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没食子酸表没食子儿茶素酯-纳米羟基磷灰石/介孔硅的制备及其对牙本质表面治疗管理的应用

Development of Epigallocatechin-3-gallate-Encapsulated Nanohydroxyapatite/Mesoporous Silica for Therapeutic Management of Dentin Surface.

机构信息

The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory for Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University , Wuhan 430079, China.

出版信息

ACS Appl Mater Interfaces. 2017 Aug 9;9(31):25796-25807. doi: 10.1021/acsami.7b06597. Epub 2017 Jul 28.

Abstract

In dental clinic, unsatisfactory management of the dentin surface after dentin exposure often leads to the occurrence of dentin hypersensitivity and caries. Current approaches can occlude the tubules on the dentin surface to relieve dentin hypersensitivity; however, the blocked tubules are generally weak in combating daily tooth erosion and abrasion. Moreover, cariogenic bacteria, such as Streptococcus mutans, produce biofilm on the dentin surface, causing caries and compromising the tubules' sealing efficacy. To overcome this problem, the present study focused on establishing a versatile biomaterial, epigallocatechin-3-gallate-encapsulated nanohydroxyapatite/mesoporous silica nanoparticle (EGCG@nHAp@MSN), for therapeutic management of the dentin surface. The effectiveness of the biomaterial on dentinal tubule occlusion, including resistances against acid and abrasion, was evaluated by field-emission scanning electron microscopy (FESEM) and dentin permeability measurement. The inhibitory capability of the biomaterial on S. mutans biofilm formation was investigated by confocal laser scanning microscopy (CLSM), 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, colony forming units (CFU) counts, and FESEM. Results demonstrated for the first time that the use of EGCG@nHAp@MSN on the dentin surface was capable of effectively occluding dentinal tubules, reducing dentin permeability, and achieving favorable acid- and abrasion-resistant stability. Furthermore, EGCG@nHAp@MSN held the capability to continuously release EGCG, Ca, and P, and significantly inhibit the formation and growth of S. mutans biofilm on the dentin surface. Thus, the development of EGCG@nHAp@MSN bridges the gap between multifunctional concept and dental clinical practice and is promising in providing dentists a therapeutic strategy for the management of the dentin surface to counter dentin hypersensitivity and caries.

摘要

在牙科诊所中,牙本质暴露后牙本质表面处理不当往往会导致牙本质敏感和龋齿的发生。目前的方法可以封闭牙本质表面的小管来缓解牙本质敏感;然而,被封闭的小管通常在抵抗日常牙齿侵蚀和磨损方面较弱。此外,变形链球菌等致龋细菌会在牙本质表面形成生物膜,导致龋齿,并影响小管的密封效果。为了解决这个问题,本研究专注于开发一种多功能生物材料,即表没食子儿茶素没食子酸酯(EGCG)包封的纳米羟基磷灰石/介孔硅纳米粒子(EGCG@nHAp@MSN),用于牙本质表面的治疗管理。通过场发射扫描电子显微镜(FESEM)和牙本质通透性测量评估了生物材料对牙本质小管封闭的有效性,包括对酸和磨损的抵抗力。通过共聚焦激光扫描显微镜(CLSM)、3-(4,5-二甲基噻唑-2-基)-2,5-二苯基四氮唑溴盐(MTT)测定、菌落形成单位(CFU)计数和 FESEM 研究了生物材料对变形链球菌生物膜形成的抑制能力。结果首次表明,在牙本质表面使用 EGCG@nHAp@MSN 能够有效封闭牙本质小管,降低牙本质通透性,并实现良好的耐酸和耐磨稳定性。此外,EGCG@nHAp@MSN 能够持续释放 EGCG、Ca 和 P,并显著抑制变形链球菌生物膜在牙本质表面的形成和生长。因此,EGCG@nHAp@MSN 的开发弥合了多功能概念与牙科临床实践之间的差距,有望为牙医提供一种治疗牙本质表面的策略,以对抗牙本质敏感和龋齿。

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