Removing Biofilms from Microstructured Titanium Ex Vivo A Novel Approach Using Atmospheric Plasma Technology 英文参考文献.docVIP

Removing Biofilms from Microstructured Titanium Ex Vivo A Novel Approach Using Atmospheric Plasma Technology 英文参考文献.doc

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Removing Biofilms from Microstructured Titanium Ex Vivo A Novel Approach Using Atmospheric Plasma Technology 英文参考文献

RemovingBiofilmsfromMicrostructuredTitaniumEx Vivo:ANovelApproachUsingAtmosphericPlasma Technology StefanRupf1*,AhmadNourIdlibi1,6,FuadAlMarrawi1,MatthiasHannig1,AndreasSchubert2,Lutzvon Mueller3,WolfgangSpitzer4,HenrikHoltmann4,AntjeLehmann5,AndreRueppell1,5,AxelSchindler5 1Clinic of Operative Dentistry, Periodontology and Preventive Dentistry, Saarland University Hospital, Homburg/Saar, Germany, 2Vascular Biology Group, Fraunhofer Institute, Leipzig, Germany, 3Department of Medical Microbiology, Saarland University Hospital, Homburg/Saar, Germany, 4Clinic for Oral and Maxillofacial Surgery, UniversityClinicofSaarland,Homburg/Saar,Germany,5LeibnizInstituteofSurfaceModification(IOM),Leipzig,Germany,6DepartmentofPeriodontology,Facultyof Dentistry,UniversityofAleppo,Aleppo,Syria Abstract The removal of biofilms from microstructured titanium used for dental implants is a still unresolved challenge. This experimentalstudyinvestigateddisinfection andremovalof insituformedbiofilms frommicrostructuredtitaniumusing coldatmosphericplasmaincombinationwithair/waterspray.Titaniumdiscs(roughness(Ra):1.96 mm)wereexposedto humanoralcavitiesfor24and72hours(n=149each)toproducebiofilms.Biofilmthicknesswasdeterminedusingconfocal laser scanning microscopy (n=5 each). Plasma treatment of biofilms was carried out ex vivo using a microwave-driven pulsedplasmasourceworkingattemperaturesfrom39to43uC.Followingplasmatreatment,onegroupwasair/waterspray treated before re-treatment by second plasma pulses. Vital microorganisms on the titanium surfaces were identified by contact culture (Rodac agar plates). Biofilm presence and bacterial viability were quantified by fluorescence microscopy. Morphologyoftitaniumsurfacesandattachedbiofilmswasvisualizedbyscanningelectronmicroscopy(SEM).Totalprotein amounts of biofilms were colorimetrically quantified. Untreated and air/water treated biofilms served as controls. Cold plasmatreatmentofnativebiofilmswithameanthicknessof19 mm(24h)to91mm

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