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Yang Q, Zheng W, Zhao Y, Shi Y, Wang Y, Sun H, Xu X. Advancing dentin remineralization: Exploring amorphous calcium phosphate and its stabilizers in biomimetic approaches. Dent Mater 2024; 40:1282-1295. [PMID: 38871525 DOI: 10.1016/j.dental.2024.06.013] [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: 03/29/2024] [Accepted: 06/05/2024] [Indexed: 06/15/2024]
Abstract
OBJECTIVE This review elucidates the mechanisms underpinning intrafibrillar mineralization, examines various amorphous calcium phosphate (ACP) stabilizers employed in dentin's intrafibrillar mineralization, and addresses the challenges encountered in clinical applications of ACP-based bioactive materials. METHODS The literature search for this review was conducted using three electronic databases: PubMed, Web of Science, and Google Scholar, with specific keywords. Articles were selected based on inclusion and exclusion criteria, allowing for a detailed examination and summary of current research on dentin remineralization facilitated by ACP under the influence of various types of stabilizers. RESULTS This review underscores the latest advancements in the role of ACP in promoting dentin remineralization, particularly intrafibrillar mineralization, under the regulation of various stabilizers. These stabilizers predominantly comprise non-collagenous proteins, their analogs, and polymers. Despite the diversity of stabilizers, the mechanisms they employ to enhance intrafibrillar remineralization are found to be interrelated, indicating multiple driving forces behind this process. However, challenges remain in effectively designing clinically viable products using stabilized ACP and maximizing intrafibrillar mineralization with limited materials in practical applications. SIGNIFICANCE The role of ACP in remineralization has gained significant attention in dental research, with substantial progress made in the study of dentin biomimetic mineralization. Given ACP's instability without additives, the presence of ACP stabilizers is crucial for achieving in vitro intrafibrillar mineralization. However, there is a lack of comprehensive and exhaustive reviews on ACP bioactive materials under the regulation of stabilizers. A detailed summary of these stabilizers is also instrumental in better understanding the complex process of intrafibrillar mineralization. Compared to traditional remineralization methods, bioactive materials capable of regulating ACP stability and controlling release demonstrate immense potential in enhancing clinical treatment standards.
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Affiliation(s)
- Qingyi Yang
- Department of Periodontology, School and Hospital of Stomatology, Jilin University, Changchun 130021, PR China; Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, School and Hospital of Stomatology, Jilin University, Changchun 130021, PR China
| | - Wenqian Zheng
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, School and Hospital of Stomatology, Jilin University, Changchun 130021, PR China
| | - Yuping Zhao
- Department of Periodontology, School and Hospital of Stomatology, Jilin University, Changchun 130021, PR China; Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, School and Hospital of Stomatology, Jilin University, Changchun 130021, PR China
| | - Yaru Shi
- Department of Periodontology, School and Hospital of Stomatology, Jilin University, Changchun 130021, PR China; Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, School and Hospital of Stomatology, Jilin University, Changchun 130021, PR China
| | - Yi Wang
- Graduate Program in Applied Physics, Northwestern University, 2145 Sheridan Road, Evanston, IL 60208, USA
| | - Hongchen Sun
- Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, School and Hospital of Stomatology, Jilin University, Changchun 130021, PR China
| | - Xiaowei Xu
- Department of Periodontology, School and Hospital of Stomatology, Jilin University, Changchun 130021, PR China; Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, School and Hospital of Stomatology, Jilin University, Changchun 130021, PR China.
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Toledano M, Aguilera FS, Fernández-Romero E, Lagos AJ, Bonilla M, Lynch CD, Osorio R. Dentin remineralization using a stimuli-responsive engineered small molecule GSK3 antagonists-functionalized adhesive. Dent Mater 2024; 40:393-406. [PMID: 38114343 DOI: 10.1016/j.dental.2023.12.010] [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: 08/05/2023] [Revised: 11/06/2023] [Accepted: 12/11/2023] [Indexed: 12/21/2023]
Abstract
OBJECTIVES Tideglusib has shown great performance in terms of dentin regenerative properties. This study aims to evaluate bonding ability, of demineralized dentin infiltrated with polymeric nanoparticles (NPs) doped with tideglusib (TG) (TG-NPs). METHODS Dentin conditioned surfaces were infiltrated with NPs and TG-NPs. Bonded interfaces were created and stored for 24 h and then submitted to mechanical, chemical and thermal challenging. The resin-dentin interface was evaluated through a doubled dye fluorescent technique and a calcium chelator fluorophore under a confocal laser scanning microscopy, and by field emission scanning electron microscopy. RESULTS Dentin surfaces treated with TG-NPs and load cycled produced higher bond strength than the rest of the groups. Immersion of dentin specimens treated with undoped-NPs in collagenase solution attained the lowest microtensile bond strength (MTBS) values. Both porosity and nanoleakage decreased when dentin was infiltrated with TG-NPs, that revealed strong signals of xylenol orange stain at both hybrid layer and dentinal tubules. The presence of NPs, in general, inducted the presence of mineralized interfaces after mechanical loading and thermocycling. CONCLUSIONS Nanoparticles doped with tideglusib promoted the highest dentin bonding efficacy among groups, as they facilitated the maximum bond strength values with creation of mineral deposits at the hybrid layer and dentinal walls. Tideglusib enabled scarce porosity, nanoleakage and advanced sealing among dentin groups. SIGNIFICANCE Doping hydrophilic polymeric NPs with tideglusib, infiltrated in etched dentin represents a reproducible technique to create reparative dentin at the resin-dentin interface, by inducing therapeutic bioactivity.
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Affiliation(s)
- Manuel Toledano
- University of Granada, Faculty of Dentistry, Colegio Máximo de Cartuja s/n, 18071 Granada, Spain
| | - Fátima S Aguilera
- University of Granada, Faculty of Dentistry, Colegio Máximo de Cartuja s/n, 18071 Granada, Spain.
| | - Enrique Fernández-Romero
- University of Granada, Faculty of Dentistry, Colegio Máximo de Cartuja s/n, 18071 Granada, Spain
| | - Alejandro Js Lagos
- University of Granada, Faculty of Dentistry, Colegio Máximo de Cartuja s/n, 18071 Granada, Spain
| | - Marco Bonilla
- University of Granada, Faculty of Dentistry, Colegio Máximo de Cartuja s/n, 18071 Granada, Spain
| | - Christopher D Lynch
- University Dental School & Hospital/Cork University Dental School & Hospital, Cork, Ireland
| | - Raquel Osorio
- University of Granada, Faculty of Dentistry, Colegio Máximo de Cartuja s/n, 18071 Granada, Spain
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Cabalén MB, Molina GF, Piscitelli V, Rossa M, Aranguren JP, Palma SD, Pino GA, Picca M, Burrow MF. Application of 20% silver nanoclusters in polymethacrylic acid on simulated dentin caries; its penetration depth and effect on surface hardness. Sci Rep 2023; 13:21126. [PMID: 38036660 PMCID: PMC10689463 DOI: 10.1038/s41598-023-48519-1] [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: 09/08/2023] [Accepted: 11/27/2023] [Indexed: 12/02/2023] Open
Abstract
The aims of this study were: To evaluate the surface hardness of simulated dentin caries lesions treated with either silver nanoclusters (AgNCls) synthesized in polymethacrylic acid (PMAA) or 38% silver diammine fluoride (SDF), as well as observe the penetration of the treatment solutions into the simulated caries lesions. Dentin blocks 4 mm thick obtained from caries-free third molars were sectioned and then simulated caries lesions on the occlusal dentin surfaces were created. Each specimen (n = 8) was divided into four sections: (A) treated with 20% AgNCls/PMAA; (B) treated with SDF 38% (FAgamin, Tedequim, Cordoba, Argentina); (C) sound tooth protected by nail-varnish during artificial caries generation (positive control); and (D) artificial caries lesion without surface treatment (negative control). AgNCls/PMAA or SDF were applied on the simulated lesions with a microbrush for 10 s, then excess removed. The surface hardness was measured by means of Vickers indentation test. To trace the depth of penetration, up to 400 μm, of silver ions, elemental composition of the samples was observed using EDX, coupled with SEM, and measured every 50 μm from the surface towards the pulp chamber. Laser Induced Breakdown Spectroscopy (LIBS) was also employed to trace silver ion penetration; the atomic silver line 328.06 nm was used with a 60 μm laser spot size to a depth of 240 μm. Student's-t test identified significant differences between treatment groups for each depth and the Bonferroni test was used for statistical analysis of all groups (p < 0.05). Mean surface hardness values obtained were 111.2 MPa, 72.3 MPa, 103.3 MPa and 50.5 MPa for groups A, B, C and D respectively. There was a significant difference between groups A and C compared with groups B and D, the group treated with AgNCls/PMAA achieved the highest surface hardness, similar or higher than the sound dentin control. A constant presence of silver was observed throughout the depth of the sample for group A, while group B showed a peak concentration of silver at the surface with a significant drop beyond 50 μm. The 20% AgNCls/PMAA solution applied to simulated dentin caries lesions achieved the recovery of surface hardness equivalent to sound dentin with the penetration of silver ions throughout the depth of the lesion.
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Affiliation(s)
- Maria Belén Cabalén
- Becaria CONICET, Facultad de Ciencias de la Salud, Universidad Católica de Córdoba, Córdoba, Argentina
| | - Gustavo Fabian Molina
- Facultad de Ciencias de la Salud, Universidad Católica de Córdoba, Córdoba, Argentina.
- The Faculty of Dentistry, University of Hong Kong, Pok Fu Lam, Hong Kong SAR, China.
| | - Vincent Piscitelli
- Centro Láser de Ciencias Moleculares, Universidad Nacional de Córdoba, Haya de La Torre S/N, Pabellón Argentina, Ciudad Universitaria, X5000HUA, Córdoba, Argentina
- INFIQC: Instituto de Investigaciones en Fisicoquímica de Córdoba (CONICET - UNC), Universidad Nacional de Córdoba, Haya de la Torre S/N, Pabellón Argentina, Ciudad Universitaria, X5000HUA, Córdoba, Argentina
- Departamento de Fisicoquímicas, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Haya de la Torre S/N, Pabellón Argentina, Ciudad Universitaria, X5000HUA, Córdoba, Argentina
| | - Maximiliano Rossa
- Centro Láser de Ciencias Moleculares, Universidad Nacional de Córdoba, Haya de La Torre S/N, Pabellón Argentina, Ciudad Universitaria, X5000HUA, Córdoba, Argentina
- INFIQC: Instituto de Investigaciones en Fisicoquímica de Córdoba (CONICET - UNC), Universidad Nacional de Córdoba, Haya de la Torre S/N, Pabellón Argentina, Ciudad Universitaria, X5000HUA, Córdoba, Argentina
- Departamento de Fisicoquímicas, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Haya de la Torre S/N, Pabellón Argentina, Ciudad Universitaria, X5000HUA, Córdoba, Argentina
| | - Juan Pablo Aranguren
- Centro Láser de Ciencias Moleculares, Universidad Nacional de Córdoba, Haya de La Torre S/N, Pabellón Argentina, Ciudad Universitaria, X5000HUA, Córdoba, Argentina
- INFIQC: Instituto de Investigaciones en Fisicoquímica de Córdoba (CONICET - UNC), Universidad Nacional de Córdoba, Haya de la Torre S/N, Pabellón Argentina, Ciudad Universitaria, X5000HUA, Córdoba, Argentina
- Departamento de Fisicoquímicas, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Haya de la Torre S/N, Pabellón Argentina, Ciudad Universitaria, X5000HUA, Córdoba, Argentina
| | - Santiago Daniel Palma
- INFIQC: Instituto de Investigaciones en Fisicoquímica de Córdoba (CONICET - UNC), Universidad Nacional de Córdoba, Haya de la Torre S/N, Pabellón Argentina, Ciudad Universitaria, X5000HUA, Córdoba, Argentina
- Departamento de Fisicoquímicas, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Haya de la Torre S/N, Pabellón Argentina, Ciudad Universitaria, X5000HUA, Córdoba, Argentina
| | - Gustavo Ariel Pino
- Centro Láser de Ciencias Moleculares, Universidad Nacional de Córdoba, Haya de La Torre S/N, Pabellón Argentina, Ciudad Universitaria, X5000HUA, Córdoba, Argentina
- INFIQC: Instituto de Investigaciones en Fisicoquímica de Córdoba (CONICET - UNC), Universidad Nacional de Córdoba, Haya de la Torre S/N, Pabellón Argentina, Ciudad Universitaria, X5000HUA, Córdoba, Argentina
- Departamento de Fisicoquímicas, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Haya de la Torre S/N, Pabellón Argentina, Ciudad Universitaria, X5000HUA, Córdoba, Argentina
| | - Mariana Picca
- Cátedra de Materiales Dentales, Facultad de Odontología, Universidad de Buenos Aires, Buenos Aires, Argentina
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Luo X, Niu J, Su G, Zhou L, Zhang X, Liu Y, Wang Q, Sun N. Research progress of biomimetic materials in oral medicine. J Biol Eng 2023; 17:72. [PMID: 37996886 PMCID: PMC10668381 DOI: 10.1186/s13036-023-00382-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Accepted: 10/02/2023] [Indexed: 11/25/2023] Open
Abstract
Biomimetic materials are able to mimic the structure and functional properties of native tissues especially natural oral tissues. They have attracted growing attention for their potential to achieve configurable and functional reconstruction in oral medicine. Though tremendous progress has been made regarding biomimetic materials, significant challenges still remain in terms of controversy on the mechanism of tooth tissue regeneration, lack of options for manufacturing such materials and insufficiency of in vivo experimental tests in related fields. In this review, the biomimetic materials used in oral medicine are summarized systematically, including tooth defect, tooth loss, periodontal diseases and maxillofacial bone defect. Various theoretical foundations of biomimetic materials research are reviewed, introducing the current and pertinent results. The benefits and limitations of these materials are summed up at the same time. Finally, challenges and potential of this field are discussed. This review provides the framework and support for further research in addition to giving a generally novel and fundamental basis for the utilization of biomimetic materials in the future.
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Affiliation(s)
- Xinyu Luo
- Liaoning Provincial Key Laboratory of Oral Diseases, School and Hospital of Stomatology, China Medical University, No. 117 Nanjing North Street, Shenyang, 110001, China
| | - Jiayue Niu
- Liaoning Provincial Key Laboratory of Oral Diseases, School and Hospital of Stomatology, China Medical University, No. 117 Nanjing North Street, Shenyang, 110001, China
| | - Guanyu Su
- Liaoning Provincial Key Laboratory of Oral Diseases, School and Hospital of Stomatology, China Medical University, No. 117 Nanjing North Street, Shenyang, 110001, China
| | - Linxi Zhou
- Department of Orthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, 200011, China.
- National Center for Stomatology, Shanghai, 200011, China.
- National Clinical Research Center for Oral Diseases, Shanghai, 200011, China.
- Shanghai Key Laboratory of Stomatology, Shanghai, 200011, China.
| | - Xue Zhang
- Liaoning Provincial Key Laboratory of Oral Diseases, School and Hospital of Stomatology, China Medical University, No. 117 Nanjing North Street, Shenyang, 110001, China
| | - Ying Liu
- Liaoning Provincial Key Laboratory of Oral Diseases, School and Hospital of Stomatology, China Medical University, No. 117 Nanjing North Street, Shenyang, 110001, China
| | - Qiang Wang
- Liaoning Provincial Key Laboratory of Oral Diseases, School and Hospital of Stomatology, China Medical University, No. 117 Nanjing North Street, Shenyang, 110001, China
| | - Ningning Sun
- Liaoning Provincial Key Laboratory of Oral Diseases, School and Hospital of Stomatology, China Medical University, No. 117 Nanjing North Street, Shenyang, 110001, China.
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Cloyd AK, Boone K, Ye Q, Snead ML, Spencer P, Tamerler C. Engineered Peptides Enable Biomimetic Route for Collagen Intrafibrillar Mineralization. Int J Mol Sci 2023; 24:ijms24076355. [PMID: 37047325 PMCID: PMC10093982 DOI: 10.3390/ijms24076355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 02/07/2023] [Accepted: 03/16/2023] [Indexed: 03/30/2023] Open
Abstract
Overcoming the short lifespan of current dental adhesives remains a significant clinical need. Adhesives rely on formation of the hybrid layer to adhere to dentin and penetrate within collagen fibrils. However, the ability of adhesives to achieve complete enclosure of demineralized collagen fibrils is recognized as currently unattainable. We developed a peptide-based approach enabling collagen intrafibrillar mineralization and tested our hypothesis on a type-I collagen-based platform. Peptide design incorporated collagen-binding and remineralization-mediating properties using the domain structure conservation approach. The structural changes from representative members of different peptide clusters were generated for each functional domain. Common signatures associated with secondary structure features and the related changes in the functional domain were investigated by attenuated total reflectance Fourier-transform infrared (ATR-FTIR) and circular dichroism (CD) spectroscopy, respectively. Assembly and remineralization properties of the peptides on the collagen platforms were studied using atomic force microscopy (AFM). Mechanical properties of the collagen fibrils remineralized by the peptide assemblies was studied using PeakForce-Quantitative Nanomechanics (PF-QNM)-AFM. The engineered peptide was demonstrated to offer a promising route for collagen intrafibrillar remineralization. This approach offers a collagen platform to develop multifunctional strategies that combine different bioactive peptides, polymerizable peptide monomers, and adhesive formulations as steps towards improving the long-term prospects of composite resins.
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Affiliation(s)
- Aya K. Cloyd
- Bioengineering Program, University of Kansas, Lawrence, KS 66045, USA
- Institute for Bioengineering Research, University of Kansas, Lawrence, KS 66045, USA
| | - Kyle Boone
- Institute for Bioengineering Research, University of Kansas, Lawrence, KS 66045, USA
- Department of Mechanical Engineering, University of Kansas, Lawrence, KS 66045, USA
| | - Qiang Ye
- Institute for Bioengineering Research, University of Kansas, Lawrence, KS 66045, USA
| | - Malcolm L. Snead
- Center for Craniofacial Molecular Biology, Herman Ostrow School of Dentistry of USC, University of Southern California, Los Angeles, CA 90007, USA
| | - Paulette Spencer
- Bioengineering Program, University of Kansas, Lawrence, KS 66045, USA
- Institute for Bioengineering Research, University of Kansas, Lawrence, KS 66045, USA
- Department of Mechanical Engineering, University of Kansas, Lawrence, KS 66045, USA
| | - Candan Tamerler
- Bioengineering Program, University of Kansas, Lawrence, KS 66045, USA
- Institute for Bioengineering Research, University of Kansas, Lawrence, KS 66045, USA
- Department of Mechanical Engineering, University of Kansas, Lawrence, KS 66045, USA
- Correspondence:
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