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NANOTECHNOLOGY
IN
DENTISTRY
DEFINITION
Nano – ‘Dwarf’
The science of manipulating matter measured
in the billionth of meter – nanometer
Roughly the size of 2-3 atoms.
To employ individual atoms and molecules to
construct functional structures.
HISTORY
Richard P. Feynman - 1959
‘There’s plenty of room at the bottom’
1980
Scanning tunneling microscope
Carbon nanotubes
2000
US Govt – National Nanotechnology
initiative
3 Steps to achieving
nanotechnology-produced goods
1. Ability to manipulate individual atoms
2. To develop nanomachines (assemblers) that can be
programmed to manipulate atoms and molecules
at will.
3. To build replicators which will be programmed to
build more assemblers.
Fabrication techniques
Fabrication of assemblers and nano structures
1. Top down approach
Techniques to manufacture nanostructures using
methods already employed at small scale micron
assemblies – further miniaturization.
2. Bottom up approach
Method of producing nanostructures
Nanostructures in dentistry
1. Nanoparticles
2. Nanorods
3. Nanospheres
4. Nanotubes
5. Nanofibres
6. Dendrimers
Nanoparticles
• Unit diameter between 0.1 to 100 nm
• Currently used in resin-based ceramics
• Formulation of interfacial silanes to coat and bond
inorganic fillers
• Sialinization increases fracture toughness
• Increases ion-releasing calcium phosphate
composite
Nanorods
• Interest in restorative context
• Chen & colleagues – synthesized enamel-prism-like
hydroxyapatite nanorods - self assembly properties
Nanospheres
Carbon ‘buckyball’
• Use in hypersensitivity
• Hydroxyapatite with flourine nanosphere
Nanotubes
• Titanium oxide nanotubes – invitro acceleration of
HA formation – implant coatings.
• Modified single walled carbon nanotubes (SWCNTs)
increases flexure strength of RBC.
Nanofibres
• Nanofibres used to generate ceramics containing HA
• Nanofibrillar silicate crystals – reinforcement of
composites
• 2,2’-bis[4-(methacryloxypropoxy)-phenyl] propane
(Bis-GMA) with triethylene glycol dimethyacrylate
(TEGDMA) as thinning agent.
Dendrimers
• Dendritic copolymers
• Application in dental composite restorations
• Less studied with research still on
Bottom up approach
Local anesthesia
Colloidial solution containing millions of active
analgesic micron size dental robots
Robots reach the pulp via gingival sulcus,
lamina propria , dentinal tubules
Robots shut down sensitivity
Sensation restored
Hypersensitivity cure
• Hypersentive teeth have 8 times higher surface
density of dentinal tubules
• Tubules diameters - twice as large
• Nanorobots could selectively and precisely occlude
select tubules in minutes using native biological
materials.
Nanorobotic dentrifice
(dentifrobots)
• Subocclusal dwelling dentifrobots delivered by
toothpaste / mouthwash – patrol all supragingival and
subgingival surfaces atleast once a day
• Metabolize organic matter into harmless & odorless
vapours
• Perform continuous calculus debridement
• Safely deactivate themselves when swallowed &
programmed with strict occlusal avoidance
Dental durability and cosmetics
• Tooth durability and appearance may be improved
by replacing upper enamel layers with pure
sapphire & diamond
• More fracture resistant by including carbon
nanotubes
Orthodontic treatment
• Nanorobots could directly manipulate the
periodontal tissues
• Allow rapid tooth straightening, rotating, vertical
repositioning within minutes to hours
• Smart brackets – telemetric stress sensors sensitive
to shear stresses – microchip with direct force
feedback
Dental implantology
• Surface modifications of the implants – grit blasting,
ionic implantation, anodization & plasma treatment
• Nanotite, OsseoSpeed, Strauman SLActive implants
• Reduces healing time & enhances osseointegration
Photosensitizers & carriers
• Quantum dots – can bind to antibody on the target cell
• When stimulated by UV light – give rise to reactive
oxygen species – lethal to target cell
Diagnosis of oral cancer
• Nanoelectromechanical Systems (NEMS)
Convert chemical to electrical signal
• Cantilever array sensors
• Ultrasensitive mass detection technology:
• Picogram (10-12)- bacterium
• Femtogram (10-15)- virus
• Attogram (10-18) – DNA
• Multiplexing modality- sensing large number of different
biomolecules simultaneously in real time
• Applications – diagnosis of DM, cancer
• Detection of fungi, bacteria & viruses
Treatment of oral cancer
• Nanomaterials for brachytherapy
BrachySil™ - delivers 32P
• Drug delivery across the blood brain barrier
Treatment of brain tumours, Parkinson’s in
development, Alzheimer’s
• Nanovectors for gene therapy
Non viral gene delivery systems
Top down approach
Nanocomposites
• Nanoproducts Corporation – manufactures
nanoparticles that are homogenously distributed in
resins / coatings to form nanocomposites
• Advantages:
• Superior hardness, flexure strength,
modulus of elasticity & translucency
• 50% reduction in filling shrinkage
• Excellent handling properties
Filtek O Supreme Universal Restorative Pure Nano O
Nanosolution
• Nanosolutions produce unique & dispersible
nanoparticles - can be used in bonding agents.
• Ensures homogeneity and ensures adhesive is
perfectly mixed every time.
• Adper O Single Bond Plus Adhesive Single Bond
Impression materials
• Nanofillers are integrated in vinylpolysiloxanes –
unique siloxane impression material
• Material has better flow, improved hydrophilic
properties and enhanced detail precision
• Nanotech Elite H-D
Nanoencapsulation
• South West Research Institute (SWRI) have developed
targeted release systems – nanocapsules including
novel vaccines, antibiotics, drugs with reduced side
effects.
• Osaka University of Japan (2003) – Engineered
Hepatits B virus envelope L particles – gene & drug
delivery to the liver
• Yamada (2003) – cells derived from periodontium can
be bioengineered to target oral tissues.
Other products by SWRI
1. Protective clothing and filtration masks using
antipathogenic nanoemulsions and nanoparticles
2. For instantenous healing
• Biodegradable nanofibres – hemostatic platform
• Wound dressings with silk nanofibres
• Nanocrystalline silver particles with antimicrobial
properties – dressings
3. Bone targeting nanocarriers
Calcium phosphate based biomaterial – easily flowable,
moldable paste – conforms to interdigitates with host bone –
supports growth of cartilage & bone cells.
Nanoneedles
• Nanoneedles - Deliver vaccines / molecules
painlessly
• Nanotweezers – cell surgery would be possible!
Bone replacement materials
• Hydroxyapatite nanoparticles – treat bone defects:
• Osstim® - Osartis, Germany – HA
• VITOSS® - Orthovita, USA – HA + TCP
• NanOss™ - Angstrom Medica, USA - HA
Challenges faced
1. Precise positioning & assembly of molecular scale
part
2. Economical nanorobot mass production technique
3. Biocompatibility
4. Simultanenous co-ordination of activities of large
number of independent nanorobots
5. Social issues – acceptance, ethics, regulation &
human safety
Future scenario..
Patient rinses oral cavity with mouth wash
containing millions of nanobots
Swarm the mouth to eliminate
disease & bacteria causing disease
Mission accomplished, the bots are deactivated
and expelled harmlessly from the body
Stem of nanoflowers
The silk collective
Surfacing turtle
The rising moon
Aurora Zinc Oxide

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Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
 

Nanotech1

  • 2. DEFINITION Nano – ‘Dwarf’ The science of manipulating matter measured in the billionth of meter – nanometer Roughly the size of 2-3 atoms. To employ individual atoms and molecules to construct functional structures.
  • 3. HISTORY Richard P. Feynman - 1959 ‘There’s plenty of room at the bottom’ 1980 Scanning tunneling microscope Carbon nanotubes 2000 US Govt – National Nanotechnology initiative
  • 4. 3 Steps to achieving nanotechnology-produced goods 1. Ability to manipulate individual atoms 2. To develop nanomachines (assemblers) that can be programmed to manipulate atoms and molecules at will. 3. To build replicators which will be programmed to build more assemblers.
  • 5. Fabrication techniques Fabrication of assemblers and nano structures 1. Top down approach Techniques to manufacture nanostructures using methods already employed at small scale micron assemblies – further miniaturization. 2. Bottom up approach Method of producing nanostructures
  • 6. Nanostructures in dentistry 1. Nanoparticles 2. Nanorods 3. Nanospheres 4. Nanotubes 5. Nanofibres 6. Dendrimers
  • 7. Nanoparticles • Unit diameter between 0.1 to 100 nm • Currently used in resin-based ceramics • Formulation of interfacial silanes to coat and bond inorganic fillers • Sialinization increases fracture toughness • Increases ion-releasing calcium phosphate composite
  • 8. Nanorods • Interest in restorative context • Chen & colleagues – synthesized enamel-prism-like hydroxyapatite nanorods - self assembly properties
  • 9. Nanospheres Carbon ‘buckyball’ • Use in hypersensitivity • Hydroxyapatite with flourine nanosphere
  • 10. Nanotubes • Titanium oxide nanotubes – invitro acceleration of HA formation – implant coatings. • Modified single walled carbon nanotubes (SWCNTs) increases flexure strength of RBC.
  • 11. Nanofibres • Nanofibres used to generate ceramics containing HA • Nanofibrillar silicate crystals – reinforcement of composites • 2,2’-bis[4-(methacryloxypropoxy)-phenyl] propane (Bis-GMA) with triethylene glycol dimethyacrylate (TEGDMA) as thinning agent.
  • 12. Dendrimers • Dendritic copolymers • Application in dental composite restorations • Less studied with research still on
  • 14. Local anesthesia Colloidial solution containing millions of active analgesic micron size dental robots Robots reach the pulp via gingival sulcus, lamina propria , dentinal tubules Robots shut down sensitivity Sensation restored
  • 15. Hypersensitivity cure • Hypersentive teeth have 8 times higher surface density of dentinal tubules • Tubules diameters - twice as large • Nanorobots could selectively and precisely occlude select tubules in minutes using native biological materials.
  • 16. Nanorobotic dentrifice (dentifrobots) • Subocclusal dwelling dentifrobots delivered by toothpaste / mouthwash – patrol all supragingival and subgingival surfaces atleast once a day • Metabolize organic matter into harmless & odorless vapours • Perform continuous calculus debridement • Safely deactivate themselves when swallowed & programmed with strict occlusal avoidance
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  • 18. Dental durability and cosmetics • Tooth durability and appearance may be improved by replacing upper enamel layers with pure sapphire & diamond • More fracture resistant by including carbon nanotubes
  • 19. Orthodontic treatment • Nanorobots could directly manipulate the periodontal tissues • Allow rapid tooth straightening, rotating, vertical repositioning within minutes to hours • Smart brackets – telemetric stress sensors sensitive to shear stresses – microchip with direct force feedback
  • 20. Dental implantology • Surface modifications of the implants – grit blasting, ionic implantation, anodization & plasma treatment • Nanotite, OsseoSpeed, Strauman SLActive implants • Reduces healing time & enhances osseointegration
  • 21. Photosensitizers & carriers • Quantum dots – can bind to antibody on the target cell • When stimulated by UV light – give rise to reactive oxygen species – lethal to target cell
  • 22. Diagnosis of oral cancer • Nanoelectromechanical Systems (NEMS) Convert chemical to electrical signal • Cantilever array sensors • Ultrasensitive mass detection technology: • Picogram (10-12)- bacterium • Femtogram (10-15)- virus • Attogram (10-18) – DNA • Multiplexing modality- sensing large number of different biomolecules simultaneously in real time • Applications – diagnosis of DM, cancer • Detection of fungi, bacteria & viruses
  • 23. Treatment of oral cancer • Nanomaterials for brachytherapy BrachySil™ - delivers 32P • Drug delivery across the blood brain barrier Treatment of brain tumours, Parkinson’s in development, Alzheimer’s • Nanovectors for gene therapy Non viral gene delivery systems
  • 25. Nanocomposites • Nanoproducts Corporation – manufactures nanoparticles that are homogenously distributed in resins / coatings to form nanocomposites • Advantages: • Superior hardness, flexure strength, modulus of elasticity & translucency • 50% reduction in filling shrinkage • Excellent handling properties Filtek O Supreme Universal Restorative Pure Nano O
  • 26. Nanosolution • Nanosolutions produce unique & dispersible nanoparticles - can be used in bonding agents. • Ensures homogeneity and ensures adhesive is perfectly mixed every time. • Adper O Single Bond Plus Adhesive Single Bond
  • 27. Impression materials • Nanofillers are integrated in vinylpolysiloxanes – unique siloxane impression material • Material has better flow, improved hydrophilic properties and enhanced detail precision • Nanotech Elite H-D
  • 28. Nanoencapsulation • South West Research Institute (SWRI) have developed targeted release systems – nanocapsules including novel vaccines, antibiotics, drugs with reduced side effects. • Osaka University of Japan (2003) – Engineered Hepatits B virus envelope L particles – gene & drug delivery to the liver • Yamada (2003) – cells derived from periodontium can be bioengineered to target oral tissues.
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  • 30. Other products by SWRI 1. Protective clothing and filtration masks using antipathogenic nanoemulsions and nanoparticles 2. For instantenous healing • Biodegradable nanofibres – hemostatic platform • Wound dressings with silk nanofibres • Nanocrystalline silver particles with antimicrobial properties – dressings 3. Bone targeting nanocarriers Calcium phosphate based biomaterial – easily flowable, moldable paste – conforms to interdigitates with host bone – supports growth of cartilage & bone cells.
  • 31. Nanoneedles • Nanoneedles - Deliver vaccines / molecules painlessly • Nanotweezers – cell surgery would be possible!
  • 32. Bone replacement materials • Hydroxyapatite nanoparticles – treat bone defects: • Osstim® - Osartis, Germany – HA • VITOSS® - Orthovita, USA – HA + TCP • NanOss™ - Angstrom Medica, USA - HA
  • 33. Challenges faced 1. Precise positioning & assembly of molecular scale part 2. Economical nanorobot mass production technique 3. Biocompatibility 4. Simultanenous co-ordination of activities of large number of independent nanorobots 5. Social issues – acceptance, ethics, regulation & human safety
  • 34. Future scenario.. Patient rinses oral cavity with mouth wash containing millions of nanobots Swarm the mouth to eliminate disease & bacteria causing disease Mission accomplished, the bots are deactivated and expelled harmlessly from the body