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Malaquias P, Gutierrez MF, Hass V, Stanislawczuk R, Bandeca MC, Arrais C, Farago PV, Reis A, Loguercio AD. Two-year Effects of Chlorhexidine-containing Adhesives on the In Vitro Durability of Resin-dentin Interfaces and Modeling of Drug Release. Oper Dent 2018; 43:201-212. [PMID: 29504885 DOI: 10.2341/16-333-l] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES To evaluate the effects of addition of diacetate chlorhexidine (CHX) at different concentrations into two etch-and-rinse adhesive systems on CHX release, as well as the immediate (IM) and two-year (2-Y) resin-dentin microtensile bond strength (μTBS) and nanoleakage (NL). METHODS CHX was added to XP Bond (XP) and Ambar (AM) at concentrations of 0.0 wt% (control); 0.01 wt%; 0.05 wt%; and 0.1 to 0.2 wt%. To assess the cumulative CHX release, adhesive disks were made in a metallic matrix and after light-curing were stored in water. Ultraviolet spectrophotometric measurements of the storage solution were performed to examine the release kinetics of CHX. For μTBS and NL, the occlusal enamel of molars was removed and the adhesives were applied to the dentin surface after acid etching. After composite resin build-up, specimens were sectioned to obtain μTBS sticks. The specimens were subjected to μTBS and NL at IM and after 2-Y. In addition, specimens underwent examination for CHX using micro-Raman spectroscopy. All data were submitted to statistical analysis (α=0.05). RESULTS With regard to CHX release, AM showed a slower and gradual release of CHX while XP released CHX more quickly ( p<0.05), and CHX was still present in the hybrid layers after 2-Y. Both adhesives showed CHX release at 2-Y water storage. Both CHX-containing adhesives showed higher μTBS values than did the control group ( p<0.05).
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Functionalized epigallocatechin gallate copolymer inhibit dentin matrices degradation: Mechanical, solubilized telopeptide and proteomic assays. Dent Mater 2018; 34:1625-1633. [DOI: 10.1016/j.dental.2018.08.297] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2018] [Revised: 07/06/2018] [Accepted: 08/27/2018] [Indexed: 01/02/2023]
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Huang B, Cvitkovitch DG, Santerre JP, Finer Y. Biodegradation of resin–dentin interfaces is dependent on the restorative material, mode of adhesion, esterase or MMP inhibition. Dent Mater 2018; 34:1253-1262. [DOI: 10.1016/j.dental.2018.05.008] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Revised: 04/02/2018] [Accepted: 05/08/2018] [Indexed: 10/16/2022]
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Lapinska B, Klimek L, Sokolowski J, Lukomska-Szymanska M. Dentine Surface Morphology after Chlorhexidine Application-SEM Study. Polymers (Basel) 2018; 10:polym10080905. [PMID: 30960830 PMCID: PMC6403839 DOI: 10.3390/polym10080905] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2018] [Revised: 08/01/2018] [Accepted: 08/10/2018] [Indexed: 11/16/2022] Open
Abstract
Chlorhexidine (CHX) is a widely known and a very popular antibacterial agent that decreases the level of cariogenic bacteria. CHX applied on the cavity surface of dentine may influence adhesive bond strength. The aim of the study was to evaluate the dentine surface after different chlorhexidine digluconate (CHG) application protocols. Different CHG application protocols were introduced. A concentration of 0.2% or 2.0% CHG was applied on the etched or unetched dentine surface for 15 or 30 s, then water rinsed or drained. Scanning electron microscopy (SEM) observations and energy disperse spectrometer (EDS) analysis of the dentine surfaces were performed. The application of 0.2% CHG for 15 s, followed by draining, on either etched or unetched dentine surface effectively removed the smear layer, leaving the surface enriched with CHG deposits. Conclusions: The concentration of CHG and its application time influenced the amount of CHG deposits and the degree of smear layer removal from the dentine surface.
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Affiliation(s)
- Barbara Lapinska
- Department of General Dentistry, Medical University of Lodz, 92-213 Lodz, Poland.
| | - Leszek Klimek
- Department of Dental Technology, Medical University of Lodz, 92-213 Lodz, Poland.
| | - Jerzy Sokolowski
- Department of General Dentistry, Medical University of Lodz, 92-213 Lodz, Poland.
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Yue S, Wu J, Zhang Q, Zhang K, Weir MD, Imazato S, Bai Y, Xu HH. Novel dental adhesive resin with crack self-healing, antimicrobial and remineralization properties. J Dent 2018; 75:48-57. [DOI: 10.1016/j.jdent.2018.05.009] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2018] [Revised: 05/05/2018] [Accepted: 05/17/2018] [Indexed: 11/29/2022] Open
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Oh S, Jung HS, Kim HJ, Jang JH, Kim DS, Choi KK, Kim SY. Effect of zinc on the collagen degradation in acid-etched dentin. J Dent Sci 2018; 13:97-102. [PMID: 30895103 PMCID: PMC6388857 DOI: 10.1016/j.jds.2017.10.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2017] [Revised: 10/10/2017] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND/PURPOSE Matrix metalloproteinases (MMPs) play a crucial role in the pathogenesis of dental caries, collapse of adhesive interface, and chemical erosion of teeth. The objective of this study was to investigate the inhibitory effect of zinc on collagen degradation. MATERIALS AND METHODS Human dentin was ground and demineralized by citric acid (pH 2.0). The demineralized ground dentin was incubated in six different media: artificial saliva (AS); 5 mg/ml doxycycline in AS; 3.33, 6.82, 13.63, and 27.26 mg/ml of zinc chloride (Zn) in AS. Each group was divided into two subgroups, and active MMP-2 was incorporated into one subgroup. Specimens were incubated for 24 h, 1 week, and 2 weeks. Collagen degradation product was assessed using ELISA. The results were analyzed using repeated measured ANOVA and Duncan's post hoc analysis (α = 0.05). RESULTS The amount of collagen degradation was the lowest in Doxy group. Zn groups showed a significant inhibitory effect in collagen degradation for all concentrations (P < 0.05). In subgroups without exogenous MMP-2, zinc-mediated inhibition increased in a concentration-dependent manner with increasing zinc concentration. The amount of collagen degradation product slightly increased with increased incubation time from 24 h to 2 weeks. However, in subgroups with exogenous MMP, the inhibitory effect of zinc on collagen degradation did not depend on zinc concentration. CONCLUSION All Zn groups for the four concentrations tested exhibited statistically significant inhibitory effect on collagen degradation.
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Affiliation(s)
- Soram Oh
- Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, Seoul, South Korea
| | - Hyun-Sook Jung
- Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, Seoul, South Korea
| | - Hyun-Jung Kim
- Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, Seoul, South Korea
| | - Ji-Hyun Jang
- Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, Seoul, South Korea
| | - Duck-Su Kim
- Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, Seoul, South Korea
| | - Kyoung-Kyu Choi
- Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, Seoul, South Korea
| | - Sun-Young Kim
- Department of Conservative Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, South Korea
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In vitro assessment of ribose modified two-step etch-and-rinse dentine adhesive. Dent Mater 2018; 34:1175-1187. [PMID: 29779627 DOI: 10.1016/j.dental.2018.05.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2018] [Revised: 04/19/2018] [Accepted: 05/02/2018] [Indexed: 12/16/2022]
Abstract
OBJECTIVE Collagen fibrils aid in anchoring resin composite restorations to the dentine substrate. The aim of the study was to investigate effect of non-enzymatic glycation on bond strength and durability of demineralized dentine specimens in a modified two-step etch-and-rinse dentine adhesive. METHODS Dentine surfaces were etched with 37% phosphoric acid, bonded with respective in vitro ethanol and acetone adhesives modified with (m/m, 0, 1%, 2% and 3% ribose), restored with restorative composite-resin, and sectioned into resin-dentine slabs and beams to be stored for 24h or 12 months in artificial saliva. Bond-strength testing was performed with bond failure analysis. Pentosidine assay was performed on demineralized ribose modified dentine specimens with HPLC sensitive fluorescent detection. The structural variations of ribose-modified dentine were analysed using TEM and human dental pulpal cells were used for cell viability. Three-point bending test of ribose-modified dentine beams were performed and depth of penetration of adhesives evaluated with micro-Raman spectroscopy. The MMP-2 and cathepsin K activities in ribose-treated dentine powder were also quantified using ELISA. Bond strength data was expressed using two-way ANOVA followed by Tukey's test. Paired T tests were used to analyse the specimens for pentosidine crosslinks. The modulus of elasticity and dentinal MMP-2 and cathepsin K concentrations was separately analyzed using one-way ANOVA. RESULTS The incorporation of RB in the experimental two-step etch-and-rinse adhesive at 1% improved the adhesive bond strength without adversely affecting the degree of polymerisation. The newly developed adhesive increases the resistance of dentine collagen to degradation by inhibiting endogenous matrix metalloproteinases and cysteine cathepsins. The application of RB to acid-etched dentine helps maintain the mechanical properties. SIGNIFICANCE The incorporation of 1%RB can be considered as a potential candidate stabilizing resin dentine bond.
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Ou Q, Hu Y, Yao S, Wang Y, Lin X. Effect of matrix metalloproteinase 8 inhibitor on resin–dentin bonds. Dent Mater 2018; 34:756-763. [DOI: 10.1016/j.dental.2018.01.027] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2017] [Revised: 01/26/2018] [Accepted: 01/31/2018] [Indexed: 02/08/2023]
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Palasuk J, Windsor LJ, Platt JA, Lvov Y, Geraldeli S, Bottino MC. Doxycycline-loaded nanotube-modified adhesives inhibit MMP in a dose-dependent fashion. Clin Oral Investig 2018; 22:1243-1252. [PMID: 28965247 PMCID: PMC5867196 DOI: 10.1007/s00784-017-2215-y] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2017] [Accepted: 09/20/2017] [Indexed: 10/18/2022]
Abstract
OBJECTIVES This article evaluated the drug loading, release kinetics, and matrix metalloproteinase (MMP) inhibition of doxycycline (DOX) released from DOX-loaded nanotube-modified adhesives. DOX was chosen as the model drug, since it is the only MMP inhibitor approved by the U.S. Food and Drug Administration. MATERIALS AND METHODS Drug loading into the nanotubes was accomplished using DOX solution at distinct concentrations. Increased concentrations of DOX significantly improved the amount of loaded DOX. The modified adhesives were fabricated by incorporating DOX-loaded nanotubes into the adhesive resin of a commercial product. The degree of conversion (DC), Knoop microhardness, DOX release kinetics, antimicrobial, cytocompatibility, and anti-MMP activity of the modified adhesives were investigated. RESULTS Incorporation of DOX-loaded nanotubes did not compromise DC, Knoop microhardness, or cell compatibility. Higher concentrations of DOX led to an increase in DOX release in a concentration-dependent manner from the modified adhesives. DOX released from the modified adhesives did not inhibit the growth of caries-related bacteria, but more importantly, it did inhibit MMP-1 activity. CONCLUSIONS The loading of DOX into the nanotube-modified adhesives did not compromise the physicochemical properties of the adhesives and the released levels of DOX were able to inhibit MMP activity without cytotoxicity. CLINICAL SIGNIFICANCE Doxycycline released from the nanotube-modified adhesives inhibited MMP activity in a concentration-dependent fashion. Therefore, the proposed nanotube-modified adhesive may hold clinical potential as a strategy to preserve resin/dentin bond stability.
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Affiliation(s)
- Jadesada Palasuk
- Department of Restorative Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, 65000, Thailand
- Department of Biomedical and Applied Sciences, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA
| | - L Jack Windsor
- Department of Biomedical and Applied Sciences, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA
| | - Jeffrey A Platt
- Department of Biomedical and Applied Sciences, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA
| | - Yuri Lvov
- Institute for Micromanufacturing, Louisiana Tech University, Ruston, LA, 71272, USA
| | - Saulo Geraldeli
- Department of Restorative Dental Sciences, Operative Division, College of Dentistry, University of Florida, Gainesville, FL, 32610, USA
| | - Marco C Bottino
- Department of Cariology, Restorative Sciences, and Endodontics, University of Michigan School of Dentistry, 1011 N. University Avenue, Ann Arbor, MI, 48109, USA.
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Kaczor K, Gerula-Szymańska A, Smektała T, Safranow K, Lewusz K, Nowicka A. Effects of different etching modes on the nanoleakage of universal adhesives: A systematic review and meta-analysis. J ESTHET RESTOR DENT 2018; 30:287-298. [PMID: 29573132 DOI: 10.1111/jerd.12375] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE The aim of this systematic review was to evaluate how etching modes affect the nanoleakage of universal adhesive from in vitro studies. MATERIALS AND METHODS PubMed/MEDLINE, Web of Science, Scopus and Science Direct electronic databases were searched for in vitro studies that evaluated the nanoleakage of universal adhesives. A total of 511 (after duplicate removal) potentially relevant records were identified in the literature search. The titles and abstracts of the retrieved studies were screened by two independent researchers according to the main concept. Subsequently, the full text of potentially relevant studies was screened using the exclusion criteria. Thirteen studies were subjected to qualitative analysis, and 5 of them were selected for a detailed meta-analysis. RESULTS Seven universal adhesives were evaluated in this review. The meta-analysis demonstrated that the etch-and-rinse technique significantly reduced the nanoleakage of the Peak Universal and G-Bond Plus adhesives, whereas the self-etch mode reduced the nanoleakage of All-Bond Universal. In comparison, the etching technique did not significantly alter the nanoleakage of either Prime&Bond Elect or Scotchbond Universal which was characterized by the smallest nanoleakage. CONCLUSIONS Etching modes significantly, in various ways, influence the nanoleakage of universal adhesives. CLINICAL SIGNIFICANCE Contrary to the drive to simplify bonding technologies, an appreciation of their adhesive components and how these perform according to bonding technique could yield a knowledge-based practical approach that ultimately improves the longevity of direct composite restorations.
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Affiliation(s)
- Kinga Kaczor
- Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, Poland
| | | | - Tomasz Smektała
- Department of Maxillofacial Surgery, Pomeranian Medical University in Szczecin, Poland
| | - Krzysztof Safranow
- Department of Biochemistry and Medical Chemistry, Pomeranian Medical University in Szczecin, Poland
| | - Katarzyna Lewusz
- The University Dental Clinic of Pomeranian Medical University in Szczecin, Poland
| | - Alicja Nowicka
- Department of Conservative Dentistry and Endodontics, Pomeranian Medical University in Szczecin, Poland
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Mazzoni A, Angeloni V, Comba A, Maravic T, Cadenaro M, Tezvergil-Mutluay A, Pashley DH, Tay FR, Breschi L. Cross-linking effect on dentin bond strength and MMPs activity. Dent Mater 2018; 34:288-295. [DOI: 10.1016/j.dental.2017.11.009] [Citation(s) in RCA: 38] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2017] [Revised: 11/05/2017] [Accepted: 11/09/2017] [Indexed: 11/25/2022]
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Gu L, Mazzoni A, Gou Y, Pucci C, Breschi L, Pashley D, Niu L, Tay F. Zymography of Hybrid Layers Created Using Extrafibrillar Demineralization. J Dent Res 2018; 97:409-415. [PMID: 29294298 DOI: 10.1177/0022034517747264] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Affiliation(s)
- L. Gu
- Department of Operative Dentistry and Endodontics, Guanghua School of Stomatology & Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou, PR China
| | - A. Mazzoni
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna–Alma Mater Studiorum, Bologna, Italy
| | - Y. Gou
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - C. Pucci
- Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University UNESP São Jose dos Campos, São Paulo, Brazil
| | - L. Breschi
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna–Alma Mater Studiorum, Bologna, Italy
| | - D.H. Pashley
- Department of Endodontics, The Dental College of Georgia, Augusta University, Augusta, GA, USA
| | - L. Niu
- State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Key Laboratory of Oral Diseases, Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University, Xi’an, Shaanxi, PR China
| | - F.R. Tay
- Department of Endodontics, The Dental College of Georgia, Augusta University, Augusta, GA, USA
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Vallabhdas AK, Kumar CNV, Kabbinale P, Nayak R, Rajakumari M, Shilpa T. Evaluation of Hybrid Layer and Bonding Interface after Water Storage with and without the Usage of 2% Chlorhexidine: A Scanning Electron Microscope Study. J Contemp Dent Pract 2018; 19:52-59. [PMID: 29358535 DOI: 10.5005/jp-journals-10024-2211] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
AIM Restorative dentists employ different bonding systems between the resin and the dentin and other dentinal tissues to achieve the goal of micromechanical retention. Studies have shown that the bond between composite and dentin degrades over time because of the action of matrix metalloproteinases (MMPs) on collagen fibrils left unprotected by acid etching. The MMPs may be partially responsible for hybrid layer degradation. Since chlorhexidine (CHX) inhibits MMPs, we hypothesized that CHX would decelerate the loss of resin-dentin bonds. Hence, this in vitro study is intended to evaluate the effects of 2% CHX on hybrid layer and bonding interface. MATERIALS AND METHODS Totally, 40 freshly extracted molars were randomly divided into four experimental groups. In all 40 specimens, class II cavities were prepared to a depth of 1 mm below the dentinoenamel junction with no axial wall, but the elimination of the proximal enamel ridge. The teeth were then randomly divided into four experimental groups, i.e., All Bond 2 without 2% CHX (group I), All Bond 2 with 2% CHX (group II), One Coat 7.0 without 2% CHX (group III), and One Coat 7.0 with 2% CHX (group IV). All the specimens were derooted and sectioned mesiodistally into two halves and placed under water at 37°C for 3 months and observed under scanning electron microscope for the hybrid layer and resin tag formation. RESULTS Groups I and II showed statistically significant difference when the presence/absence of resin tags was compared. When groups III and IV were compared for the presence/absence of hybrid layer and resin tags, the results were statistically significant. CONCLUSION Between all the four experimental groups, irrespective of the bonding systems used, we concluded that groups with 2% CHX usage showed promising results with presence/ absence of hybrid layer and resin tags formation. CLINICAL SIGNIFICANCE Studies suggest that the bond between composite and dentin degrades over time because of the action of MMPs on collagen fibrils left unprotected by acid etching. Measures should be taken to prevent this from happening and thus allow bond between composite and dentin last longer.
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Affiliation(s)
- Anand K Vallabhdas
- Department of Conservative Dentistry and Endodontics Subbaiah Institute of Dental Sciences, Shimoga, Karnataka India
| | - C N Vijay Kumar
- Department of Conservative Dentistry and Endodontics Subbaiah Institute of Dental Sciences, Shimoga, Karnataka India, Phone: +919480047110, e-mail:
| | - Pradeep Kabbinale
- Department of Conservative Dentistry and Endodontics Subbaiah Institute of Dental Sciences, Shimoga, Karnataka India
| | - Rajaram Nayak
- Department of Conservative Dentistry and Endodontics, A.J. Institute of Dental Sciences, Mangaluru, Karnataka, India
| | - Manju Rajakumari
- Department of Conservative Dentistry and Endodontics Subbaiah Institute of Dental Sciences, Shimoga, Karnataka India
| | - Thulasidharan Shilpa
- Department of Conservative Dentistry and Endodontics, A.J. Institute of Dental Sciences, Mangaluru, Karnataka, India
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Breschi L, Maravic T, Cunha SR, Comba A, Cadenaro M, Tjäderhane L, Pashley DH, Tay FR, Mazzoni A. Dentin bonding systems: From dentin collagen structure to bond preservation and clinical applications. Dent Mater 2018; 34:78-96. [DOI: 10.1016/j.dental.2017.11.005] [Citation(s) in RCA: 154] [Impact Index Per Article: 25.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2017] [Accepted: 11/10/2017] [Indexed: 12/18/2022]
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ZnCl 2 Incorporated into Experimental Adhesives: Selected Physicochemical Properties and Resin-Dentin Bonding Stability. BIOMED RESEARCH INTERNATIONAL 2017; 2017:5940479. [PMID: 29270433 PMCID: PMC5706081 DOI: 10.1155/2017/5940479] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/22/2017] [Revised: 08/17/2017] [Accepted: 08/30/2017] [Indexed: 02/03/2023]
Abstract
The aim of this study was to evaluate the degree of conversion (DC%), water sorption (WS), solubility (SO), and resin-dentin bonding stability of experimental adhesive systems containing ZnCl2. Different concentrations (wt.%) of ZnCl2 were added to a model etch-and-rinse adhesive system consisting of BISGMA, HEMA, UDMA, GDMA, water, and ethanol: Zn0 (0%-control group); Zn2 (2%); Zn3.5 (3.5%); and Zn5 (5%). Adper Single Bond 2 (SB) was used as commercial reference. The samples were light cured for 20s using a quartz-tungsten-halogen unit (650 mW/cm2). DC% (n = 5) was measured using FT-IR spectroscopy, and WS and SO (n = 5) were calculated based on ISO4049. Microtensile bond strength (μTBS) and nanoleakage (NL) were measured after 24 h and 12 months of water storage (n = 10). Data were analyzed using ANOVA and Tukey's HSD test (5%). Zn5 presented the lowest DC% and the highest WS and SO (p < 0.05). Zn0 and Zn2 presented statistically similar DC%, WS, SO, and immediate μTBS. All adhesives containing ZnCl2 maintained a μTBS stability after 12 months, but only Zn2 and Zn3.5 did not suffer an increase in NL. SB presented the highest immediate μTBS but the greatest reduction after 12 months (p < 0.05). The addition of 2 wt.% of ZnCl2 in adhesive formulations seems to be a promising way to improve the resin-dentin bonding stability. Higher concentrations than 2 wt.% could impair some physicochemical properties.
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Fang H, Li QL, Han M, Mei ML, Chu CH. Anti-proteolytic property and bonding durability of mussel adhesive protein-modified dentin adhesive interface. Dent Mater 2017; 33:1075-1083. [DOI: 10.1016/j.dental.2017.07.008] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2016] [Revised: 04/10/2017] [Accepted: 07/08/2017] [Indexed: 11/27/2022]
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Leppäniemi J, Hoshian S, Suomalainen K, Luoto T, Jokinen V, Koskinen J. Non-stick properties of thin-film coatings on dental-restorative instruments. Eur J Oral Sci 2017; 125:495-503. [DOI: 10.1111/eos.12372] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- Jarmo Leppäniemi
- Department of Material Science; Aalto University School of Chemical Technology; Espoo Finland
| | - Sasha Hoshian
- Department of Material Science; Aalto University School of Chemical Technology; Espoo Finland
| | - Kimmo Suomalainen
- Unit for Oral and Maxillofacial Diseases; Tampere University Hospital; Tampere Finland
| | | | - Ville Jokinen
- Department of Material Science; Aalto University School of Chemical Technology; Espoo Finland
| | - Jari Koskinen
- Department of Material Science; Aalto University School of Chemical Technology; Espoo Finland
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Maravic T, Mazzoni A, Comba A, Scotti N, Checchi V, Breschi L. How Stable is Dentin As a Substrate for Bonding? ACTA ACUST UNITED AC 2017. [DOI: 10.1007/s40496-017-0149-8] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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69
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PLGA nanoparticles as chlorhexidine-delivery carrier to resin-dentin adhesive interface. Dent Mater 2017; 33:830-846. [DOI: 10.1016/j.dental.2017.04.015] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2017] [Revised: 03/17/2017] [Accepted: 04/21/2017] [Indexed: 12/17/2022]
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Mazzoni A, Angeloni V, Sartori N, Duarte S, Maravic T, Tjäderhane L, Pashley D, Tay F, Breschi L. Substantivity of Carbodiimide Inhibition on Dentinal Enzyme Activity over Time. J Dent Res 2017; 96:902-908. [DOI: 10.1177/0022034517708312] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The use of 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide HCl (EDC) has recently been investigated for its effectiveness in the prevention of collagen degradation over time and the improvement of resin-dentin bond durability. The objective of the present study was to evaluate the effects of a 0.3 M EDC-containing conditioner on endogenous enzymatic activities within the hybrid layer (HL) created by a self-etch or an etch-and-rinse adhesive after 1 y. The activity within the HL was examined using in situ zymography and confocal laser scanning microscopy after 24 h or 1-y storage in artificial saliva. Dentin specimens were bonded with Clearfil SE Bond (CSE) or XP Bond (XPB). For CSE, the self-etching primer was applied and treated with 0.3 M EDC for 1 min, and then the bonding agent was applied. For XPB, dentin was etched and treated with 0.3 M EDC for 1 min and then bonded with the primer-bonding agent. Control specimens were prepared without EDC treatment. Slices containing the adhesive-dentin interface were covered with fluorescein-conjugated gelatin and observed with a multiphoton confocal microscope. Fluorescence intensity emitted by hydrolyzed fluorescein-conjugated gelatin was quantified, and the amount of gelatinolytic activity was represented by the percentage of green fluorescence emitted within the HL. After 24 h of storage, enzymatic activity was detected by in situ zymography within the HLs of both tested adhesives, with XPB higher than CSE ( P < 0.05). Almost no fluorescence signal was detected when specimens were pretreated with EDC compared to controls ( P < 0.05). After 1 y of storage, enzymatic activities significantly increased for all groups (excluding XPB control) compared to 24-h storage ( P < 0.05), with EDC pretreated specimens exhibiting significantly lower activity than controls ( P < 0.05). The present study showed, for the first time, that the use of EDC for both the self-etch and the etch-and-rinse approaches results in the reduction but not complete inhibition of matrix-bound collagenolytic enzyme activities over time in the HL.
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Affiliation(s)
- A. Mazzoni
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna–Alma Mater Studiorum, Bologna, Italy
| | - V. Angeloni
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna–Alma Mater Studiorum, Bologna, Italy
| | - N. Sartori
- Division of Restorative Sciences, University of Southern California Herman Ostrow School of Dentistry, Los Angeles, CA, USA
| | - S. Duarte
- Division of Restorative Sciences, University of Southern California Herman Ostrow School of Dentistry, Los Angeles, CA, USA
| | - T. Maravic
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna–Alma Mater Studiorum, Bologna, Italy
| | - L. Tjäderhane
- Department of Oral and Maxillofacial Diseases, University of Helsinki, and Helsinki University Hospital, Helsinki, Finland
- Research Unit of Oral Health Sciences, and Medical Research Center Oulu (MRC Oulu), Oulu University Hospital and University of Oulu, Oulu, Finland
| | - D.H. Pashley
- The Dental College of Georgia, Augusta University, Augusta, GA, USA
| | - F.R. Tay
- The Dental College of Georgia, Augusta University, Augusta, GA, USA
| | - L. Breschi
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna–Alma Mater Studiorum, Bologna, Italy
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Lingling J, Qianbing W. [Progress on matrix metalloproteinase inhibitors]. HUA XI KOU QIANG YI XUE ZA ZHI = HUAXI KOUQIANG YIXUE ZAZHI = WEST CHINA JOURNAL OF STOMATOLOGY 2017; 35:208-214. [PMID: 28682555 DOI: 10.7518/hxkq.2017.02.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Continuing advances in dentin bonding technology and adhesives revolutionized bonding of resin-based composite restorations. However, hybrid layers created by contemporary dentin adhesives present imperfect durability, and degradation of collagen matrix by endogenous enzymes is a significant factor causing destruction of hybrid layers. Bond durability can be improved by using enzyme inhibitors to prevent collagen degradation and to preserve integrity of collagen matrix. This review summarizes progress on matrix metalloproteinase inhibitors (including chlorhexidine, ethylenediaminetetraacetic acid, quaternary ammonium salt, tetracycline and its derivatives, hydroxamic acid inhibitors, bisphosphonate derivative, and cross-linking agents) and suggests prospects for these compounds.
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Affiliation(s)
- Jia Lingling
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Dept. of Prosthetics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
| | - Wan Qianbing
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Dept. of Prosthetics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
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Ebrahimi-Chaharom ME, Abed-Kahnamoui M, Bahari M, Hamishehkar H, Gharouni M. Effect of different concentrations of specific inhibitor of matrix metalloproteinases on the shear bond strength of self-adhesive resin cements to dentin. J Clin Exp Dent 2017; 9:e431-e436. [PMID: 28298987 PMCID: PMC5347294 DOI: 10.4317/jced.53486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2016] [Accepted: 10/01/2016] [Indexed: 11/07/2022] Open
Abstract
Background Considering the probability of chemical and enzymatic reactions between matrix metalloproteinases (MMPs) in the dentin structure and their specific inhibitors, the aim of the present study was to evaluate the effect of different concentrations of specific inhibitor of MMPs (galardin) on the shear bond strength of self-adhesive resin cements to dentin. Material and Methods Forty-eight sound human premolars were mounted in self-cured acrylic resin after removal of the enamel on the buccal and lingual surfaces. The dentin surfaces achieved were polished and prepared with 600-grit silicon carbide paper. The samples were divided into 3 groups (n=16) based on the concentration of galardin used (with no galardin, galardin at a high concentration and galardin at a low concentration). In addition, 96 composite resin blocks, measuring 3 mm in height and diameter, were prepared. The composite resin blocks were bonded to the buccal and lingual surface dentin with Rely-X Unicem (RXC) and Speed CEM (SPC) self-adhesive resin cements, respectively, according to manufacturers’ instructions. After 24 hours of storage in distilled water at 37°C, the shear bond strength values were determined in MPa and fracture modes were evaluated under a stereomicroscope. Data were analyzed with two-way ANOVA and post-hoc Bonferroni test (α=0.05). Results The shear bond strength of galardin at high concentration was significantly higher than that in the control group and galardin at a low concentrations (P<0.001). In addition, galardin at a low concentration exhibited higher shear bond strength compared to the control group (P=0.005). Furthermore, higher shear bond strength values were reported with the use of RXC compared to SPC (P<0.001). Conclusions Irrigation with galardin increased the shear bond strength of self-adhesive resin cements to dentin and this increase had a direct relationship with the concentration of galardin in the solution. Key words:N-(2(R)-2-(hydroxamidocarbonylmethyl)-4-methylpentanoyl)-L-tryptophan methylamide, Matrix metalloproteinase inhibitors, Dentin, Extracellular matrix, Luting agents, Dental Bonding.
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Affiliation(s)
- Mohammad-Esmaeel Ebrahimi-Chaharom
- Dental and Periodontal Research Center, Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran; Associate Professor, Department of Operative Dentistry, Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mehdi Abed-Kahnamoui
- Associate Professor, Department of Operative Dentistry, Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mahmoud Bahari
- Dental and Periodontal Research Center, Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran; Assistant Professor, Department of Operative Dentistry, Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Hamed Hamishehkar
- Associate Professor of Pharmaceutical Sciences, Pharmaceutical Technology Laboratory, Drug Applied Research Center, Medical Research AND Development Complex, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mahya Gharouni
- General Practitioner, Department of Operative Dentistry, Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
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Serkies KB, Garcha R, Tam LE, De Souza GM, Finer Y. Matrix metalloproteinase inhibitor modulates esterase-catalyzed degradation of resin–dentin interfaces. Dent Mater 2016; 32:1513-1523. [DOI: 10.1016/j.dental.2016.09.007] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2015] [Revised: 07/11/2016] [Accepted: 09/03/2016] [Indexed: 02/07/2023]
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Tekçe N, Tuncer S, Demirci M, Balci S. Do matrix metalloproteinase inhibitors improve the bond durability of universal dental adhesives? SCANNING 2016; 38:535-544. [PMID: 26763084 DOI: 10.1002/sca.21293] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2015] [Accepted: 12/17/2015] [Indexed: 06/05/2023]
Abstract
The aim of this study was to evaluate the effects of matrix metalloproteinases (MMPs) inhibitors on the microtensile bond strength (μTBS) and the adhesive-dentin interface of two universal dentin bonding agents, Single Bond Universal and All Bond Universal, after 12 months of water storage. Seventy extracted, caries-free, human third molars were used in this study. Of these, 50 were used for μTBS testing and 20 were used for scanning electron microscopy. The two bonding agents were applied to flat dentin surfaces in five different ways: self-etch mode, etch-and-rinse mode with 37% phosphoric acid, etch-and-rinse mode with phosphoric acid containing 1% benzalkonium chloride, etch-and-rinse mode with phosphoric acid and 2% chlorhexidine, and etch-and-rinse mode with 0.5 M ethylenediaminetetraacetic acid (EDTA) (n = 5 for each bonding agent in each group; N = 50). Half the specimens were subjected to μTBS tests at 24 h, while half were subjected to the tests after 12 months of water storage. For each bonding agent, inhibition, storage, and their interaction effects were tested by two-way analysis of variance and Bonferroni tests. For Single Bond Universal, the benzalkonium chloride (p = 0.024) and chlorhexidine groups (p = 0.033) exhibited significantly higher μTBS values at 24 h compared with the self-etch group. For All Bond Universal, all groups displayed similar bond strengths at 24 h (p > 0.05). After 12 months of water storage, the μTBS values decreased significantly in the benzalkonium chloride group for Single Bond Universal (p = 0.001) and the self-etch (p = 0.029), chlorhexidine (p = 0.046), and EDTA (p = 0.032) groups for All Bond Universal. These results suggest that the immediate dentin bond strength increases when universal bonding systems are applied in the etch-and-rinse mode, although the durability decreases. The use of chlorhexidine and EDTA can increase the bond durability of mild adhesives such as Single Bond Universal. SCANNING 38:535-544, 2016. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Neslihan Tekçe
- Faculty of Dentistry, Department of Restorative Dentistry, Kocaeli University, Kocaeli, Turkey
| | - Safa Tuncer
- Faculty of Dentistry, Department of Conservative Dentistry, Istanbul University, Istanbul, Turkey
| | - Mustafa Demirci
- Faculty of Dentistry, Department of Conservative Dentistry, Istanbul University, Istanbul, Turkey
| | - Sibel Balci
- Faculty of Medicine, Department of Biostatistics and Medical Informatics, Kocaeli University, Kocaeli, Turkey
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Physicochemical and bioactive properties of innovative resin-based materials containing functional halloysite-nanotubes fillers. Dent Mater 2016; 32:1133-43. [DOI: 10.1016/j.dental.2016.06.012] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2015] [Revised: 01/23/2016] [Accepted: 06/22/2016] [Indexed: 11/22/2022]
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76
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Göstemeyer G, Schwendicke F. Inhibition of hybrid layer degradation by cavity pretreatment: Meta- and trial sequential analysis. J Dent 2016; 49:14-21. [PMID: 27107550 DOI: 10.1016/j.jdent.2016.04.007] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2016] [Revised: 04/14/2016] [Accepted: 04/18/2016] [Indexed: 01/01/2023] Open
Abstract
OBJECTIVES Inhibition of hybrid layer degradation, for example via inhibition of matrix-metallo-proteinases (MMP) could reduce risk of retention loss and failure of adhesively placed restorations. This systematic review investigated such inhibitory pretreatment qualitatively and via meta- and trial-sequential-analysis. DATA SOURCES We included randomized clinical trials comparing degradation inhibitory cavity pretreatment versus no, placebo or alternative treatments prior adhesive placement of resin-based restorations. Trials reporting retention loss or failure (graded bravo-delta in USPHS or similar criteria) were included. Trial selection, data extraction, and risk of bias assessment were conducted independently by two reviewers. Fixed- or random-effects intention-to-treat, per-protocol, and scenario meta-analyses were performed, and trial-sequential-analysis used to control for risk of random errors. Electronic databases (PubMed, Embase, Cochrane CENTRAL) were systematically screened, and hand searches and cross-referencing performed. STUDY SELECTION The ten included trials involved 208 patients (695 cavities) and used chlorhexidine (seven trials), ethanol-wet-bonding (two trials), and quaternary ammonium compounds for degradation inhibition. All but one trial had high risk of bias. Follow-up ranged from 6 to 36 months. Risk of retention loss was not significantly decreased after pretreatment (per-protocol OR [95% CI] 1.37 [0.68/2.77], intention-to-treat: 1.25 [0.76/2.04]). This was found for risk of restoration failure as well (per-protocol: 0.86 [0.56/1.34], intention-to-treat: 1.22 [0.83/1.80]). Scenario analyses found great uncertainty introduced by attrition. According to trial sequential analysis, no firm evidence was reached. CONCLUSIONS There is insufficient evidence to recommend or refute degradation inhibitory cavity pretreatment prior adhesively placing resin-based restorations. This may change if teeth are followed-up for longer. CLINICAL SIGNIFICANCE Dentists can perform cavity pretreatments for inhibition of hybrid layer degradation, but a beneficial effect is not supported by sufficient evidence. The impact of further effects (e.g. disinfection, pulp-irritation) remains unclear.
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Affiliation(s)
- Gerd Göstemeyer
- Department of Operative and Preventive Dentistry, Charité - Universitätsmedizin Berlin, Germany, Aßmannshauser Str. 4-6, 14199 Berlin, Germany.
| | - Falk Schwendicke
- Department of Operative and Preventive Dentistry, Charité - Universitätsmedizin Berlin, Germany, Aßmannshauser Str. 4-6, 14199 Berlin, Germany
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Collagen cross-linkers on dentin bonding: Stability of the adhesive interfaces, degree of conversion of the adhesive, cytotoxicity and in situ MMP inhibition. Dent Mater 2016; 32:732-41. [PMID: 27087688 DOI: 10.1016/j.dental.2016.03.008] [Citation(s) in RCA: 94] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2015] [Revised: 09/16/2015] [Accepted: 03/15/2016] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To investigate the effect of collagen cross-links on the stability of adhesive properties, the degree of conversion within the hybrid layer, cytotoxicity and the inhibition potential of the MMPs' activity. METHODS The dentin surfaces of human molars were acid-etched and treated with primers containing: 6.5wt% proanthocyanidin, UVA-activated 0.1wt% riboflavin, 5wt% glutaraldehyde and distilled water for 60s. Following, dentin was bonded with Adper Single Bond Plus and Tetric N-Bond; and restored with resin composite. The samples were sectioned into resin-dentin "sticks" and tested for microtensile bond strength (μTBS) after immediate (IM) and 18-month (18M) periods. Bonded sticks at each period were used to evaluate nanoleakage and the degree of conversion (DC) under micro-Raman spectroscopy. The enzimatic activity (P1L10 cross-linkers, P1L22 MMPs' activities) in the hybrid layer was evaluated under confocal microscopy. The culture cell (NIH 3T3 fibroblast cell line) and MTT assay were performed to transdentinal cytotoxicity evaluation. Data from all tests were submitted to appropriate statistical analysis (α=0.05). RESULTS All cross-linking primers reduced the degradation of μTBS compared with the control group after 18M (p>0.05). The DC was not affected (p>0.213). The NL increased after 18M for all experimental groups, except for proanthocyanidin with Single Bond Plus (p>0.05). All of the cross-link agents reduced the MMPs' activity, although this inhibition was more pronounced by PA. The cytotoxicity assay revealed reduced cell viability only for glutaraldehyde (p<0.001). SIGNIFICANCE Cross-linking primers used in clinically relevant minimized the time degradation of the μTBS without jeopardizing the adhesive polymerization, as well as reduced the collagenolytic activity of MMPs. Glutaraldeyde reduced cell viability significantly and should be avoided for clinical use.
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Antibacterial properties of copper iodide-doped glass ionomer-based materials and effect of copper iodide nanoparticles on collagen degradation. Clin Oral Investig 2016; 21:369-379. [DOI: 10.1007/s00784-016-1799-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2015] [Accepted: 03/14/2016] [Indexed: 10/22/2022]
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Loguercio AD, Stanislawczuk R, Malaquias P, Gutierrez MF, Bauer J, Reis A. Effect of Minocycline on the Durability of Dentin Bonding Produced with Etch-and-Rinse Adhesives. Oper Dent 2016; 41:511-519. [PMID: 26918930 DOI: 10.2341/15-023-l] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES To evaluate the effect of minocycline and chlorhexidine pretreatment of acid-etched dentin on the longevity of resin-dentin bond strength (μTBS) and nanoleakage of two-step etch-and-rinse adhesives. METHODS Before application of Prime & Bond NT and Adper Single Bond 2 in occlusal dentin, the dentin surfaces were treated with 37% phosphoric acid, rinsed, air-dried, and rewetted with water (control group), 2% minocycline, or 2% chlorexidine digluconate. Composite buildups were constructed incrementally, and specimens were longitudinally sectioned to obtain bonded sticks (0.8 mm2) to be tested in tension (0.5 mm/min) immediately or after 24 months of water storage. For nanoleakage, two specimens of each tooth/period were immersed in the silver nitrate solution, photo-developed, and polished with SiC paper for analysis under energy-dispersive X-ray spectroscopy/scanning electron microscopy. RESULTS Reductions of the μTBS and increases in the nanoleakage were observed for both adhesives when the rewetting procedure was performed with water. Stable bonds were observed for the 2% minocycline and 2% chlorexidine digluconate groups after 24 months. CONCLUSIONS The use of 2% minocycline as pretreatment of acid-etched dentin is one alternative to retard the degradation of resin-dentin interfaces over a 24-month period as well as 2% chlorexidine digluconate.
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Mechanisms of degradation of the hybrid layer in adhesive dentistry and therapeutic agents to improve bond durability—A literature review. Dent Mater 2016; 32:e41-53. [DOI: 10.1016/j.dental.2015.11.007] [Citation(s) in RCA: 193] [Impact Index Per Article: 24.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2015] [Revised: 10/19/2015] [Accepted: 11/30/2015] [Indexed: 12/25/2022]
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81
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Hass V, Luque-Martinez I, Muñoz MA, Reyes MFG, Abuna G, Sinhoreti MAC, Liu AY, Loguercio AD, Wang Y, Reis A. The effect of proanthocyanidin-containing 10% phosphoric acid on bonding properties and MMP inhibition. Dent Mater 2016; 32:468-75. [PMID: 26774680 DOI: 10.1016/j.dental.2015.12.007] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2015] [Revised: 10/27/2015] [Accepted: 12/07/2015] [Indexed: 12/23/2022]
Abstract
OBJECTIVES This study evaluated the effect of etching using 2% proanthocynidin-containing 10% phosphoric acid 2% PA/10% PhA vs. 35% phosphoric acid 35% PhA on immediate (IM) and 6-months (6M) resin-enamel microshear bond strength (μSBS), resin-dentin microtensile bond strength (μTBS), nanoleakage (NL) and as well as in situ MMP inhibition potential. METHODS The dentin surface of human were exposed and then etched using 35% phosphoric acid for 15s or 2% PA/10% phosphoric acid for 30s. After rinsing with water, the dentin was bonded with Single Bond Plus (3M ESPE) and composite build-ups were constructed, followed by polymerization. The teeth were sectioned and the bonds were testing for microtensile bond strength (μTBS) and by SEM for NL analysis at IM and 6M. For MMP activity, resin-dentin slices were prepared for in situ zymography, and analyzed under confocal microscopy. For μSBS, others teeth had flattened enamel surfaces etched according the experimental groups and prepared to microshear procedure. The specimens were tested IM and after 6M by microshear bond strength. The data were submitted to two-way repeated measures ANOVA and Tukey's test (α=0.05). RESULTS Acid-etching using the 2% PA/10% phosphoric acid did not lower the μTBS in IM (p>0.05) compared to the control 35% phosphoric acid group. However, after 6M, only the 2% PA/10% PhA etched dentin had remained stable the resin-dentin bond strength (p<0.05). Bonds made with 35% PhA showed significant increase in NL% after 6M (p<0.05). Dentin bonds made with 2% PA/10% phosphoric acid showed no increase in NL% after 6 months. The MMP activity within the resin-dentin interface was almost completely reduced after 2% PA/10% PhA etching, while the 35% PhA exhibited intense MMP activity. For μSBS, the type of etchant and the storage period did not affect the resin-enamel bond strengths (p>0.05). SIGNIFICANCE Ten percent phosphoric acid containing 2% PA can produce stable resin-dentin and enamel-resin interfaces, without requiring additional steps in the bonding procedure. Future studies for longer evaluation time are required.
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Affiliation(s)
- Viviane Hass
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil; Department of Oral & Craniofacial Sciences, University of Missouri Kansas City, Kansas City, MO, USA
| | - Issis Luque-Martinez
- Dentistry Academic Unit, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Miguel Angel Muñoz
- Department of Biomaterials, School of Dentistry, Universidad Val Paraíso, Valparaíso, Chile
| | - Mario Felipe Gutierrez Reyes
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil; Institute for Research in Dental Sciences, Faculty of Odontology, University of Chile, Chile
| | - Gabriel Abuna
- Department of Dental Materials, Piracicaba Dental School, Piracicaba, São Paulo, Brazil
| | | | - Alex Yi Liu
- Department of Oral & Craniofacial Sciences, University of Missouri Kansas City, Kansas City, MO, USA
| | - Alessandro D Loguercio
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil
| | - Yong Wang
- Department of Oral & Craniofacial Sciences, University of Missouri Kansas City, Kansas City, MO, USA
| | - Alessandra Reis
- Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil.
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Cadenaro M, Fontanive L, Navarra CO, Gobbi P, Mazzoni A, Di Lenarda R, Tay FR, Pashley DH, Breschi L. Effect of carboidiimide on thermal denaturation temperature of dentin collagen. Dent Mater 2016; 32:492-8. [PMID: 26764172 DOI: 10.1016/j.dental.2015.12.006] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2015] [Revised: 10/09/2015] [Accepted: 12/07/2015] [Indexed: 11/19/2022]
Abstract
OBJECTIVES 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide hydrochloride (EDC) has been shown to cross-link dentin type I collagen. Increased cross-linking usually elevates the glass transition temperature of polymers. The aim of this study was to evaluate the cross-linking reaction promoted by EDC in different aqueous concentrations by measuring the thermal denaturation temperature (Td) of human dentin collagen. METHODS The Td of dehydrated collagen and of insoluble dentin matrix collagen immersed in 0.5M or 1M EDC aqueous solution for different treatment times was obtained using a Differential Scanning Calorimeter (DSC). Specimens were also analyzed by Energy Dispersive X-Ray Spectroscopy. RESULTS EDC-treated dentin collagen showed a significantly higher Td than the untreated specimens when immersed in either 0.5M EDC or 1M EDC for 10min or longer (p<0.05). EDC-treated dentin collagen showed an increase of sulfur and chloride, not detectable in EDC-untreated dentin specimens. Conversely, the relative amount of carbon, nitrogen and oxygen was not modified by treatments. SIGNIFICANCE EDC-treated dentin collagen showed a higher Td than the untreated control at all tested concentrations and immersion times. A higher Td can be considered an indirect indicator of a more resistant and highly cross-linked collagen network. More data are needed to confirm these results.
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Affiliation(s)
- Milena Cadenaro
- Department of Medical Sciences, University of Trieste, Piazza dell'Ospitale 1, I-34129 Trieste, Italy.
| | - Luca Fontanive
- Department of Medical Sciences, University of Trieste, Piazza dell'Ospitale 1, I-34129 Trieste, Italy
| | - Chiara Ottavia Navarra
- Department of Medical Sciences, University of Trieste, Piazza dell'Ospitale 1, I-34129 Trieste, Italy
| | - Pietro Gobbi
- Department of Earth, Life and Environment Sciences (Di.STeVA), University of Urbino, Campus Scientifico Enrico Mattei - Via Ca' Le Suore 2/4, I-61029 Urbino (PU), Italy
| | - Annalisa Mazzoni
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Via San Vitale 59, I-40125 Bologna, Italy
| | - Roberto Di Lenarda
- Department of Medical Sciences, University of Trieste, Piazza dell'Ospitale 1, I-34129 Trieste, Italy
| | - Franklin R Tay
- Department of Oral Biology, Georgia Regents University, College of Dental Medicine, Augusta, GA, USA
| | - David H Pashley
- Department of Oral Biology, Georgia Regents University, College of Dental Medicine, Augusta, GA, USA
| | - Lorenzo Breschi
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Via San Vitale 59, I-40125 Bologna, Italy
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da Silva EM, de Sá Rodrigues CUF, de Oliveira Matos MP, de Carvalho TR, dos Santos GB, Amaral CM. Experimental etch-and-rinse adhesive systems containing MMP-inhibitors: Physicochemical characterization and resin-dentin bonding stability. J Dent 2015; 43:1491-7. [DOI: 10.1016/j.jdent.2015.10.004] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2015] [Revised: 08/19/2015] [Accepted: 10/05/2015] [Indexed: 01/01/2023] Open
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Abou Neel EA, Bozec L, Perez RA, Kim HW, Knowles JC. Nanotechnology in dentistry: prevention, diagnosis, and therapy. Int J Nanomedicine 2015; 10:6371-94. [PMID: 26504385 PMCID: PMC4605240 DOI: 10.2147/ijn.s86033] [Citation(s) in RCA: 66] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
Nanotechnology has rapidly expanded into all areas of science; it offers significant alternative ways to solve scientific and medical questions and problems. In dentistry, nanotechnology has been exploited in the development of restorative materials with some significant success. This review discusses nanointerfaces that could compromise the longevity of dental restorations, and how nanotechnolgy has been employed to modify them for providing long-term successful restorations. It also focuses on some challenging areas in dentistry, eg, oral biofilm and cancers, and how nanotechnology overcomes these challenges. The recent advances in nanodentistry and innovations in oral health-related diagnostic, preventive, and therapeutic methods required to maintain and obtain perfect oral health, have been discussed. The recent advances in nanotechnology could hold promise in bringing a paradigm shift in dental field. Although there are numerous complex therapies being developed to treat many diseases, their clinical use requires careful consideration of the expense of synthesis and implementation.
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Affiliation(s)
- Ensanya Ali Abou Neel
- Division of Biomaterials, Operative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
- Biomaterials Department, Faculty of Dentistry, Tanta University, Tanta, Egypt
- UCL Eastman Dental Institute, Biomaterials and Tissue Engineering, London, UK
| | - Laurent Bozec
- UCL Eastman Dental Institute, Biomaterials and Tissue Engineering, London, UK
| | - Roman A Perez
- Institute of Tissue Regenerative Engineering (ITREN), Dankook University, Cheonan, Republic of Korea
- Department of Nanobiomedical Science and BK21 Plus NBM Global Research Center for Regenerative Medicine, Dankook University, Cheonan, Republic of Korea
| | - Hae-Won Kim
- Institute of Tissue Regenerative Engineering (ITREN), Dankook University, Cheonan, Republic of Korea
- Department of Nanobiomedical Science and BK21 Plus NBM Global Research Center for Regenerative Medicine, Dankook University, Cheonan, Republic of Korea
- Department of Biomaterials Science, College of Dentistry, Dankook University, Cheonan, Republic of Korea
| | - Jonathan C Knowles
- UCL Eastman Dental Institute, Biomaterials and Tissue Engineering, London, UK
- Department of Nanobiomedical Science and BK21 Plus NBM Global Research Center for Regenerative Medicine, Dankook University, Cheonan, Republic of Korea
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85
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Zarella B, Cardoso C, Pelá V, Kato M, Tjäderhane L, Buzalaf M. The role of matrix metalloproteinases and cysteine-cathepsins on the progression of dentine erosion. Arch Oral Biol 2015; 60:1340-5. [DOI: 10.1016/j.archoralbio.2015.06.011] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2014] [Revised: 05/04/2015] [Accepted: 06/14/2015] [Indexed: 10/23/2022]
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86
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Li H, Li T, Li X, Zhang Z, Li P, Li Z. Morphological effects of MMPs inhibitors on the dentin bonding. Int J Clin Exp Med 2015; 8:10793-10803. [PMID: 26379873 PMCID: PMC4565256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2015] [Accepted: 06/21/2015] [Indexed: 06/05/2023]
Abstract
Matrix metalloproteinases (MMPs) have been studied extensively, and MMP inhibitors have been used as dental pretreatment agents prior to dentin bonding because they reduce collagen fiber degradation and improve bonding strength. However, morphologic characteristics of the collagen network after etching and of the post-adhesive dentin hybrid layers (DHL) after MMP inhibitors pretreatment have not been evaluated. Thus, we investigated demineralized dentin pretreated with chlorhexidine (CHX) and minocycline (MI) in an etch- and -rinse adhesive system with field emission scanning electron microscopy (FESEM) and immuno-gold labeling markers to observe the collagen network and DHL. FESEM revealed after CHX and MI, a demineralized dentin surface and improved collagen network formation, reduced collagen degradation, and distinct gold-labeling signals. Applying adhesive after either MMP inhibitor created a better dentin interface as evidenced by immuno-gold staining, better adhesive penetration, and higher DHL quality. With microtensile bond strength tests (µTBS) we estimated bonding strength using µTBS data. Immediate µTBS was enhanced with MMP inhibitor application to the bonding surface, and the CHX group was significantly different than non-treated etched surfaces, but no significant change was detected in the MI group. Surface micromorphology of the fractured dentin resin restoration showed that the CHX group had a better resin and dentin tube combination. Both MMP inhibitors created uniform resin coverage. Thus, morphologic results and µTBS data suggest that CHX and MI can inhibit MMP activity, improve immediate bonding strength, and enhance dentin bonding stability with an etch- and -rinse adhesive system.
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Affiliation(s)
- He Li
- Department of Hospital of Stomatology, Jilin University Changchun, China
| | - Tianbo Li
- Department of Hospital of Stomatology, Jilin University Changchun, China
| | - Xiuying Li
- Department of Hospital of Stomatology, Jilin University Changchun, China
| | - Zhimin Zhang
- Department of Hospital of Stomatology, Jilin University Changchun, China
| | - Penglian Li
- Department of Hospital of Stomatology, Jilin University Changchun, China
| | - Zhenling Li
- Department of Hospital of Stomatology, Jilin University Changchun, China
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87
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De Munck J, Poitevin A, Lührs AK, Pongprueksa P, Van Ende A, Van Landuyt KL, Van Meerbeek B. Interfacial fracture toughness of aged adhesive–dentin interfaces. Dent Mater 2015; 31:462-72. [DOI: 10.1016/j.dental.2015.01.017] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2014] [Revised: 11/10/2014] [Accepted: 01/28/2015] [Indexed: 10/24/2022]
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88
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Iskander M, Elkassas D, Mohsen MA. Effect of Two Matrix Metalloproteinase Inhibitors on the Color Stability of a Nanofilled Resin Composite. Oper Dent 2015; 40:E11-20. [DOI: 10.2341/12-428-l] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objectives
This in vitro study evaluated the effect of two matrix metalloproteinase (MMP) inhibitors on the color stability of two shades of a nanofilled resin composite.
Methods and Materials
A total of 60 sound human molars were used in this study. Flat dentin surfaces were obtained by wet grinding the occlusal surfaces. Following acid etching, the molars were divided into three equal groups according to the MMP inhibitor used: Group 1: no inhibitor (control group), group 2: chlorhexidine digluconate based (CHX; Consepsis, Ultradent, South Jordan, UT, USA); group 3: doxycycline based (MTAD; Biopure, Dentsply TulsaDental, Johnson, TN, USA). Adper Single Bond 2 Adhesive (3M ESPE, St Paul, MN, USA) was applied to the treated dentin surfaces. Each group was then subdivided into two equal subgroups of 10 molars each, according to the shade of the resin composite (Filtek Z350 XT, 3M ESPE) used, either B1 or A3. The color was assessed for each subgroup at three times: baseline (after 24 hours); after aging using a total energy of 600 kJ/m2 (Weather-Ometer Ci35A, Atlas Electronic Devices Company, Chicago, IL, USA); and then after a second period of aging, for a total energy of 1200 kJ/m2. Color assessment was carried out using a spectrophotometer. Color change (ΔE) was calculated according to the Commission Internationale de l'Eclairage L*a* b* color scale, comparing each aging period with the baseline color measurement. Data were analyzed using repeated measures analysis of variance and Tukey post hoc test.
Results
All tested subgroups showed greater discoloration than the clinically acceptable level (3.3). MTAD induced the highest statistically significant color change, followed by CHX, whereas the control groups showed the lowest statistical ΔE values with both tested shades. Shade B1 subgroups showed higher ΔE values when compared with shade A3 subgroups.
Conclusion
Accelerated aging caused color change in a nanofilled resin composite regardless of MMP inhibitor used. Furthermore, lighter shades showed less color stability when compared with darker shades.
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Affiliation(s)
- M Iskander
- Mireille Hany Iskander, DMD, Operative Dentistry, Misr International University, Cairo, Egypt
| | - D Elkassas
- Dina W Elkassas, BDS, MSc, PhD, associate professor, Operative Dentistry Department, Faculty of Oral and Dental Medicine, Misr International University, Cairo, Egypt
| | - MA Mohsen
- Mohamed Abdel Mohsen, BDS, MSc, PhD, professor, Operative Dentistry Department, Faculty of Oral and Dental Medicine, Cairo University, Cairo, Egypt
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Zheng P, Zaruba M, Attin T, Wiegand A. Effect of Different Matrix Metalloproteinase Inhibitors on Microtensile Bond Strength of an Etch-and-Rinse and a Self-etching Adhesive to Dentin. Oper Dent 2015; 40:80-6. [DOI: 10.2341/13-162-l] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Aim
This study aimed to analyze the effect of different matrix metalloproteinase (MMP) inhibitors on the microtensile bond strength (microTBS) of an etch-and-rinse and a self-etching adhesive after 9 months of aging.
Methods and Materials
Flat human dentin surfaces were bonded either with an etch-and-rinse adhesive (Optibond FL) or a self-etching adhesive (Clearfil SE Bond). Dentin surfaces were left untreated or were pretreated with MMP inhibitors (2% chlorhexidine digluconate [CHX], 0.05% green tea extract, 1 mM ferrous sulfate, or 0.2 mM galardin) prior to application of the adhesive. Composite buildups were made incrementally. Pretreated groups were tested after 9 months of storage in artificial saliva (37°C) and compared with untreated groups, which were tested immediately (initial microTBS) and upon aging (9-month microTBS). Data were analyzed by linear mixed-model regression. Failure mode analysis was performed microscopically and statistically analyzed by repeated-measures analysis of variance (p<0.05).
Results
MicroTBS of the etch-and-rinse adhesive but not of the self-etching adhesive was significantly decreased by aging. For Optibond FL, pretreatment with 2% CHX, 0.05% green tea extract, and 0.2 mM galardin revealed bond strength values (MPa) similar to the initial microTBS (32.1±14.8) and significantly higher compared with the microTBS (20.3±13.6) of aged untreated dentin. No significant differences were observed between groups bonded with Clearfil SE Bond (initial microTBS: 28.3±12.4; 9-month microTBS: 25.3±11.8). Application of the MMP inhibitors decreased the number of adhesive failures compared with untreated controls after 9 months of aging, but this effect was not significant.
Conclusion
The MMP inhibitors prevented the decrease in microTBS upon aging of the etch-and-rinse but not of the self-etching adhesive.
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Affiliation(s)
- P Zheng
- Pei Zheng, Medical College, Zhejiang University, Conservative Dentistry and Periodontics, Affiliated Hospital of Stomatology, Zhejiang, China
| | - M Zaruba
- Markus Zaruba, Dr Med Dent, University of Zurich, Preventive Dentistry, Periodontology and Cariology, Zurich, Switzerland
| | - T Attin
- Thomas Attin, Prof Dr Med Dent, Center for Dental Medicine, University of Zurich, Department of Preventive Dentistry, Periodontology and Cariology, Zurich, Switzerland
| | - A Wiegand
- *Annette Wiegand, Prof Dr Med Dent, University of Göttingen, Preventive Dentistry, Periodontology and Cariology, Göttingen, Germany
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Abstract
In dentin bonding, contemporary dental adhesive systems rely on formation of the hybrid layer, a biocomposite containing dentin collagen and polymerized resin adhesive. They are usually able to create at least reasonable integrity of the hybrid layer with high immediate bond strength. However, loss of dentin-bonded interface integrity and bond strength is commonly seen after aging both in vitro and in vivo. This is due to endogenous collagenolytic enzymes, matrix metalloproteinases, and cysteine cathepsins, responsible for the time-dependent loss of hybrid layer collagen. In addition, the hydrophilic nature of adhesive systems creates problems that lead to suboptimal hybrid layers. These problems include, for example, insufficient resin impregnation of dentin, phase separation, and a low rate of polymerization, all of which may reduce the longevity of the bonded interface. Preservation of the collagen matrix integrity by inhibition of endogenous dentin proteases is key to improving dentin bonding durability. Several approaches to retain the integrity of the hybrid layer and to improve the long-term dentin bond strength have been tested. These include the use of enzyme inhibitors, either separately or as incorporated into the adhesive resins; increase of collagen resistance to enzymatic degradation; and elimination of water from the interface to slow down or eliminate hydrolytic loss of the hybrid layer components. This review looks at the principles, current status, and future of the different techniques designed to prevent the loss of hybrid layer and bond strength.
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91
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Mazzoni A, Tjäderhane L, Checchi V, Di Lenarda R, Salo T, Tay FR, Pashley DH, Breschi L. Role of dentin MMPs in caries progression and bond stability. J Dent Res 2014; 94:241-51. [PMID: 25535202 DOI: 10.1177/0022034514562833] [Citation(s) in RCA: 215] [Impact Index Per Article: 21.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
Dentin can be described as a biological composite with collagen matrix embedded with nanosized hydroxyapatite mineral crystallites. Matrix metalloproteinases (MMPs) and cysteine cathepsins are families of endopeptidases. Enzymes of both families are present in dentin and collectively capable of degrading virtually all extracellular matrix components. This review describes these enzymes and their presence in dentin, mainly focusing on their role in dentin caries pathogenesis and loss of collagen in the adhesive hybrid layer under composite restorations. MMPs and cysteine cathepsins present in saliva, mineralized dentin, and/or dentinal fluid may affect the dentin caries process at the early phases of demineralization. Changes in collagen and noncollagenous protein structure may participate in observed decreases in mechanical properties of caries-affected dentin and reduce the ability of caries-affected dentin to remineralize. These endogenous enzymes also remain entrapped within the hybrid layer during the resin infiltration process, and the acidic bonding agents themselves (irrespective of whether they are etch-and-rinse or self-etch) can activate these endogenous protease proforms. Since resin impregnation is frequently incomplete, denuded collagen matrices associated with free water (which serves as a collagen cleavage reagent for these endogenous hydrolase enzymes) can be enzymatically disrupted, finally contributing to the degradation of the hybrid layer. There are multiple in vitro and in vivo reports showing that the longevity of the adhesive interface is increased when nonspecific enzyme-inhibiting strategies are used. Different chemicals (i.e., chlorhexidine, galardin, and benzalkonium chloride) or collagen cross-linker agents have been successfully employed as therapeutic primers in the bonding procedure. In addition, the incorporation of enzyme inhibitors (i.e., quaternary ammonium methacrylates) into the resin blends has been recently promoted. This review will describe MMP functions in caries and hybrid layer degradation and explore the potential therapeutic role of MMP inhibitors for the development of improved intervention strategies for MMP-related oral diseases.
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Affiliation(s)
- A Mazzoni
- Department of Medical Sciences, University of Trieste, Trieste, Italy
| | - L Tjäderhane
- Institute of Dentistry, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - V Checchi
- Department of Medical Sciences, University of Trieste, Trieste, Italy
| | - R Di Lenarda
- Department of Medical Sciences, University of Trieste, Trieste, Italy
| | - T Salo
- Institute of Dentistry, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - F R Tay
- Department of Oral Biology, College of Dental Medicine, Georgia Regents University, Augusta, GA, USA
| | - D H Pashley
- Department of Oral Biology, College of Dental Medicine, Georgia Regents University, Augusta, GA, USA
| | - L Breschi
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Italy
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92
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Effect of hesperidin incorporation into a self-etching primer on durability of dentin bond. Dent Mater 2014; 30:1205-12. [DOI: 10.1016/j.dental.2014.08.371] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2013] [Revised: 07/09/2014] [Accepted: 08/08/2014] [Indexed: 12/13/2022]
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93
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Derbanne M, Le Goff S, Attal JP. Dental Adhesives. Biomaterials 2014. [DOI: 10.1002/9781119043553.ch10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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94
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Feitosa SA, Palasuk J, Kamocki K, Geraldeli S, Gregory RL, Platt JA, Windsor LJ, Bottino MC. Doxycycline-encapsulated nanotube-modified dentin adhesives. J Dent Res 2014; 93:1270-6. [PMID: 25201918 DOI: 10.1177/0022034514549997] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This article presents details of fabrication, biological activity (i.e., anti-matrix metalloproteinase [anti-MMP] inhibition), cytocompatibility, and bonding characteristics to dentin of a unique doxycycline (DOX)-encapsulated halloysite nanotube (HNT)-modified adhesive. We tested the hypothesis that the release of DOX from the DOX-encapsulated nanotube-modified adhesive can effectively inhibit MMP activity. We incorporated nanotubes, encapsulated or not with DOX, into the adhesive resin of a commercially available bonding system (Scotchbond Multi-Purpose [SBMP]). The following groups were tested: unmodified SBMP (control), SBMP with nanotubes (HNT), and DOX-encapsulated nanotube-modified adhesive (HNT+DOX). Changes in degree of conversion (DC) and microtensile bond strength were evaluated. Cytotoxicity was examined on human dental pulp stem cells (hDPSCs). To prove the successful encapsulation of DOX within the adhesives-but, more important, to support the hypothesis that the HNT+DOX adhesive would release DOX at subantimicrobial levels-we tested the antimicrobial activity of synthesized adhesives and the DOX-containing eluates against Streptococcus mutans through agar diffusion assays. Anti-MMP properties were assessed via β-casein cleavage assays. Increasing curing times (10, 20, 40 sec) led to increased DC values. There were no statistically significant differences (p > .05) in DC within each increasing curing time between the modified adhesives compared to SBMP. No statistically significant differences in microtensile bond strength were noted. None of the adhesives eluates were cytotoxic to the human dental pulp stem cells. A significant growth inhibition of S. mutans by direct contact illustrates successful encapsulation of DOX into the experimental adhesive. More important, DOX-containing eluates promoted inhibition of MMP-1 activity when compared to the control. Collectively, our findings provide a solid background for further testing of encapsulated MMP inhibitors into the synthesis of therapeutic adhesives that may enhance the longevity of hybrid layers and the overall clinical performance of adhesively bonded resin composite restorations.
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Affiliation(s)
- S A Feitosa
- Department of Restorative Dentistry, Division of Dental Biomaterials, Indiana University School of Dentistry, Indianapolis, IN, USA Department of Dental Materials and Prosthodontics, São Paulo State University-UNESP, São José dos Campos, SP, Brazil
| | - J Palasuk
- Department of Restorative Dentistry, Division of Dental Biomaterials, Indiana University School of Dentistry, Indianapolis, IN, USA Department of Restorative Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, Thailand
| | - K Kamocki
- Department of Restorative Dentistry, Division of Dental Biomaterials, Indiana University School of Dentistry, Indianapolis, IN, USA
| | - S Geraldeli
- Restorative Dental Sciences, Operative Division, College of Dentistry, University of Florida, Gainesville, FL, USA
| | - R L Gregory
- Department of Oral Biology, Indiana University School of Dentistry, Indianapolis, IN, USA
| | - J A Platt
- Department of Restorative Dentistry, Division of Dental Biomaterials, Indiana University School of Dentistry, Indianapolis, IN, USA
| | - L J Windsor
- Department of Oral Biology, Indiana University School of Dentistry, Indianapolis, IN, USA
| | - M C Bottino
- Department of Restorative Dentistry, Division of Dental Biomaterials, Indiana University School of Dentistry, Indianapolis, IN, USA
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95
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Basting RT, Leme AA, Bridi EC, Amaral FLBD, França FMG, Turssi CP, Bedran-Russo AK. Nanomechanical properties, SEM, and EDS microanalysis of dentin treated with 2.5% titanium tetrafluoride, before and after an erosive challenge. J Biomed Mater Res B Appl Biomater 2014; 103:783-9. [DOI: 10.1002/jbm.b.33254] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2013] [Revised: 06/29/2014] [Accepted: 07/15/2014] [Indexed: 12/12/2022]
Affiliation(s)
- Roberta Tarkany Basting
- Department of Restorative Dentistry; São Leopoldo Mandic School of Dentistry and Research Institute; Campinas São Paulo Brazil
| | - Ariene Arcas Leme
- Department of Restorative Dentistry; College of Dentistry, University of Illinois at Chicago; Chicago Illinois
| | - Enrico Coser Bridi
- Department of Restorative Dentistry; São Leopoldo Mandic School of Dentistry and Research Institute; Campinas São Paulo Brazil
| | | | - Fabiana Mantovani Gomes França
- Department of Restorative Dentistry; São Leopoldo Mandic School of Dentistry and Research Institute; Campinas São Paulo Brazil
| | - Cecília Pedroso Turssi
- Department of Cariology ans Statistics; São Leopoldo Mandic Dental School and Research Center; Campinas São Paulo Brazil
| | - Ana Karina Bedran-Russo
- Department of Restorative Dentistry; College of Dentistry, University of Illinois at Chicago; Chicago Illinois
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Fik CP, Konieczny S, Pashley DH, Waschinski CJ, Ladisch RS, Salz U, Bock T, Tiller JC. Telechelic poly(2-oxazoline)s with a biocidal and a polymerizable terminal as collagenase inhibiting additive for long-term active antimicrobial dental materials. Macromol Biosci 2014; 14:1569-79. [PMID: 25130877 DOI: 10.1002/mabi.201400220] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2014] [Revised: 06/11/2014] [Indexed: 12/21/2022]
Abstract
Dental repair materials face the problem that the dentin below the composite fillings is actively decomposed by secondary caries and extracellular proteases. To address this problem, poly(2-methyloxazoline) with a biocidal and a polymerizable terminal was explored as additive for a commercial dental adhesive. 2.5 wt% of the additive rendered the adhesive contact-active against Streptococcus mutans and washing with water for 101 d did not diminish this effect. The adhesive with 5 wt% additive kills S. mutans cells in the tubuli of bovine dentin. Further, the additive inhibits bacterial collagenase at 0.5 wt% and reduces activity of MMP-9. Human MMPs bound to dentin are inhibited by 96% in a medium with 5 wt% additive. Moreover, no adverse effect on the enamel/dentine shear bond strength was detected.
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Affiliation(s)
- Christoph P Fik
- Chair of Biomaterials and Polymer Science, Department of Biochemical and Chemical Engineering, TU Dortmund, Emil-Figge-Str. 66, 44227, Dortmund, Germany
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97
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Sabatini C, Pashley DH. Mechanisms regulating the degradation of dentin matrices by endogenous dentin proteases and their role in dental adhesion. A review. AMERICAN JOURNAL OF DENTISTRY 2014; 27:203-214. [PMID: 25831604 PMCID: PMC4412266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
PURPOSE This systematic review provides an overview of the different mechanisms proposed to regulate the degradation of dentin matrices by host-derived dentin proteases, particularly as it relates to their role in dental adhesion. Significant developments have taken place over the last few years that have contributed to a better understanding of all the factors affecting the durability of adhesive resin restorations. The complexity of dentin-resin interfaces mandates a thorough understanding of all the mechanical, physical and biochemical aspects that play a role in the formation of hybrid layers. The ionic and hydrophilic nature of current dental adhesives yields permeable, unstable hybrid layers susceptible to water sorption, hydrolytic degradation and resin leaching. The hydrolytic activity of host-derived proteases also contributes to the degradation of the resin-dentin bonds. Preservation of the collagen matrix is critical to the improvement of resin-dentin bond durability. Approaches to regulate collagenolytic activity of dentin proteases have been the subject of extensive research in the last few years. A shift has occurred from the use of proteases inhibitors to the use of collagen cross-linking agents. Data provided by 51 studies published in peer-reviewed journals between January 1999 and December 2013 were compiled in this systematic review. RESULTS Appraisal of the data provided by the studies included in the present review yielded a summary of the mechanisms which have already proven to be clinically successful and those which need further investigation before new clinical protocols can be adopted.
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Affiliation(s)
- Camila Sabatini
- Department of Restorative Dentistry, School of Dental Medicine, University at Buffalo, Buffalo, NY, USA
| | - David H. Pashley
- Department of Oral Biology, College of Dental Medicine, Georgia Regents University, Augusta, GA, USA
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98
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Degradation in the fatigue strength of dentin by cutting, etching and adhesive bonding. Dent Mater 2014; 30:1061-72. [PMID: 24985539 DOI: 10.1016/j.dental.2014.06.005] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2013] [Revised: 06/07/2014] [Accepted: 06/09/2014] [Indexed: 11/20/2022]
Abstract
UNLABELLED The processes involved in placing resin composite restorations may degrade the fatigue strength of dentin and increase the likelihood of fractures in restored teeth. OBJECTIVE The objective of this study was to evaluate the relative changes in strength and fatigue behavior of dentin caused by bur preparation, etching and resin bonding procedures using a 3-step system. METHODS Specimens of dentin were prepared from the crowns of unrestored 3rd molars and subjected to either quasi-static or cyclic flexural loading to failure. Four treated groups were prepared including dentin beams subjected to a bur treatment only with a conventional straight-sided bur, or etching treatment only. An additional treated group received both bur and etching treatments, and the last was treated by bur treatment and etching, followed by application of a commercial resin adhesive. The control group consisted of "as sectioned" dentin specimens. RESULTS Under quasi-static loading to failure there was no significant difference between the strength of the control group and treated groups. Dentin beams receiving only etching or bur cutting treatments exhibited fatigue strengths that were significantly lower (p≤0.0001) than the control; there was no significant difference in the fatigue resistance of these two groups. Similarly, the dentin receiving bur and etching treatments exhibited significantly lower (p≤0.0001) fatigue strength than that of the control, regardless of whether an adhesive was applied. SIGNIFICANCE The individual steps involved in the placement of bonded resin composite restorations significantly decrease the fatigue strength of dentin, and application of a bonding agent does not increase the fatigue strength of dentin.
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99
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LONGHI M, CERRONI L, CONDÒ S, ARIANO V, PASQUANTONIO G. The effects of host derived metalloproteinases on dentin bond and the role of MMPs inhibitors on dentin matrix degradation. ORAL & IMPLANTOLOGY 2014; 7:71-79. [PMID: 25992261 PMCID: PMC4402687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVES The work has the objective to analyze the literature on the degradation of the adhesive interface. In particular the study is focused on the role of the metalloproteinase in the hydrolytic degradation of collagen matrix in the bonded interface. The survey will concern also the latest innovations to improve and increase the link between dentin and the restorative materials through the MMPs inhibitors. METHODS The research has been carried out in the MEDLINE database by choosing keywords as "metalloproteinases" and "dentin bond" and "degradation". In vitro studies were included in the research, excluding studies with no human and deciduous teeth. Language was limited to English. RESULTS The collagenolytic enzymes in mineralized dentin have been demonstrated to have an important role in dental hard tissue pathologies, including the degradation of the hybrid layer. CONCLUSION The preservation of the collagen matrix integrity is a key issue in the attempts to improve the dentin bonding durability.
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Affiliation(s)
| | - L. CERRONI
- Correspondence to: Loredana Cerroni, Department of Clinical Science and Translational Medicine, University of Rome “Tor Vergata”, Rome, Italy, E-mail:
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Montagner AF, Sarkis-Onofre R, Pereira-Cenci T, Cenci MS. MMP Inhibitors on Dentin Stability: A Systematic Review and Meta-analysis. J Dent Res 2014; 93:733-43. [PMID: 24935066 DOI: 10.1177/0022034514538046] [Citation(s) in RCA: 108] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2013] [Accepted: 05/10/2014] [Indexed: 12/15/2022] Open
Abstract
The aim of this study was to systematically review the literature for in vitro and ex vivo studies that evaluated the effect of matrix metalloproteinase (MMP) inhibitors during the adhesive procedure on the immediate and long-term resin-dentin bond strength. The search was conducted in 6 databases with no publication year or language limits, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. From 1,336 potentially eligible studies, 48 were selected for full-text analysis, and 30 were included for review, with 17 considered in the meta-analysis. Two reviewers independently selected the studies, extracted the data, and assessed the risk of bias. Pooled effect estimates were expressed as the weighted mean difference between groups. The most used MMP inhibitor was chlorhexidine (CHX). Immediate bond strength results showed no difference between 2% CHX and control; however, a difference was found between 0.2% CHX and control at baseline. After aging, CHX presented higher bond strength values compared to control groups (p < .05). However, this was not observed for longer periods of aging. High heterogeneity was found in some comparisons, especially for the water storage aging subgroup. Subgroup analyses showed that self-etching and etch-and-rinse adhesives are benefited by the CHX use. From the studies included, only 1 presented low risk of bias, while the others showed medium or high risk of bias. The use of MMP inhibitors did not affect the immediate bond strength overall, while it influenced the aged bond strength. Aging procedures influenced bond strength values of the dentin adhesion stability.
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Affiliation(s)
- A F Montagner
- Federal University of Pelotas, School of Dentistry, Gonçalves Chaves, 457, Fifth Floor, Pelotas, 96015560, Brazil
| | - R Sarkis-Onofre
- Federal University of Pelotas, School of Dentistry, Gonçalves Chaves, 457, Fifth Floor, Pelotas, 96015560, Brazil
| | - T Pereira-Cenci
- Federal University of Pelotas, School of Dentistry, Gonçalves Chaves, 457, Fifth Floor, Pelotas, 96015560, Brazil
| | - M S Cenci
- Federal University of Pelotas, School of Dentistry, Gonçalves Chaves, 457, Fifth Floor, Pelotas, 96015560, Brazil
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