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06 June 2024 : Review article  

Use of Antimicrobial Silver Coatings on Fixed Orthodontic Appliances, Including Archwires, Brackets, and Microimplants: A Systematic Review

Magdalena Sycińska-Dziarnowska ORCID logo1ABCDEF*, Liliana Szyszka-Sommerfeld ORCID logo12DF, Magdalena Ziąbka ORCID logo3E, Gianrico Spagnuolo ORCID logo45E, Krzysztof Woźniak ORCID logo1E

DOI: 10.12659/MSM.944255

Med Sci Monit 2024; 30:e944255

Table 1 Summary of studies investigating antimicrobial coatings on orthodontic wires, brackets and microimplants: Materials and methods.

Author, yearMaterialAntimicrobial methodCoating composition AgNPs size, %Coating techniqueBacteria/fungi testedSurface characterization
Anand, 2023 []33 SS wiresinhibition zoneAgNPsSize: 20–60 nmElectrochemical depositionTEM, DLS, XDR
Bącela, 2022 []19 SS orthodontic wires coated with a thin TiO: Ag film and control groupCFU, biofilm formationTiO2: AgSol-gel dip-coating
Espinosa-Cristóbal, 2018 []10 NiTi, CuNiTi, and SS and SS bracketsMIC, PCRAgNPsSize: 8.1 nm and 20.1 nmChemical reduction processAFM, SEM
Farheen, 2022 []27 NiTi orthodontic wiresCFU, biofilm formationAgNPsSize: 30–80 nmThe synthesis of AgNPs using Hibiscus rosa-sinensis flower extract involves a bio-reduction processTEM, DLS, zeta potential, FTIR, and UV-Vis
Gil, 2020 []21 NiTi orthodontic wiresCFUAgNPsSize: 40 nmElectrodepositionMechanical test, Niion release test
Gonçalves, 2020 []20 SS orthodontic wires of 2 brands and control groupCFU, biofilm formationAgNPsSize: >20 nmHydrothermal synthesis AgNO3 solution used as silver precursorsDSC, SEM, XRD
Lee, 2020 []28 SS samplesColonies countsAgNPsSize: not mentionedLayer-by-layer deposition matrices on SS with reduction of Ag+ to form AgNPsSEM, XPS
Mhaske, 2015 []12 NiTi and SS archwiresCFU, bacterial adherence testPure silver 99.9%Thermal vacuum evaporation
Nafarrate-Valdez, 2022 []18 Orthodontic wires: SS, CuNiTi, NiTi and controlMIC and bacterial adherence testAgNPsSize: 30 nmChemical reductionAFM, DLS, SEM, TEM
Ameli, 2022 []23 20 stainless steel brackets, 4 groups 5 brackets per group, coated with copper oxide nanoparticles (CuO-NPs), titanium dioxide nanoparticles (TiO-NPs), and hydroxyapatite silver nanoparticles(HA-AgNPs)Colony countsAgNPs Size: <100 nmDip coatingAFM, SEM
Ghasemi, 2017 []22 55 stainless steel brackets 5 groups of 11 brackets each: silver-coated and titanium-coated and control groupColony countsAgNPs Size: 60 nm and 100 nmPhysical vapor depositionAFM, SEM, friction test
Jasso-Ruiz, 2019 []11 Brackets (metallic and esthetic) 50 brackets: 5 groups; 10 group each with control groupAgar disk diffusion test – inhibition zonesAgNPs Size: <5 nmIn situ chemical reductionSEM, TEM
Jasso-Ruiz, 2020 []24 300 commercial orthodontic brackets were used (30 per group) and classified into 10 groups of brackets (5 groups with silver nanoparticles and 5 control groups)level of bacterial colonization radioactive marker was used to codify the bacteria and measure the radiationAgNPsSize: not mentionedIn situ chemical reductionSEM
Ryu, 2012 []25 SS samples discs coated with 100 wt% Ag with Ag–1 wt% Pt, and Ag–3 wt% Pt, Discs coated with Ag–7 wt% PtCFU, biofilm formationAg, Ag-Pt coatings Thickness: from 1.03 to 2.34 μmPhysical vapor depositionSEM EDS, Vickers hardness, Potentio-dynamic polarization, ICP-AES
Zeidan, 2022 []13 48 stainless steel brackets, 4 groups each 12 brackets: Ag nanoparticles coated group, ZnO nanoparticles coated group and Ag/ZnO nanoparticles coated group, control groupCFUAgNPsSize: <40 nmPhysical vapor depositionAFM, XRD
Fathy Abo-Elmahasen, 2023 []26 Orthodontic mini-screws, 2 groups Ag/HA NPs and ZnO NPs no control groupAgar disk diffusion test – inhibition zonesAg/HA NPsSize: 40–70 nmElectrochemical depositionSEM, EDS, XRD, scratching test
Subramanian, 2022 []9 Mini-implant (Ti-6Al-4V)AgNPswith biopolymer (Ti-BP-AgNP) and group with SeNP (Ti-BPSeNP) and control groupAgar disk diffusion test -inhibition zonesAgNPs with biopolymer (Ti-BP-AgNP)Size: 50–80 nmdip-coating techniqueLactobacillus, S. aureus, S. mutansSEM, XRD
Venugopal, 2017 []14 microimplants (Ti6Al4V)AgNPs 2 groups: AgNPs (Ti-AgNPs) and AgNPs-coated biopolymer (Ti-BP-AgNPs) and control groupAgar disk diffusion test – inhibition zonesAgNPsSize: 10–30 nmThe process involved 3 stages: preparation of the hydroxyapatite/chitosan biopolymer; biopolymer layer formation over the Ti6Al4V microimplant surface; and deposition of the AgNPs on the titanium-biopolymer coating by photoreduction of Ag ionsSEM, XPS
AgNPs – silver nanoparticles; CFU – Colony Forming Unit; MIC – Minimal Inhibitory Concentrations; AFM – Atomic Force Microscopy; DLS – Dynamic Light Scattering; EDS – Energy Dispersive X-Ray; ICP-AES – Inductively Coupled Plasma Atomic Emission Spectroscopy; SEM – Scanning Electron Microscopy; TEM – Transmission Electron Microscopy; XPS– X-ray Photoelectron Spectroscopy; XRD – X-ray Diffraction; CuNiTi – archwires: copper-nickel-titanium; NiTi – nickel-titanium; SS –stainless steel.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750