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September 25, 2026AntibioticsOpen Access

Single-Cell Adhesion, Biofilm Formation, and Disinfectant Susceptibility of Candida albicans on CAD/CAM-Manufactured Occlusal Splint Resins

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Authors

LFLaura Beatriz Ribeiro FalconiUniversidade Estadual Paulista (Unesp)LMLarianne de Sousa MoisésUniversidade Estadual Paulista (Unesp)SCSabrina Romão Gonçalves CoelhoUniversidade Estadual Paulista (Unesp)

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Implication

In vitro study shows distinct Candida albicans biofilm accumulation and disinfectant susceptibility across CAD/CAM splint resins, highlighting milled materials resist fungal colonization.

Key Points

  • To assess the nanomechanical properties, single-cell adhesion forces of Candida albicans, and disinfectant susceptibility across 3D-printed, milled, and conventional occlusal splint resins.
  • Fabricated circular specimens (n = 60 per resin) from 3D-printed (3D Bio-Splint), milled (EvoBlock Monocor), and conventional heat-polymerized (Vipicril) resins, then aged them with saliva incubation and brushing simulation.
  • Grew mature C. albicans biofilms and exposed them for 10 minutes to 0.25% sodium hypochlorite, 2% chlorhexidine, sodium perborate, 0.1% PHMB, or PBS control.
  • Quantified microbial load (CFU/mL), metabolic activity (XTT assay), surface morphology, nanoscale roughness, elasticity (Young's modulus), and real-time fungal cell adhesion using atomic force microscopy (AFM).
  • Resin type, disinfection protocol, and their interaction significantly altered biofilm outcomes (p < 0.001), with control CFU counts highest on 3D-printed resin (63.4 × 10^6 CFU/mL) and lowest on milled resin (3.9 × 10^5 CFU/mL).
  • Chlorhexidine eliminated all cultivable CFU across all resins, although residual metabolic activity persisted between 10.4% and 40.4%, whereas PHMB on printed resin left 93.4% cell viability despite reducing CFU to 4.9% of control.
  • AFM nanoindentation revealed median Young's modulus values of 9.92 GPa for milled, 6.44 GPa for 3D-printed, and 4.92 GPa for conventional resins, with milled surfaces exhibiting lower single-cell adhesion forces.

Cite This Study

Falconi et al. (2026) studied this question.

synapsesocial.com/papers/6ab60f5c406bf401c1467c5bhttps://doi.org/10.3390/antibiotics15100941
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Also Consider

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  1. 1Modulatory Effect of Glycated Collagen on Oral Streptococcal Nanoadhesion2020 · 29 citations
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  4. 4Influence of the Manufacturing Method on the Adhesion of Candida albicans and Streptococcus mutans to Oral Splint Resins2021 · 42 citations