Can pulsed laser treatment reduce microbial adhesion on the surface of resin denture base materials?

Objectives. The present work investigates the influence of pulsed nanosecond laser patterning of two commercial heat cure poly (methyl methacrylate) denture base materials, Trevalon and DPI heat cure, on their surface characteristics such as roughness, hydrophobicity, and microbial adhesion. Methods. A Q-switched Nd:YAG solid state nanosecond pulsed laser at a wavelength of 532 nm with a fluence of 2.55 × 10¹⁰ W cm⁻² having a pulse frequency of 10 Hz was used at varying translation stage speed and vertical spacing for the surface patterning of denture base materials. The surface properties of control and patterned materials were characterized by measuring the compositional changes, wettability, and roughness. Microbial adhesion was assessed by incubating the specimens in Candida albicans suspension at 37 °C for 2 h followed by estimating the number of adherent Candida cells. Results. The micro-Raman spectroscopic studies indicated no chemical changes in the materials due to laser patterning. However, laser patterning increased the average surface roughness from 0.02 ± 0.005 and 0.04 ± 0.003 μm to 3.85 ± 0.20 μm and 3.70 ± 0.12 μm respectively for Trevalon and DPI heat cure materials. In addition, a reduction in the surface wettability was evident as manifested by an increase in water contact angle from 76 ± 2° to 105 ± 1° for Trevalon and from 72 ± 1° to 97 ± 1° for DPI heat cure. Finally, the microbial adhesion studies clearly indicated that the surfaces with higher hydrophobicity and roughness following laser patterning exhibited reduced microbial adhesion. Significance. Laser patterning can be utilized to tune the surface features of denture base materials and thus offer a promising method to create microbial adhesion resistant surfaces. Clinically, such surfaces help in reducing the incidence of denture stomatitis, especially in immunocompromised patients, without altering the composition and bulk properties of denture base materials.