Objective: Acemannan, a complex mannose carbohydrate derived from the
aloe vera plant, has an inherent stickiness/viscosity. Prototype Acema
nnan denture adhesive formulations were evaluated for pH changes, cyto
toxicity to human gingival fibroblasts and adhesive strength in both d
ry and wet conditions. Method and materials: The denture adhesive form
ulations consisted of five combinations of Acemannan with varying conc
entrations of preservatives and two other formulations without preserv
atives. The pH of each formulation was measured over 24 hours. Assessm
ent of cytotoxicity was accomplished using the in vitro, tetrazolium-b
ased colorimetric assay on cultures of human gingival fibroblasts afte
r exposure to the adhesive formulations for up to 24 hours. The adhesi
ve strength was evaluated,vith a universal testing machine under initi
al dry conditions and after immersion in a constant-temperature water
bath for up to 20 minutes. Results: Formulations 1 and 2 achieved and
maintained pH values above 6.0 (the critical pH for hydroxyapatite dis
solution) approximately 6 hours into the study. None of the prototypes
demonstrated an initial pH above the critical pH. Formulations 1, 2,
3, and 5 exhibited significant cytotoxicity to human gingival fibrobla
sts over 24 hours. Formulations 4 20:1, and 150:1 demonstrated minimal
cytotoxicity. Formulation I exhibited the poorest adhesive strength,
while the mast viscous formulation (prototype 150:1) was by far the be
st performer Generally, adhesive bond strengths for all prototypes wer
e quite high and relatively stable over time in a wet environment. Con
clusion: To achieve the ideal adhesive in terms of strength, pH, and c
ytotoxicity, Acemannan formulation 150:1 should be adjusted to contain
the preservative concentration of formulation 4 and have art initial
pH value of 6.0 or higher.