Institute of Dentistry, University of Oulu, Oulu, Finland; Oulu University Hospital, Oulu, Finland.
Dent Mater. 2013 Jan;29(1):116-35. doi: 10.1016/j.dental.2012.08.004. Epub 2012 Aug 16.
OBJECTIVES: Contemporary adhesives lose their bond strength to dentin regardless of the bonding system used. This loss relates to the hydrolysis of collagen matrix of the hybrid layers. The preservation of the collagen matrix integrity is a key issue in the attempts to improve the dentin bonding durability. METHODS: Dentin contains collagenolytic enzymes, matrix metalloproteinases (MMPs) and cysteine cathepsins, which are responsible for the hydrolytic degradation of collagen matrix in the bonded interface. RESULTS: The identities, roles and function of collagenolytic enzymes in mineralized dentin has been gathered only within last 15 years, but they have already been demonstrated to have an important role in dental hard tissue pathologies, including the degradation of the hybrid layer. Identifying responsible enzymes facilitates the development of new, more efficient methods to improve the stability of dentin-adhesive bond and durability of bond strength. SIGNIFICANCE: Understanding the nature and role of proteolytic degradation of dentin-adhesive interfaces has improved immensely and has practically grown to a scientific field of its own within only 10 years, holding excellent promise that stable resin-dentin bonds will be routinely available in a daily clinical setting already in a near future.
目的:无论使用何种粘接系统,当代胶粘剂都会失去对牙本质的粘接强度。这种损失与混合层胶原基质的水解有关。保持胶原基质完整性是尝试提高牙本质粘接耐久性的关键问题。
方法:牙本质中含有胶原酶、基质金属蛋白酶(MMPs)和半胱氨酸组织蛋白酶,它们负责在粘接界面处水解降解胶原基质。
结果:在过去的 15 年中,人们才逐渐了解矿化牙本质中胶原酶的特性、作用和功能,但它们已经被证明在牙齿硬组织病理学中具有重要作用,包括混合层的降解。确定负责的酶有助于开发新的、更有效的方法来提高牙本质-胶粘剂结合的稳定性和结合强度的耐久性。
意义:对牙本质-胶粘剂界面的蛋白水解降解的性质和作用的理解在过去 10 年内得到了极大的提高,并已发展成为一个独立的科学领域,有望在不久的将来在日常临床环境中常规使用稳定的树脂-牙本质结合。
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