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J Dent Res 85(1):44-48, 2006
© 2006 International and American Associations for Dental Research


RESEARCH REPORT
Biomaterials & Bioengineering

Polyelectrolyte Multilayer Film Coating and Stability at the Surfaces of Oral Prosthesis Base Polymers: an in vitro and in vivo Study

O. Etienne1,2, C. Picart1, C. Taddei2, P. Keller1, E. Hubsch3, P. Schaaf3, J.C. Voegel1, Y. Haikel2, J.A. Ogier1, and C. Egles1,*

1 Institut National de la Santé et de la Recherche Médicale, Unité 595, 11, rue Humann, 67085 Strasbourg Cedex, France;
2 Faculté de Chirurgie Dentaire, Université Louis Pasteur, 1, Place de l’hôpital, 67000 Strasbourg, France; and
3 Institut Charles Sadron, UPR 22 CNRS, 6 rue Boussingault, 67083 Strasbourg Cedex, France

* corresponding author, new address, Division of Cancer Biology and Tissue Engineering, Tufts University, School of Dental Medicine, 55 Kneeland Street, Boston, MA 02111, USA; christophe.egles{at}tufts.edu


   ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
A new type of coating involving a layer-by-layer technique has been recently reported. This coating is composed of a polyelectrolyte multilayer film that confers specific properties on surfaces to which it is applied. Here, we studied the applicability of such a technique to the coating of oral prostheses, by first testing the construction of polyelectrolyte multilayer films on several polymers used in oral prosthesis bases, and, subsequently, by studying the stability of these coatings in vitro, in human saliva, and in vivo in a rat model. We demonstrated that the multilayered films are able to coat the surfaces of all tested polymers completely, thus increasing their wettability. We also showed that saliva does not degrade the film after 7 days in vitro and after 4 days in vivo. Taken together, our results establish that the layer-by-layer technique is suitable for the coating of oral devices.

KEY WORDS: surface treatment • polyelectrolyte multilayer film • denture base polymer • coating


   INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Polyelectrolyte multilayer films offer new coating opportunities. This technique has been described as being theoretically able to cover many kinds of surfaces when they are charged (Decher, 1997). The mechanisms allowing for film coating involve essentially electrostatic interactions, but the assembly of such multilayer structures has also been shown on non-ionic or apolar substrates (Chen and McCarthy, 1997; Delcorte et al., 1997). The film is constructed by the alternate adsorption of oppositely charged polyelectrolytes at the surface of the material, easily obtained when the material is dipped in polyelectrolyte solutions. The driving force for film construction is the charge excess (alternatively positive and negative) that appears after each new polyelectrolyte adsorption (Decher et al., 1992). A deposition cycle creates a bilayer, and these cycles can be repeated as often as needed. The number of deposition cycles and the types of polyelectrolytes used in the construction allow for control of the thickness and roughness of the multilayered film (Picart et al., 2001).

A broad range of applications for these films has been considered, extending from drug delivery to specific bio-applications based on surface modifications. For example, the multilayer film technique has been used to create microcapsules (Wang et al., 1997), defined as micro- and nanocontainers for storage, transport, and release of active macromolecules (Ibarz et al., 2001). Coating of polystyrene microspheres was developed for application as biosensors in immunoassays (Yang et al., 2001). Other applications have been developed for the use of multilayer films in post-surgical regeneration (Elbert et al., 1999) as anti-coagulant coatings (Serizawa et al., 2002), and for protection against microbial biofilm formation (Boulmedais et al., 2004; Etienne et al., 2004).

Use of these types of multilayered film coatings may be of interest in the dental prosthetic field; however, for these coatings to be used for oral applications, specific issues must first be addressed. The first issue is the nature of the prosthetic polymer surface, whose roughness, low charge, hydrophobicity, and multi-component character could lead to an incomplete coating in comparison with that on glass or industrial metal surfaces. The second issue is related to the specific environment of the oral cavity, since such materials would be in constant contact with saliva, specific enzymes, and a low and changing pH, which could alter the structural integrity of multilayer films.

The purpose of this work was to characterize the thickness and wettability of polyelectrolyte multilayer film coating onto different oral prostheses polymers, and to study its behavior in natural saliva, in vitro and in vivo. The research hypothesis was that these films could be applied to denture base polymers, with clinical benefits in terms of wettability and antimicrobial bioactivity.


   MATERIALS & METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Polymer Specimen Discs
Discs were made from either heat-cured poly(methylmethacrylate) (PMMA), cold-cured poly(dimethacrylate) (PDM), or vinylpolysiloxane (VPS). One half of each specimen disc was polished by means of a tungsten carbide bur and a silicon polisher, with the other half left unpolished. All discs were stored at 37°C in 0.15 M NaCl and used within 24 hrs.

Preparation of Polyelectrolyte Multilayer Film-coated Discs
We prepared solutions of poly(ethylene-imine) (PEI), poly(allylamine hydrochloride) (PAH), and Poly(L-lysine) (PLL) (as polycations), and poly(sodium 4-styrene sulfonate) (PSS) and poly(L-glutamic acid) (PGA) (as polyanions), at 1 mg/mL in 0.15 M NaCl. The multilayer film was constructed by successive dipping of specimen discs in alternating solutions of polycations and polyanions (Fig. 1AGo). Each adsorption step was followed by specimen rinsing in 0.15 M NaCl. A precursor film of PEI-(PSS-PAH)2 (Pre) was followed with n (PGA-PLL) layer pairs (Pre-(PGA-PLL)n), where n varied from 6 to 20 adsorption steps, depending on the experimental method used. Dipping was achieved with a robotic device (DR3, Kirstein GmbH, Berlin, Germany). After preparation, the film-coated discs were stored in 0.15 M NaCl until used.



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Figure 1. Construction and characterization of the polyelectrolyte multilayer films. (A) Diagram of development and structure of a multilayer film based on the alternate deposition of polyanions (grey) and polycations (black). (B) Build-up of a Pre-(PGA-PLL)9 multilayer film, followed by quartz crystal microbalance (QCM) assessment. Global increase in the adsorbed mass is shown by the exponential increase in frequency shift ({Delta}f at 15 Hz, {nu} = 3). The exponential regression follows the function: y = y0 + Aexp(Bx) (with y0 = –398.7, A = 431.8, B = 0.1, R = 0.999). (C) Vertical section obtained by confocal laser scanning microscopy (CLSM) observation through a Pre-(PGA-PLL)20-PGA-PLLFITC film on a glass substrate. The film thickness is about 1 µm.

 
Surface-bound Film Layer Mass
We used a quartz crystal microbalance (QCM) to determine the mass of very thin surface-bound layers by recording the vibration frequency changes ({Delta}f), with a v excitation frequency of the crystal on which macromolecule layers were deposited. A decrease in {Delta}f/v is usually associated with an increase of the mass coupled to the quartz, whereas a degradation (or mass decrease) leads to an increase in {Delta}f/v.

Film Thickness
PLL labeled with fluorescein isothiocyanate (PLLFITC, Sigma-Aldrich, St. Louis, MO, USA) was used to image the dye-labeled film in the green channel of a confocal laser scanning microscope (CLSM) (LSM510, Carl Zeiss AG, Oberkochen, Germany). PLLFITC was deposited as the last layer, since this compound is able to diffuse throughout the film (Picart et al., 2002). This application allowed us to measure the mean thickness (± standard deviation) of the film by acquiring 80 z-axis sections.

Surface Wettability Changes
The static contact angle measurement was performed with the use of a contact angle meter face instrument (CA-S-150, Kyowa, Tokyo, Japan) at room temperature in ambient conditions. Pre-(PGA-PLL)20 coated samples and bare samples were dried under nitrogen flow before being brought into contact with a 10-µL ultrapure water drop (Milli Q-plus system, Millipore Corporation, Billerica, MA, USA). The angle was determined by the relation


with h corresponding to the height and r to the radius of the contact area of the drop on the sample (Berg, 1993). For each sample, the mean value of 3 measurements was taken.

Specimen Surface Topography
Topography differences between and among specimen discs were observed by scanning electron microscopy in the environmental mode (ESEM) (XL30, Philips electron optics, Eindhoven, The Netherlands). This mode enabled us to make direct visual observations of the roughness and homogeneity of the composition at the surface, without any further surface treatment.

In vitro Film Stability
After institutional approval for human saliva use and the informed consent of the individuals, specimens were immersed in fresh human saliva obtained by pooling from three individuals after stimulation by paraffin chewing. Surface-deposited film mass was measured over 1000 min by QCM. Using the same film construction as described for thickness measurement, we evaluated the integrity and thickness variations of the film after 48 hrs, using fluorescence microscopy (Eclipse TE2000, Nikon, 10X objective), and after 7 days by CLSM.

In vivo Film Stability
Biocompatibility of the coating was first tested with a fibroblast culture at the surface of a Pre-(PGA-PLL)20 film (see APPENDIX). In vivo studies were conducted on 6 three-month-old male Wistar rats, after institutional approval for animal use. Unpolished specimen discs (1 x 3 mm) were used and coated with the use of the dipping robot (Fig. 4AGo). The discs were placed at the center of the rat’s cheek to avoid tooth contact (Fig. 4BGo). After 4 days, 2 discs were lost and 4 were retrieved and observed with CLSM by three different operators to determine film thickness and integrity.



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Figure 4. In vivo experiments in rats. PMMA discs were coated with Pre-(PGA-PLL)20-PGA-PLLFITC film, by an automated dipping process, to ensure a full coating (A) and were sutured to the rat’s cheek (B). The CSLM image (115 x 115 µm) of the disc surfaces after 4 days in the rat’s mouth, showing the film still intact and entirely covering the disc on the mucosal side (C), while only fragments are visible on the lingual side of the specimen (D). Scale bars: 10 µm.

 

   RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Surface-bound Film Layer Mass
Pre-(PGA-PLL)9 film build-up showed exponential growth (Fig. 1BGo). This growth profile has been explained by the PLL diffusion in and out of the film during the build-up steps (Picart et al., 2002). Film thickness, as measured by optical waveguide lightmode spectroscopy, is also related to the number of layers by an exponential law (data not shown). For a Pre-(PGA-PLL)20-PGA-PLLFITC film built on a glass surface, the film thickness approximates 1 µm, as observed by confocal microscopy (Fig. 1CGo).

Specimen Surface Topography and Surface Wettability Changes
ESEM analysis of PMMA- (Fig. 2AGo) and PDM-treated disc surfaces (Fig. 2CGo) indicated a relatively smooth surface when compared with VPS surfaces (Fig. 2EGo). For all specimens, the effect of polishing was noticeable. PMMA specimens presented a very homogeneous surface (Fig. 2BGo), whereas PDM surfaces were still heterogeneous, showing glass particles and polymer beads (Fig. 2DGo). Roughness topography of VPS surfaces, although decreased after polishing, was still quite prominent (Fig. 2FGo). Analysis of the Z-sections showed total coating of each surface, with great variation in thickness, especially for a non-polished specimen and particularly for VPS. Polished surfaces showed a homogeneous film deposition (Figs. 2B', 2D', 2F'Go), with mean thicknesses of 0.8 ± 0.1 µm, 1.5 ± 0.2 µm, and 2.1 ± 0.5 µm, respectively, for PMMA, PDM, and VPS. Non-polished specimens showed a coating with aggregates (Figs. 2A', 2C', 2E'Go) and a mean thickness of 4.0 ± 0.3 µm, 4.1 ± 0.7 µm, and 4. 7 ± 1.7 µm, respectively, for PMMA, PDM, and VPS. Surface wettability of the film-coated polymers was drastically increased compared with that of uncoated surfaces. All samples showed at least a ten-fold increase in wettability, except for the polished VPS samples, for which an increase approximated only five-fold (Fig. 2GGo).



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Figure 2. Film presence on polymer surfaces. (A–E) Topography is observed by ESEM images (scale bars, 50 µm [x400]; inlays, 10 µm [x1600]). Below each main picture is a representation of the corresponding image of a CSLM vertical section of the polyelectrolyte film. G, comparative measurements of static contact angles. The smaller the contact angles, the greater the wettability.

 
In vitro Film Stability
QCM measurements showed no alteration of a Pre-(PGA-PLL)6 film for up to 1000 min, whereas addition of a surfactant (Hellmanex II 2%, HELLMA GmbH, Müllheim, Germany) completely removed it (Fig. 3AGo). Thickness stability of Pre-(PGA-PLL)20-PGA-PLLFITC film was also assessed by confocal microscopy, and no changes (t test, p = 0.61, alpha = 0.05) between the control film in 0.15 M NaCl (1.2 ± 0.4 µm) and the film in human saliva (1.3 ± 0.5 µm) were observed after 48 hrs (Figs. 3B, 3CGo). Cross-scratch of the film made after the build-up was still visible by fluorescence microscopy after 7 days in saliva (Figs. 3D, 3EGo).



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Figure 3. Stability of the polyelectrolyte multilayer films in saliva. (A) QCM measurements show no changes in -{Delta}f/{nu} for 1000 min in saliva, while the detergent totally removed the film in seconds (arrow). (B,C) CLSM vertical sections through a Pre-(PGA-PLL)20-PGA-PLLFITC film, after 48 hrs in 0.15 M NaCl (B) or in saliva (C). (D,E) Top view of a Pre-(PGA-PLL)20-PGA-PLLFITC film observed by fluorescent microscopy before (D) and after (E) 7 days in saliva. The film was scratched so that its integrity could be followed.

 
In vivo Film Stability
Confocal microscopic evaluation of retrieved specimens showed clearly that cheek-side surfaces sustained almost no coating degradation (Fig. 4CGo). In contrast, tongue-side surfaces showed large spaces devoid of applied film, but were not completely degraded over the four-day period (Fig. 4DGo). Therefore, it seems that shear forces created by tongue friction were sufficient to alter the film coating, whereas saliva and friction between the mucosal surface and the disc were not.


   DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The results confirmed the hypothesis that not only can multilayer polyelectrolyte films be applied to polymeric surfaces of materials commonly used in prosthetic dentistry, but that they can also prove to be durable and hydrophilic as well. The complex surface topography of tested polymers, as well as the high initial hydrophobicity of VPS, did not prevent coat formation. Polishing the polymer surfaces prior to film application led to a more homogeneous deposition, but was not essential. This finding supports the clinical use of the material to coat the mucosal side of an oral prosthesis, which is not usually polished. The degradation rate of surface coating over time is an important factor in many kinds of oral applications. This study clearly indicated that the structural resistance of the applied film in a salivary environment, for up to 7 days in vitro and 4 days in vivo, was quite good. Unfortunately, because the rat could not tolerate disc placement for longer than 4 days, data exceeding this duration are not available. However, during this period, only the strong friction created by the animal’s tongue seemed able to degrade the film. To overcome this mechanical degradation, two approaches could be considered: One approach would be to chemically cross-link the polyelectrolyte multilayer, thereby changing the nature of the bonds between polyelectrolytes from electrostatic to covalent. Using this approach, Richert et al. have shown that the elastic modulus of the film can be increased ten-fold (Richert et al., 2004). Another approach would be to increase interaction between the film and the material surface, either by increasing the electrostatic surface charge of the acrylic resin with copolymerization of methacrylic acid to methylmethacrylate (Park et al., 2003), or by creating covalent interactions through chemical grafting. For all polymers, surface coating greatly increased wettability. The polyelectrolyte multilayer film would therefore add a hydrated layer between the material and the supporting tissues, thus possibly reducing physical friction and patient discomfort. This hydrated interface would be of great interest for all prothesis-wearers who have any type of salivary gland dysfunction. Patients suffering from disorders giving rise to long-standing xerostomia—due to HIV, HCV infection, drug therapies, Sjögren’s syndrome, or radiation therapy—might demonstrate improved oral tolerance for prostheses through the use of this hydrated film coating. The presence of a more wettable polymer surface may also act to increase prosthesis retention, which is due in large part to capillary action of the fluid layer between the prosthesis and the oral mucosa (Darvell and Clark, 2000). Furthermore, as an enhancement of the technique, one may envisage embedding specific bioactive molecules into the film. Based on previous in vitro studies, an anti-adhesive coating (Boulmedais et al., 2004) or a bioactive coating conferred by embedding of antimicrobial peptides (Etienne et al., 2004, 2005) could be applied to polymer surfaces to overcome bacterial and fungal colonization. Antimicrobial protection of oral polymer surfaces is one of the most promising areas where polyelectrolyte multilayer films could be applied.

Taken together, our results support the hypothesis that these polyelectrolyte multilayer films could be useful for coating denture base polymers. Importantly, this advance will provide clinical benefits in terms of increasing the wettability and the antimicrobial protection of oral prosthetic devices.


   ACKNOWLEDGMENTS
 
The authors thank J. Mutterer and J.H. Lignot for technical support and J.A. Garlick for his assistance with manuscript preparation. This study was supported by the Faculty of Odontology of Strasbourg and by INSERM funds.


   FOOTNOTES
 
A supplemental appendix to this article is published electronically only at http://www.dentalresearch.org.

Received May 19, 2004; Last revision August 17, 2005; Accepted September 8, 2005


   REFERENCES
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 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Berg JC, editor (1993). Wettability. New York: Marcel Dekker.

Boulmedais F, Frisch B, Etienne O, Lavalle P, Picart C, Ogier J, et al. (2004). Polyelectrolyte multilayer films with pegylated polypeptides as a new type of anti-microbial protection for biomaterials. Biomaterials 25:2003–2011.[Medline]

Chen W, McCarthy TJ (1997). Layer-by-layer deposition: a tool for polymer surface modification. Macromolecules 30:78–86.

Darvell BW, Clark RK (2000). The physical mechanisms of complete denture retention. Br Dent J 189:248–252.[Medline]

Decher G (1997). Fuzzy nanoassemblies: toward layered polymeric multicomposites. Science 277:1232–1237.[Abstract/Free Full Text]

Decher G, Hong JD, Schmitt J (1992). Buildup of ultrathin multilayer films by a self-assembly process: III. Consecutively alternating adsorption of anionic and cationic polyelectrolytes on charged surfaces. Thin Solid Films 210–211:831–835.

Delcorte A, Bertrand P, Wischerhoff E, Laschewsky A (1997). Adsorption of polyelectrolyte multilayers on polymer surfaces. Langmuir 13:5125–5136.

Elbert DL, Herbert CB, Hubbell JA (1999). Thin polymer layers formed by polyelectrolyte multilayer techniques on biological surfaces. Langmuir 15:5355–5362.

Etienne O, Picart C, Taddei C, Haikel Y, Dimarcq JL, Schaaf P, et al. (2004). Multilayer polyelectrolyte films functionalized by insertion of defensin: a new approach to protection of implants from bacterial colonization. Antimicrob Agents Chemother 48:3662–3669.[Abstract/Free Full Text]

Etienne O, Gasnier C, Taddei C, Voegel JC, Aunis D, Schaaf P, et al. (2005). Antifungal coating by biofunctionalized polyelectrolyte multilayered films. Biomaterials 26:6704–6712.[Medline]

Ibarz G, Dähne L, Donath E, Möhwald H (2001). Smart micro- and nanocontainers for storage, transport, and release. Advanced Mater 13:1324–1327.

Park SE, Periathamby AR, Loza JC (2003). Effect of surface-charged poly(methyl methacrylate) on the adhesion of Candida albicans. J Prosthodont 12:249–254.[Medline]

Picart C, Ladam G, Senger B, Voegel JC, Schaaf P, Cuisinier FJ, et al. (2001). Determination of structural parameters characterizing thin films by optical methods: a comparison between scanning angle reflectometry and optical waveguide lightmode spectroscopy. J Chem Physics 115:1086–1094.

Picart C, Mutterer J, Richert L, Luo Y, Prestwich GD, Schaaf P, et al. (2002). Molecular basis for the explanation of the exponential growth of polyelectrolyte multilayers. Proc Natl Acad Sci USA 99:12531–12535.[Abstract/Free Full Text]

Richert L, Engler AJ, Discher DE, Picart C (2004). Elasticity of native and cross-linked polyelectrolyte multilayer films. Biomacromolecules 5:1908–1916.[Medline]

Serizawa T, Yamaguchi M, Akashi M (2002). Alternating bioactivity of polymeric layer-by-layer assemblies: anticoagulation vs procoagulation of human blood. Biomacromolecules 3:724–731.[Medline]

Wang T, Lacik I, Brissova M, Anilkumar AV, Prokop A, Hunkeler D, et al. (1997). An encapsulation system for the immunoisolation of pancreatic islets. Nat Biotechnol 15:358–362.[ISI][Medline]

Yang W, Trau D, Renneberg R, Yu NT, Caruso F (2001). Layer-by-layer construction of novel biofunctional fluorescent microparticles for immunoassay. J Colloid Interface Sci 234:356–362.[Medline]





This Article
Right arrow Abstract Freely available
Right arrow Figures Only
Right arrow Full Text (PDF)
Right arrow Appendix
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
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Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via ISI Web of Science (4)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Etienne, O.
Right arrow Articles by Egles, C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Etienne, O.
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