Oliveira Bmb, Ulbaldini Alm, Sato F, Baesso M L, Bento A C, Andrade Lhc, Lima S M, Pascotto R C
Oper Dent. 2017 Jul/Aug;42(4):357-366. doi: 10.2341/16-062-L. Epub 2017 Feb 3.
The purpose of this study was to evaluate the chemical bonds of a self-etch 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) adhesive to natural noncarious cervical lesions (NCCLs) and compare them with those occurring in sclerotic dentin in artificially prepared defects (APDs). Four human teeth with natural NCCLs on the buccal surface were selected. Artificial defects matching the natural lesions were prepared on the lingual surface of the same teeth serving as control. Micro-Raman (MR) spectroscopy was used to quantify mineral content in natural NCCLs and in APDs. Fourier transform infrared-photoacoustic spectroscopy (FTIR-PAS) readouts were taken before and after adhesive application to analyze the protein matrix/mineral (M:M) ratio and chemical interactions between 10-MDP adhesive and dentin. The MR and FTIR-PAS spectra collected from natural NCCLs demonstrated a larger area of the band (961 cm, PO) and lower M:M ratio, respectively, characterizing a hypermineralized dentin, compared with APDs. FTIR-PAS demonstrated emergence of a peak (1179 cm, P=O) in spectra after adhesive treatment, demonstrating a more intense chemical interaction in natural NCCLs. The results demonstrated that chemical bonding of 10-MDP adhesive to natural NCCLs is more intense, due to the hypermineralized surface, and suggest that it is unnecessary to remove the hypermineralized layer with burs, as this may decrease the chemical bonding potential of 10-MDP.
本研究的目的是评估自酸蚀10-甲基丙烯酰氧基癸基磷酸二氢酯(10-MDP)粘结剂与天然非龋性颈部病变(NCCLs)之间的化学键,并将其与人工制备缺损(APDs)中的硬化牙本质中的化学键进行比较。选择了4颗颊面有天然NCCLs的人牙。在同一颗牙的舌面制备与天然病变相匹配的人工缺损作为对照。使用显微拉曼(MR)光谱法对天然NCCLs和APDs中的矿物质含量进行定量。在应用粘结剂前后进行傅里叶变换红外光声光谱(FTIR-PAS)读数,以分析蛋白质基质/矿物质(M:M)比率以及10-MDP粘结剂与牙本质之间的化学相互作用。与APDs相比,从天然NCCLs收集的MR和FTIR-PAS光谱分别显示出更大的谱带面积(961 cm,PO)和更低的M:M比率,这表明是一种过度矿化的牙本质。FTIR-PAS显示粘结剂处理后光谱中出现一个峰(1179 cm,P=O),表明天然NCCLs中的化学相互作用更强。结果表明,由于表面过度矿化,10-MDP粘结剂与天然NCCLs之间的化学键更强,并表明无需用牙钻去除过度矿化层,因为这可能会降低10-MDP的化学键合潜力。