Mechanical properties and antibacterial efficacy against Streptococcus mutans biofilms of novel bioactive tooth root coatings in tooth-brushing simulation.

OBJECTIVES: The aging population is retaining more natural teeth, increasing the prevalence of exposed root surfaces. These surfaces are prone to abrasion, erosion, and biofilm accumulation, leading to tissue loss, hypersensitivity, and root caries. The objectives of this study were to: (1) evaluate the surface and mechanical properties of experimental resin coatings containing dimethylaminohexadecyl methacrylate (DMAHDM) and nanoparticles of amorphous calcium phosphate (NACP) following simulated toothbrushing, and (2) assess their antibacterial efficacy and protective effects compared with commercial controls. METHODS: Experimental groups with urethane dimethacrylate (UDMA)/ triethylene glycol divinylbenzyl ether (TEGDVBE)+ 5% DMAHDM+ 10% (EX1) or 20% NACP (EX2), along with commercial controls (Seal p < 0.05). Surface loss after 10,000 cycles was minimal for experimental coatings (0.39-0.55 µm) and comparable to Seal&Protect (2.63 µm), while Vanish (8.42 µm) and dentin controls (19-27 µm) showed significantly greater loss (p < 0.05). Both experimental coatings reduced S. mutans biofilm CFU counts by 7 log, compared to all other groups (p < 0.05), while retaining hydrophobicity. SEM showed intact coatings in the experimental groups and in Seal&Protect, but Vanish and uncoated samples exhibited cracking and dentin exposure. SIGNIFICANCE: The DMAHDM-NACP UDMA/TEGDVBE resin coating demonstrated surface and mechanical properties comparable to Seal&Protect and superior surface stability compared to Vanish XT, while achieving potent antibacterial activity not observed in either commercial control. These findings indicate strong potential for this multifunctional resin coating to protect tooth root dentin via physical shielding and sustained antibacterial performance.