Department of SAU&FAL, University of Bologna, Via Irnerio, 48, 40100 Bologna, Italy.
J Dent Res. 2011 Dec;90(12):1439-45. doi: 10.1177/0022034511423397. Epub 2011 Sep 22.
Recent studies have reported collagen cross-linking after exposure to riboflavin followed by ultraviolet-A (UVA) exposure. This study is the first to investigate the effect of a riboflavin-containing primer on adhesive interface stability and dentinal matrix metalloproteinase activity. Human dentin was etched with 35% phosphoric acid, treated with 0.1% riboflavin, exposed to UVA for 2 min, and bonded with a two-step etch-and-rinse adhesive. Adhesive was applied to control specimens without riboflavin/UVA. Specimens were subjected to microtensile bond strength tests and pulled to failure after storage for 24 hrs, 6 mos, or 1 yr. Interfacial nanoleakage was evaluated by light and transmission electron microscopy. To investigate dentinal matrix metalloproteinase activity, we performed correlative zymographic assays on protein extracts obtained from phosphoric-acid-etched dentin powder with or without riboflavin/UVA treatment and XP Bond. Ultraviolet-activated riboflavin treatment increased the immediate bond strength to dentin at all aging intervals (p < 0.05 vs. control) and decreased interfacial nanoleakage in aged specimens (1 yr; p < 0.05). Zymograms revealed that riboflavin/UVA pre-treatment inhibited dentinal matrix metalloproteinase activity (especially MMP-9). In conclusion, dentinal collagen cross-linking induced by riboflavin/UVA increased immediate bond strength, stabilized the adhesive interface, and inhibited dentin matrix metalloproteinases, thereby increasing the durability of resin-dentin bonds.
最近的研究报告指出,在暴露于核黄素后再暴露于长波紫外线(UVA)会导致胶原交联。本研究首次探讨了含核黄素的底漆对黏附界面稳定性和牙本质基质金属蛋白酶活性的影响。用 35%磷酸酸蚀牙本质,用 0.1%核黄素处理,再用 UVA 照射 2 分钟,然后用两步酸蚀-冲洗黏结剂黏结。对照组不进行核黄素/UVA 处理。将黏结剂涂于对照标本上。标本在储存 24 小时、6 个月或 1 年后进行微拉伸黏结强度测试,并拉至断裂。通过光镜和透射电镜评估界面纳米渗漏。为了研究牙本质基质金属蛋白酶的活性,我们对经磷酸酸蚀的牙本质粉末进行了相关的酶谱分析,这些粉末经或未经核黄素/UVA 处理和 XP 黏结剂处理。紫外激活的核黄素处理在所有老化间隔均增加了即刻黏结强度(与对照组相比,p < 0.05),并减少了老化标本中的界面纳米渗漏(1 年;p < 0.05)。酶谱显示核黄素/UVA 预处理抑制了牙本质基质金属蛋白酶的活性(尤其是 MMP-9)。总之,核黄素/UVA 诱导的牙本质胶原交联增加了即刻黏结强度,稳定了黏附界面,并抑制了牙本质基质金属蛋白酶,从而提高了树脂-牙本质黏结的耐久性。