Bacteria

05/18/2012 11:12 AM

Better ways have been developed. The FDA has become a dysfunctional bureaucracy.

At the risk of spreading negative vibes.............

http://www.popsci.com/scitech/article/2008-01/germ-could-save-your-life?page=1

http://www.nytimes.com/2004/11/30/health/30tooth.html

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