Wang Yong, Spencer Paulette, Walker Mary P
Department of Oral Biology, University of Missouri-Kansas City School of Dentistry, Kansas City, MO, USA.
J Biomed Mater Res A. 2007 May;81(2):279-86. doi: 10.1002/jbm.a.30981.
In clinical practice, dentists must frequently bond adhesives to caries-affected dentin substrates, but the bond that characteristically forms with these substrates does not provide the durability necessary for long-term clinical function. The purpose of this study was to characterize and compare the interfacial chemistry of adhesive with caries-affected and noncarious dentin using micro-Raman spectroscopy. The results indicated that the differences in the Raman spectra between noncarious and caries-affected dentin could not be accounted for by simple decreased mineralization. Both the structure of collagen and mineral in the caries-affected dentin has been altered by the caries process. The differences in structure and composition not only interfered with acid-etching process but also subsequent resin monomer penetration. It was shown that the interface between the adhesive and caries-affected dentin was wider and more complicated than that of the adhesive and noncarious dentin. As a result of adhesive phase separation, a structurally integrated hybrid layer did not form at the interface with either caries-affected or noncarious dentin. Using chemical imaging techniques, this study provides the direct evidence of adhesive phase separation at the interface with caries-affected dentin. Although our group previously reported adhesive phase separation at the interface with noncarious dentin, the chemistry of caries-affected dentin leads to greater variability and a more highly irregular composition along the length and breadth of the interface.
在临床实践中,牙医必须经常将粘结剂粘结到受龋影响的牙本质基质上,但与这些基质形成的典型粘结不能提供长期临床功能所需的耐久性。本研究的目的是使用显微拉曼光谱法表征和比较粘结剂与受龋影响牙本质和非龋牙本质的界面化学。结果表明,非龋牙本质和受龋影响牙本质的拉曼光谱差异不能简单地用矿化减少来解释。龋病过程改变了受龋影响牙本质中胶原蛋白和矿物质的结构。结构和组成的差异不仅干扰了酸蚀过程,还干扰了随后树脂单体的渗透。结果表明,粘结剂与受龋影响牙本质之间的界面比粘结剂与非龋牙本质之间的界面更宽且更复杂。由于粘结剂相分离,在与受龋影响或非龋牙本质的界面处均未形成结构完整的混合层。本研究使用化学成像技术提供了粘结剂与受龋影响牙本质界面处相分离的直接证据。尽管我们团队之前报道过粘结剂与非龋牙本质界面处的相分离,但受龋影响牙本质的化学性质导致沿界面长度和宽度的变异性更大且组成更不规则。