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Enrich-Essvein T, González-López S, Rodríguez-Navarro AB, Cifuentes-Jiménez C, Maravic T, Mazzitelli C, Checchi V, Josic U, Mazzoni A, Breschi L. Effects of proanthocyanidin-functionalized hydroxyapatite nanoparticles on dentin bonding. Clin Oral Investig 2024; 28:444. [PMID: 39046575 PMCID: PMC11269515 DOI: 10.1007/s00784-024-05836-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2024] [Accepted: 07/17/2024] [Indexed: 07/25/2024]
Abstract
OBJECTIVES To evaluate the effect of proanthocyanidin-functionalized hydroxyapatite nanoparticles (nHAp_PA) used as pretreatment at different concentrations on the microtensile bond strength (µTBS) and endogenous enzymatic activity (MMPs) on pH-cycled dentin after 24 h and 6 months of artificial aging. MATERIALS AND METHODS Fifty human sound dentin blocks were randomly assigned to 5 groups (n = 10): (i) negative control (no treatment); (ii) positive control (pH-cycling); (iii) pH-cycling + 2% nHAp_PA for 60s; (iv) pH-cycling + 6.5% nHAp_PA for 60s; (v) pH-cycling + 15% nHAp_PA for 60s. A self-etch adhesive was used for bonding procedures before resin composite build-ups. Specimens were tested with the µTBS test after 24 h and 6 months of laboratory storage. The proteolytic activity in each group was evaluated with gelatin zymography and in situ zymography. Data were statistically analyzed (p < 0.05). RESULTS At 24 h, the µTBS of the experimental groups were significantly higher than the controls (p ≤ 0.001), and no differences were observed between different concentrations (p > 0.05). Artificial aging significantly decreased bond strength in all groups (p ≤ 0.008); however, nHAp_PA 2% still yielded higher bonding values than controls (p ≤ 0.007). The groups pretreated with nHAp_PA exhibited lower MMP-9 and MMP-2 activities compared to the positive control group and almost the same enzymatic activity as the negative control group. In situ zymography showed that after 6 months of aging, nHAp_PA 2% and nHAp_PA 6,5% decreased enzymatic activity as well as the negative control. CONCLUSIONS Dentin pretreatment with nHAp_PA increased the bonding performance of a self-etch adhesive and decreased MMP-2 and MMP-9 activities after 6 months.
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Affiliation(s)
- Tattiana Enrich-Essvein
- Department of Operative Dentistry, School of Dentistry, University of Granada, Campus de Cartuja, Colegio Maximo s/n, Granada, E-18071, Spain.
- Department of Mineralogy and Petrology, Faculty of Sciences, University of Granada, Granada, Spain.
| | - Santiago González-López
- Department of Operative Dentistry, School of Dentistry, University of Granada, Campus de Cartuja, Colegio Maximo s/n, Granada, E-18071, Spain
| | | | - Carolina Cifuentes-Jiménez
- Department of Operative Dentistry, School of Dentistry, University of Granada, Campus de Cartuja, Colegio Maximo s/n, Granada, E-18071, Spain
| | - Tatjana Maravic
- Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy
| | - Claudia Mazzitelli
- Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy
| | - Vittorio Checchi
- Department of Surgery, Medicine, Dentistry and Morphological Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - Uros Josic
- Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy
| | - Annalisa Mazzoni
- Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy
| | - Lorenzo Breschi
- Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, Bologna, Italy
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Alkhouri N, Xia W, Ashley P, Young A. Resin tags formation by modified Renewal MI formulations in a carious dentine model. FRONTIERS IN ORAL HEALTH 2024; 5:1420541. [PMID: 38948090 PMCID: PMC11211532 DOI: 10.3389/froh.2024.1420541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2024] [Accepted: 05/31/2024] [Indexed: 07/02/2024] Open
Abstract
Objectives To determine which components in a new restorative material (Renewal MI) improve its ability to form resin tags within demineralized dentine. Methods Varied components included polylysine (PLS), monocalcium phosphate (MCP), powder to liquid ratio (PLR), 4-methacryloyloxyethyl trimellitate anhydride (4META), and polypropylene glycol dimethacrylate (PPGDMA). Urethane dimethacrylate (UDMA), containing PPGDMA (24 wt%) and 4META (3 wt%), was mixed with glass filler with MCP (8 wt%) and PLS (5 wt%). PLR was 3:1 or 5:1. Reducing MCP and/or PLS to 4 and 2 wt% respectively or fully removing MCP, PLS, 4META or PPGDMA gave 16 formulations in total. Renewal MI, Z250 (with or without Scotchbond Universal adhesive) and Activa were used as commercial comparators. Collagen discs were obtained by totally demineralizing 2 mm thick, human, premolar, coronal dentine discs by immersion in formic acid (4M) for 48 h. The restorative materials were then applied on top (n = 3), before dissolving the collagen in sodium hypochlorite (15%). SEM/EDX was employed to determine resin tags length, composition, and surface coverage. Results Tags were >400, 20 and 200 µm and covered 62, 55 and 39% of the adhesion interface for Renewal MI, Scotchbond and Activa, respectively. With experimental formulations, they were 200 and >400 µm long with high vs. low PLR and composed primarily of polymerized monomers. Percentages of the adhesion interface covered varied between 35 and 84%. Reducing PLS or MCP caused a decline in coverage that was linear with their concentrations. Reducing MCP had lesser effect when PLS or PLR were low. Removal of 4META caused a greater reduction in coverage than PPGDMA removal. Conclusion PLS, MCP, 4META, PPGDMA and low PLR together enhance Renewal MI tags formation in, and thereby sealing of, demineralized dentine.
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Affiliation(s)
- Nabih Alkhouri
- Department of Biomaterials and Tissue Engineering, UCL Eastman Dental Institute, London, United Kingdom
| | - Wendy Xia
- Department of Biomaterials and Tissue Engineering, UCL Eastman Dental Institute, London, United Kingdom
| | - Paul Ashley
- Department of Paediatric Dentistry, UCL Eastman Dental Institute, London, United Kingdom
| | - Anne Young
- Department of Biomaterials and Tissue Engineering, UCL Eastman Dental Institute, London, United Kingdom
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Tang C, Mercelis B, Zhang F, Mocquot C, Nakanishi K, Yoshihara K, Peumans M, Van Meerbeek B. Filler Mixed Into Adhesives Does Not Necessarily Improve Their Mechanical Properties. Oper Dent 2024; 49:311-324. [PMID: 38632849 DOI: 10.2341/23-106-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/15/2023] [Indexed: 04/19/2024]
Abstract
OBJECTIVES To investigate the influence of filler type/loading on the micro-tensile fracture strength (μTFS) of adhesive resins, as measured 'immediately' upon preparation and after 1-week water storage ('water-stored'). METHODS The morphology and particle-size distribution of three filler particles, referred to as 'Glass-S' (Esschem Europe), 'BioUnion' (GC), and 'CPC_Mont', were correlatively characterized by SEM, TEM, and particle-size analysis. These filler particles were incorporated into an unfilled adhesive resin ('BZF-29unfilled', GC) in different concentrations to measure the 'immediate' μTFS. After 1-week water storage, the 'water-stored' μTFS of the experimental particle-filled adhesive resins with the most optimum filler loading, specific for each filler type, was measured. In addition, the immediate and water-stored μTFS of the adhesive resins of three experimental two-step universal adhesives based on the same resin matrix but varying for filler type/loading, coded as 'BZF-21' (containing silica and bioglass), 'BZF-29' (containing solely silica), and 'BZF-29_hv' (highly viscous with a higher silica loading than BZF-29), and of the adhesive resins of the gold-standard adhesives OptiBond FL ('Opti-FL', Kerr) and Clearfil SE Bond 2 ('C-SE2', Kuraray Noritake) was measured along with that of BZF-29unfilled (GC) serving as control/reference. Statistics involved one-way and two-way ANOVA followed by post-hoc multiple comparisons (α<0.05). RESULTS Glass-S, BioUnion, and CPC_Mont represent irregular fillers with an average particle size of 8.5-9.9 μm. Adding filler to BZF-29unfilled decreased μTFS regardless of filler type/loading. One-week water storage reduced μTFS of all adhesive resins except BZF-21, with the largest reduction in μTFS recorded for BZF-29unfilled. Among the three filler types, the μTFS of the 30 wt% Glass-S and 20 wt% BioUnion filled adhesive resin was not significantly different from the μTFS of BZF-29unfilled upon water storage. CONCLUSIONS Adding filler particles into adhesive resin did not enhance its micro-tensile fracture strength but appeared to render it less sensitive to water storage as compared to the unfilled adhesive resin investigated.
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Affiliation(s)
- C Tang
- Chuliang Tang, KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT, Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, Leuven, Belgium
| | - B Mercelis
- Ben Mercelis, KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT, Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, Leuven, Belgium
| | - F Zhang
- Fei Zhang, KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT, Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, Leuven, Belgium; KU Leuven (University of Leuven), Department of Materials Engineering, Leuven, Belgium; 3Université Lyon 1, Laboratoire des Multimatériaux et Interfaces, Villeurbanne, France
| | - C Mocquot
- Caroline Mocquot, Université Lyon 1, Laboratoire des Multimatériaux et Interfaces, Villeurbanne, France; Université Paris Cité, Faculté dentaire, Hôpital Rothschild, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - K Nakanishi
- Ko Nakanishi, KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT, Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, Leuven, Belgium; Hokkaido University, Faculty of Dental Medicine, Department of Biomaterials and Bioengineering, Sapporo, Japan
| | - K Yoshihara
- Kumiko Yoshihara, National Institute of Advanced Industrial Science and Technology (AIST), Health and Medical Research Institute, Kagawa, Japan; Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Department of Pathology & Experimental Medicine, Okayama, Japan
| | - M Peumans
- Marleen Peumans, KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT, Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, Leuven, Belgium
| | - B Van Meerbeek
- *Bart Van Meerbeek, KU Leuven (University of Leuven), Department of Oral Health Sciences, BIOMAT, Biomaterials Research Group & UZ Leuven (University Hospitals Leuven), Dentistry, Leuven, Belgium
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Al-Badri H, Al-Shammaree SA, Banerjee A, Al-Taee LA. The in-vitro development of novel enzyme-based chemo-mechanical caries removal agents. J Dent 2023; 138:104714. [PMID: 37734529 DOI: 10.1016/j.jdent.2023.104714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Revised: 09/09/2023] [Accepted: 09/18/2023] [Indexed: 09/23/2023] Open
Abstract
OBJECTIVES Bromelain is a potent proteolytic enzyme that has a unique functionality makes it valuable for various therapeutic purposes. This study aimed to develop three novel formulations based on bromelain to be used as chemomechanical caries removal agents. METHODS The novel agents were prepared using different concentrations of bromelain (10-40 wt. %), with and without 0.1-0.3 wt. % chloramine T or 0.5-1.5 wt. % chlorhexidine (CHX). Based on the enzymatic activity test, three formulations were selected; 30 % bromelain (F1), 30 % bromelain-0.1 % chloramine (F2) and 30 % bromelain-1.5 % CHX (F3). The assessments included molecular docking, Fourier-transform infrared spectroscopy (FTIR), viscosity and pH measurements. The efficiency of caries removal was assessed by DIAGNOdent pen, measuring the excavation time and number of applications, followed by a morphological evaluation of the remaining dentine using scanning electron microscopy (SEM). The results were compared to Brix 3000 as a control. RESULTS The chloramine and chlorhexidine were chemically compatible with bromelain without compromising the enzyme activity. All experimental formulations showed higher viscosity and pH in comparison to Brix 3000. The DIAGNOdent readings were <20 in all groups, and the lowest readings were observed in F2. The excavation time and number of applications were lowest in F2 and F1. Both F2 and F3 produced smooth dentine surfaces with less tissue debris, but more patent dentine tubules were observed in F1 and F2. CONCLUSIONS The bromelain-contained formulations showed a potential to be used as chemomechanical caries removal agents in vitro. Further laboratory and clinical studies are needed to validate this claim. CLINICAL SIGNIFICANCE The bromelain from pineapple stem has broad specificity for cleavage the peptide bonds in denatured protein to facilitate their removal. The study proved the efficiency of this enzyme to remove the dental caries chemomechanically when used alone or conjugated with chloramine and/or chlorhexidine to enhance the disinfecting and cleansing properties.
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Affiliation(s)
- Huda Al-Badri
- Department of Conservative and Aesthetic Dentistry, Baghdad College of Dentistry, University of Baghdad, Baghdad, Iraq
| | | | - Avijit Banerjee
- Centre for Oral Clinical & Translational Sciences, King's College London, Guy's Hospital, London, UK
| | - Lamis A Al-Taee
- Department of Conservative and Aesthetic Dentistry, Baghdad College of Dentistry, University of Baghdad, Baghdad, Iraq.
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Mao C, He H, Chen C, Gu X. Synergistic effect of collagen cross-linking and remineralization for improving resin-dentin bond durability. Eur J Oral Sci 2023; 131:e12928. [PMID: 36931874 DOI: 10.1111/eos.12928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Accepted: 02/17/2023] [Indexed: 03/19/2023]
Abstract
In this study, the synergistic effect of glutaraldehyde-cross-linking and remineralization on the strength and durability of resin-dentin bonds was investigated. Dentin surfaces were etched with 35% phosphoric acid. The control specimens were bonded with Adper Single Bond 2 using wet bonding without pretreatment. The experimental specimens were pretreated with 5% (v/v) glutaraldehyde solution for 3 min and placed in a remineralizing solution for 0, 12, and 24 h, followed by dry bonding. After performing composite build-ups on the specimens, they were longitudinally sectioned, immediately, and after aging for 3 h with sodium hypochlorite (NaOCl), to evaluate microtensile bond strength (µTBS). The cross-linked specimens exhibited µTBS values comparable with those of the control group, but the µTBS decreased significantly after NaOCl aging. The cross-linked dentin remineralized for 24 h exhibited an increase in µTBS. After aging in NaOCl, the µTBS of the specimens remineralized for 24 h did not decrease and was significantly higher than for the other experimental groups. Cross-linking with dry bonding maintained µTBS in specimens before aging in NaOCl, but the bonding durability was compromised. Remineralization of cross-linked dentin for 24 h followed by dry bonding increased the immediate µTBS and improved bond durability. Therefore, combining cross-linking with remineralization of collagen fibrils progressively increased resistance to degradation, improving bond durability.
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Affiliation(s)
- Caiyun Mao
- Department of Stomatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, P.R. China
| | - Huihui He
- Zhejiang University School of Stomatology, Hangzhou, Zhejiang Province, P.R. China
| | - Chaoqun Chen
- Department of Stomatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, P.R. China
| | - Xinhua Gu
- Department of Stomatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, P.R. China
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Yaghmoor RB, Jamal H, Abed H, Allan E, Ashley P, Young A. Incorporation of MMP inhibitors into dental adhesive systems and bond strength of coronal composite restorations: A systematic review and meta-analysis of in vitro studies. JAPANESE DENTAL SCIENCE REVIEW 2022; 58:298-315. [PMID: 36247748 PMCID: PMC9557023 DOI: 10.1016/j.jdsr.2022.09.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 08/31/2022] [Accepted: 09/22/2022] [Indexed: 10/31/2022] Open
Abstract
Purpose To systematically review in vitro studies that incorporated MMP inhibitors into adhesive systems in terms of the effect on immediate and aged bond strength of dental composite to dentine. Materials and methods Independently, two reviewers conducted an electronic search in three databases (MEDLINE, EMBASE, and Google Scholar) following the Preferred Reporting Items for Systematic Review and Meta-Analyses Protocols (PRISMA-P), up to 6 March 2022. Results The search resulted in 894 papers, 33 of which were eligible to be included in the review; of those, 13 fulfilled the meta-analysis eligibility criteria. Nineteen inhibitors were used among the studies, and those included in the meta-analysis were 2%, 0.2% chlorhexidine (CHX), 5 µM GM1489, and 0.5%, 1% benzalkonium chloride (BAC). In the meta-analysis, while above inhibitors showed no adverse effect on bond strength, 0.2% CHX and 5 µM GM1489 caused a significant increase in immediate and 12-months bond strength. All other inhibitors resulted in a significant increase in bond strength at six months of ageing. Conclusions Incorporation of MMP inhibitors into the adhesive system has no unfavourable effect on immediate bond strength but a favourable effect on longer-term bond strength. Additionally, inhibitors other than CHX could have similar or better effects on bond strength.
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Affiliation(s)
- Rayan B. Yaghmoor
- Department of Restorative Dentistry, Faculty of Dentistry, Umm Al-Qura University, Makkah 24381, Saudi Arabia
- Department of Biomaterials and Tissue Engineering, UCL Eastman Dental Institute, Royal Free Hospital London, NW3 2PF, UK
- Department of Microbial Diseases, UCL Eastman Dental Institute, Royal Free Hospital, London NW3 2PF, UK
- Corresponding author at: Department of Restorative Dentistry, Faculty of Dentistry, Umm Al-Qura University, Makkah 24381, Saudi Arabia.
| | - Hasan Jamal
- Unit of Paediatric Dentistry, UCL Eastman Dental Institute, London WC1E 6DE, UK
| | - Hassan Abed
- Department of Basic and Clinical Oral Sciences, Umm Al-Qura University, Faculty of Dentistry, Makkah 24381, Saudi Arabia
| | - Elaine Allan
- Department of Microbial Diseases, UCL Eastman Dental Institute, Royal Free Hospital, London NW3 2PF, UK
| | - Paul Ashley
- Unit of Paediatric Dentistry, UCL Eastman Dental Institute, London WC1E 6DE, UK
| | - Anne Young
- Department of Biomaterials and Tissue Engineering, UCL Eastman Dental Institute, Royal Free Hospital London, NW3 2PF, UK
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Which self-etch acidic composition may result in higher dental bonds at the long-term? A network meta-analysis review of in vitro studies. J Dent 2022; 126:104283. [PMID: 36087873 DOI: 10.1016/j.jdent.2022.104283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2022] [Revised: 08/29/2022] [Accepted: 09/05/2022] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVES This review evaluated the effects of the acidic composition of self-etch (SE) adhesives at the long-term bond strengths to dentin and enamel. DATA The review followed the PRISMA Extension Statement for network meta-analysis. Studies were identified by a systematic search in PubMed, Web of Science, and Scopus databases. STUDY SELECTION The inclusion criteria were in vitro studies that evaluated bond strength data of samples analyzed at both immediate and long-term (after aging simulation) periods and that were bonded to sound dentin/enamel using SE adhesives, with at least one group of adhesives being based on 10-MDP (10-methacryloyloxy-decyl-dihydrogen-phosphate; control) and the other group being comprised of alternative acidic monomers. Statistical analyses were conducted using two methods: standard pairwise meta-analysis (SPMA) and Bayesian network meta-analysis (NMA). Heterogeneity was assessed by using the Cochran Q test and I2 statistics. RESULTS From 5220 studies identified, 87 met the eligibility criteria and 83 were meta-analyzed. Seventeen adhesives were based on 10-MDP and 44 systems were based on alternative acids. The resin-dentin/enamel bonds were predominantly reduced after aging (∼84% of cases). From the SPMA findings, the following acidic compositions showed lower bond strength values (effect size: mean difference [MD] with 95% confidence interval [95% CI]) than 10-MDP: 4-META (MD -4.99, 95% CI: -7.21, -2.78; p<0.001); sulfonic acids (MD -9.59, 95% CI -12.19, -6.98; p<0.001); unspecified phosphate esters (MD -8.89, 95% CI -17.50, -0.28; p = 0.04); or mixed acids (MD -11.0, 95% CI -13.62, -8.38; p<0.001). The dental bonds were benefited from the presence of 10-MDP upon longer aging (>6 months). From the NMA probabilistic findings, adhesives based on 10-MDP and phosphonic acids ranked as having the best and the worst bonding potential to dentin, respectively. More than one composition (phosphonic acids and mixed acids) ranked similarly to 10-MDP in enamel. The studies scored as having moderate risk of bias (58.6%), followed by low (39.1%) and high (2.3%) risk of bias. CONCLUSION 10-MDP is an outstanding acidic monomer that contributes to higher bonds to dentin at the long-term. In enamel, there is no evidence that one acidic composition prevails over the other. CLINICAL SIGNIFICANCE The acidic composition of SE adhesives affects the resistance of dental bonds after simulated aging, with 10-MDP playing a significant role in the adhesion to dentin but not to the enamel. REGISTRATION NUMBER This report is registered at the Open Science Framework (osf.io/urtdf).
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Baruwa AO, Mazzitelli C, Maravic T, Martins JNR, Mazzoni A, Ginjeira A. In Situ Zymography Analysis of Matrix Metalloproteinases Activity Following Endodontic Irrigation Protocols and Correlation to Root Dentine Bond Strength. Polymers (Basel) 2022; 14:polym14173567. [PMID: 36080644 PMCID: PMC9460487 DOI: 10.3390/polym14173567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 08/04/2022] [Accepted: 08/26/2022] [Indexed: 11/16/2022] Open
Abstract
The objective was to evaluate the effect of different root canal irrigating solutions on the activity of matrix metalloproteinases (MMPs), and correlation to the push-out bond strength (PBS) and nanoleakage expression (NL) in the root dentin. Seventy-two single-rooted teeth were treated endodontically and distributed into four groups (n = 6 for in-situ zymography, n = 10 for PBS, and n = 2 for NL per group) according to the irrigating solutions used: (I) saline (S); (II) 5.25% sodium hypochlorite (SH); (III) 5.25% SH + 10% citric acid (CA); and (IV) 5.25% SH + 10% CA + 0.2% chlorhexidine (CHX). After root canal obturation, post space was prepared to receive the glass fiber post. Dual-cure resin was used for luting and light polymerization was performed. The root/fiber post assemblies were sectioned and subjected to in situ zymography, and PBS and NL expression analysis tests. The enzymatic activity was quantified and expressed as a percentage of the green fluorescence, while fractographic evaluation was performed after PBS with a stereomicroscope, and data were statistically analyzed at p < 0.05. The zymography analysis shows high expression of MMPs in the middle third of the root in all groups, while the most abundant activity of MMPs following the irrigating solutions is observed in groups I and III, where saline and citric acid are used, respectively. Inversely, group IV, where chlorhexidine is the final rinse, records the lowest MMP activity with the highest PBS, and the statistical analysis of the groups are ranked as: IV > II > III > I (p < 0.05). The combination of SH, CA, and CHX results in lower expression of MMPs and higher push-out bond strength of fiber posts to root dentin, with no difference seen in the nanoleakage expression (p > 0.05); hence, this irrigation regime with chlorhexidine as a final rinse is more favorable than other combinations in ensuring optimal adhesion to root dentine.
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Affiliation(s)
- Abayomi Omokeji Baruwa
- Department of Endodontics, Faculdade de Medicina Dentária, Universidade de Lisboa, Rua Professora Teresa Ambrósio, 1600-277 Lisboa, Portugal
- Correspondence:
| | - Claudia Mazzitelli
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Via S. Vitale 59, 40125 Bologna, Italy
| | - Tatjana Maravic
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Via S. Vitale 59, 40125 Bologna, Italy
| | - Jorge N. R. Martins
- Department of Endodontics, Faculdade de Medicina Dentária, Universidade de Lisboa, Rua Professora Teresa Ambrósio, 1600-277 Lisboa, Portugal
| | - Annalisa Mazzoni
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna, Via S. Vitale 59, 40125 Bologna, Italy
| | - António Ginjeira
- Department of Endodontics, Faculdade de Medicina Dentária, Universidade de Lisboa, Rua Professora Teresa Ambrósio, 1600-277 Lisboa, Portugal
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Yilmaz F, Yazkan B, Herguner Siso S. Effects of different universal adhesives and surface treatments on repair bond strength between resin composites. J ESTHET RESTOR DENT 2022; 34:1068-1076. [PMID: 35578442 DOI: 10.1111/jerd.12915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Revised: 03/27/2022] [Accepted: 03/29/2022] [Indexed: 11/28/2022]
Abstract
OBJECTIVE This study aimed to evaluate the effects of different universal adhesives and surface treatments on the repair bond strength between resin composites. MATERIALS AND METHODS A total of 220 composite samples were divided into three groups according to the adhesive resin to be applied: 1) Scotchbond Universal, 2) G-Premio Bond, and 3) Peak Universal Bond. They were then divided into seven subgroups according to surface treatments (n = 10): A) air abrasion, B) air abrasion+silane, C) hydrofluoric acid, D) hydrofluoric acid+silane, E) air abrasion+hydrofluoric acid+silane, F) silane, and G) no surface treatment (negative control). After surface treatment, a repair composite was applied. Samples aged in the thermocycle were subjected to micro-tensile bond strength testing. Cohesive strength values of 10 non-aged composite blocks were used as a positive control. Kruskal-Wallis and one-way ANOVA tests were used for statistical evaluation. Fractured surfaces were evaluated using a scanning electron microscope. RESULTS In Scotchbond Universal and G-Premio Bond, the mean micro-tensile bond strength value of the no surface treatment subgroup was significantly lower than that of the positive control. All subgroups of Peak Universal Bond showed similar values to the positive control. CONCLUSION While Scotchbond Universal and G-Premio Bond required mechanical roughening before adhesive application, Peak Universal Bond did not require any surface treatment. CLINICAL SIGNIFICANCE Different universal adhesives may show different repair bonding strengths with different surface treatments. Since achieving a standard in this regard can be associated with many independent factors, clinicians should determine how to apply the adhesive they use most effectively with the most appropriate surface treatment based on their own clinical experience.
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Affiliation(s)
- Fatma Yilmaz
- Department of Restorative Dentistry, Faculty of Dentistry, Mugla Sitki Kocman University, Turkey
| | - Basak Yazkan
- Department of Restorative Dentistry, Faculty of Dentistry, Pamukkale University, Denizli, Turkey
| | - Seyda Herguner Siso
- Department of Restorative Dentistry, Faculty of Dentistry, Istanbul Aydin University, Istanbul, Turkey
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Li H, Wang Y, Wang S, Wang B, Wang X, Mi Z, Fu J, Zhang Z, Yan W. Enhancing the Stability of the Resin-Dentin Bonding Interface with Ag +- and Zn 2+-Exchanged Zeolite A. ACS Biomater Sci Eng 2022; 8:1717-1725. [PMID: 35287434 DOI: 10.1021/acsbiomaterials.1c01576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Enhancing the stability of the resin-dentin bonding interface via simultaneously improving the antibacterial, mechanical, and adhesive properties of a dental adhesive is the key to prolonging the longevity of dental restoration for caries treatment. Herein, we present the stabilization effect of Ag+- and Zn2+-exchanged zeolite A (denoted as Ag-A and Zn-A, respectively) on the resin-dentin bonding interface. Ag-A and Zn-A zeolites exhibited sustained ion release capability, outstanding biocompatibility to L929 cells (<2 mg/mL), and excellent antibacterial ability to Streptococcus mutans (minimum inhibitory concentration: 100 μg/mL for Ag-A and 200 μg/mL for Zn-A). One-step self-etching adhesives modified by Ag-A, Zn-A, or Ag-/Zn-A (1/1 in weight) zeolites with an ultralow loading of 0.2 wt % exhibited favorable antibacterial activity with the inhibition of biofilm formation by 70.33, 56.47, and 62.54%, respectively. Compared to the control group, Zn-A- and Ag-/Zn-A-modified adhesives significantly increased the wettability properties of the adhesive and the long-term resin-dentin bond strength (by ∼25%) after 5000 thermocycles of aging. The current data demonstrated that the introduction of 0.2 wt % Zn-A or Ag-/Zn-A into the adhesive remarkably enhanced the stability of the resin-dentin bonding interface. Our findings provide a new strategy to modify the dental adhesive for further optimizing the longevity of dental restorations for caries.
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Affiliation(s)
- He Li
- Department of Cariology, Endodontology and Operative Dentistry, Jilin Provincial Key Laboratory of Science and Technology for Stomatology Nanoengineering, School and Hospital of Stomatology, Jilin University, 1500 Qinghua Road, Changchun 130021, P.R. China
| | - Yunzheng Wang
- State Key Laboratory of Inorganic Synthesis and Preparative Chemistry, College of Chemistry, Jilin University, 2699 Qianjin Street, Changchun 130012, P.R. China
| | - Shuang Wang
- College of Chemistry and Chemical Engineering, Henan Province Function-Oriented Porous Materials Key Laboratory, Luoyang Normal University, 6 Jiqing Road, Luoyang 471934, P.R. China
| | - Binyu Wang
- State Key Laboratory of Inorganic Synthesis and Preparative Chemistry, College of Chemistry, Jilin University, 2699 Qianjin Street, Changchun 130012, P.R. China
| | - Xiaohe Wang
- State Key Laboratory of Inorganic Synthesis and Preparative Chemistry, College of Chemistry, Jilin University, 2699 Qianjin Street, Changchun 130012, P.R. China
| | - Zhenrui Mi
- State Key Laboratory of Inorganic Synthesis and Preparative Chemistry, College of Chemistry, Jilin University, 2699 Qianjin Street, Changchun 130012, P.R. China
| | - Jiale Fu
- Department of Dental Materials, the Second Department of Prosthodontics, School and Hospital of Stomatology, China Medical University, Heping District No.117, Shenyang 110002, P.R. China
| | - Zhimin Zhang
- Department of Cariology, Endodontology and Operative Dentistry, Jilin Provincial Key Laboratory of Science and Technology for Stomatology Nanoengineering, School and Hospital of Stomatology, Jilin University, 1500 Qinghua Road, Changchun 130021, P.R. China
| | - Wenfu Yan
- State Key Laboratory of Inorganic Synthesis and Preparative Chemistry, College of Chemistry, Jilin University, 2699 Qianjin Street, Changchun 130012, P.R. China
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Speranza Zabeu G, Candia Scaffa PM, Ciccone Giacomini M, de Mattos Pimenta Vidal C, Tjäderhane L, Wang L. Gelatinolytic activity after dentin pretreatment with dimethyl sulfoxide (DMSO) combined to dental bonding systems: Perspectives for biological responses. J Mech Behav Biomed Mater 2022; 130:105188. [PMID: 35344756 DOI: 10.1016/j.jmbbm.2022.105188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 03/16/2022] [Accepted: 03/18/2022] [Indexed: 11/15/2022]
Abstract
Endogeneous proteolytic responses in dentin bonding interface have addressing to strategies to preventive and therapeutic approaches of clinical use of dentin bonding systems (DBSs), but still present limitations. The aim of this study was to examine the gelatinolytic profile by means of in situ zymography regarding the use of 1% dimethyl sulfoxide (DMSO) as an aprotic solvent. Sound human third molars were prepared and randomized in 10 groups, following the factors 1- DBS: Adper™ Scotchbond Multipurpose [MP], Adper™ Single Bond 2 [SB], Clearfil™ SE Bond [CSE] and Adper™ Scotchbond Universal - Etch-and-rinse [SU-ER] mode and self-etch mode [SU-SE], 2- dentin pretreatment: Control - Water [C], 2% CHX and 1% DMSO and 3- time: Initial-24 h [I], 6 months [6M] and 30 months [30M]. Pretreatments were applied before primer application for 30s. After restoration, specimens were cut into slices, in which one third were incubated with fluorescein-conjugated gelatin for 24h at 37 °C and analyzed by confocal laser scanning microscopy. The other two-thirds were stored for 6 or 30 months at 37 °C. Fluorescence was quantified using Image J and data was subjected for two-way ANOVA followed by Tukey test (p<0.05). Neither DMSO nor CHX affected initial analyses for any tested conditions. After 6 months, it was observed increased fluorescence for MP using both pretreatments and for SB using only DMSO. Regardless time and pretreatment, CSE and SU-SE showed stabilized gelatinolytic pattern. For SU-ER, both CHX and DMSO were able to maintain a lower fluorescence compared to control group after 6 months. 30-month performance states the susceptibility of degradation for all etched-dentin systems. DMSO pretreatment can be promising to reduce gelatinolytic activity combined with an universal adhesive system under etch-and-rinse mode. For self-etching strategies, DMSO was successful to stabilize the gelatinolytic reactions.
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Affiliation(s)
- Giovanna Speranza Zabeu
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Alameda Octávio Pinheiro Brisolla, 9-75, Zip Code, 17012-901, Bauru, SP, Brazil; School of Dentistry, Centro Universitário Sagrado Coração - UNISAGRADO, Rua Irmã Arminda, 10-50, Jardim Brasil, Zip Code, 17011-160, Bauru, SP, Brazil.
| | - Polliana Mendes Candia Scaffa
- Division of Biomaterials and Biomechanics, Department of Restorative Dentistry, Oregon Health & Science University, OHSU, 2730 SW Moody Ave, Zip Code, 97201, Portland, OR, USA.
| | - Marina Ciccone Giacomini
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Alameda Octávio Pinheiro Brisolla, 9-75, Zip Code, 17012-901, Bauru, SP, Brazil; University Centre Integrated Faculties of Ourinhos, Rodovia BR-153, Km 338 S/N Água do Cateto, Zip Code, 19909-100, Ourinhos, SP, Brazil.
| | - Cristina de Mattos Pimenta Vidal
- Department of Operative Dentistry, College of Dentistry, University of Iowa, Iowa City, IA, USA, 801 Newton Rd, DSB S245, Zip Code, 52242, Iowa City, IA, USA.
| | - Leo Tjäderhane
- Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland and Helsinki University Hospital, Helsinki, Zip Code, 90220, Oulu, Finland; Research Unit of Oral Health Sciences and Medical Research Center Oulu (MRC Oulu), Oulu University Hospital, Kajaanintie 50, Zip Code, 90220, Oulu, Finland.
| | - Linda Wang
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Alameda Octávio Pinheiro Brisolla, 9-75, Zip Code, 17012-901, Bauru, SP, Brazil.
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12
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Alegría-Acevedo LF, Gutiérrez MF, Perdigão J, Núñez A, Méndez-Bauer L, Dávila-Sanchez A, Reis A, Loguercio AD. In Vitro Performance of Different Universal Adhesive Systems on Several CAD/CAM Restorative Materials After Thermal Aging. Oper Dent 2022; 47:107-120. [PMID: 35226751 DOI: 10.2341/20-203-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/20/2021] [Indexed: 11/23/2022]
Abstract
OBJECTIVE To evaluate the microshear bond strength (mSBS) of 10 universal adhesive systems applied on five different CAD/CAM restorative materials, immediately and after thermal aging. METHODS AND MATERIALS Five CAD/CAM materials were selected: 1) feldspathic glass ceramic (FeCe); 2) pre-polymerized reinforced resin composite (ReRC); 3) leucite-reinforced glass ceramic (LeGC); 4) lithium disilicate (LiDi); and 5) yttrium-stabilized zirconium dioxide (ZiDi). For each material, 15 blocks were cut into four rectangular sections (6 × 6 × 6 mm; n=60 per group) and processed as recommended by the respective manufacturer. For each indirect material, the following adhesive systems were applied according to the respective manufacturer's instructions: 1) AdheSE Universal [ADU]; 2) All-Bond Universal [ABU]; 3) Ambar Universal [AMB]; 4) Clearfil Universal Bond [CFU]; 5) Futurabond U [FBU]; 6) One Coat 7 Universal [OCU]; 7) Peak Universal Bond [PUB]; 8) Prime&Bond Elect [PBE]; 9) Scotchbond Universal Adhesive [SBU]; 10) Xeno Select [XEN, negative control]. After the application of the adhesive system, cylinder-shaped transparent matrices were filled with a dual-curing resin cement (NX3) and light cured. Specimens were tested in shear mode at 1.0 mm/ min (mSBS), after 24 hours and 10,000 thermal cycles (TC). All data were submitted to statistical analysis (α=0.05). RESULTS For FeCe, there was no significant decrease in mean mSBS for AMB, FBU, and SBU after TC when compared at 24 hours. For ReRC, AMB and SBU showed higher mean mSBS when compared to CFU and XEN, after 24 hours and TC. For LiDi, FBU and OCU showed higher mean mSBS when compared to CFU and XEN, after 24 hours and TC. For LeGC, AMB and PUB showed higher mean mSBS when compared to XEN, after 24 hours and TC. For ZiDi, OCU and SBU showed higher mean mSBS when compared to XEN, after 24 hours and TC. In addition, PBE and XEN showed the lowest mean mSBS after TC with higher percentage of bond strength reduction. CONCLUSIONS The mean mSBS among the different universal adhesives varied widely for each CAD/ CAM material used. In addition, most universal adhesives underwent a statistically significant bond strength reduction after TC.
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Affiliation(s)
- L F Alegría-Acevedo
- Luisa F Alegria-Acevedo, DDS, MS, PhD, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil
| | - M F Gutiérrez
- Mario Felipe Gutiérrez, DDS, MS, PhD, professor, Universidad de los Andes, Facultad de Odontología, Santiago, Chile, and University of Chile, Faculty of Dentistry, Institute for Research in Dental Sciences, Santiago, Chile
| | - J Perdigão
- *Jorge Perdigão, DMD, MS, PhD, University of Minnesota, Department of Restorative Sciences, Minneapolis, MN, USA, and Universidade Católica Portuguesa, Faculty of Dental Medicine, Centre for Interdisciplinary Research in Health, Viseu, Portugal
| | - A Núñez
- Alejandra Núñez, DDS, MS, PhD student, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil, and Universidad San Francisco de Quito USFQ, Department of Restorative Dentistry and Dental Materials, School of Dentistry, Quito, Ecuador
| | - L Méndez-Bauer
- Luján Méndez-Bauer, DDS, PhD, professor, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil, and Universidad Francisco Marroquín, Faculty of Dentistry, Department of Research, Cidad de Guatemala, Guatemala
| | - A Dávila-Sanchez
- Andrés Dávila-Sanchez, DDS, Ms, PhD, professor, Universidad San Francisco de Quito USFQ, Department of Restorative Dentistry and Dental Materials, School of Dentistry, Quito, Ecuador
| | - A Reis
- Alessandra Reis, DDS, PhD, professor, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil
| | - A D Loguercio
- Alessandro D Loguercio, DDS, MS, PhD, professor, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil
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13
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Parhi S, Pal S, Das SK, Ghosh P. Strategies toward development of antimicrobial biomaterials for dental healthcare applications. Biotechnol Bioeng 2021; 118:4590-4622. [PMID: 34599764 DOI: 10.1002/bit.27948] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 08/19/2021] [Accepted: 09/26/2021] [Indexed: 12/25/2022]
Abstract
Several approaches for elimination of oral pathogens are being explored at the present time since oral diseases remain prevalent affecting approximately 3.5 billion people worldwide. Need for antimicrobial biomaterials in dental healthcare include but is not restricted to designing resin composites and adhesives for prevention of dental caries. Constant efforts are also being made to develop antimicrobial strategies for clearance of endodontic space prior root canal treatment and for treatment of periimplantitis and periodontitis. This article discusses various conventional and nanotechnology-based strategies to achieve antimicrobial efficacy in dental biomaterials. Recent developments in the design and synthesis of antimicrobial peptides and antifouling zwitterionic polymers to effectively lessen the risks of antimicrobial drug resistance are also outlined in this review. Further, the role of contemporary strategies such as use of smart biomaterials, ionic solvent-based biomaterials and quorum quenchers incorporated biomaterials in the elimination of dental pathogens are described in detail. Lastly, we mentioned the approach of using polymers to print custom-made three-dimensional antibacterial dental products via additive manufacturing technologies. This review provides a critical perspective on the chemical, biomimetic, and engineering strategies intended for developing antimicrobial biomaterials that have the potential to substantially improve the dental health.
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Affiliation(s)
- Shivangi Parhi
- Division of Structural Biology and Bioinformatics, CSIR-Indian Institute of Chemical Biology, Kolkata, India.,Academy of Scientific and Innovative Research (AcSIR), AcSIR Headquarters CSIR-HRDC Campus, Ghaziabad, India
| | - Sreyasi Pal
- Division of Structural Biology and Bioinformatics, CSIR-Indian Institute of Chemical Biology, Kolkata, India
| | - Sujoy K Das
- Academy of Scientific and Innovative Research (AcSIR), AcSIR Headquarters CSIR-HRDC Campus, Ghaziabad, India.,Division of Infectious Diseases and Immunology, CSIR-Indian Institute of Chemical Biology, Kolkata, India
| | - Paulomi Ghosh
- Division of Structural Biology and Bioinformatics, CSIR-Indian Institute of Chemical Biology, Kolkata, India.,Academy of Scientific and Innovative Research (AcSIR), AcSIR Headquarters CSIR-HRDC Campus, Ghaziabad, India
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14
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Kim HJ, Jang JH, Woo SU, Choi KK, Kim SY, Ferracane JL, Lee JH, Choi D, Choi S, Kim S, Bang A, Kim DS. Effect of Novel Bioactive Glass-Containing Dentin Adhesive on the Permeability of Demineralized Dentin. MATERIALS 2021; 14:ma14185423. [PMID: 34576647 PMCID: PMC8465205 DOI: 10.3390/ma14185423] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 09/10/2021] [Accepted: 09/14/2021] [Indexed: 11/16/2022]
Abstract
This study aimed to evaluate the effect of a novel bioactive glass (BAG)-containing dentin adhesive on the permeability of demineralized dentin. Bioactive glass (85% SiO2, 15% CaO) was fabricated using the sol-gel process, and two experimental dentin adhesives were prepared with 3 wt% silica (silica-containing dentin adhesive; SCA) or BAG (BAG-containing dentin adhesive; BCA). Micro-tensile bond strength (μTBS) test, fracture mode analysis, field-emission scanning electron microscopy (FE-SEM) analysis of adhesive and demineralized dentin, real-time dentinal fluid flow (DFF) rate measurement, and Raman confocal microscopy were performed to compare SCA and BCA. There was no difference in μTBS between the SCA and BCA (p > 0.05). Multiple precipitates were evident on the surface of the BCA, and partial occlusion of dentinal tubules was observed in FE-SEM of BCA-approximated dentin. The DFF rate was reduced by 50.10% after BCA approximation and increased by 6.54% after SCA approximation. Raman confocal spectroscopy revealed an increased intensity of the hydroxyapatite (HA) peak on the dentin surface after BCA application. The novel BAG-containing dentin adhesive showed the potential of both reducing dentin permeability and dentin remineralization.
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Affiliation(s)
- Hyun-Jung Kim
- Department of Conservative Dentistry, Kyung Hee University Dental Hospital, Seoul 02453, Korea;
| | - Ji-Hyun Jang
- Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, Seoul 02453, Korea; (J.-H.J.); (K.-K.C.); (D.C.)
| | - Sang Uk Woo
- Department of Conservative Dentistry, Graduate School, Kyung Hee University, Seoul 02453, Korea;
| | - Kyoung-Kyu Choi
- Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, Seoul 02453, Korea; (J.-H.J.); (K.-K.C.); (D.C.)
| | - Sun-Young Kim
- Department of Conservative Dentistry, School of Dentistry, Dental Research Institute, Seoul National University, Seoul 03080, Korea;
| | - Jack L. Ferracane
- Department of Restorative Dentistry, School of Dentistry, Oregon Health & Science University, Portland, OR 97201, USA;
| | - Jung-Hwan Lee
- Department of Biomaterials Science, College of Dentistry, Dankook University, Cheonan 31116, Chungcheongnam-Do, Korea;
- Institute of Tissue Regeneration Engineering (ITREN), Dankook University, Cheonan 31116, Chungcheongnam-Do, Korea
- Department of Nanobiomedical Science & BK21 PLUS NBM Global Research Center for Regenerative Medicine Research Center, Dankook University, Cheonan 31116, Chungcheongnam-Do, Korea
- UCL Eastman-Korea Dental Medicine Innovation Centre, Cheonan 31116, Chungcheongnam-Do, Korea
| | - Dongseok Choi
- Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, Seoul 02453, Korea; (J.-H.J.); (K.-K.C.); (D.C.)
- Oregon Health & Science University-Portland State University School of Public Health, Oregon Health & Science University, Portland, OR 97239, USA
| | - Samjin Choi
- Department of Biomedical Engineering, College of Medicine, Kyung Hee University, Seoul 02453, Korea; (S.C.); (S.K.); (A.B.)
| | - Soogeun Kim
- Department of Biomedical Engineering, College of Medicine, Kyung Hee University, Seoul 02453, Korea; (S.C.); (S.K.); (A.B.)
| | - Ayoung Bang
- Department of Biomedical Engineering, College of Medicine, Kyung Hee University, Seoul 02453, Korea; (S.C.); (S.K.); (A.B.)
| | - Duck-Su Kim
- Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, Seoul 02453, Korea; (J.-H.J.); (K.-K.C.); (D.C.)
- Correspondence: ; Tel.: +82-2-958-9330; Fax: +82-2-960-5108
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15
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Maravić T, Baena E, Mazzitelli C, Josić U, Mancuso E, Checchi V, Generali L, Ceballos L, Breschi L, Mazzoni A. Endogenous Enzymatic Activity in Dentin Treated with a Chitosan Primer. Int J Mol Sci 2021; 22:ijms22168852. [PMID: 34445554 PMCID: PMC8396363 DOI: 10.3390/ijms22168852] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Revised: 08/11/2021] [Accepted: 08/11/2021] [Indexed: 11/24/2022] Open
Abstract
The aim of this study was to evaluate the effect of different concentrations of chitosan polymer on dentinal enzymatic activity by means of gelatin and in situ zymography. Human dentin was frozen and ground in a miller. Dentin powder aliquots were demineralized with phosphoric acid and treated with three different concentrations of lyophilized chitosan polymer (1, 0.5 and 0.1 wt%) dissolved in distilled water. Dentin proteins were extracted from each experimental group and electrophoresed under non-reducing conditions in 10% SDS-PAGE containing fluorescein-labeled gelatin. After 48 h in the incubation buffer at 37 °C, proteolytic activity was registered under long-wave UV light scanner and quantified by using Image J software. Furthermore, additional teeth (n = 4) were prepared for the in situ zymographic analysis in unrestored as well as restored dentin pretreated with the same chitosan primers. The registered enzymatic activity was directly proportional to the chitosan concentration and higher in the restored dentin groups (p < 0.05), except for the 0.1% chitosan primer. Chitosan 0.1% only showed faint expression of enzymatic activity compared to 1% and 0.5% concentrations. Chitosan 0.1% dissolved in water can produce significant reduction in MMPs activity and could possibly contribute to bond strength preservation over time.
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Affiliation(s)
- Tatjana Maravić
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna-Alma Mater Studiorum, Via San Vitale 59, 40125 Bologna, Italy; (T.M.); (C.M.); (U.J.); (E.M.); (L.B.)
| | - Eugenia Baena
- Area of Stomatology, Health Sciences Faculty, King Juan Carlos University, Avda. de Atenas, 28922 Alcorcón, Spain; (E.B.); (L.C.)
| | - Claudia Mazzitelli
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna-Alma Mater Studiorum, Via San Vitale 59, 40125 Bologna, Italy; (T.M.); (C.M.); (U.J.); (E.M.); (L.B.)
| | - Uroš Josić
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna-Alma Mater Studiorum, Via San Vitale 59, 40125 Bologna, Italy; (T.M.); (C.M.); (U.J.); (E.M.); (L.B.)
| | - Edoardo Mancuso
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna-Alma Mater Studiorum, Via San Vitale 59, 40125 Bologna, Italy; (T.M.); (C.M.); (U.J.); (E.M.); (L.B.)
| | - Vittorio Checchi
- Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, University of Modena & Reggio Emilia, 41124 Modena, Italy; (V.C.); (L.G.)
| | - Luigi Generali
- Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, University of Modena & Reggio Emilia, 41124 Modena, Italy; (V.C.); (L.G.)
| | - Laura Ceballos
- Area of Stomatology, Health Sciences Faculty, King Juan Carlos University, Avda. de Atenas, 28922 Alcorcón, Spain; (E.B.); (L.C.)
| | - Lorenzo Breschi
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna-Alma Mater Studiorum, Via San Vitale 59, 40125 Bologna, Italy; (T.M.); (C.M.); (U.J.); (E.M.); (L.B.)
| | - Annalisa Mazzoni
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna-Alma Mater Studiorum, Via San Vitale 59, 40125 Bologna, Italy; (T.M.); (C.M.); (U.J.); (E.M.); (L.B.)
- Correspondence: ; Tel.: +39-051-208-8139; Fax: +39-051-22-5208
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16
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Venâncio GN, Bridi EC, Teixeira LN, Basting RT, Sousa IMDO, França FMG, do Amaral FLB, Turssi CP, Basting RT. Phenolic extract of Libidibia ferrea inhibits dentin endogenous enzymatic activity depending on the adhesive system strategy. Microsc Res Tech 2021; 85:270-282. [PMID: 34386997 DOI: 10.1002/jemt.23902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 06/23/2021] [Accepted: 07/29/2021] [Indexed: 11/11/2022]
Abstract
This study evaluated the influence of Libidibia ferrea (Lf) extract used as dentin pretreatment on the resin-dentin bond strength stability and dentin endogenous enzymatic activity. The phytochemical profile (PP) of the Lf extract was evaluated by liquid chromatography; particle size, polydispersity index (PdI), and zeta potential (ZP) were evaluated by dynamic light scattering. The tested groups were ER-Scotchbond Universal (SBU) in the etch-and-rinse (ER) mode; ERLf-SBU in the ER mode + Lf after etching; SE- SBU in the self-etch (SE) mode; and LfSE-Lf before SBU in the SE mode. Sticks were obtained for microtensile bond strength tests and failure mode (24 hr and 12 months). The hybrid layer was evaluated using scanning electron microscopy. The endogenous enzymatic activity of the underlying dentin was analyzed by in situ zymography with the same treatments. The PP showed the presence of quercetin (2.6% w/w). Lf particles were considered large after the analysis of the PdI. The ZP remained stable over time. The ER and ERLf groups had lower bond strength after 12 months, but SE and LfSE remained stable. The predominant failure mode was adhesive for both times. ER and ERLf had longer resin tags and a thicker hybrid layer. The ER and LfSE groups showed higher enzymatic activity than the ERLf and SE groups after 12 months. The Lf extract may contribute to inhibit the dentin endogenous enzymatic activity when associated with an adhesive system in the ER mode.
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Affiliation(s)
- Gisely Naura Venâncio
- Faculdade São Leopoldo Mandic, Restorative Dentistry and Dental Materials Division, Campinas, SP, Brazil
| | - Enrico Coser Bridi
- Faculdade São Leopoldo Mandic, Restorative Dentistry and Dental Materials Division, Campinas, SP, Brazil
| | - Lucas Novaes Teixeira
- Faculdade São Leopoldo Mandic, Cell Biology and Oral Pathology Division, Campinas, SP, Brazil
| | - Rosanna Tarkany Basting
- Faculdade São Leopoldo Mandic, Laboratory of Neuroimmune Interface of Pain Research, Campinas, SP, Brazil
| | | | | | | | - Cecilia Pedroso Turssi
- Faculdade São Leopoldo Mandic, Restorative Dentistry and Dental Materials Division, Campinas, SP, Brazil
| | - Roberta Tarkany Basting
- Faculdade São Leopoldo Mandic, Restorative Dentistry and Dental Materials Division, Campinas, SP, Brazil
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17
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Endogenous Enzymatic Activity of Primary and Permanent Dentine. MATERIALS 2021; 14:ma14144043. [PMID: 34300961 PMCID: PMC8304528 DOI: 10.3390/ma14144043] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Revised: 07/14/2021] [Accepted: 07/16/2021] [Indexed: 12/04/2022]
Abstract
Matrix metalloproteinases (MMPs) play an important role in tooth development and influence caries development and hybrid layer degradation. Literature is scant on the differences in the activity of MMPs between primary and permanent dentine. Accordingly, the aim of the present study was to investigate endogenous gelatinolytic activity in primary and permanent dentine. Separate batches of dentine powder were obtained from intact human primary and permanent molars (n = 6). Each batch was divided in two subgroups: (1) mineralised; and (2) demineralised with 10% H3PO4. After protein extraction, gelatine zymography was performed. Furthermore, in situ zymography was performed on dentine sections of the same groups (n = 3). The slices were polished, covered with fluorescein-conjugated gelatine and evaluated using a confocal microscope. In situ zymography data were analysed using two-way analysis of variance and post hoc Holm–Šidák statistics (α = 0.05). Primary dentine showed poorly defined bands in the zymograms that vaguely corresponded to the pro-form and active form of MMP-2 and the pro-form of MMP-9. In permanent dentine, demineralised powder demonstrated stronger gelatinolytic activity than mineralised powder. In situ zymography identified stronger enzymatic activity in primary etched dentine (p < 0.05). Stronger enzymatic activity recorded in primary dentine may be related to the differences in morphology and composition between primary and permanent dentine.
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Gobbi P, Maravic T, Comba A, Mazzitelli C, Mancuso E, Falconi M, Breschi L, Mazzoni A. Biochemical and immunohistochemical analysis of tissue inhibitor of metalloproteinases-1 in human sound dentin. Clin Oral Investig 2021; 25:5067-5075. [PMID: 33569677 PMCID: PMC8342377 DOI: 10.1007/s00784-021-03819-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Accepted: 01/29/2021] [Indexed: 11/29/2022]
Abstract
Objectives Matrix metalloproteases (MMPs) are a family of enzymes that operate a proteolytic activity at the level of the extracellular matrix. MMPs are regulated by tissue inhibitors of metalloproteinases (TIMPs) that can ubiquitously bind different enzyme forms. The study aims to identify a morfo-functional association between TIMP-1 and MMP-2 and -9 in human dentin. Materials and methods Proteins were extracted from demineralized human sound dentin powder and centrifuged to separate two aliquots with different molecular weights of proteins, higher and lower than 30 kDa. In each aliquot, the evaluation of the presence of TIMP-1/MMP-2 and TIMP-1/MMP-9 was performed using co-immunoprecipitation/immunoblotting analysis. The distribution of TIMP-1, in association with MMP-2 and -9, was investigated using a double immunohistochemical technique. Furthermore, the activity of TIMP-1 was measured by reverse zymography, where acrylamide gel was copolymerized with gelatin and recombinant MMP-2. Results Co-immunoprecipitation/immunoblotting analysis showed the association TIMP-1/MMP-2 and TIMP-1/MMP-9 in human sound dentin. Electron microscopy evaluation revealed a diffuse presence of TIMP-1 tightly associated with MMP-2 and -9. Reverse zymography analysis confirmed that TIMP-1 present in human dentin is active and can bind different MMPs isoforms. Conclusions The strict association of TIMP-1 with MMP-2 and -9 in situ appeared a constant finding in the human sound dentin. Clinical relevance Considering the role of TIMP-1, MMP-2, and MMP-9 within the connective tissues, clinically applicable protocols could be developed in the future to increase or decrease the level of TIMPs in human dentin to regulate the activity of MMPs, contributing to reduce caries progression and collagen degradation.
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Affiliation(s)
- Pietro Gobbi
- Department of Biomolecular Sciences, Carlo Bo Urbino University, Via Aurelio Saffi 2, 61029, Urbino, Italy
| | - Tatjana Maravic
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna - Alma Mater Studiorum, Via San Vitale 59, 40125, Bologna, Italy
| | - Allegra Comba
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna - Alma Mater Studiorum, Via San Vitale 59, 40125, Bologna, Italy
| | - Claudia Mazzitelli
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna - Alma Mater Studiorum, Via San Vitale 59, 40125, Bologna, Italy
| | - Edoardo Mancuso
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna - Alma Mater Studiorum, Via San Vitale 59, 40125, Bologna, Italy
| | - Mirella Falconi
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna - Alma Mater Studiorum, Via San Vitale 59, 40125, Bologna, Italy
| | - Lorenzo Breschi
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna - Alma Mater Studiorum, Via San Vitale 59, 40125, Bologna, Italy.
| | - Annalisa Mazzoni
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna - Alma Mater Studiorum, Via San Vitale 59, 40125, Bologna, Italy
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Josic U, Maravic T, Mazzitelli C, Del Bianco F, Mazzoni A, Breschi L. The effect of chlorhexidine primer application on the clinical performance of composite restorations: a literature review. J ESTHET RESTOR DENT 2020; 33:69-77. [PMID: 33368999 DOI: 10.1111/jerd.12701] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Accepted: 12/14/2020] [Indexed: 11/30/2022]
Abstract
To discuss the effectiveness of chlorhexidine (CHX) used as therapeutic dentin primer in adhesively bonded composite restorations. OVERVIEW: An electronic search in MEDLINE database, accessed through PubMed was conducted. No restrictions of languages and date of publication were made. The following key words were used: "chlorhexidine", "composite" and "composite resins." Clinical studies in which CHX was used during bonding procedures were included in this review. Six studies met the inclusion criteria. Of these, five studies were carried out on noncarious cervical lesions (NCCL). Only one study was carried out on class II preparation of permanent molars. In all studies, either etch-and-rinse and self-etch adhesive systems were used during bonding procedures. On the basis of the reviewed clinical trials, it can be concluded that CHX primer application does not seem to influence clinical outcome of composite restorations. CLINICAL SIGNIFICANCE: Current scientific evidence cannot neither strongly recommend nor discourage the application of CHX as therapeutic primer in composite restorations. Studies with longer follow-up periods with adhesive restorations placed on dentin after caries removal, rather than only on NCCL, are desirable to further investigate the therapeutic effect of CHX during bonding procedures.
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Affiliation(s)
- Uros Josic
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - Tatjana Maravic
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - Claudia Mazzitelli
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - Federico Del Bianco
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - Annalisa Mazzoni
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - Lorenzo Breschi
- chairman of conservative dentistry and prosthodontics, Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
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Perdigão J, Araujo E, Ramos RQ, Gomes G, Pizzolotto L. Adhesive dentistry: Current concepts and clinical considerations. J ESTHET RESTOR DENT 2020; 33:51-68. [PMID: 33264490 DOI: 10.1111/jerd.12692] [Citation(s) in RCA: 71] [Impact Index Per Article: 17.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2020] [Accepted: 11/16/2020] [Indexed: 01/07/2023]
Abstract
OBJECTIVES To address contemporary concepts in adhesive dental materials with emphasis on the evidence behind their clinical use. OVERVIEW Adhesive dentistry has undergone major transformations within the last 20 years. New dental adhesives and composite resins have been launched with special focus on their user-friendliness by reducing the number of components and/or clinical steps. The latest examples are universal adhesives and universal composite resins. While clinicians prefer multipurpose materials with shorter application times, the simplification of clinical procedures does not always result in the best clinical outcomes. This review summarizes the current evidence on adhesive restorative materials with focus on universal adhesives and universal composite resins. CONCLUSIONS (a) Although the clinical behavior of universal adhesives has exceeded expectations, dentists still need to etch enamel to achieve durable restorations; (b) there is no clinical evidence to back some of the popular adjunct techniques used with dental adhesives, including glutaraldehyde-based desensitizers and matrix metalloproteinase inhibitors; and (c) the color adaptation potential of new universal composite resins has simplified their clinical application by combining multiple shades without using different translucencies of the same shade. CLINICAL SIGNIFICANCE New adhesive restorative materials are easier to use than their predecessors, while providing excellent clinical outcomes without compromising the esthetic quality of the restorations.
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Affiliation(s)
- Jorge Perdigão
- Department of Restorative Sciences, Division of Operative Dentistry, University of Minnesota, Minneapolis, Minnesota, USA
| | - Edson Araujo
- Department of Comprehensive Care, School of Dentistry, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Renato Q Ramos
- Department of Operative Dentistry, School of Dentistry, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - George Gomes
- George Gomes Dental Center, Oeiras, Lisbon, Portugal
| | - Lucas Pizzolotto
- Department of Dental Materials, Faculty of Dental Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
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21
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Comba A, Maravić T, Villalta V, Tozzola S, Mazzitelli C, Checchi V, Mancuso E, Scotti N, Tay FR, Breschi L, Mazzoni A. Effect of an ethanol cross-linker on universal adhesive. Dent Mater 2020; 36:1645-1654. [DOI: 10.1016/j.dental.2020.10.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Revised: 10/04/2020] [Accepted: 10/06/2020] [Indexed: 02/02/2023]
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Giacomini MC, Scaffa PMC, Gonçalves RS, Zabeu GS, Vidal CDMP, Carrilho MRDO, Honório HM, Wang L. Profile of a 10-MDP-based universal adhesive system associated with chlorhexidine: Dentin bond strength and in situ zymography performance. J Mech Behav Biomed Mater 2020; 110:103925. [DOI: 10.1016/j.jmbbm.2020.103925] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Revised: 06/03/2020] [Accepted: 06/07/2020] [Indexed: 10/24/2022]
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Kazemi-Yazdi H, Saeed-Nezhad M, Rezaei S. Effect of Chlorhexidine on durability of two self-etch adhesive systems. J Clin Exp Dent 2020; 12:e663-e669. [PMID: 32904985 PMCID: PMC7462379 DOI: 10.4317/jced.56873] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2020] [Accepted: 04/26/2020] [Indexed: 12/04/2022] Open
Abstract
Background Despite of the rapid development in the field of dental adhesives, the issue of reduction in dentin bond durability has still not been resolved. The activity of dentinal endogenous enzymes such as MMPs is one of the most important causes of failure in resin composite restorations. The aim of this study was to investigate the influence of Chlorhexidine on micro-tensile bond strength of two types of commercially available self-etch adhesives.
Material and Methods Twenty four sound and freshly extracted molars were selected. Four standardized flat mid-coronal dentinal disks were prepared from each tooth. The specimens were randomly assigned to 6 groups (n=16). Groups A(control group) and B were treated with Clearfill SE Bond based on the manufacturer’s instructions. Groups C and D were treated with 2% Chlorhexidine 60 seconds before applying Clearfill SE Bond. Groups E and F were treated with Peak Universal Bond according to the manufacturer’s instructions. All groups were stored in distilled water in room temperature. Microtensile bond strength in groups A, C, and E were tested 24 hours after preparation, while microtensile bond strength in groups B, D, and F were tested after 3 months storage and 3000 thermal cycles(5-55 °C). Statistical analysis was performed with SPSS 20 and µTBS test results were analyzed using the Two-way ANOVA test.
Results µTBS was not significantly different between groups A, C, and E after 24 hours (P>0.5). There was no significant difference between groups B (Clearfill SE Bond + Aging) and D (Clearfill SE Bond + 2% CHX + Aging). The Peak Universal µTBS significantly decreased after the aging procedure (P<0.001).
Conclusions Based on the findings of this study, pretreatment with 2% CHX had no negative effect on the Clearfill SE Bond µTBS. However the µTBS of 0.2% CHX contained Peak Universal adhesive decreased significantly after aging. Key words:Self-etch adhesives, Micro-tensile bond strength, chlorhexidine, bond durability.
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Affiliation(s)
- Haleh Kazemi-Yazdi
- DDS, MSc, Specialist in Operative Dentistry, Associate Professor, Operative Dentistry Department, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
| | | | - Sadaf Rezaei
- DDS, Postgraduate Student of Operative Dentistry, Operative Dentistry Department, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
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Benitez Sellan PL, Zanatta RF, Gomes Torres CR, Tian FC, Bergeron BE, Niu LN, Pucci CR. Effects of calcium-phosphate, laser and adhesive on dentin permeability and bond strength. Heliyon 2020; 6:e03925. [PMID: 32420491 PMCID: PMC7218263 DOI: 10.1016/j.heliyon.2020.e03925] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Revised: 04/16/2020] [Accepted: 05/01/2020] [Indexed: 12/01/2022] Open
Abstract
Objectives The present study examined a technique for reducing dentin permeability through the application of a calcium phosphate (CaP)-based desensitiser with a laser-assisted process and evaluated adhesive-dentin bond strength. Methods: Thirty dentin discs were divided into two groups according to whether the selected desensitiser (TeethMate; Kuraray Noritake) was used prior to dentin bonding. Each group was subdivided into three subgroups (n = 5): A- Adhesive (Single Bond Universal, 3M ESPE), AL- Adhesive + Laser (Nd:YAG 60 mJ) and LAL- Laser + Adhesive + Laser. Dentin permeability values (%) were recorded before and after desensitiser application. Resin composites were placed over the bonded specimens; the latter were aged prior to microtensile bond strength evaluation. Gelatinolytic activity within the hybrid layers was examined with in-situ zymography using confocal laser scanning microscopy. Data were analysed with ANOVA and Tukey test (α = 0.05). Results Significant differences in dentin permeability were identified for all groups (p = 0.00). Both laser treatment (p = 0.182) and desensitiser application (p = 0.687) did not significantly improve dentin bond strength. Ultrastructure of the resin-dentin interface identified presence of calcium phosphate within dentinal tubules. Laser treatment did not affect hybrid layer ultrastructure. Both treatment modalities (intratubular CaP occlusion and laser) had no influence on gelatinolytic activity within hybrid layers. Conclusion Although intratubular CaP occlusion and laser treatment were effective in reducing dentin permeability, they did not affect bond strength, interfacial ultrastructure and gelatinolytic activity within hybrid layers. Clinical relevance Treatment of etched dentin with Nd:YAG Laser at 60 mJ does not adversely affect collagen ultrastructure and gelatinolytic activity within the hybrid layer. The application of a calcium phosphate-based desensitiser to etch dentin does not affect dentin bond strength.
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Affiliation(s)
- Pablo Lenin Benitez Sellan
- Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University-UNESP, São Jose dos Campos, SP, Brazil.,School of Dentistry, Universidad Espiritu Santo, Samborondon, Guayas, Ecuador
| | - Rayssa Ferreira Zanatta
- Department of Restorative Dentistry, School of Dentistry, University of Taubaté, Taubaté, Brazil
| | - Carlos Rocha Gomes Torres
- Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University-UNESP, São Jose dos Campos, SP, Brazil
| | - Fu-Cong Tian
- Department of Endodontics, The Dental College of Georgia, Augusta University, Augusta, Georgia, USA
| | - Brian E Bergeron
- Department of Endodontics, The Dental College of Georgia, Augusta University, Augusta, Georgia, USA
| | - Li-Na Niu
- State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Key Laboratory of Stomatology, Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University, Xi'an, China
| | - Cesar Rogério Pucci
- Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University-UNESP, São Jose dos Campos, SP, Brazil
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Breschi L, Maravic T, Comba A, Cunha SR, Loguercio AD, Reis A, Hass V, Cadenaro M, Mancuso E, Mayer-Santos E, Niu L, Pashley DH, Tay FR, Mazzoni A. Chlorhexidine preserves the hybrid layer in vitro after 10-years aging. Dent Mater 2020; 36:672-680. [DOI: 10.1016/j.dental.2020.03.009] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2019] [Revised: 02/19/2020] [Accepted: 03/12/2020] [Indexed: 10/24/2022]
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26
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Kalagi S, Feitosa SA, Münchow EA, Martins VM, Karczewski AE, Cook NB, Diefenderfer K, Eckert GJ, Geraldeli S, Bottino MC. Chlorhexidine-modified nanotubes and their effects on the polymerization and bonding performance of a dental adhesive. Dent Mater 2020; 36:687-697. [PMID: 32241557 PMCID: PMC7224330 DOI: 10.1016/j.dental.2020.03.007] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Revised: 03/12/2020] [Accepted: 03/12/2020] [Indexed: 11/21/2022]
Abstract
OBJECTIVES The purpose of this study was to synthesize chlorhexidine (CHX)-encapsulated aluminosilicate clay nanotubes (Halloysite®, HNTs) and to incorporate them into the primer/adhesive components of an etch-and-rinse adhesive system (SBMP; Scotchbond Multipurpose, 3M ESPE) and to test their effects on degree of conversion, viscosity, immediate and long-term bonding to dentin. METHODS CHX-modified HNTs were synthesized using 10% or 20% CHX solutions. The primer and the adhesive components of SBMP were incorporated with 15wt.% of the CHX-encapsulated HNTs. Degree of conversion (DC) and viscosity analyses were performed to characterize the modified primers/adhesives. For bond strength testing, acid-etched dentin was treated with one of the following: SBMP (control); 0.2%CHX solution before SBMP; CHX-modified primers+SBMP adhesive; SBMP primer+CHX-modified adhesives; and SBMP primer+CHX-free HNT-modified adhesive. The microtensile bond strength test was performed after immediate (24h) and long-term (6 months) of water storage. Data were analyzed using ANOVA and Tukey (α=5%) and the Weibull analysis. RESULTS DC was greater for the CHX-free HNT-modified adhesive, whereas the other experimental adhesives showed similar DC as compared with the control. Primers were less viscous than the adhesives, without significant differences within the respective materials. At 24h, all groups showed similar bonding performance and structural reliability; whereas at the 6-month period, groups treated with the 0.2%CHX solution prior bonding or with the CHX-modified primers resulted in greater bond strength than the control and superior reliability. SIGNIFICANCE The modification of a primer or adhesive with CHX-encapsulated HNTs was an advantageous approach that did not impair the polymerization, viscosity and bonding performance of the materials, showing a promising long-term effect on resin-dentin bonds.
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Affiliation(s)
- Sara Kalagi
- Department of Cariology, Operative Dentistry & Dental Public Health, Indiana University School of Dentistry (IUSD), Indianapolis, IN, USA; Department of Restorative Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - Sabrina A Feitosa
- Department of Biomedical and Applied Sciences, Division of Dental Biomaterials, IUSD, Indianapolis, IN, USA
| | - Eliseu A Münchow
- Department of Conservative Dentistry, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS 90035-003, Brazil
| | - Victor M Martins
- Department of Biomedical and Applied Sciences, Division of Dental Biomaterials, IUSD, Indianapolis, IN, USA
| | - Ashley E Karczewski
- Department of Biomedical and Applied Sciences, Division of Dental Biomaterials, IUSD, Indianapolis, IN, USA
| | - N Blaine Cook
- Department of Cariology, Operative Dentistry & Dental Public Health, Indiana University School of Dentistry (IUSD), Indianapolis, IN, USA
| | - Kim Diefenderfer
- Department of Cariology, Operative Dentistry & Dental Public Health, Indiana University School of Dentistry (IUSD), Indianapolis, IN, USA
| | - George J Eckert
- Department of Biostatistics, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Saulo Geraldeli
- Department of General Dentistry, School of Dental Medicine, East Carolina University, Greenville, NC, USA
| | - Marco C Bottino
- Department of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
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Miranda MEDSNG, Silva EMD, Oliveira MFD, Simmer FS, Santos GBD, Amaral CM. Resin-dentin bond stability of etch-and-rinse adhesive systems with different concentrations of MMP inhibitor GM1489. J Appl Oral Sci 2020; 28:e20190499. [PMID: 32348441 PMCID: PMC7185984 DOI: 10.1590/1678-7757-2019-0499] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Accepted: 02/20/2020] [Indexed: 11/22/2022] Open
Abstract
Enzymatic degradation of the hybrid layer can be accelerated by the activation of dentin metalloproteinases (MMP) during the bonding procedure. MMP inhibitors may be used to contain this process. Objective To evaluate the degree of conversion (DC%), dentin bond strength (µTBS) (immediate and after 1 year of storage in water), and nanoleakage of an experimental (EXP) and a commercial (SB) adhesive system, containing different concentrations of the MMP inhibitor GM1489: 0, 1 µM, 5 µM and 10 µM. Methodology DC% was evaluated by FT-IR spectroscopy. Dentin bond strength was evaluated by µTBS test. Half of beams were submitted to the µTBS test after 24 h and the other half, after storage for 1 year. From each tooth and storage time, 2 beams were reserved for nanoleakage testing. Data were analyzed using ANOVA and Tukey's test to compare means (α=0.05). Results All adhesive systems maintained the µTBS after 1 year of storage. Groups with higher concentrations of inhibitor (5 µM and 10 µM) showed higher µTBS values than groups without inhibitor or with 1 µM. The nanoleakage values of all groups showed no increase after 1 year of storage and values were similar for SB and EXP groups, in both storage periods. The inhibitor did not affect the DC% of the EXP groups, but the SB5 and SB10 groups showed higher DC% values than those of SB0 and SB1. Conclusions The incorporation of GM1489 in the adhesive systems had no detrimental effect on DC%. The concentrations of 5 µM GM1489 for SB and 5 µM or 10 µM for EXP provided higher μTBS than groups without GM1489, in the evaluation after 1 year of storage; whereas the concentration of inhibitor did not affect adhesive systems nanoleakage.
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Affiliation(s)
| | - Eduardo Moreira da Silva
- LABIOM-R, Departamento de Odontotécnica, Universidade Federal Fluminense, Niteroi, Rio de Janeiro, Brasil
| | - Mariana Flôres de Oliveira
- LABIOM-R, Departamento de Odontotécnica, Universidade Federal Fluminense, Niteroi, Rio de Janeiro, Brasil
| | - Fabiana Souza Simmer
- LABIOM-R, Departamento de Odontotécnica, Universidade Federal Fluminense, Niteroi, Rio de Janeiro, Brasil
| | - Glauco Botelho Dos Santos
- LABIOM-R, Departamento de Odontotécnica, Universidade Federal Fluminense, Niteroi, Rio de Janeiro, Brasil
| | - Cristiane Mariote Amaral
- LABIOM-R, Departamento de Odontotécnica, Universidade Federal Fluminense, Niteroi, Rio de Janeiro, Brasil
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Xie Y, He E, Cao Z, Ou Q, Wang Y. Effect of polyvinylphosphonic acid on resin-dentin bonds and the cytotoxicity of mouse dental papilla cell-23. J Prosthet Dent 2019; 122:492.e1-492.e6. [PMID: 31623837 DOI: 10.1016/j.prosdent.2019.08.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2019] [Revised: 08/08/2019] [Accepted: 08/08/2019] [Indexed: 11/29/2022]
Abstract
STATEMENT OF PROBLEM Polyvinylphosphonic acid (PVPA) could be used as a biomimetic remineralization analog and a matrix metalloproteinases (MMPs) inhibitor. However, studies are lacking regarding the performance of PVPA in dental bonding systems for maintaining the durability of the resin-dentin bond. PURPOSE The purpose of this in vitro study was to investigate the effect of PVPA on the durability of resin-dentin bonds and the viability of mouse dental papilla cell-23 (MDPC-23). The mechanical properties of resin-dentin interfaces during long-term storage were analyzed, and the potential application of PVPA as a biomimetic remineralization analog in adhesive dentistry was evaluated. MATERIAL AND METHODS Seventy-five extracted noncarious human third molars were collected and randomly divided into 5 groups, and then the microtensile bond strength (μTBS) data and scanning electron microscope (SEM) images were used to evaluate the preservation condition of resin-dentin bonds after 1 day, 6 months, and 1 year of storage. The cytotoxicity of PVPA was detected by cell proliferation assay and cell apoptosis assay. RESULTS Compared with the control and chlorhexidine (CHX) groups, the combined group (treated with both 200-μg/mL PVPA and biomimetic remineralization) had excellent bond durability. The exposed collagen fibril from the PVPA-treated groups (included 200-μg/mL and 500-μg/mL PVPA groups and a combined group) still showed integrity after 1 year of storage when compared with the control group. PVPA up to 500 μg/mL showed no cytotoxicity to MDPC-23 and did not inhibit cell growth. CONCLUSIONS This study offered evidence that PVPA did not result in cytotoxicity at low concentrations as an MMP inhibitor and a biomimetic remineralization analog. In addition, the application of PVPA improved bond strength and preserved collagen integrity after 1 year of in vitro storage.
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Affiliation(s)
- Yunyi Xie
- Graduate student, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR China
| | - Enbao He
- Resident Physician, Department of Stomatology, Guangzhou First People's Hospital, Guangzhou, PR China
| | - Zeyuan Cao
- Graduate student, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR China
| | - Qianmin Ou
- Graduate student, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR China
| | - Yan Wang
- Professor, Oral Biology and Medicine, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR China.
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