Biomaterials & Tissue Engineering Division, Department of Endodontics, Prosthodontics and Operative Dentistry, University of Maryland School of Dentistry, Baltimore, MD 21201, USA.
J Dent Res. 2012 Oct;91(10):979-84. doi: 10.1177/0022034512458288. Epub 2012 Aug 29.
Secondary caries remains the main problem limiting the longevity of composite restorations. The objective of this study was to investigate the remineralization of demineralized human enamel in vitro via a nanocomposite containing nanoparticles of amorphous calcium phosphate (NACP). NACP were synthesized by a spray-drying technique and incorporated into a dental resin. First, caries-like subsurface enamel lesions were created via an acidic solution. Then, NACP nanocomposite or a commercial fluoride-releasing control composite was placed on the demineralized enamel, along with control enamel without a composite. These specimens were then treated with a cyclic demineralization/remineralization regimen for 30 days. Quantitative microradiography showed typical enamel subsurface demineralization before cyclic demineralization/remineralization treatment, and significant remineralization in enamel under the NACP nanocomposite after the demineralization/remineralization treatment. The NACP nanocomposite had the highest enamel remineralization (mean ± SD; n = 6) of 21.8 ± 3.7%, significantly higher than the 5.7 ± 6.9% for fluoride-releasing composite (p < 0.05). The enamel group without composite had further demineralization of -26.1 ± 16.2%. In conclusion, a novel NACP nanocomposite was effective in remineralizing enamel lesions in vitro. Its enamel remineralization was 4-fold that of a fluoride-releasing composite control. Combined with the good mechanical and acid-neutralization properties reported earlier, the new NACP nanocomposite is promising for remineralization of demineralized tooth structures.
继发龋仍然是限制复合树脂修复体寿命的主要问题。本研究的目的是通过含有无定形磷酸钙纳米颗粒(NACP)的纳米复合材料来研究脱矿人牙釉质的再矿化。通过喷雾干燥技术合成 NACP 并将其掺入牙科树脂中。首先,通过酸性溶液在牙釉质表面制造类似龋损的亚表面脱矿病灶。然后,将 NACP 纳米复合材料或市售含氟释放对照复合材料放置在脱矿牙釉质上,同时将对照牙釉质不放置复合材料。这些标本随后用循环脱矿/再矿化方案处理 30 天。定量显微射线照相术显示在循环脱矿/再矿化处理之前典型的牙釉质亚表面脱矿,并且在脱矿/再矿化处理后 NACP 纳米复合材料下的牙釉质有明显的再矿化。NACP 纳米复合材料的牙釉质再矿化率最高(平均值±标准差;n = 6)为 21.8 ± 3.7%,明显高于含氟释放复合材料的 5.7 ± 6.9%(p < 0.05)。无复合材料的牙釉质组进一步脱矿为-26.1 ± 16.2%。总之,新型 NACP 纳米复合材料在体外有效再矿化牙釉质病变。其牙釉质再矿化率是含氟释放对照复合材料的 4 倍。结合早期报道的良好机械性能和酸中和性能,新型 NACP 纳米复合材料有望用于脱矿牙体结构的再矿化。