PMID- 33920823 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210518 IS - 2079-6382 (Print) IS - 2079-6382 (Electronic) IS - 2079-6382 (Linking) VI - 10 IP - 4 DP - 2021 Apr 15 TI - Denture-Soaking Solution Containing Piper betle Extract-Loaded Polymeric Micelles; Inhibition of Candida albicans, Clinical Study, and Effects on Denture Base Resin. LID - 10.3390/antibiotics10040440 [doi] LID - 440 AB - Candida albicans is a common overgrowth in people wearing dentures. Long-term use of antifungal chemicals carries a risk of toxic side effects. This study focused on the edible Piper betle extract because of its safety. The broth dilution method was applied for antifungal determination of the ethyl acetate fractionated extract (fEA) and fEA-loaded polymeric micelles (PMF). The PMF was prepared by thin-film hydration using poloxamer 407 as a polymer base. The results found that the weight ratio of fEA to polymer is the main factor to obtain PMF system as a clear solution, nanoparticle sizes, narrow size distribution, negative zeta potential, and high entrapment efficiency. The activity of PMF against C. albicans is significantly higher than fEA alone, with a minimum fungicidal concentration of 1.5 mg/mL. PMF from 1:3 ratio of fEA to polymer is used to develop a denture-soaking solution contained 1.5 mg fEA/mL (PMFS). A clinical study on dentures of 15 volunteers demonstrated an 86.1 +/- 9.2% reduction of C. albicans after soaking the dentures in PMFS daily for 14 days. Interestingly, PMFS did not change the hardness and roughness of the denture base resins. The developed PMFS may serve as a potential natural denture-soaking solution against candidiasis in denture wearers. FAU - Okonogi, Siriporn AU - Okonogi S AUID- ORCID: 0000-0001-6077-5017 AD - Department of Pharmaceutical Sciences, Faculty of Pharmacy, Chiang Mai University, Chiang Mai 50200, Thailand. AD - Research Center of Pharmaceutical Nanotechnology, Chiang Mai University, Chiang Mai 50200, Thailand. FAU - Phumat, Pimpak AU - Phumat P AD - Interdisciplinary Program in Nanoscience and Nanotechnology, Faculty of Science, Chiang Mai University, Chiang Mai 50200, Thailand. FAU - Khongkhunthian, Sakornrat AU - Khongkhunthian S AD - Research Center of Pharmaceutical Nanotechnology, Chiang Mai University, Chiang Mai 50200, Thailand. AD - Department of Restorative Dentistry and Periodontology, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand. FAU - Suttiat, Kullapop AU - Suttiat K AD - Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand. FAU - Chaijareenont, Pisaisit AU - Chaijareenont P AD - Research Center of Pharmaceutical Nanotechnology, Chiang Mai University, Chiang Mai 50200, Thailand. AD - Department of Prosthodontics, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand. LA - eng PT - Journal Article DEP - 20210415 PL - Switzerland TA - Antibiotics (Basel) JT - Antibiotics (Basel, Switzerland) JID - 101637404 PMC - PMC8071126 OTO - NOTNLM OT - PMMA OT - Piper betle OT - anti-candidiasis OT - denture-soaking solution OT - poloxamer OT - polymeric micelles OT - solubility COIS- The authors declare no conflict of interest. EDAT- 2021/05/01 06:00 MHDA- 2021/05/01 06:01 PMCR- 2021/04/15 CRDT- 2021/04/30 01:16 PHST- 2021/02/24 00:00 [received] PHST- 2021/04/10 00:00 [revised] PHST- 2021/04/13 00:00 [accepted] PHST- 2021/04/30 01:16 [entrez] PHST- 2021/05/01 06:00 [pubmed] PHST- 2021/05/01 06:01 [medline] PHST- 2021/04/15 00:00 [pmc-release] AID - antibiotics10040440 [pii] AID - antibiotics-10-00440 [pii] AID - 10.3390/antibiotics10040440 [doi] PST - epublish SO - Antibiotics (Basel). 2021 Apr 15;10(4):440. doi: 10.3390/antibiotics10040440.