et al. 2018). Such technology efficiently diagnoses cell changes. Moreover, the false-
negative rate of diagnosis is nearly zero (Oldenburg et al. 2006).
Nanoshells are a collection of minuscule beads with outer metallic layers (usually
gold) that absorbs the infrared radiation and produces intense heat. This heat is used
in the selective destruction of cancer cells without affecting the proximal healthy
cells (Kanaparthy and Kanaparthy 2011). Recently, silver nanotechnology has also
shown promising action against biofilms due to its high affinity towards the nega-
tively charged microorganism and its ability to inactivate critical physiological
functions within the microorganism (Guzman et al. 2012). The non-invasive real-
time diagnosis and effective therapeutic action offered by nanoparticles thus result in
timely detection and prompt treatment of oral cancer lowering the mortality rate
caused by the disease.
10.3.5 Nanoparticles in Dentifrices
Incorporation of calcium carbonate nanoparticles in toothpaste has shown
favourable results in enamel remineralisation. Dentifrobots are very small (1–10
micron) dentifrices delivered in the form of mouthwash or toothpaste. Using these
dentifrobots at least once a day for cleaning the supragingival and subgingival
surfaces leads to metabolisation of trapped organic matter into harmless and
odourless vapours and continuous calculus debridement. These nanorobots
incorporated in the dentifrices are minute mechanical devices that can safely deacti-
vate themselves if swallowed. They are designed to precisely identify the oral
pathogenic bacteria and allow the other harmless microflora to flourish in the oral
cavity (Mehta and Subramani 2012).
10.3.6 Orthodontic Treatment
Nanotechnology has enormously influenced orthodontic therapy, making it painless,
less traumatic to the periodontal structures, and reducing relapse chances.
Nanoparticles of zinc oxide and chitosan are added to composite resins to improve
the bond strength with added antibacterial effect. Such orthodontic nanocomposites
overcome the common problem of bond failure and reduce the caries development
risk due to its antibacterial action. An essential component upon which orthodontic
therapy’s success largely depends is the orthodontic bracket which is instrumental in
carrying the archwire forces to the teeth. The addition of alumina nanoparticles
augments the strength and corrosion resistance of these orthodontic brackets. One of
the significant challenges in orthodontic therapy is overcoming the frictional force
produced during tooth movement without excessive orthodontic forces that may
cause loss of anchorage and root resorption. Orthodontic nanorobots are implicated
in manipulating the periodontal tissues, allowing rapid and painless tooth straight-
ening, rotating and vertical repositioning in lesser time than usual. Coating the
stainless-steel wires with carbon nitride (Wei et al. 2010), zinc oxide (Kachoei
10
Nanotechnology in Dentistry
147