Department of Dental Materials, School of Dentistry, University of Granada, Colegio Máximo, Campus de Cartuja, Granada, Spain.
J Endod. 2012 Sep;38(9):1227-32. doi: 10.1016/j.joen.2012.05.011. Epub 2012 Jul 7.
Collagen dentin matrix may represent a suitable scaffold to be remineralized in the presence of bioactive materials. The purpose of this study was to determine if experimental resin cements containing bioactive fillers may modulate matrix metalloproteinase-mediated collagen degradation of etched dentin.
Human dentin beams demineralized using 10% phosphoric acid or 0.5 mol/L EDTA were infiltrated with the following experimental resins: (1) unfilled resin, (2) resin with Bioglass 45S5 particles (Sylc; OSspray Ltd, London, UK), and (3) resin with β-tricalcium phosphate-modified calcium silicate cement (HCAT-β) particles. The filler/resin ratio was 40/60 wt%. The specimens were stored in artificial saliva, and the determination of C-terminal telopeptide (ICTP) was performed by radioimmunoassay after 24 hours, 1 week, and 4 weeks. Scanning electron microscopic analysis of dentin surfaces after 4 weeks of storage was also executed.
Collagen degradation was prominent both in phosphoric acid and EDTA-treated dentin. Resin infiltration strongly reduced the MMP activity in demineralized dentin. Resin-containing Bioglass 45S5 particles exerted higher and more stable protection of collagen at all tested dentin states and time points. HCAT-β induced collagen protection from MMPs only in EDTA-treated specimens. Dentin remineralization was achieved when dentin was infiltrated with the resin cements containing bioactive fillers.
MMP degradation of dentin collagen is strongly reduced in resin-infiltrated dentin. The inclusion of Bioglass 45S5 particles exerted an additional protection of collagen during dentin remineralization.
胶原牙本质基质可能代表一种合适的支架,可以在生物活性材料存在的情况下再矿化。本研究的目的是确定含有生物活性填料的实验性树脂水门汀是否可以调节基质金属蛋白酶介导的蚀刻牙本质的胶原降解。
使用 10%磷酸或 0.5 mol/L EDTA 脱矿的人牙本质梁用以下实验性树脂渗透:(1)未填充树脂,(2)含有 Bioglass 45S5 颗粒(Sylc;OSspray Ltd,伦敦,英国)的树脂,和(3)含有 β-磷酸三钙修饰的硅酸钙水泥(HCAT-β)颗粒的树脂。填充剂/树脂的比例为 40/60wt%。将标本储存在人工唾液中,24 小时、1 周和 4 周后通过放射免疫法测定 C 末端肽(ICTP)。还对储存 4 周后的牙本质表面进行了扫描电子显微镜分析。
在磷酸和 EDTA 处理的牙本质中均出现明显的胶原降解。树脂渗透强烈降低了脱矿牙本质中的 MMP 活性。含有 Bioglass 45S5 颗粒的树脂在所有测试的牙本质状态和时间点都能更好地、更稳定地保护胶原。HCAT-β仅在 EDTA 处理的标本中诱导 MMP 对胶原的保护。当牙本质用含有生物活性填料的树脂水门汀渗透时,牙本质得到再矿化。
在树脂渗透的牙本质中,牙本质胶原的 MMP 降解被强烈抑制。添加 Bioglass 45S5 颗粒在牙本质再矿化过程中对胶原提供了额外的保护。