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Shu C, Chen Y, Zhang Z, Lei Y, Xu J, Lao W, Xi Q, Sun Q, Li X, Liao H, Luo Q, Li X. A polyhexamethylene biguanide-assembly assisted strategy of dentin bonding greatly promotes bonding effects and caries treatment. J Mater Chem B 2023; 11:10908-10922. [PMID: 37934118 DOI: 10.1039/d3tb02083e] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2023]
Abstract
Structural degeneration of a hybrid layer composed of a demineralized dentin matrix (DDM) and adhesive causes unsatisfactory functional outcomes in terms of bonding repair and caries treatment and is accompanied by high prevalence of secondary caries. Clinically, defects in the hybrid layer from insufficient adhesive infiltration, bacterial load from retained infected-dentin, and bacterial attack from the oral cavity are the main threats to degeneration. Currently, there is no strategy to simultaneously address adhesive penetration and bacterial infection. Herein, based on the core role of the strongly-polar hydrated DDM interface in dentin bonding, an interface-reconstructed bonding strategy assisted by electrostatic assembly of broad-spectrum germicidal polyhexamethylene biguanide (PHMB) is proposed that kills two birds with one stone. PHMB is absorbed onto the anionic 3D DDM forming a PHMB/DDM complex. The surface potential of the DDM increases by about 100 mV, the anion content decreases by 20%, and the interface water content decreases by nearly 40%. All of these changes contribute to the penetration of the adhesive, thereby improving the bonding strength and durability. After thermal cycling aging, the bonding strength of the PHMB group was 1.45-1.65 times that of the control group. In terms of antibacterial properties, PHMB treatment not only has a bacterial-killing ability due to the already formed biofilm but also significantly reduces the adhesion of bacteria, thereby delaying the occurrence of secondary caries. In summary, PHMB treatment reconstructed the DDM interface, resulting in a defect-low and inherent antibacterial hybrid layer that improves the bonding effect, treatment of caries and even prevention of secondary caries.
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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 Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Hangzhou 310000, P. R. China.
| | - Yadong Chen
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Hangzhou 310000, P. R. China.
| | - Zhenzhen Zhang
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Hangzhou 310000, P. R. China.
| | - Yuqing Lei
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Hangzhou 310000, P. R. China.
| | - Jiajia Xu
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Hangzhou 310000, P. R. China.
| | - Weiwei Lao
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Hangzhou 310000, P. R. China.
| | - Qingping Xi
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Hangzhou 310000, P. R. China.
| | - Qiang Sun
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Hangzhou 310000, P. R. China.
| | - Xiaojun Li
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Hangzhou 310000, P. R. China.
| | - Hongbing Liao
- Guangxi Key Laboratory of Oral and Maxillofacial Rehabilitation and Reconstruction, College of Stomatology, Guangxi Medical University, Nanning 530021, P. R. China
| | - Qiaojie Luo
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Hangzhou 310000, P. R. China.
| | - Xiaodong Li
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Hangzhou 310000, P. R. China.
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Xu J, Chen Y, Li X, Lei Y, Shu C, Luo Q, Chen L, Li X. Reconstruction of a Demineralized Dentin Matrix via Rapid Deposition of CaF 2 Nanoparticles In Situ Promotes Dentin Bonding. ACS APPLIED MATERIALS & INTERFACES 2021; 13:51775-51789. [PMID: 34693718 DOI: 10.1021/acsami.1c15787] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Dentin bonding based on a wet-bonding technique is the fundamental technique used daily in clinics for tooth-restoration fixation and clinical treatment of tooth-related diseases. Limited bonding durability led by insufficient adhesive infiltration in the demineralized dentin (DD) matrix is the biggest concern in contemporary adhesive dentistry. This study proposes that the highly hydrated noncollagenous protein (NCP)-formed interfacial microenvironment of the DD matrix is the root cause of this problem. Meanwhile, the endogenous phosphate groups of the NCPs are used as pseudonuclei to rapidly induce the formation of amorphous CaF2 nanoparticles in situ in the interfacial microenvironment. The DD matrix is thus reconstructed into a novel porous structure. It markedly facilitates the infiltration of dentin adhesives in the DD matrix and also endows the DD matrix with anticollapsing capability when water evaporates. Whether using a wet-bonding or air-drying mode, the bonding effectiveness is greatly promoted, with the 12 month bonding strength being about twice that of the corresponding control groups. This suggests that the nanoreinforced DD matrix eliminates the dependence of bonding effectiveness on the moisture status of the DD surface controlled only by experiences of dentists. Consequently, this bonding strategy not only greatly improves bonding durability but also overcomes the technical sensitivity of bonding operations of the total-etched bonding pattern. This exhibits the potential to promote dentin bonding and is of great significance to dentistry.
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Affiliation(s)
- Jiajia Xu
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Hangzhou 310006, P. R. China
- Zhejiang Provincial Clinical Research Center for Oral Disease, Hangzhou 310006, P. R. China
- Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou 310006, P. R. China
| | - Yadong Chen
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Hangzhou 310006, P. R. China
- Zhejiang Provincial Clinical Research Center for Oral Disease, Hangzhou 310006, P. R. China
- Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou 310006, P. R. China
| | - Xiaojun Li
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Hangzhou 310006, P. R. China
- Zhejiang Provincial Clinical Research Center for Oral Disease, Hangzhou 310006, P. R. China
- Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou 310006, P. R. China
| | - Yuqing Lei
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Hangzhou 310006, P. R. China
- Zhejiang Provincial Clinical Research Center for Oral Disease, Hangzhou 310006, P. R. China
- Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou 310006, P. R. China
| | - Chang Shu
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Hangzhou 310006, P. R. China
- Zhejiang Provincial Clinical Research Center for Oral Disease, Hangzhou 310006, P. R. China
- Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou 310006, P. R. China
| | - Qiaojie Luo
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Hangzhou 310006, P. R. China
- Zhejiang Provincial Clinical Research Center for Oral Disease, Hangzhou 310006, P. R. China
- Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou 310006, P. R. China
| | - Lili Chen
- Union Hospital, Tongji Medical College, Department of Stomatology, Huazhong University Science & Technology, 1277 Jiefang Ave., Wuhan 430022, Peoples R. China
| | - Xiaodong Li
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Hangzhou 310006, P. R. China
- Zhejiang Provincial Clinical Research Center for Oral Disease, Hangzhou 310006, P. R. China
- Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou 310006, P. R. China
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Mauricio F, Medina J, Vilchez L, Sotomayor O, Muricio-Vilchez C, Mayta-Tovalino F. Effects of Different Light-curing Modes on the Compressive Strengths of Nanohybrid Resin-based Composites: A Comparative In Vitro Study. J Int Soc Prev Community Dent 2021; 11:184-189. [PMID: 34036081 PMCID: PMC8118049 DOI: 10.4103/jispcd.jispcd_423_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Revised: 12/16/2020] [Accepted: 02/09/2020] [Indexed: 11/04/2022] Open
Abstract
Objective To evaluate the effects of polymerization conducted by using LED lamps of different wavelengths (polywave and monowave) on the compressive strengths of nanohybrid composite resins Filtek™ Bulk Fill - 3M and 3M™ Filtek™ Z350 XT. Materials and Methods The study was prospective, experimental in vitro, and comparative. The sample consisted of nanohybrid composite resins. The sample size (n) was 100 specimens, divided into 10 groups. CRIS (Checklist for Reporting In-vitro Studies) Guidelines were used for writing this article. Results There were statistically significant differences between all groups with P < 0.001. Group 2 (nanohybrid composite resin blocks 3M™ Filtek™ Z350 XT with Monowave LED lamps) showed the highest compressive strength of 238.36±34.69N; CI (213.55-263.18) N. This was followed by Group 4 (nanohybrid composite resin blocks 3M™ Filtek™ Z350 XT with Poliwave LED lamps, High Power) and Group 6 (nanohybrid composite resin blocks 3M™ Filtek™ Z350 XT with Poliwave LED lamps, Soft Star), with compressive strengths of 222.33 ± 53.09N, and 209.21 ± 22.52N, respectively. Conclusions Significant differences were found between the compressive strengths of 3M™ Filtek™ Z350 XT and Filtek™ Bulk Fill - 3M resins, and that of resins photopolymerized with monowave and polywave LED lamps and halogen light. Thus, the types of light and lamp directly influence the compressive strengths of the composite resins.
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Affiliation(s)
- Franco Mauricio
- Academic Department, Faculty of Dentistry, Universidad Nacional Federico Villarreal, Lima, Peru
| | - Julia Medina
- Academic Department, Faculty of Dentistry, Universidad Nacional Federico Villarreal, Lima, Peru
| | - Luzmila Vilchez
- Academic Department, Faculty of Dentistry, Universidad Nacional Federico Villarreal, Lima, Peru
| | - Oscar Sotomayor
- Academic Department, Faculty of Dentistry, Universidad Nacional Federico Villarreal, Lima, Peru
| | - César Muricio-Vilchez
- Academic Department, Faculty of Dentistry, Universidad Nacional Federico Villarreal, Lima, Peru
| | - Frank Mayta-Tovalino
- Postgraduate Department, CHANGE Research Working Group, Faculty of Health of Sciences, Universidad Científica del Sur, Lima, Peru
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