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一种含有丁香酚衍生物的树脂复合材料,用于根管内桩核修复。

A resin composite material containing an eugenol derivative for intracanal post cementation and core build-up restoration.

机构信息

Division of Tissue Engineering & Biophotonics, King's College London Dental Institute, London, UK.

Department of Conservative Dentistry, King's College London Dental Institute, London, UK.

出版信息

Dent Mater. 2016 Feb;32(2):149-60. doi: 10.1016/j.dental.2015.11.030. Epub 2016 Jan 5.

Abstract

OBJECTIVES

To formulate and evaluate new dual cured resin composite based on the inclusion of eugenyl methacrylate monomer (EgMA) with Bis-GMA/TEGDMA resin systems for intracanal post cementation and core build-up restoration of endodontically treated teeth.

METHODS

EgMA was synthesized and incorporated at 5% (BTEg5) or 10% (BTEg10) into dual-cure formulations. Curing properties, viscosity, Tg, radiopacity, static and dynamic mechanical properties of the composites were determined and compared with Clearfil™DC Core-Plus, a commercial dual-cure, two-component composite. Statistical analysis of the data was performed with ANOVA and the Tukey's post-hoc test.

RESULTS

The experimental composites were successfully prepared, which exhibited excellent curing depths of 4.9, 4.7 and 4.2 mm for BTEg0, BTEg5 and BTEg10 respectively, which were significantly higher than Clearfil™DC. However, the inclusion of EgMA initially led to a lower degree of cure, which increased when measured at 24 h with values comparable to formulations without EgMA, indicating post-curing. The inclusion of EgMA also lowered the polymerization exotherm thereby reducing the potential of thermal damage to host tissue. Both thermal and viscoelastic analyses confirmed the ability of the monomer to reduce the stiffness of the composites by forming a branched network. The compressive strength of BTEg5 was significantly higher than the control whilst flexural strength increased significantly from 95.9 to 114.8 MPa (BTEg5) and 121.9 MPa (BTEg10). Radiopacity of the composites was equivalent to ∼3 mm Al allowing efficient diagnosis.

SIGNIFICANCE

The incorporation of EgMA within polymerizable formulations provides a novel approach to prepare reinforced resin composite material for intracanal post cementation and core build-up and the potential to impart antibacterial properties of eugenol to endodontic restorations.

摘要

目的

通过在 Bis-GMA/TEGDMA 树脂系统中加入丁香基甲基丙烯酸酯单体(EgMA),制备并评估新型双重固化树脂复合材料,用于根管内桩核修复和牙髓治疗后的牙齿核修复。

方法

合成 EgMA 并将其以 5%(BTEg5)或 10%(BTEg10)的比例掺入双重固化配方中。对复合材料的固化性能、粘度、Tg、射线不透性、静态和动态力学性能进行了测定,并与商业双重固化双组分复合材料 Clearfil™DC Core-Plus 进行了比较。对数据进行方差分析和 Tukey 事后检验。

结果

成功制备了实验性复合材料,它们的固化深度分别为 4.9、4.7 和 4.2mm,明显高于 Clearfil™DC。然而,EgMA 的加入最初导致固化程度降低,但在 24 小时测量时增加,与不含 EgMA 的配方相当,表明存在后固化。EgMA 的加入还降低了聚合放热,从而降低了对宿主组织热损伤的潜在风险。热分析和粘弹性分析均证实,该单体能够通过形成支化网络降低复合材料的刚性。BTEg5 的抗压强度明显高于对照组,而弯曲强度从 95.9MPa 显著增加到 114.8MPa(BTEg5)和 121.9MPa(BTEg10)。复合材料的射线不透性相当于约 3mm Al,便于有效诊断。

意义

将 EgMA 掺入可聚合配方中为制备用于根管内桩核修复和核修复的增强型树脂复合材料提供了一种新方法,并有可能赋予牙髓修复体丁香酚的抗菌性能。

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