Chen Zhen, Cao Shansong, Wang Haorong, Li Yanqiu, Kishen Anil, Deng Xuliang, Yang Xiaoping, Wang Yinghui, Cong Changhong, Wang Huajun, Zhang Xu
School of Stomatology, Hospital of Stomatology, Tianjin Medical University, Tianjin, PR China.
Discipline of Endodontics, Faculty of Dentistry, University of Toronto, Toronto, Canada.
PLoS One. 2015 Jan 14;10(1):e0116553. doi: 10.1371/journal.pone.0116553. eCollection 2015.
Currently, it is still a tough task for dentists to remineralize dentine in deep caries. The aim of this study was to remineralize demineralized dentine in a tooth model of deep caries using nanocomplexes of carboxymethyl chitosan/amorphous calcium phosphate (CMC/ACP) based on mimicking the stabilizing effect of dentine matrix protein 1 (DMP1) on ACP in the biomineralization of dentine. The experimental results indicate that CMC can stabilize ACP to form nanocomplexes of CMC/ACP, which is able to be processed into scaffolds by lyophilization. In the single-layer collagen model, ACP nanoparticles are released from scaffolds of CMC/ACP nanocomplexes dissolved and then infiltrate into collagen fibrils via the gap zones (40 nm) to accomplish intrafibrillar mineralization of collagen. With this method, the completely demineralized dentine was partially remineralized in the tooth mode. This is a bottom-up remineralizing strategy based on non-classical crystallization theory. Since nanocomplexes of CMC/ACP show a promising effect of remineralization on demineralized dentine via biomimetic strategy, thereby preserving dentinal tissue to the maximum extent possible, it would be a potential indirect pulp capping (IPC) material for the management of deep caries during vital pulp therapy based on the concept of minimally invasive dentistry (MID).
目前,对于牙医来说,使深龋中的牙本质再矿化仍然是一项艰巨的任务。本研究的目的是基于模拟牙本质基质蛋白1(DMP1)在牙本质生物矿化过程中对无定形磷酸钙(ACP)的稳定作用,使用羧甲基壳聚糖/无定形磷酸钙(CMC/ACP)纳米复合物在深龋牙齿模型中使脱矿牙本质再矿化。实验结果表明,CMC可以稳定ACP形成CMC/ACP纳米复合物,该复合物能够通过冻干加工成支架。在单层胶原蛋白模型中,ACP纳米颗粒从溶解的CMC/ACP纳米复合物支架中释放出来,然后通过间隙区域(40nm)渗入胶原纤维,完成胶原纤维内矿化。通过这种方法,在牙齿模型中,完全脱矿的牙本质被部分再矿化。这是一种基于非经典结晶理论的自下而上的再矿化策略。由于CMC/ACP纳米复合物通过仿生策略对脱矿牙本质显示出有前景的再矿化效果,从而最大程度地保留牙本质组织,基于微创牙科(MID)的概念,它将是牙髓病治疗中用于处理深龋的一种潜在的间接盖髓(IPC)材料。