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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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Perarivalan I, Karunakaran J, Anbalagan N, Harishma S, Prasad V. Matrix metalloproteinase inhibitors in restorative dentistry. JOURNAL OF CONSERVATIVE DENTISTRY AND ENDODONTICS 2024; 27:566-571. [PMID: 38989495 PMCID: PMC11232771 DOI: 10.4103/jcde.jcde_199_24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/11/2024] [Revised: 04/24/2024] [Accepted: 04/25/2024] [Indexed: 07/12/2024]
Abstract
Matrix metalloproteinases (MMPs) have been identified as agents that disintegrate the collagen structures of dental hybrid layers, resulting in reduced restorative bond strength. Multiple MMP inhibitors (MMPIs) are known to counteract this degenerative mechanism, thereby preserving bond strength and promoting the longevity of resin-based restorations. Additionally, literature suggests that certain MMPI materials possess antimicrobial/anticariogenic properties, potentially reducing the risk of secondary caries development. Therefore, this review article aims to narrate on the integration of matrix metalloproteinase inhibitors into adhesive systems and their impact on bond strength.
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Affiliation(s)
- I Perarivalan
- Department of Conservative Dentistry and Endodontics, Chettinad Dental College and Research Institute, Kelambakkam, Tamil Nadu, India
| | - Janani Karunakaran
- Department of Conservative Dentistry and Endodontics, Chettinad Dental College and Research Institute, Kelambakkam, Tamil Nadu, India
| | - Nathashri Anbalagan
- Department of Conservative Dentistry and Endodontics, Chettinad Dental College and Research Institute, Kelambakkam, Tamil Nadu, India
| | - S Harishma
- Department of Conservative Dentistry and Endodontics, Chettinad Dental College and Research Institute, Kelambakkam, Tamil Nadu, India
| | - Vishnu Prasad
- Department of Conservative Dentistry and Endodontics, Chettinad Dental College and Research Institute, Kelambakkam, Tamil Nadu, India
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Peutzfeldt A, Hug T, Wierichs RJ. Bond strength and marginal adaptation of resin composites and correlations with clinical results. Dent Mater 2024; 40:966-975. [PMID: 38724332 DOI: 10.1016/j.dental.2024.05.004] [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: 01/02/2024] [Revised: 04/23/2024] [Accepted: 05/03/2024] [Indexed: 06/15/2024]
Abstract
OBJECTIVES Due to innumerable confounding factors and a high number of types and brands of dental restorative materials, the clinical performance of restorative materials are sought predicted by various in vitro tests. However, only few such tests have been found to correlate well with clinical findings. Thus, the present study determined the in vitro dentin bond strength and marginal adaptation of Class II restorations and correlated the results to their clinical outcomes. METHODS Dentin bond strength (µTBS and µSBS) and marginal gap formation of Class II restorations (replica technique and SEM) were measured after 24 h and 6 m water storage using eight combinations of adhesive and resin composite. Clinical outcomes (mean survival time, Hazard Ratio, annual failure rate; n = 10.695) were gained from a data set of a retrospective multicenter study of direct restorations. RESULTS Significant differences were found for dentin bond strength and marginal gap formation between the restorative material groups, and negative effects of long-term storage were observed. µTBS correlated significantly with certain clinical outcomes of Class I restorations, while µSBS correlated with certain clinical outcomes of Class II, III, IV and V restorations. Marginal gap formation in enamel and number of paramarginal fractures correlated with certain clinical outcomes of Class II restorations. SIGNIFICANCE Using the same restorative materials in vitro as in vivo, gave significant, but weak correlations between in vitro bond strength or marginal adaptation and clinical outcomes, lending support to the use of in vitro tests in early stages of material selection.
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Affiliation(s)
- A Peutzfeldt
- Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Switzerland; Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - T Hug
- Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Switzerland.
| | - R J Wierichs
- Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Switzerland
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Bedir MGA, Karadas M, Bedir F. Effect of matrix metalloproteinase inhibitors on bonding durability of universal adhesives. Dent Mater J 2023; 42:581-590. [PMID: 37302822 DOI: 10.4012/dmj.2022-282] [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] [Indexed: 06/13/2023]
Abstract
This study aimed to evaluate the effect of different matrix metalloproteinase inhibitors (MMPIs) on the microtensile bond strength (μTBS) and nanoleakage of universal adhesives. One hundred twenty non-carious human molars were prepared and randomly assigned to two groups: Scotchbond Bond Universal (SBU) and Gluma Bond Universal (GBU). The samples in each group were assigned to five subgroups (n=12) based on one control (water) and four MMPIs (Benzalkonium-chloride (BAC), Batimastat (BB94), Chlorhexidine (CHX), and Epigallocatechin-gallate (EGCG)). Each adhesive was applied in self-etch (SE) mode or etch-and-rinse (ER) mode. Dentin/composite sticks were fabricated and subjected to the μTBS test after 24 h or 6 months. At 6 months, MMPIs did not affect the μTBS of the adhesives, regardless of etching mode. Nanoleakage was more pronounced in ER mode than in SE mode for all subgroups. All MMPIs, with the exception of CHX, decreased the nanoleakage of GBU in ER mode.
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Affiliation(s)
| | - Muhammet Karadas
- Department of Restorative Dentistry, Faculty of Dentistry, Recep Tayyip Erdogan University
| | - Fatih Bedir
- Department of Restorative Dentistry, Faculty of Dentistry, Recep Tayyip Erdogan University
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Alhijji S, Platt JA, Alhotan A, Labban N, Bottino MC, Windsor LJ. Release and MMP-9 Inhibition Assessment of Dental Adhesive Modified with EGCG-Encapsulated Halloysite Nanotubes. NANOMATERIALS (BASEL, SWITZERLAND) 2023; 13:nano13060999. [PMID: 36985892 PMCID: PMC10051210 DOI: 10.3390/nano13060999] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 02/24/2023] [Accepted: 02/28/2023] [Indexed: 06/09/2023]
Abstract
Degradation of the collagen fibrils at the dentin-resin interface by the enzymatic activity of matrix metalloproteinases (MMPs) has been known to permit some dental restoration complications, such as microleakage, secondary caries, and, ultimately, restoration failures. This study aimed to evaluate a modified adhesive by adding an MMP inhibitor from green tea extract with and without nanotube encapsulation to sustain the drug release. Epigallocatechin-3-gallate (EGCG) and Halloysite nanotubes (HNTs) were prepared to produce three variant combinations of modified adhesive (EGCG, EGCG-encapsulated HNT, and EGCG-free HNT). The drug loading efficiency and EGCG release over time were evaluated using UV-vis spectrometry. MMP-mediated β-casein (BCN) cleavage rate assays were used to determine the ability of the EGCG in eluates of the adhesive to inhibit MMP-9 activities. For up to 8 weeks, HNT encapsulation reduced release to a statistically significant level. MMP-mediated β-casein cleavage rate assays showed a significant decrease for the EGCG groups compared to the non-EGCG adhesive groups. Furthermore, the use of HNT for EGCG encapsulation to modify a dental adhesive helped slow down the rate of EGCG release without impacting its MMP inhibitory capabilities, which may help to maintain the dentin-resin interface's integrity over the long term after dental restoration placement.
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Affiliation(s)
- Saleh Alhijji
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh 11545, Saudi Arabia
- Department of Biomedical Sciences and Comprehensive Care, Indiana University School of Dentistry, Indianapolis, IN 46202, USA
| | - Jeffrey A. Platt
- Department of Biomedical Sciences and Comprehensive Care, Indiana University School of Dentistry, Indianapolis, IN 46202, USA
| | - Abdulaziz Alhotan
- Department of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh 11545, Saudi Arabia
| | - Nawaf Labban
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia
| | - Marco C. Bottino
- Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USA
- Department of Biomedical Engineering, College of Engineering, University of Michigan, Ann Arbor, MI 48109, USA
| | - L. Jack Windsor
- Department of Biomedical Sciences and Comprehensive Care, Indiana University School of Dentistry, Indianapolis, IN 46202, USA
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Porto ICCDM, Lôbo TDLGF, Rodrigues RF, Lins RBE, da Silva MAB. Insight into the development of versatile dentin bonding agents to increase the durability of the bonding interface. FRONTIERS IN DENTAL MEDICINE 2023. [DOI: 10.3389/fdmed.2023.1127368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/18/2023] Open
Abstract
Despite the huge improvements made in adhesive technology over the past 50 years, there are still some unresolved issues regarding the durability of the adhesive interface. A complete sealing of the interface between the resin and the dentin substrate remains difficult to achieve, and it is doubtful whether an optimal interdiffusion of the adhesive system within the demineralized collagen framework can be produced in a complete and homogeneous way. In fact, it is suggested that hydrolytic degradation, combined with the action of dentin matrix enzymes, destabilizes the tooth-adhesive bond and disrupts the unprotected collagen fibrils. While a sufficient resin–dentin adhesion is usually achieved immediately, bonding efficiency declines over time. Thus, here, a review will be carried out through a bibliographic survey of scientific articles published in the last few years to present strategies that have been proposed to improve and/or develop new adhesive systems that can help prevent degradation at the adhesive interface. It will specially focus on new clinical techniques or new materials with characteristics that contribute to increasing the durability of adhesive restorations and avoiding the recurrent replacement restorative cycle and the consequent increase in damage to the tooth.
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7
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Streptococcus mutans Proteases Degrade Dentinal Collagen. Dent J (Basel) 2022; 10:dj10120223. [PMID: 36547039 PMCID: PMC9776523 DOI: 10.3390/dj10120223] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 11/21/2022] [Accepted: 11/24/2022] [Indexed: 11/30/2022] Open
Abstract
Here, we explored the role of S. mutans’s whole cell and discrete fractions in the degradation of type I collagen and dentinal collagen. Type I collagen gels and human demineralized dentin slabs (DS) were incubated in media alone or with one of the following: overnight (O/N) or newly inoculated (NEW) cultures of S. mutans UA159; intracellular proteins, supernatant or bacterial membranes of O/N cultures. Media from all groups were analyzed for protease-mediated release of the collagen-specific imino acid hydroxyproline. Images of type I collagen and DS were analyzed, respectively. Type I collagen degradation was highest for the supernatant (p < 0.05) fractions, followed by intracellular components and O/N cultures. Collagen degradation for DS samples was highest for O/N samples, followed by supernatant, and intracellular components (p < 0.05). There was lower detectable degradation for both type I collagen and DS from NEW culture samples (p < 0.05), and there was no type I collagen or DS degradation detected for bacterial membrane samples. Structural changes to type I collagen gel and dentinal collagen were observed, respectively, following incubation with S. mutans cultures (O/N and NEW), intracellular components, and supernatant. This study demonstrates that intracellular and extracellular proteolytic activities from S. mutans enable this cariogenic bacterium to degrade type I and dentinal collagen in a growth-phase dependent manner, potentially contributing to the progression of dental caries.
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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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Agarwal M, Dinesh K, Mathew S, Ramesh P, Shetty NK, Narayana IH. Evaluation of the effect of remineralization with strontium-doped nanohydroxyapatite with noncollagenous protein analog: Chitosan on the shear bond strength of resin composite to dentin - An in vitro study. J Conserv Dent 2022; 25:648-653. [PMID: 36591584 PMCID: PMC9795681 DOI: 10.4103/jcd.jcd_285_22] [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: 05/14/2022] [Revised: 07/07/2022] [Accepted: 07/14/2022] [Indexed: 11/06/2022] Open
Abstract
Context The resin-dentin interface is less durable, which reduces the longevity of tooth-colored restorations. To encounter this shortcoming, the use of nanotechnology to mimic biomineralization proves beneficial. Aims This study was conducted to evaluate the effect of remineralization with strontium-doped nanohydroxyapatite (Sr-nHAp) with chitosan on shear bond strength of resin composite to dentin. Materials and Methods Sixty five extracted human premolars were divided into five groups (n = 13) based on remineralization protocol as: Group A - 20% (Sr-nHAp) with chitosan, Group B - 10% (Sr-nHAp) with chitosan, Group C - 20% (Sr-nHAp) with simulated body fluid, Group D - 10% (Sr-nHAp) with simulated body fluid, and Group E - control. Following bonding, resin composite of specified dimension was built and was subjected to shear bond strength test after 24 h and 1 week using Universal Testing Machine, and mode of failure was assessed. ANOVA and paired sample t-test were used for analyzing the data, and the level of significance was set at 5%. Results The highest value of shear bond strength was obtained from Group A after aging for a week, and there is a significant increase in the value of all the groups as compared to the control group after 1 week of storage than 24 h. Conclusions Remineralization with Sr-nHAp and chitosan has positively improved the bond strength of resin to dentin at the end of 1 week.
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Affiliation(s)
- Manila Agarwal
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, M.S. Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India
| | - K. Dinesh
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, M.S. Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India
| | - Sylvia Mathew
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, M.S. Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India
| | - Poornima Ramesh
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, M.S. Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India
| | - Nithin Kumar Shetty
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, M.S. Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India
| | - Indiresha H. Narayana
- Department of Conservative Dentistry and Endodontics, Faculty of Dental Sciences, M.S. Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India
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Tao S, Yang J, Su Z, Zhou F, Wang Z, Yang Y, Sun L, Deng Y, Liang K, Li J. A Dentin Biomimetic Remineralization Material with an Ability to Stabilize Collagen. SMALL (WEINHEIM AN DER BERGSTRASSE, GERMANY) 2022; 18:e2203644. [PMID: 35989094 DOI: 10.1002/smll.202203644] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Revised: 07/22/2022] [Indexed: 06/15/2023]
Abstract
The integrity of collagen matrix structure is a prerequisite for effectively inducing biomimetic remineralization. Repeated low pH stimulation activates matrix metalloproteinases (MMPs) in dental caries. Activated MMPs cause the breakdown of collagen fibrils. Collagen stabilization is a major obstacle to the clinical application of remineralization templates. Here, galardin-loaded poly(amido amine) (PAMAM)-NGV (PAMAM-NGV@galardin, PNG) is constructed to induce collagen stabilization and dentin biomimetic remineralization simultaneously, in order to combat early caries in dentin. PAMAM acts in the role of nucleation template for dentin remineralization, while galardin acts as the role of MMPs inhibitor. NGV peptides modified on the surface of dendrimer core can form small clusters with synergistic movement in short range, and those short-range clusters can form domain areas with different properties on the surface of PAMAM core and restrict the movement of collagen, favoring collagen crosslinking, which can be explained through the computational simulation analysis results. NGV peptides and galardin show a dual collagen-protective effect, laying the foundation for the dentin remineralization effect induced by PAMAM. PNG induces dentin remineralization in an environment with collagenase, meanwhile showsing anti-dentin caries efficacy in vivo. These findings indicate that PNG has great potential to combat early dentin caries for future clinical application.
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Affiliation(s)
- Siying Tao
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Jiaojiao Yang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Zhifei Su
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Fangjie Zhou
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Ziyou Wang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Yingming Yang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Lizhong Sun
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Yi Deng
- School of Chemical Engineering, Sichuan University, Chengdu, 610065, China
| | - Kunneng Liang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China
| | - Jiyao Li
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China
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Ma X, Zhou S, Xu X, Du Q. Copper-containing nanoparticles: Mechanism of antimicrobial effect and application in dentistry-a narrative review. Front Surg 2022; 9:905892. [PMID: 35990090 PMCID: PMC9388913 DOI: 10.3389/fsurg.2022.905892] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Accepted: 07/19/2022] [Indexed: 11/18/2022] Open
Abstract
Copper has been used as an antimicrobial agent long time ago. Nowadays, copper-containing nanoparticles (NPs) with antimicrobial properties have been widely used in all aspects of our daily life. Copper-containing NPs may also be incorporated or coated on the surface of dental materials to inhibit oral pathogenic microorganisms. This review aims to detail copper-containing NPs' antimicrobial mechanism, cytotoxic effect and their application in dentistry.
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Affiliation(s)
- Xinru Ma
- Department of Stomatology, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Chengdu, China
- Department of Stomatology, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region (West China Hospital Sichuan University Tibet Chengdu Branch Hospital), Chengdu, China
| | - Shiyu Zhou
- Department of Stomatology, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Chengdu, China
| | - Xiaoling Xu
- School of Materials Science and Engineering, Southwest Jiaotong University, Chengdu, China
| | - Qin Du
- Department of Stomatology, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Chengdu, China
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12
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Degradation and Stabilization of Resin-Dentine Interfaces in Polymeric Dental Adhesives: An Updated Review. COATINGS 2022. [DOI: 10.3390/coatings12081094] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Instability of the dentine-resin interface is owed to the partial/incomplete penetration of the resin adhesives in the collagen fibrils. However, interfacial hydrolysis of the resin-matrix hybrid layer complex activates the collagenolytic and esterase enzymes that cause the degradation of the hybrid layer. Adequate hybridization is often prevented due to the water trapped between the interfibrillar spaces of the collagen network. Cyclic fatigue rupture and denaturation of the exposed collagen fibrils have been observed on repeated application of masticatory forces. To prevent interfacial microstructure, various approaches have been explored. Techniques that stabilize the resin–dentine bond have utilized endogenous proteases inhibitors, cross linking agents’ incorporation in the exposed collagen fibrils, an adhesive system free of water, and methods to increase the monomer penetration into the adhesives interface. Therefore, it is important to discover and analyze the causes of interfacial degradation and discover methods to stabilize the hybrid layer to execute new technique and materials. To achieve a predictable and durable adhesive resin, restoration is a solution to the many clinical problems arising due to microleakage, loss of integrity of the restoration, secondary caries, and postoperative sensitivity. To enhance the longevity of the resin-dentine bond strength, several experimental strategies have been carried out to improve the resistance to enzymatic degradation by inhibiting intrinsic collagenolytic activity. In addition, biomimetic remineralization research has advanced considerably to contemporary approaches of both intrafibrillar and extrafibrillar remineralization of dental hard tissues. Thus, in the presence of biomimetic analog complete remineralization of collagen, fibers are identified.
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13
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Shu C, Zheng X, Wang Y, Xu Y, Zhang D, Deng S. Captopril inhibits matrix metalloproteinase activity and improves dentin bonding durability. Clin Oral Investig 2022; 26:3213-3225. [PMID: 34999991 DOI: 10.1007/s00784-021-04303-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2021] [Accepted: 11/18/2021] [Indexed: 01/08/2023]
Abstract
OBJECTIVES We investigated the inhibitory effects of captopril on matrix metalloproteinases (MMPs) and its effect as a primer on dentin bonding durability. MATERIALS AND METHODS One hundred fifty human third molars were selected. Flat surfaces of the middle dentin were exposed, etched 15 s, and followed by pretreatment with a primer for 60 s, including distilled water (control, the negative control primer), 2% chlorhexidine digluconate (CHD, the positive control primer), and captopril solution. Inhibitory effects of primers on MMPs were evaluated by hydroxyproline and gelatinase activity tests. All primers were applied on dentin followed by bonding. Some of the samples were sliced into slabs, placed in a fluorescent solution containing gelatin, and incubated for in situ zymography. Some were cut into sticks, and after aging for 1 day, 12 months, or 24 months, microtensile bonding strength was tested. Some were cut into slabs, aged for 1 day, 12 months, or 24 months, and taken out for nanoleakage tests to reveal interface defects. RESULTS Hydroxyproline and gelatinase activity analyses showed that captopril exerted better inhibitory effects on MMPs, relative to 2% CHD (p < 0.05). A 0.2% captopril aqueous solution (0.2% CapW) was chosen to apply to the dentin. In situ zymography showed that inhibitory effects of captopril on gelatinase were significantly higher compared to 2% CHD (p < 0.01). Microtensile strength revealed that the bonding effects of the 0.2% CapW group lasted longer, compared to the control and 2% CHD groups (p < 0.05). Interface defects, detected by nanoleakage, were significantly reduced in the 0.2% CapW group, compared to the control and 2% CHD groups (p < 0.05). CONCLUSIONS Captopril inhibits dentin MMP activities and effectively improves dentin bonding durability. CLINICAL RELEVANCE Captopril is a promising dentin bonding primer for improving bonding durability.
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Affiliation(s)
- Chang Shu
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Disease, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, 310006, People's Republic of China
| | - Xinyu Zheng
- Department of Stomatology, Zhejiang University Hospital, Zhejiang University, Hangzhou, People's Republic of China
| | - Yang Wang
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Disease, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, 310006, People's Republic of China
| | - Yi Xu
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Disease, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, 310006, People's Republic of China
| | - Denghui Zhang
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Disease, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, 310006, People's Republic of China
| | - Shuli Deng
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Disease, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, 310006, People's Republic of China.
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14
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Belmar da Costa M, Delgado AHS, Amorim Afonso T, Proença L, Ramos AS, Mano Azul A. Investigating a Commercial Functional Adhesive with 12-MDPB and Reactive Filler to Strengthen the Adhesive Interface in Eroded Dentin. Polymers (Basel) 2021; 13:polym13203562. [PMID: 34685320 PMCID: PMC8538624 DOI: 10.3390/polym13203562] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 10/07/2021] [Accepted: 10/12/2021] [Indexed: 11/30/2022] Open
Abstract
To compare the adhesive interface of eroded dentin formed by a functional dental adhesive and a gold standard strategy, by testing microtensile bond strength (μTBS), hardness/elastic modulus. Permanent sound human molars were randomly allocated to four experimental groups, all subject to artificial erosion (0.05 M citric acid; 3× daily, 5 days). Groups included control Clearfil SE Bond 2 (CFSE), and experimental group Clearfil SE Protect (CFP), at two different time points-immediate (24 h) and long term (3 months–3 M). Samples were sectioned into microspecimens for μTBS (n = 8) and into 2-mm thick slabs for nanoindentation assays (n = 3). Groups CFSE_3M and CFP_3M were stored in artificial saliva. Statistical analysis included two-way ANOVA for μTBS data, while hardness/modulus results were analyzed using Kruskal–Wallis H Test (significance level of 5%; SPSS v.27.0). Although no significant differences were found between mean μTBS values, for different adhesives and time points (p > 0.05), a positive trend, with μTBS rising in the CFP_3M group, was observed. Regarding hardness, no significant differences were seen in the hybrid layer, considering the two variables (p > 0.05), while the reduced elastic modulus rose in CFP_3M when compared to 24 h. Thus, CFP shows similar mechanical and adhesive performance to CFSE in eroded dentin, although it may comprise promising long-term results. This is advantageous in eroded substrates due to their increased enzymatic activity and need for remineralization.
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Affiliation(s)
- Madalena Belmar da Costa
- Unit of Conservative Dentistry, Instituto Universitário Egas Moniz (IUEM), Monte de Caparica, 2829-511 Almada, Portugal; (M.B.d.C.); (T.A.A.); (A.M.A.)
| | - António HS Delgado
- Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Monte de Caparica, 2829-511 Almada, Portugal;
- Division of Biomaterials & Tissue Engineering, UCL Eastman Dental Institute, Royal Free Hospital, Hampstead, London NW3 2PF, UK
- Correspondence:
| | - Tomás Amorim Afonso
- Unit of Conservative Dentistry, Instituto Universitário Egas Moniz (IUEM), Monte de Caparica, 2829-511 Almada, Portugal; (M.B.d.C.); (T.A.A.); (A.M.A.)
| | - Luís Proença
- Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Monte de Caparica, 2829-511 Almada, Portugal;
| | - Ana Sofia Ramos
- Department of Mechanical Engineering, University of Coimbra, CEMMPRE, 3030-788 Coimbra, Portugal;
| | - Ana Mano Azul
- Unit of Conservative Dentistry, Instituto Universitário Egas Moniz (IUEM), Monte de Caparica, 2829-511 Almada, Portugal; (M.B.d.C.); (T.A.A.); (A.M.A.)
- Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Monte de Caparica, 2829-511 Almada, Portugal;
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15
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Alkattan R, Koller G, Banerji S, Deb S. Bis[2-(Methacryloyloxy) Ethyl] Phosphate as a Primer for Enamel and Dentine. J Dent Res 2021; 100:1081-1089. [PMID: 34238050 PMCID: PMC8381596 DOI: 10.1177/00220345211023477] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Dental resin composites are commonly used in the restorative management
of teeth via adhesive bonding, which has evolved significantly over
the past few decades. Although current self-etch bonding systems
decrease the number of clinical steps, the acidic functional monomers
employed exhibit a limited extent of demineralization of enamel in
comparison to phosphoric acid etchants, and the resultant superficial
ionic interactions are prone to hydrolysis. This study evaluates the
etching of primers constituted with bis[2-(methacryloyloxy) ethyl]
phosphate (BMEP) of dental hard tissue, interfacial characteristics,
and inhibition of endogenous enzymes. We examine the incorporation of
2 concentrations of BMEP in the formulation of experimental primers
used with a hydrophobic adhesive to constitute a 2-step self-etching
bonding system and compare to a commercial 10–methacryloyloxydecyl
dihydrogen phosphate (10-MDP)–containing system. The interaction of
the primer with enamel and dentine was characterized using scanning
electron, confocal laser scanning, and Raman microscopy while the
polymerization reaction between the BMEP primers and hydroxyapatite
was evaluated by Fourier-transform infrared spectroscopy. The
inhibitory effect against matrix metalloproteinase (MMP) enzymes of
these primers was studied and percentage of inhibition analyzed using
1-way analysis of variance and Tukey’s post hoc test
(P < 0.05). Results of the scanning electron
microscopy micrographs demonstrated potent etching of both enamel and
dentine with the formation of longer resin tags with BMEP primers
compared to the 10-MDP–based system. The BMEP polymerized on
interaction with pure hydroxyapatite in the dark, while the 10-MDP
primer exhibited the formation of salts. Furthermore, BMEP primers
were able to inhibit MMP activity in a dose-dependent manner. BMEP
could be used as a self-etching primer on enamel and dentine, and the
high degree of polymerization in the presence of hydroxyapatite can
contribute to an increased quality of the resin polymer network,
prompting resistance to gelatinolytic and collagenolytic
degradation.
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Affiliation(s)
- R Alkattan
- Centre for Oral, Clinical and Translational Sciences, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, UK.,Department of Restorative Dental Science, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
| | - G Koller
- Centre for Oral, Clinical and Translational Sciences, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, UK.,Centre for Host Microbiome Interactions, King's College London Dental Institute at Guy's Hospital, King's Health Partners, London, UK.,London Centre for Nanotechnology, London, UK
| | - S Banerji
- Centre for Oral, Clinical and Translational Sciences, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, UK.,Department of Prosthodontics, University of Melbourne, Melbourne, Australia
| | - S Deb
- Centre for Oral, Clinical and Translational Sciences, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, UK
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16
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Mancuso E, Comba A, Mazzitelli C, Maravic T, Josic U, Del Bianco F, Tay FR, Breschi L, Mazzoni A. Bonding to dentin using an experimental zirconium oxynitrate etchant. J Dent 2021; 108:103641. [PMID: 33757864 DOI: 10.1016/j.jdent.2021.103641] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Revised: 03/15/2021] [Accepted: 03/18/2021] [Indexed: 10/21/2022] Open
Abstract
OBJECTIVE To investigate, by means of microtensile bond strength test (μTBS), nanoleakage expression analysis (NL), gelatin zymography and in situ zymography, the effects of an experimental metal salt-based zirconium oxynitrate etchant [ZrO(NO3)2,] - ZON with two simplified adhesives on long-term bond strength and endogenous enzymatic activities. METHODS Middle/deep coronal dentin surfaces (N = 32) were conditioned either with a traditional 37 % H3PO4 etchant (TE) or with ZON. Further, a single-component etch-and-rinse adhesive (EF) or a universal adhesive (AU) were applied and μTBS and NL tests were performed. Additional freshly extracted teeth were processed for gelatin zymography and in situ zymography evaluation. The tests were performed at baseline and (T0) and after 1-year-aging (T12). Bond strength and in situ zymography results were analyzed using analysis of variance (ANOVA) (three-way and one-way, respectively), while Chi-squared test was used for the NL results. Statistical significance was preset at α = 0.05. RESULTS All the investigated factors (adhesive system, dentin conditioner and aging) significantly influenced μTBS, with the AU and ZON performing better compared to EF and TE, respectively, and with lower bond strength values after aging (p < 0.05). Incremented silver nitrate deposits were observed at the adhesive interfaces after aging, especially for the TE groups (p < 0.05). Further, the experimental groups treated with ZON had significantly lower levels of enzymatic activity compared to TE, as shown by gelatin and in situ zymography (p < 0.05). CONCLUSIONS The experimental etchant demonstrated promising results in hybrid-layer preservation over time when used with simplified bonding systems, and could therefore be recommended in the clinical practice.
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Affiliation(s)
- Edoardo Mancuso
- 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
| | - Tatjana Maravic
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna - Alma Mater Studiorum, Via San Vitale 59, 40125, Bologna, Italy
| | - Uros Josic
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna - Alma Mater Studiorum, Via San Vitale 59, 40125, Bologna, Italy
| | - Federico Del Bianco
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna - Alma Mater Studiorum, Via San Vitale 59, 40125, Bologna, Italy
| | - Franklin R Tay
- Department of Endodontics, The Dental College of Georgia, Augusta University, 1430 John Wesley Gilbert Drive, Augusta, GA, 30912, USA
| | - 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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17
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Abuna G, Campos P, Hirashi N, Giannini M, Nikaido T, Tagami J, Coelho Sinhoreti MA, Geraldeli S. The ability of a nanobioglass-doped self-etching adhesive to re-mineralize and bond to artificially demineralized dentin. Dent Mater 2020; 37:120-130. [PMID: 33229040 DOI: 10.1016/j.dental.2020.10.026] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Revised: 06/17/2020] [Accepted: 10/24/2020] [Indexed: 02/03/2023]
Abstract
OBJECTIVE To a self-etch adhesive doped with nano-bioglass and evaluate its ability to bond and re-mineralize artificially demineralized dentin. METHODS Experimental Si, Ca, Na and PO4 based nanobioglass particles were synthesized, doped into experimental self-etch adhesives, and divided into 3 groups: Clearfi SE2 (CSE2), experimental (EXC), and experimental doped with 10% of nanobioglass (ExNB). The adhesives were applied onto the caries-affected dentin (chemically simulated), and evaluated after 24 h and 28 days of immersion in simulated body fluid. The remineralization process was assessed using optical coherence tomography, nanoindentation, in situ zymography, transmission electron microscopy, confocal laser scanning microscopy, μ-tensile bond strength, and pH buffer. RESULTS The addition of nanobioglass particles into the experimental self-etch adhesives altered the μTBS in the short-term jeopardizing dentin bonding properties, when compared to the non-doped self-etch adhesive. The remineralization recovered the nanohardness, and volume lost by caries lesion (p = 0.02). Moreover, reduced the enzymatic activity (p = 1.24E-4) and formed new crystals within of the hybrid layer. CONCLUSION The use of nanobioglass was efficient to recover the properties of a caries affected dentin. Furthermore, the adhesive properties were not hampered and the probabilistic reliability increased.
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Affiliation(s)
- Gabriel Abuna
- Restorative Dentistry Department, Dental Materials Division, Piracicaba Dental School, State University of Campinas, Piracicaba, Sao Paulo, Brazil; Cariology and Operative Dentistry Department, Tokyo Medical and Dental University, Tokyo, Japan; General Dentistry Department, Division of Biomedical Materials, East Carolina University School of Dental Medicine, Greenville, NC, USA.
| | - Paulo Campos
- Restorative Dentistry Department, Dental Materials Division, Piracicaba Dental School, State University of Campinas, Piracicaba, Sao Paulo, Brazil
| | - Noriko Hirashi
- Cariology and Operative Dentistry Department, Tokyo Medical and Dental University, Tokyo, Japan
| | - Marcelo Giannini
- Restorative Dentistry Department, Dental Materials Division, Piracicaba Dental School, State University of Campinas, Piracicaba, Sao Paulo, Brazil
| | - Toru Nikaido
- Department of Operative Dentistry, Division of Oral Funtional Science and Rehabiltation, School of Dentistry, Asahi University, Gifu, Japan
| | - Junji Tagami
- Cariology and Operative Dentistry Department, Tokyo Medical and Dental University, Tokyo, Japan
| | - Mario Alexandre Coelho Sinhoreti
- Restorative Dentistry Department, Dental Materials Division, Piracicaba Dental School, State University of Campinas, Piracicaba, Sao Paulo, Brazil
| | - Saulo Geraldeli
- General Dentistry Department, Division of Biomedical Materials, East Carolina University School of Dental Medicine, Greenville, NC, USA
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18
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Saffarpour A, Valizadeh S, Amini A, Kharazifard MJ, Rohaninasab M. Effect of matrix metalloproteinase inhibitors on microtensile bond strength of dental composite restorations to dentin in use of an etch-and-rinse adhesive system. Clin Exp Dent Res 2020; 6:686-692. [PMID: 32989895 PMCID: PMC7745076 DOI: 10.1002/cre2.313] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Revised: 05/22/2020] [Accepted: 06/20/2020] [Indexed: 11/19/2022] Open
Abstract
Aim This study assesses the effect of matrix metalloproteinases on microtensile bond strength (μTBS) of an etch‐and‐rinse adhesive system. Methods This in vitro study evaluated 88 extracted premolars. The teeth were sectioned to expose dentin and were then randomly divided into four groups (n = 22). In group 1 (control), dentin surface was etched, and Adper Single Bond 2 was applied. In groups 2–4, dentin surface was etched and chlorhexidine (CHX), 1‐ethyl‐3‐(3‐dimethylaminopropyl) carbodiimide (EDC), and dimethyl sulfoxide (DMSO) were applied on the surfaces, respectively, and blotted dry. Next, Adper Single Bond 2 was applied and all teeth were built up with Z350 composite. In each group, half the samples immediately and the other half after 10,000 thermal cycles underwent μTBS test. Data were analyzed using ANOVA and Tukey's test (α = .05). Results In thermocycled samples, maximum μTBS was noted in CHX group followed by DMSO, EDC, and control group (p < .001). The thermocycled μTBS of composite to dentin was significantly higher in CHX group compared with EDC, DMSO, and control groups (p < .001) but was not significantly different in EDC and DMSO groups (p = .498). Conclusion The thermocycled μTBS obtained by the application of CHX, EDC, and DMSO was significantly higher compared with the value to the control group.
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Affiliation(s)
- Aida Saffarpour
- Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.,Department of Operative Dentistry, School of Dentistry, Tehran University of Medical Sciences (International Campus), Tehran, Iran
| | - Sara Valizadeh
- Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.,Restorative Dentistry Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Mohammad-Javd Kharazifard
- Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Marzieh Rohaninasab
- Department of Operative Dentistry, School of Dentistry, Tehran University of Medical Sciences (International Campus), Tehran, Iran
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19
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de Moraes IQS, do Nascimento TG, da Silva AT, de Lira LMSS, Parolia A, Porto ICCDM. Inhibition of matrix metalloproteinases: a troubleshooting for dentin adhesion. Restor Dent Endod 2020; 45:e31. [PMID: 32839712 PMCID: PMC7431940 DOI: 10.5395/rde.2020.45.e31] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2019] [Revised: 02/17/2020] [Accepted: 03/05/2020] [Indexed: 02/07/2023] Open
Abstract
Matrix metalloproteinases (MMPs) are enzymes that can degrade collagen in hybrid layer and reduce the longevity of adhesive restorations. As scientific understanding of the MMPs has advanced, useful strategies focusing on preventing these enzymes' actions by MMP inhibitors have quickly developed in many medical fields. However, in restorative dentistry, it is still not well established. This paper is an overview of the strategies to inhibit MMPs that can achieve a long-lasting material-tooth adhesion. Literature search was performed comprehensively using the electronic databases: PubMed, ScienceDirect and Scopus including articles from May 2007 to December 2019 and the main search terms were “matrix metalloproteinases”, “collagen”, and “dentin” and “hybrid layer”. MMPs typical structure consists of several distinct domains. MMP inhibitors can be divided into 2 main groups: synthetic (synthetic-peptides, non-peptide molecules and compounds, tetracyclines, metallic ions, and others) and natural bioactive inhibitors mainly flavonoids. Selective inhibitors of MMPs promise to be the future for specific targeting of preventing dentin proteolysis. The knowledge about MMPs functionality should be considered to synthesize drugs capable to efficiently and selectively block MMPs chemical routes targeting their inactivation in order to overcome the current limitations of the therapeutic use of MMPs inhibitors, i.e., easy clinical application and long-lasting effect.
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Affiliation(s)
- Izadora Quintela Souza de Moraes
- Laboratory of Pharmaceutical and Food Analysis, Institute of Pharmaceutical Sciences, Federal University of Alagoas, Campus A. C. Simões, Maceió, Alagoas, Brazil
| | - Ticiano Gomes do Nascimento
- Laboratory of Pharmaceutical and Food Analysis, Institute of Pharmaceutical Sciences, Federal University of Alagoas, Campus A. C. Simões, Maceió, Alagoas, Brazil
| | - Antonio Thomás da Silva
- Laboratory of Pharmaceutical and Food Analysis, Institute of Pharmaceutical Sciences, Federal University of Alagoas, Campus A. C. Simões, Maceió, Alagoas, Brazil
| | - Lilian Maria Santos Silva de Lira
- Laboratory of Pharmaceutical and Food Analysis, Institute of Pharmaceutical Sciences, Federal University of Alagoas, Campus A. C. Simões, Maceió, Alagoas, Brazil
| | - Abhishek Parolia
- Division of Clinical Dentistry, School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
| | - Isabel Cristina Celerino de Moraes Porto
- Laboratory of Pharmaceutical and Food Analysis, Institute of Pharmaceutical Sciences, Federal University of Alagoas, Campus A. C. Simões, Maceió, Alagoas, Brazil.,Department of Restorative Dentistry, Faculty of Dentistry, Federal University of Alagoas, Campus A. C. Simões, Maceió, Alagoas, Brazil
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20
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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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21
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Schlomann U, Dorzweiler K, Nuti E, Tuccinardi T, Rossello A, Bartsch JW. Metalloprotease inhibitor profiles of human ADAM8 in vitro and in cell-based assays. Biol Chem 2020; 400:801-810. [PMID: 30738011 DOI: 10.1515/hsz-2018-0396] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2018] [Accepted: 12/19/2018] [Indexed: 12/23/2022]
Abstract
ADAM8 as a membrane-anchored metalloproteinase-disintegrin is upregulated under pathological conditions such as inflammation and cancer. As active sheddase, ADAM8 can cleave several membrane proteins, among them the low-affinity receptor FcεRII CD23. Hydroxamate-based inhibitors are routinely used to define relevant proteinases involved in ectodomain shedding of membrane proteins. However, for ADAM proteinases, common hydroxamates have variable profiles in their inhibition properties, commonly known for ADAM proteinases 9, 10 and 17. Here, we determined the inhibitor profile of human ADAM8 for eight ADAM/MMP inhibitors by in vitro assays using recombinant ADAM8 as well as the in vivo inhibition in cell-based assays using HEK293 cells to monitor the release of soluble CD23 by ADAM8. ADAM8 activity is inhibited by BB94 (Batimastat), GW280264, FC387 and FC143 (two ADAM17 inhibitors), made weaker by GM6001, TAPI2 and BB2516 (Marimastat), while no inhibition was observed for GI254023, an ADAM10 specific inhibitor. Modeling of inhibitor FC143 bound to the catalytic sites of ADAM8 and ADAM17 reveals similar geometries in the pharmacophoric regions of both proteinases, which is different in ADAM10 due to replacement in the S1 position of T300 (ADAM8) and T347 (ADAM17) by V327 (ADAM10). We conclude that ADAM8 inhibitors require maximum selectivity over ADAM17 to achieve specific ADAM8 inhibition.
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Affiliation(s)
- Uwe Schlomann
- Department of Neurosurgery, University of Marburg, Baldingerstrasse, D-35033 Marburg, Germany
| | - Kristina Dorzweiler
- Department of Neurosurgery, University of Marburg, Baldingerstrasse, D-35033 Marburg, Germany
| | - Elisa Nuti
- Department of Pharmacy, University of Pisa, Via Bonanno 6, I-56126 Pisa, Italy
| | - Tiziano Tuccinardi
- Department of Pharmacy, University of Pisa, Via Bonanno 6, I-56126 Pisa, Italy
| | - Armando Rossello
- Department of Pharmacy, University of Pisa, Via Bonanno 6, I-56126 Pisa, Italy
| | - Jörg W Bartsch
- Department of Neurosurgery, University of Marburg, Baldingerstrasse, D-35033 Marburg, Germany
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Khatib MS, Devarasanahalli SV, Aswathanarayana RM, Venkateswara AH, Nadig RR. Microtensile Bond Strength of Composite Resin Following the Use of Bromelain and Papain as Deproteinizing Agents on Etched Dentin: An In Vitro Study. Int J Clin Pediatr Dent 2020; 13:43-47. [PMID: 32581478 PMCID: PMC7299883 DOI: 10.5005/jp-journals-10005-1743] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Aim and objectives The aim of this study was to evaluate and compare the deproteinizing effect of sodium hypochlorite, bromelain, and papain on microtensile bond strength of composite resin to etched dentin. Materials and methods Eighty freshly extracted permanent molars were wet grounded into a flat surface using a diamond disk to expose the superficial dentinal surface. Teeth were etched with 37% phosphoric acid for 15 seconds and rinsed with water and blot dried. Teeth were divided into four groups (n = 20) based on the method of dentin deproteinization. Group I: only etching; group II: deproteinized with 5.25% sodium hypochlorite for 1 minute; group III: deproteinized with 8% bromelain enzyme for 1 minute; and group IV: deproteinized with 8% papain enzyme for 1 minute. All the samples were washed off with distilled water to remove deproteinizing agents. Sample surfaces were blot dried and bonding of the dentin surface was performed and restored with light cure bulk fill composite. Samples were stored in distilled water (37°C/24 hours) and thermocycled. Then, the teeth were longitudinally sectioned and individually fixed to a sectioning block using acrylic resin. The block was mounted on hard tissue microtome and sectioned to get one to three slabs of 1 mm thick sections. The beam was then attached to a custom-made jig using screws subjected to the Instron universal testing machine. A tensile load was applied at a crosshead speed of 0.5 mm/minute until the beam fractured. Results Higher mean bond strength was recorded in group IV followed by group III, group II, and group I, respectively. Group III presented a statistically significant highest mean score compared to other study groups with group I and group II (p < 0.001), followed by group IV having significantly higher mean score compared to group I and group II (p < 0.001) and finally a significant difference was observed between group II and group I (p < 0.001). However, the mean microtensile bond strength score did not differ significantly between group III and group IV (p = 0.20). Conclusion Within the limitations of this present in vitro study, the following conclusions were drawn. The microtensile bond strength of dentine tested in various deproteinizing agents is as follows: 8% bromelain > 8% papain > 5.25% NaOCl > control group. Naturally occurring deproteinizing agents, such as bromelain and papain, used in this study have resulted in greater bond strength values when compared to that of traditionally used chemical agent such as NaOCl. How to cite this article Khatib MS, Devarasanahalli SV, Aswathanarayana RM, et al. Microtensile Bond Strength of Composite Resin Following the Use of Bromelain and Papain as Deproteinizing Agents on Etched Dentin: An In Vitro Study. Int J Clin Pediatr Dent 2020;13(1):43–47.
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Affiliation(s)
- Mohd Sibghatullah Khatib
- Department of Conservative Dentistry and Endodontics, Dayananda Sagar College of Dental Sciences and Hospital, Bengaluru, Karnataka, India
| | - Swapna V Devarasanahalli
- Department of Conservative Dentistry and Endodontics, Dayananda Sagar College of Dental Sciences and Hospital, Bengaluru, Karnataka, India
| | - Ranjini M Aswathanarayana
- Department of Conservative Dentistry and Endodontics, Dayananda Sagar College of Dental Sciences and Hospital, Bengaluru, Karnataka, India
| | - Ashwath H Venkateswara
- Department of Research and Development, The Himalaya Drug Company, Bengaluru, Karnataka, India
| | - Roopa R Nadig
- Department of Conservative Dentistry and Endodontics, Dayananda Sagar College of Dental Sciences and Hospital, Bengaluru, Karnataka, India
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Bond stability of conventional adhesive system with MMP inhibitors to superficial and deep dentin. J Mech Behav Biomed Mater 2019; 100:103402. [DOI: 10.1016/j.jmbbm.2019.103402] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2019] [Revised: 08/13/2019] [Accepted: 08/19/2019] [Indexed: 11/22/2022]
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Nima G, Cavalli V, Bacelar‐Sá R, Ambrosano GMB, Giannini M. Effects of sodium hypochlorite as dentin deproteinizing agent and aging media on bond strength of two conventional adhesives. Microsc Res Tech 2019; 83:186-195. [DOI: 10.1002/jemt.23401] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2019] [Revised: 10/02/2019] [Accepted: 10/17/2019] [Indexed: 11/08/2022]
Affiliation(s)
- Gabriel Nima
- Department of Restorative DentistryPiracicaba Dental School, State University of Campinas Piracicaba São Paulo Brazil
| | - Vanessa Cavalli
- Department of Restorative DentistryPiracicaba Dental School, State University of Campinas Piracicaba São Paulo Brazil
| | - Renata Bacelar‐Sá
- Department of Restorative DentistryPiracicaba Dental School, State University of Campinas Piracicaba São Paulo Brazil
| | - Gláucia M. B. Ambrosano
- Department of Social DentistryPiracicaba Dental School, State University of Campinas Piracicaba São Paulo Brazil
| | - Marcelo Giannini
- Department of Restorative DentistryPiracicaba Dental School, State University of Campinas Piracicaba São Paulo Brazil
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Nascimento GCR, Ribeiro MES, Guerreiro MYR, de Souza Cruz EL, Pinheiro JDJV, Loretto SC. Effect of sodium ascorbate on bond strength and metalloproteinases activity in bleached dentin. Clin Cosmet Investig Dent 2019; 11:259-265. [PMID: 31692502 PMCID: PMC6708398 DOI: 10.2147/ccide.s209278] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2019] [Accepted: 05/23/2019] [Indexed: 11/29/2022] Open
Abstract
Aim This study evaluated the effect of sodium ascorbate (SA) on the proteolytic activity of matrix metalloproteinases (MMPs) and investigated the related effects on the bond strength of bleached dentin. Materials and methods Eighty freshly extracted human third molars were randomly divided according to treatment (bleaching or SA application), type of analysis (microshear or measuring MMP activity), and post-bleaching time to assess bond strength (24 hrs or 30 days). Data from both analyses were subjected to one-way analysis of variance to detect differences among groups, followed by Tukey’s multiple comparison test (p≤0.05). Results Dental bleaching significantly reduced bond strength values when the adhesive strategy was performed after 24 hrs (despite the SA treatment) or 30 days after the bleaching procedure. However, after 30 days, the bond strength values of the groups who received bleaching or SA application were similar to those of the unbleached group. Dental bleaching caused the activation of MMPs, and SA did not influence this activity. Conclusion It was concluded that SA does not affect the activity of MMPs or the bond strength in bleached dentin immediately after the bleaching treatment.
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Affiliation(s)
- Gláucia Cristina Rodrigues Nascimento
- Dental Materials Laboratory of the Postgraduate Program in Dentistry, Institute of Health Sciences, School of Dental, Federal University of Pará, Belém, Pará, Brazil
| | - Mara Eliane Soares Ribeiro
- Dental Materials Laboratory of the Postgraduate Program in Dentistry, Institute of Health Sciences, School of Dental, Federal University of Pará, Belém, Pará, Brazil
| | - Marcella Yasmin Reis Guerreiro
- Dental Materials Laboratory of the Postgraduate Program in Dentistry, Institute of Health Sciences, School of Dental, Federal University of Pará, Belém, Pará, Brazil
| | | | | | - Sandro Cordeiro Loretto
- Dental Materials Laboratory of the Postgraduate Program in Dentistry, Institute of Health Sciences, School of Dental, Federal University of Pará, Belém, Pará, Brazil
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Matrix metalloproteinases and inhibitors in dentistry. Clin Oral Investig 2019; 23:2823-2835. [PMID: 31093743 DOI: 10.1007/s00784-019-02915-y] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2018] [Accepted: 04/24/2019] [Indexed: 12/11/2022]
Abstract
OBJECTIVES Matrix metalloproteinase (MMP) expression has been associated with tissue development, invasive cancer cell behavior, and inflammation. The associations of increased expression of MMPs with diseases have led to intensive research activities to develop MMP inhibitors. Here, the questions are addressed which associations between increased levels of any MMP with dental diseases may be cause or consequence, whether MMP levels may be of diagnostic value and whether and which MMP inhibitors need further investigations for use in dental diseases. METHODS To study the role of MMPs and to discriminate between cause or consequence, the literature about measurements of MMPs and about the use of inhibitory drugs and genetic knockout animal models in dentistry was compared. RESULTS The only FDA-approved treatment with MMP inhibitors is tetracyclines for periodontitis, whereas a diagnostic test for activated MMP-8 in oral fluids is valued in practical periodontology. The MMP literature in dentistry is artificially skewed to the gelatinases MMP-2 and MMP-9 and to enamelysin, alias MMP-20. The basis for this observation is, respectively, the widely used and sensitive technique of gelatin zymography and enamel proteins as substrates of MMP-20. Studies on additional MMPs are gaining interest in dentistry and MMP inhibitors may provide new applications. In addition, drugs with proven effects for the treatment of dental diseases may be found to act through MMP inhibition. CONCLUSION AND RELEVANCE In conclusion, research on MMPs and inhibitors may provide practical applications beyond diagnosis and treatment of periodontitis and will be, directly or indirectly, beneficial for patients with dental or periodontal diseases.
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Malaquias P, Gutierrez MF, Hass V, Stanislawczuk R, Bandeca MC, Arrais C, Farago PV, Reis A, Loguercio AD. Two-year Effects of Chlorhexidine-containing Adhesives on the In Vitro Durability of Resin-dentin Interfaces and Modeling of Drug Release. Oper Dent 2018; 43:201-212. [PMID: 29504885 DOI: 10.2341/16-333-l] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES To evaluate the effects of addition of diacetate chlorhexidine (CHX) at different concentrations into two etch-and-rinse adhesive systems on CHX release, as well as the immediate (IM) and two-year (2-Y) resin-dentin microtensile bond strength (μTBS) and nanoleakage (NL). METHODS CHX was added to XP Bond (XP) and Ambar (AM) at concentrations of 0.0 wt% (control); 0.01 wt%; 0.05 wt%; and 0.1 to 0.2 wt%. To assess the cumulative CHX release, adhesive disks were made in a metallic matrix and after light-curing were stored in water. Ultraviolet spectrophotometric measurements of the storage solution were performed to examine the release kinetics of CHX. For μTBS and NL, the occlusal enamel of molars was removed and the adhesives were applied to the dentin surface after acid etching. After composite resin build-up, specimens were sectioned to obtain μTBS sticks. The specimens were subjected to μTBS and NL at IM and after 2-Y. In addition, specimens underwent examination for CHX using micro-Raman spectroscopy. All data were submitted to statistical analysis (α=0.05). RESULTS With regard to CHX release, AM showed a slower and gradual release of CHX while XP released CHX more quickly ( p<0.05), and CHX was still present in the hybrid layers after 2-Y. Both adhesives showed CHX release at 2-Y water storage. Both CHX-containing adhesives showed higher μTBS values than did the control group ( p<0.05).
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Huang B, Cvitkovitch DG, Santerre JP, Finer Y. Biodegradation of resin–dentin interfaces is dependent on the restorative material, mode of adhesion, esterase or MMP inhibition. Dent Mater 2018; 34:1253-1262. [DOI: 10.1016/j.dental.2018.05.008] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Revised: 04/02/2018] [Accepted: 05/08/2018] [Indexed: 10/16/2022]
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Palasuk J, Windsor LJ, Platt JA, Lvov Y, Geraldeli S, Bottino MC. Doxycycline-loaded nanotube-modified adhesives inhibit MMP in a dose-dependent fashion. Clin Oral Investig 2018; 22:1243-1252. [PMID: 28965247 PMCID: PMC5867196 DOI: 10.1007/s00784-017-2215-y] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2017] [Accepted: 09/20/2017] [Indexed: 10/18/2022]
Abstract
OBJECTIVES This article evaluated the drug loading, release kinetics, and matrix metalloproteinase (MMP) inhibition of doxycycline (DOX) released from DOX-loaded nanotube-modified adhesives. DOX was chosen as the model drug, since it is the only MMP inhibitor approved by the U.S. Food and Drug Administration. MATERIALS AND METHODS Drug loading into the nanotubes was accomplished using DOX solution at distinct concentrations. Increased concentrations of DOX significantly improved the amount of loaded DOX. The modified adhesives were fabricated by incorporating DOX-loaded nanotubes into the adhesive resin of a commercial product. The degree of conversion (DC), Knoop microhardness, DOX release kinetics, antimicrobial, cytocompatibility, and anti-MMP activity of the modified adhesives were investigated. RESULTS Incorporation of DOX-loaded nanotubes did not compromise DC, Knoop microhardness, or cell compatibility. Higher concentrations of DOX led to an increase in DOX release in a concentration-dependent manner from the modified adhesives. DOX released from the modified adhesives did not inhibit the growth of caries-related bacteria, but more importantly, it did inhibit MMP-1 activity. CONCLUSIONS The loading of DOX into the nanotube-modified adhesives did not compromise the physicochemical properties of the adhesives and the released levels of DOX were able to inhibit MMP activity without cytotoxicity. CLINICAL SIGNIFICANCE Doxycycline released from the nanotube-modified adhesives inhibited MMP activity in a concentration-dependent fashion. Therefore, the proposed nanotube-modified adhesive may hold clinical potential as a strategy to preserve resin/dentin bond stability.
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Affiliation(s)
- Jadesada Palasuk
- Department of Restorative Dentistry, Faculty of Dentistry, Naresuan University, Phitsanulok, 65000, Thailand
- Department of Biomedical and Applied Sciences, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA
| | - L Jack Windsor
- Department of Biomedical and Applied Sciences, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA
| | - Jeffrey A Platt
- Department of Biomedical and Applied Sciences, Indiana University School of Dentistry, Indianapolis, IN, 46202, USA
| | - Yuri Lvov
- Institute for Micromanufacturing, Louisiana Tech University, Ruston, LA, 71272, USA
| | - Saulo Geraldeli
- Department of Restorative Dental Sciences, Operative Division, College of Dentistry, University of Florida, Gainesville, FL, 32610, USA
| | - Marco C Bottino
- Department of Cariology, Restorative Sciences, and Endodontics, University of Michigan School of Dentistry, 1011 N. University Avenue, Ann Arbor, MI, 48109, USA.
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Gu L, Mazzoni A, Gou Y, Pucci C, Breschi L, Pashley D, Niu L, Tay F. Zymography of Hybrid Layers Created Using Extrafibrillar Demineralization. J Dent Res 2018; 97:409-415. [PMID: 29294298 DOI: 10.1177/0022034517747264] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Affiliation(s)
- L. Gu
- Department of Operative Dentistry and Endodontics, Guanghua School of Stomatology & Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou, PR China
| | - A. Mazzoni
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna–Alma Mater Studiorum, Bologna, Italy
| | - Y. Gou
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - C. Pucci
- Department of Restorative Dentistry, Institute of Science and Technology, São Paulo State University UNESP São Jose dos Campos, São Paulo, Brazil
| | - L. Breschi
- Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna–Alma Mater Studiorum, Bologna, Italy
| | - D.H. Pashley
- Department of Endodontics, The Dental College of Georgia, Augusta University, Augusta, GA, USA
| | - L. Niu
- State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Key Laboratory of Oral Diseases, Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University, Xi’an, Shaanxi, PR China
| | - F.R. Tay
- Department of Endodontics, The Dental College of Georgia, Augusta University, Augusta, GA, USA
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Vallabhdas AK, Kumar CNV, Kabbinale P, Nayak R, Rajakumari M, Shilpa T. Evaluation of Hybrid Layer and Bonding Interface after Water Storage with and without the Usage of 2% Chlorhexidine: A Scanning Electron Microscope Study. J Contemp Dent Pract 2018; 19:52-59. [PMID: 29358535 DOI: 10.5005/jp-journals-10024-2211] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
AIM Restorative dentists employ different bonding systems between the resin and the dentin and other dentinal tissues to achieve the goal of micromechanical retention. Studies have shown that the bond between composite and dentin degrades over time because of the action of matrix metalloproteinases (MMPs) on collagen fibrils left unprotected by acid etching. The MMPs may be partially responsible for hybrid layer degradation. Since chlorhexidine (CHX) inhibits MMPs, we hypothesized that CHX would decelerate the loss of resin-dentin bonds. Hence, this in vitro study is intended to evaluate the effects of 2% CHX on hybrid layer and bonding interface. MATERIALS AND METHODS Totally, 40 freshly extracted molars were randomly divided into four experimental groups. In all 40 specimens, class II cavities were prepared to a depth of 1 mm below the dentinoenamel junction with no axial wall, but the elimination of the proximal enamel ridge. The teeth were then randomly divided into four experimental groups, i.e., All Bond 2 without 2% CHX (group I), All Bond 2 with 2% CHX (group II), One Coat 7.0 without 2% CHX (group III), and One Coat 7.0 with 2% CHX (group IV). All the specimens were derooted and sectioned mesiodistally into two halves and placed under water at 37°C for 3 months and observed under scanning electron microscope for the hybrid layer and resin tag formation. RESULTS Groups I and II showed statistically significant difference when the presence/absence of resin tags was compared. When groups III and IV were compared for the presence/absence of hybrid layer and resin tags, the results were statistically significant. CONCLUSION Between all the four experimental groups, irrespective of the bonding systems used, we concluded that groups with 2% CHX usage showed promising results with presence/ absence of hybrid layer and resin tags formation. CLINICAL SIGNIFICANCE Studies suggest that the bond between composite and dentin degrades over time because of the action of MMPs on collagen fibrils left unprotected by acid etching. Measures should be taken to prevent this from happening and thus allow bond between composite and dentin last longer.
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Affiliation(s)
- Anand K Vallabhdas
- Department of Conservative Dentistry and Endodontics Subbaiah Institute of Dental Sciences, Shimoga, Karnataka India
| | - C N Vijay Kumar
- Department of Conservative Dentistry and Endodontics Subbaiah Institute of Dental Sciences, Shimoga, Karnataka India, Phone: +919480047110, e-mail:
| | - Pradeep Kabbinale
- Department of Conservative Dentistry and Endodontics Subbaiah Institute of Dental Sciences, Shimoga, Karnataka India
| | - Rajaram Nayak
- Department of Conservative Dentistry and Endodontics, A.J. Institute of Dental Sciences, Mangaluru, Karnataka, India
| | - Manju Rajakumari
- Department of Conservative Dentistry and Endodontics Subbaiah Institute of Dental Sciences, Shimoga, Karnataka India
| | - Thulasidharan Shilpa
- Department of Conservative Dentistry and Endodontics, A.J. Institute of Dental Sciences, Mangaluru, Karnataka, India
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Zenobi W, Feitosa VP, Moura MEM, D’arcangelo C, Rodrigues LKDA, Sauro S. The effect of zoledronate-containing primer on dentin bonding of a universal adhesive. J Mech Behav Biomed Mater 2018; 77:199-204. [DOI: 10.1016/j.jmbbm.2017.09.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2017] [Revised: 09/05/2017] [Accepted: 09/11/2017] [Indexed: 10/18/2022]
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ZnCl 2 Incorporated into Experimental Adhesives: Selected Physicochemical Properties and Resin-Dentin Bonding Stability. BIOMED RESEARCH INTERNATIONAL 2017; 2017:5940479. [PMID: 29270433 PMCID: PMC5706081 DOI: 10.1155/2017/5940479] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/22/2017] [Revised: 08/17/2017] [Accepted: 08/30/2017] [Indexed: 02/03/2023]
Abstract
The aim of this study was to evaluate the degree of conversion (DC%), water sorption (WS), solubility (SO), and resin-dentin bonding stability of experimental adhesive systems containing ZnCl2. Different concentrations (wt.%) of ZnCl2 were added to a model etch-and-rinse adhesive system consisting of BISGMA, HEMA, UDMA, GDMA, water, and ethanol: Zn0 (0%-control group); Zn2 (2%); Zn3.5 (3.5%); and Zn5 (5%). Adper Single Bond 2 (SB) was used as commercial reference. The samples were light cured for 20s using a quartz-tungsten-halogen unit (650 mW/cm2). DC% (n = 5) was measured using FT-IR spectroscopy, and WS and SO (n = 5) were calculated based on ISO4049. Microtensile bond strength (μTBS) and nanoleakage (NL) were measured after 24 h and 12 months of water storage (n = 10). Data were analyzed using ANOVA and Tukey's HSD test (5%). Zn5 presented the lowest DC% and the highest WS and SO (p < 0.05). Zn0 and Zn2 presented statistically similar DC%, WS, SO, and immediate μTBS. All adhesives containing ZnCl2 maintained a μTBS stability after 12 months, but only Zn2 and Zn3.5 did not suffer an increase in NL. SB presented the highest immediate μTBS but the greatest reduction after 12 months (p < 0.05). The addition of 2 wt.% of ZnCl2 in adhesive formulations seems to be a promising way to improve the resin-dentin bonding stability. Higher concentrations than 2 wt.% could impair some physicochemical properties.
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MATOS AB, TREVELIN LT, SILVA BTFD, FRANCISCONI-DOS-RIOS LF, SIRIANI LK, CARDOSO MV. Bonding efficiency and durability: current possibilities. Braz Oral Res 2017; 31:e57. [DOI: 10.1590/1807-3107bor-2017.vol31.0057] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2017] [Accepted: 05/22/2017] [Indexed: 12/15/2022] Open
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Maravic T, Mazzoni A, Comba A, Scotti N, Checchi V, Breschi L. How Stable is Dentin As a Substrate for Bonding? ACTA ACUST UNITED AC 2017. [DOI: 10.1007/s40496-017-0149-8] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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Chenicheri S, R U, Ramachandran R, Thomas V, Wood A. Insight into Oral Biofilm: Primary, Secondary and Residual Caries and Phyto-Challenged Solutions. Open Dent J 2017; 11:312-333. [PMID: 28839480 PMCID: PMC5543615 DOI: 10.2174/1874210601711010312] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2016] [Revised: 02/15/2017] [Accepted: 03/28/2017] [Indexed: 12/12/2022] Open
Abstract
INTRODUCTION Dental caries is known to be one of the most widespread, chronic infections affecting all ages and populations worldwide. The plethora of oral microbial population paves way for various endogenous infections and plays a crucial role in polymicrobial interactions contributing to biofilm-mediated diseases like caries and periodontal diseases. METHODS Extensive literature survey was conducted using the scientific databases like PubMed, Google scholar, Science Direct, etc. using the key words like dental caries, orodental infections, dental microbes, dental biofilm, secondary caries, phytotherapy, etc. The literature was analyzed thoroughly and critical review was performed. RESULTS The risk of development of secondary caries and residual caries further results in treatment failure. Drug resistance developed by oral microbes and further side effects pose serious hurdles in the current therapeutic strategies. The hyperactivities of various MMPs and the resulting massive ECM degradation are the challenging part in the design of effective therapeutic approaches. Anticariogenic phytotherapy is well appreciated owing to lesser side effects and versatility of their action. But appreciable outcomes regarding the phytochemical bioavailability and bioretention are still challenging. Site-specific delivery of phytoagents at the infected site may enhance the efficiency of these drugs. Accordingly emerging phytodentistry can be promising for the management of secondary and residual caries. CONCLUSION This article presents major cariogens and their mechanisms in initiating and aggravating dental caries. Effectiveness of phytotherapy and different mode of action of phytochemicals against cariogens are outlined. The article also raises major concerns and possibilities of phytochemical based therapeutics to be applied in the clinical arena of caries management.
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Affiliation(s)
- Smitha Chenicheri
- Department of Microbiology, Karpagam University, Coimbatore, Tamil Nadu, India.,Microbiology Division, Biogenix Research Center for Molecular Biology and Applied Sciences, Thiruvananthapuram, Kerala, India.,Department of Microbiology, PMS Dental college and Research Center, Thiruvananthapuram, Kerala, India
| | - Usha R
- Department of Microbiology, Karpagam University, Coimbatore, Tamil Nadu, India
| | - Rajesh Ramachandran
- Microbiology Division, Biogenix Research Center for Molecular Biology and Applied Sciences, Thiruvananthapuram, Kerala, India
| | - Vinoy Thomas
- Department of Materials Science & Engineering, Center for Nanoscale Materials and Biointegration (CNMB), University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA
| | - Andrew Wood
- Department of Materials Science & Engineering, Center for Nanoscale Materials and Biointegration (CNMB), University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA
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Lingling J, Qianbing W. [Progress on matrix metalloproteinase inhibitors]. HUA XI KOU QIANG YI XUE ZA ZHI = HUAXI KOUQIANG YIXUE ZAZHI = WEST CHINA JOURNAL OF STOMATOLOGY 2017; 35:208-214. [PMID: 28682555 DOI: 10.7518/hxkq.2017.02.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Continuing advances in dentin bonding technology and adhesives revolutionized bonding of resin-based composite restorations. However, hybrid layers created by contemporary dentin adhesives present imperfect durability, and degradation of collagen matrix by endogenous enzymes is a significant factor causing destruction of hybrid layers. Bond durability can be improved by using enzyme inhibitors to prevent collagen degradation and to preserve integrity of collagen matrix. This review summarizes progress on matrix metalloproteinase inhibitors (including chlorhexidine, ethylenediaminetetraacetic acid, quaternary ammonium salt, tetracycline and its derivatives, hydroxamic acid inhibitors, bisphosphonate derivative, and cross-linking agents) and suggests prospects for these compounds.
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Affiliation(s)
- Jia Lingling
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Dept. of Prosthetics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
| | - Wan Qianbing
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Dept. of Prosthetics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
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Ebrahimi-Chaharom ME, Abed-Kahnamoui M, Bahari M, Hamishehkar H, Gharouni M. Effect of different concentrations of specific inhibitor of matrix metalloproteinases on the shear bond strength of self-adhesive resin cements to dentin. J Clin Exp Dent 2017; 9:e431-e436. [PMID: 28298987 PMCID: PMC5347294 DOI: 10.4317/jced.53486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2016] [Accepted: 10/01/2016] [Indexed: 11/07/2022] Open
Abstract
Background Considering the probability of chemical and enzymatic reactions between matrix metalloproteinases (MMPs) in the dentin structure and their specific inhibitors, the aim of the present study was to evaluate the effect of different concentrations of specific inhibitor of MMPs (galardin) on the shear bond strength of self-adhesive resin cements to dentin. Material and Methods Forty-eight sound human premolars were mounted in self-cured acrylic resin after removal of the enamel on the buccal and lingual surfaces. The dentin surfaces achieved were polished and prepared with 600-grit silicon carbide paper. The samples were divided into 3 groups (n=16) based on the concentration of galardin used (with no galardin, galardin at a high concentration and galardin at a low concentration). In addition, 96 composite resin blocks, measuring 3 mm in height and diameter, were prepared. The composite resin blocks were bonded to the buccal and lingual surface dentin with Rely-X Unicem (RXC) and Speed CEM (SPC) self-adhesive resin cements, respectively, according to manufacturers’ instructions. After 24 hours of storage in distilled water at 37°C, the shear bond strength values were determined in MPa and fracture modes were evaluated under a stereomicroscope. Data were analyzed with two-way ANOVA and post-hoc Bonferroni test (α=0.05). Results The shear bond strength of galardin at high concentration was significantly higher than that in the control group and galardin at a low concentrations (P<0.001). In addition, galardin at a low concentration exhibited higher shear bond strength compared to the control group (P=0.005). Furthermore, higher shear bond strength values were reported with the use of RXC compared to SPC (P<0.001). Conclusions Irrigation with galardin increased the shear bond strength of self-adhesive resin cements to dentin and this increase had a direct relationship with the concentration of galardin in the solution. Key words:N-(2(R)-2-(hydroxamidocarbonylmethyl)-4-methylpentanoyl)-L-tryptophan methylamide, Matrix metalloproteinase inhibitors, Dentin, Extracellular matrix, Luting agents, Dental Bonding.
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Affiliation(s)
- Mohammad-Esmaeel Ebrahimi-Chaharom
- Dental and Periodontal Research Center, Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran; Associate Professor, Department of Operative Dentistry, Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mehdi Abed-Kahnamoui
- Associate Professor, Department of Operative Dentistry, Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mahmoud Bahari
- Dental and Periodontal Research Center, Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran; Assistant Professor, Department of Operative Dentistry, Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Hamed Hamishehkar
- Associate Professor of Pharmaceutical Sciences, Pharmaceutical Technology Laboratory, Drug Applied Research Center, Medical Research AND Development Complex, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mahya Gharouni
- General Practitioner, Department of Operative Dentistry, Dental Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
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Serkies KB, Garcha R, Tam LE, De Souza GM, Finer Y. Matrix metalloproteinase inhibitor modulates esterase-catalyzed degradation of resin–dentin interfaces. Dent Mater 2016; 32:1513-1523. [DOI: 10.1016/j.dental.2016.09.007] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2015] [Revised: 07/11/2016] [Accepted: 09/03/2016] [Indexed: 02/07/2023]
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Mechanisms of degradation of the hybrid layer in adhesive dentistry and therapeutic agents to improve bond durability—A literature review. Dent Mater 2016; 32:e41-53. [DOI: 10.1016/j.dental.2015.11.007] [Citation(s) in RCA: 193] [Impact Index Per Article: 24.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2015] [Revised: 10/19/2015] [Accepted: 11/30/2015] [Indexed: 12/25/2022]
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41
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da Silva EM, de Sá Rodrigues CUF, de Oliveira Matos MP, de Carvalho TR, dos Santos GB, Amaral CM. Experimental etch-and-rinse adhesive systems containing MMP-inhibitors: Physicochemical characterization and resin-dentin bonding stability. J Dent 2015; 43:1491-7. [DOI: 10.1016/j.jdent.2015.10.004] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2015] [Revised: 08/19/2015] [Accepted: 10/05/2015] [Indexed: 01/01/2023] Open
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Abou Neel EA, Bozec L, Perez RA, Kim HW, Knowles JC. Nanotechnology in dentistry: prevention, diagnosis, and therapy. Int J Nanomedicine 2015; 10:6371-94. [PMID: 26504385 PMCID: PMC4605240 DOI: 10.2147/ijn.s86033] [Citation(s) in RCA: 66] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
Nanotechnology has rapidly expanded into all areas of science; it offers significant alternative ways to solve scientific and medical questions and problems. In dentistry, nanotechnology has been exploited in the development of restorative materials with some significant success. This review discusses nanointerfaces that could compromise the longevity of dental restorations, and how nanotechnolgy has been employed to modify them for providing long-term successful restorations. It also focuses on some challenging areas in dentistry, eg, oral biofilm and cancers, and how nanotechnology overcomes these challenges. The recent advances in nanodentistry and innovations in oral health-related diagnostic, preventive, and therapeutic methods required to maintain and obtain perfect oral health, have been discussed. The recent advances in nanotechnology could hold promise in bringing a paradigm shift in dental field. Although there are numerous complex therapies being developed to treat many diseases, their clinical use requires careful consideration of the expense of synthesis and implementation.
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Affiliation(s)
- Ensanya Ali Abou Neel
- Division of Biomaterials, Operative Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
- Biomaterials Department, Faculty of Dentistry, Tanta University, Tanta, Egypt
- UCL Eastman Dental Institute, Biomaterials and Tissue Engineering, London, UK
| | - Laurent Bozec
- UCL Eastman Dental Institute, Biomaterials and Tissue Engineering, London, UK
| | - Roman A Perez
- Institute of Tissue Regenerative Engineering (ITREN), Dankook University, Cheonan, Republic of Korea
- Department of Nanobiomedical Science and BK21 Plus NBM Global Research Center for Regenerative Medicine, Dankook University, Cheonan, Republic of Korea
| | - Hae-Won Kim
- Institute of Tissue Regenerative Engineering (ITREN), Dankook University, Cheonan, Republic of Korea
- Department of Nanobiomedical Science and BK21 Plus NBM Global Research Center for Regenerative Medicine, Dankook University, Cheonan, Republic of Korea
- Department of Biomaterials Science, College of Dentistry, Dankook University, Cheonan, Republic of Korea
| | - Jonathan C Knowles
- UCL Eastman Dental Institute, Biomaterials and Tissue Engineering, London, UK
- Department of Nanobiomedical Science and BK21 Plus NBM Global Research Center for Regenerative Medicine, Dankook University, Cheonan, Republic of Korea
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Pinna R, Maioli M, Eramo S, Mura I, Milia E. Carious affected dentine: its behaviour in adhesive bonding. Aust Dent J 2015; 60:276-93. [DOI: 10.1111/adj.12309] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/14/2015] [Indexed: 01/31/2023]
Affiliation(s)
- R Pinna
- Department of Biomedical Science; University of Sassari; Sassari Italy
| | - M Maioli
- Department of Biomedical Science; University of Sassari; Sassari Italy
- National Institute of Biostructures and Biosystems; Italy
| | - S Eramo
- Department of Surgery and Biomedical Science; University of Perugia; Perugia Italy
| | - I Mura
- Department of Biomedical Science; University of Sassari; Sassari Italy
| | - E Milia
- Department of Biomedical Science; University of Sassari; Sassari Italy
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Influence of phosphoproteins’ biomimetic analogs on remineralization of mineral-depleted resin–dentin interfaces created with ion-releasing resin-based systems. Dent Mater 2015; 31:759-77. [DOI: 10.1016/j.dental.2015.03.013] [Citation(s) in RCA: 63] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2014] [Revised: 12/02/2014] [Accepted: 03/27/2015] [Indexed: 12/11/2022]
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An MMP-inhibitor modified adhesive primer enhances bond durability to carious dentin. Dent Mater 2015; 31:594-602. [DOI: 10.1016/j.dental.2015.03.003] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2014] [Revised: 12/15/2014] [Accepted: 03/05/2015] [Indexed: 10/23/2022]
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Zheng P, Zaruba M, Attin T, Wiegand A. Effect of Different Matrix Metalloproteinase Inhibitors on Microtensile Bond Strength of an Etch-and-Rinse and a Self-etching Adhesive to Dentin. Oper Dent 2015; 40:80-6. [DOI: 10.2341/13-162-l] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Aim
This study aimed to analyze the effect of different matrix metalloproteinase (MMP) inhibitors on the microtensile bond strength (microTBS) of an etch-and-rinse and a self-etching adhesive after 9 months of aging.
Methods and Materials
Flat human dentin surfaces were bonded either with an etch-and-rinse adhesive (Optibond FL) or a self-etching adhesive (Clearfil SE Bond). Dentin surfaces were left untreated or were pretreated with MMP inhibitors (2% chlorhexidine digluconate [CHX], 0.05% green tea extract, 1 mM ferrous sulfate, or 0.2 mM galardin) prior to application of the adhesive. Composite buildups were made incrementally. Pretreated groups were tested after 9 months of storage in artificial saliva (37°C) and compared with untreated groups, which were tested immediately (initial microTBS) and upon aging (9-month microTBS). Data were analyzed by linear mixed-model regression. Failure mode analysis was performed microscopically and statistically analyzed by repeated-measures analysis of variance (p<0.05).
Results
MicroTBS of the etch-and-rinse adhesive but not of the self-etching adhesive was significantly decreased by aging. For Optibond FL, pretreatment with 2% CHX, 0.05% green tea extract, and 0.2 mM galardin revealed bond strength values (MPa) similar to the initial microTBS (32.1±14.8) and significantly higher compared with the microTBS (20.3±13.6) of aged untreated dentin. No significant differences were observed between groups bonded with Clearfil SE Bond (initial microTBS: 28.3±12.4; 9-month microTBS: 25.3±11.8). Application of the MMP inhibitors decreased the number of adhesive failures compared with untreated controls after 9 months of aging, but this effect was not significant.
Conclusion
The MMP inhibitors prevented the decrease in microTBS upon aging of the etch-and-rinse but not of the self-etching adhesive.
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Affiliation(s)
- P Zheng
- Pei Zheng, Medical College, Zhejiang University, Conservative Dentistry and Periodontics, Affiliated Hospital of Stomatology, Zhejiang, China
| | - M Zaruba
- Markus Zaruba, Dr Med Dent, University of Zurich, Preventive Dentistry, Periodontology and Cariology, Zurich, Switzerland
| | - T Attin
- Thomas Attin, Prof Dr Med Dent, Center for Dental Medicine, University of Zurich, Department of Preventive Dentistry, Periodontology and Cariology, Zurich, Switzerland
| | - A Wiegand
- *Annette Wiegand, Prof Dr Med Dent, University of Göttingen, Preventive Dentistry, Periodontology and Cariology, Göttingen, Germany
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Abstract
In dentin bonding, contemporary dental adhesive systems rely on formation of the hybrid layer, a biocomposite containing dentin collagen and polymerized resin adhesive. They are usually able to create at least reasonable integrity of the hybrid layer with high immediate bond strength. However, loss of dentin-bonded interface integrity and bond strength is commonly seen after aging both in vitro and in vivo. This is due to endogenous collagenolytic enzymes, matrix metalloproteinases, and cysteine cathepsins, responsible for the time-dependent loss of hybrid layer collagen. In addition, the hydrophilic nature of adhesive systems creates problems that lead to suboptimal hybrid layers. These problems include, for example, insufficient resin impregnation of dentin, phase separation, and a low rate of polymerization, all of which may reduce the longevity of the bonded interface. Preservation of the collagen matrix integrity by inhibition of endogenous dentin proteases is key to improving dentin bonding durability. Several approaches to retain the integrity of the hybrid layer and to improve the long-term dentin bond strength have been tested. These include the use of enzyme inhibitors, either separately or as incorporated into the adhesive resins; increase of collagen resistance to enzymatic degradation; and elimination of water from the interface to slow down or eliminate hydrolytic loss of the hybrid layer components. This review looks at the principles, current status, and future of the different techniques designed to prevent the loss of hybrid layer and bond strength.
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Sabatini C, Pashley DH. Mechanisms regulating the degradation of dentin matrices by endogenous dentin proteases and their role in dental adhesion. A review. AMERICAN JOURNAL OF DENTISTRY 2014; 27:203-214. [PMID: 25831604 PMCID: PMC4412266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
PURPOSE This systematic review provides an overview of the different mechanisms proposed to regulate the degradation of dentin matrices by host-derived dentin proteases, particularly as it relates to their role in dental adhesion. Significant developments have taken place over the last few years that have contributed to a better understanding of all the factors affecting the durability of adhesive resin restorations. The complexity of dentin-resin interfaces mandates a thorough understanding of all the mechanical, physical and biochemical aspects that play a role in the formation of hybrid layers. The ionic and hydrophilic nature of current dental adhesives yields permeable, unstable hybrid layers susceptible to water sorption, hydrolytic degradation and resin leaching. The hydrolytic activity of host-derived proteases also contributes to the degradation of the resin-dentin bonds. Preservation of the collagen matrix is critical to the improvement of resin-dentin bond durability. Approaches to regulate collagenolytic activity of dentin proteases have been the subject of extensive research in the last few years. A shift has occurred from the use of proteases inhibitors to the use of collagen cross-linking agents. Data provided by 51 studies published in peer-reviewed journals between January 1999 and December 2013 were compiled in this systematic review. RESULTS Appraisal of the data provided by the studies included in the present review yielded a summary of the mechanisms which have already proven to be clinically successful and those which need further investigation before new clinical protocols can be adopted.
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Affiliation(s)
- Camila Sabatini
- Department of Restorative Dentistry, School of Dental Medicine, University at Buffalo, Buffalo, NY, USA
| | - David H. Pashley
- Department of Oral Biology, College of Dental Medicine, Georgia Regents University, Augusta, GA, USA
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Degradation in the fatigue strength of dentin by cutting, etching and adhesive bonding. Dent Mater 2014; 30:1061-72. [PMID: 24985539 DOI: 10.1016/j.dental.2014.06.005] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2013] [Revised: 06/07/2014] [Accepted: 06/09/2014] [Indexed: 11/20/2022]
Abstract
UNLABELLED The processes involved in placing resin composite restorations may degrade the fatigue strength of dentin and increase the likelihood of fractures in restored teeth. OBJECTIVE The objective of this study was to evaluate the relative changes in strength and fatigue behavior of dentin caused by bur preparation, etching and resin bonding procedures using a 3-step system. METHODS Specimens of dentin were prepared from the crowns of unrestored 3rd molars and subjected to either quasi-static or cyclic flexural loading to failure. Four treated groups were prepared including dentin beams subjected to a bur treatment only with a conventional straight-sided bur, or etching treatment only. An additional treated group received both bur and etching treatments, and the last was treated by bur treatment and etching, followed by application of a commercial resin adhesive. The control group consisted of "as sectioned" dentin specimens. RESULTS Under quasi-static loading to failure there was no significant difference between the strength of the control group and treated groups. Dentin beams receiving only etching or bur cutting treatments exhibited fatigue strengths that were significantly lower (p≤0.0001) than the control; there was no significant difference in the fatigue resistance of these two groups. Similarly, the dentin receiving bur and etching treatments exhibited significantly lower (p≤0.0001) fatigue strength than that of the control, regardless of whether an adhesive was applied. SIGNIFICANCE The individual steps involved in the placement of bonded resin composite restorations significantly decrease the fatigue strength of dentin, and application of a bonding agent does not increase the fatigue strength of dentin.
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Dixit N, Settle JK, Ye Q, Berrie CL, Spencer P, Laurence JS. Grafting MAP peptide to dental polymer inhibits MMP-8 activity. J Biomed Mater Res B Appl Biomater 2014; 103:324-31. [PMID: 24889674 DOI: 10.1002/jbm.b.33205] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2013] [Revised: 04/15/2014] [Accepted: 04/29/2014] [Indexed: 11/06/2022]
Abstract
Matrix metalloproteinases (MMPs) are a class of zinc and calcium-dependent endopeptidases responsible for degrading extracellular matrix (ECM) components. Their activity is critical for both normal biological function and pathological processes (Dejonckheere et al., Cytokine Growth Factor Rev 2011;22:73-81). In dental restorations, the release and subsequent acid activation of MMPs contributes to premature failure. In particular, MMP-8 accelerates degradation by cleaving the collagen matrix within the dentin substrate in incompletely infiltrated aged bonded dentin (Buzalaf et al., Adv Dent Res 2012;24:72-76), hastening the need for replacement of restorations. Therefore, development of a dental adhesive that better resists MMP-8 activity is of significant interest. We hypothesize that modification of the polymer surface with an inhibitor would disable MMP-8 activity. Here, we identify the metal abstraction peptide (MAP) as an inhibitor of MMP-8 and demonstrate that tethering MAP to methacrylate polymers effectively inhibits catalysis. Our findings indicate complete inhibition of MMP-8 is achievable using a grafting approach. This strategy has potential to improve longevity of dental adhesives and other polymers and enable rational design of a new generation of biocompatible materials.
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Affiliation(s)
- Namrata Dixit
- Bioengineering Research Center, University of Kansas, Lawrence, Kansas, 66045-7609
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