Polymethyl methacrylate resin containing -poly-L-lysine and 2-methacryloyloxyethyl phosphorylcholine with antimicrobial effects

Statement of problem. Polymethyl methacrylate (PMMA) is commonly used in dentistry, including as a denture base material. However, the colonization of a PMMA surface by microbial microorganisms could increase the risk of oral diseases such as denture stomatitis and gingivitis. The development of PMMA with antibacterial properties should improve its clinical application, but whether adding epsilon-poly-L-lysine (epsilon-PL) and 2-methacryloyloxyethyl phosphorylcholine (MPC) provides antimicrobial effects is unclear. Purpose. This in vitro study aimed to develop a novel antibacterial PMMA resin containing the natural nontoxic antibacterial agent epsilon-PL and the protein repellent agent MPC. The mechanical properties, protein repellency, and antimicrobial activities of the resin were then evaluated. Material and methods. Different mass fractions of epsilon-PL and MPC were mixed into PMMA as the experimental groups, with unaltered PMMA as the control group. The flexural strength (n=10) and surface roughness (n=6) of the resulting mixtures were measured to determine their mechanical properties. The antiprotein properties were measured by using the micro bicinchoninic acid method (n=6). The antimicrobial effect of the resin was assessed using live/ dead staining (n=6) and methyltransferase (MTT) assays (n=10). According to the variance homogeneity and normal distribution results, 1-way analysis of variance followed by the Tukey honestly significant difference test or the Welch test and the Games-Howell test were used (alpha=.05 for all tests). Results. No significant differences were found in the flexural strength values and surface roughness of the specimens containing 1.5% MPC and 1.5% epsilon-PL compared with those of the control (P>.05). The addition of epsilon-PL to the PMMA resin alone significantly increased its bactericidal properties (P<.05). Adding both epsilon-PL and MPC further increased the antibacterial activity of the PMMA resin without increasing protein adhesion more than in the control group. Conclusions. The incorporation of both e-PL and MPC into PMMA improved its antibacterial capacity without affecting its mechanical properties and did not increase protein adhesion. Therefore, the novel PMMA fabricated in this study shows promise for dental applications.