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核黄素作为牙本质交联剂:紫外线 A 与蓝光。

Riboflavin as a dentin crosslinking agent: ultraviolet A versus blue light.

机构信息

Discipline of Oral Sciences, Faculty of Dentistry, National University of Singapore, Singapore 119083, Republic of Singapore.

出版信息

Dent Mater. 2012 Dec;28(12):1284-91. doi: 10.1016/j.dental.2012.09.009. Epub 2012 Sep 29.

Abstract

OBJECTIVES

To investigate the effect of photo-activation of riboflavin either by ultraviolet (UVA) or visible blue light (BL) on the biodegradation resistance, strength of demineralized dentin matrix, bond strength to dentin and resin/dentin interface morphology.

METHODS

Dentin beams were demineralized, treated with 0.1% or 1% riboflavin solution for 5min and photo-activated with UVA or BL for 20s. The ultimate tensile strength (UTS) and hydroxyproline (HYP) release were assessed after 24h collagenase challenge. For micro-tensile bond strength (μTBS) testing and resin/dentin interface morphology investigation, dentin was acid-etched, crosslinked with riboflavin and bonded with an etch-and-rinse adhesive system. Riboflavin was photo-activated separately with UVA or BL followed by photo-polymerization of the bonding resin with BL (two-step) or both riboflavin photo-activation and bonding resin photo-polymerization were done in one-step using BL.

RESULTS

Significant improvement in the UTS and biodegradation resistance against collagenase challenge was found when riboflavin was photo-activated either with UVA or BL. However, UVA showed more significant improvement compared to BL. After 4months of water-storage, both UV and BL two-step photo-activation methods significantly preserved higher values of the μTBS compared to the non-crosslinked control group, where UVA showed significantly higher μTBS than BL.

SIGNIFICANCE

Although UVA most effectively activated riboflavin, visible blue light showed to be a promising substitute for UVA as it is clinically more applicable and acceptable, and still managed to increase the biodegradation resistance, enhance the mechanical properties of dentin collagen and improve and maintain the bond strength and interface integrity after short-term water storage.

摘要

目的

研究核黄素经紫外线(UVA)或可见光蓝光(BL)光激活对脱矿牙本质基质的生物降解抗性、强度、与牙本质的粘结强度以及树脂/牙本质界面形态的影响。

方法

牙本质梁脱矿后,用 0.1%或 1%核黄素溶液处理 5min,然后用 UVA 或 BL 光激活 20s。胶原酶挑战 24h 后评估极限拉伸强度(UTS)和羟脯氨酸(HYP)释放。为了进行微拉伸粘结强度(μTBS)测试和树脂/牙本质界面形态研究,酸蚀牙本质,用核黄素交联,并用自酸蚀粘结系统粘结。核黄素分别用 UVA 或 BL 光激活,然后用 BL 进行粘结树脂的光聚合(两步法),或者在一步中同时进行核黄素光激活和粘结树脂光聚合(一步法)。

结果

发现核黄素经 UVA 或 BL 光激活均可显著提高 UTS 和胶原酶挑战下的生物降解抗性。然而,UVA 比 BL 显示出更显著的改善。水储存 4 个月后,与非交联对照组相比,两种 UV 和 BL 两步法光激活方法均显著保持了更高的 μTBS 值,其中 UVA 显示的 μTBS 明显高于 BL。

意义

虽然 UVA 最有效地激活了核黄素,但可见光蓝光显示出是 UVA 的有前途的替代品,因为它在临床上更适用和更易接受,并且仍然能够提高生物降解抗性、增强牙本质胶原的机械性能,并在短期水储存后改善和保持粘结强度和界面完整性。

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