Research Article
EvaluationofAntibacterialEffectsofFissureSealantsContaining
Chitosan Nanoparticles
Sedighe Sadat Hashemi kamangar ,
1
Houtan Zareian ,
2
Abbas Bahador ,
3
Maryam Pourhajibagher ,
4
Zahra Bashareh,
2
and Sara Valizadeh
4,5
1
Department of Operative Dentistry, International Campus, Dental School, Tehran Universityof Medical Sciences, Tehran, Iran
2
International Campus, Dental School, Tehran University of Medical Sciences, Tehran, Iran
3
Department of Medical Microbiology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
4
Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
5
Restorative Dentistry Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
Correspondence should be addressed to Sara Valizadeh; valizadeh_s@sina.tums.ac.ir
Received 5 April 2021; Accepted 7 August 2021; Published 17 August 2021
Academic Editor: Boonlert Kukiattrakoon
Copyright © 2021 Sedighe Sadat Hashemi kamangar et al. is is an open access article distributed under the Creative Commons
Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Objectives. e present study evaluated the antimicrobial effects of fissure sealants containing chitosan nanoparticles. Materials
and Methods. Antibacterial effect of Master Dent fissure sealant alone and after incorporating chitosan nanoparticles was
evaluated on Streptococcus mutans, sanguis, and Lactobacillus acidophilus. Biofilm growth was evaluated by determining colony
counts. Antimicrobial effect was determined on days 3, 15, and 30 by counting microbial colonies using eluted components test.
One-way ANOVA, Tukey HSD tests, t test, and two-way ANOVA were used for statistical analyses (α � 0.05). Results. Biofilm
inhibition test showed that fissure sealant containing 1 wt.% chitosan decreased colony counts significantly (P < 0.05). Eluted
components test with S. mutans and sanguis showed significant decrease in colony counts during the first 15 days in chitosan
containing group; however, from day 30, antimicrobial activity decreased noticeably, with no significant difference from control
group (P > 0.05). Antimicrobial activity against L. acidophilus was maintained in chitosan group up to 30 days, and decrease in
colony counts was significant (P < 0.05). Conclusion. According to the results of this study, incorporation of 1 wt.% chitosan into
fissure sealant induced an antimicrobial activity. Antibacterial effect on L. acidophilus persisted for longer time (30 days)
compared to the two other bacterial species (15 days).
1.Introduction
Despite advances in identifying cariogenic factors and caries
prevention techniques, dental caries is still an oral condition
due to biofilms with a pandemic distribution pattern. e
pits and fissures on the occlusal surfaces of permanent teeth
with deep and narrow topography are considered a challenge
for the mechanical cleaning of these areas [1]. erefore,
these surfaces are very susceptible to the invasion of oral
microflora and their metabolic byproducts. It has been re-
ported that sealing pits and fissures can be a preventive
measure against bacterial invasion by creating a physical
protective barrier [2].
Previous studies have shown that resin-based sealers are
better than other materials in terms of retention and sealing
ability and can decrease the risk of new caries up to 18% in
high-risk individuals. ey are superior to glass ionomer in
terms of retention, with similar results in terms of pre-
vention [3]. Although sealers are widely used to prevent
dental caries, they exhibit a high failure rate. Bacterial
colonization beneath the sealants and demineralization of
teeth are among the important factors which are attributed
to this issue [4, 5].
In vitro studies have shown that despite fissure sealants’
good sealing ability, microleakage is observed around them,
especially after thermocycling, associated with the adhesion
Hindawi
International Journal of Dentistry
Volume 2021, Article ID 8975948, 7 pages
https://doi.org/10.1155/2021/8975948