Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna - Alma Mater Studiorum, Bologna, Italy.
Private practice, Imperia, Italy.
Dent Mater. 2018 Feb;34(2):288-295. doi: 10.1016/j.dental.2017.11.009. Epub 2017 Nov 24.
OBJECTIVE: The objectives of the study were to evaluate the ability of a 1-ethyl-3 (3-dimethylaminopropyl) carbodiimide (EDC)-containing primer to improve immediate bond strength of either self-etch or etch-and-rinse adhesive systems and to stabilize the adhesive interfaces over time. A further objective was to investigate the effect of EDC on the dentinal MMPs activity using zymographic analysis. METHODS: Freshly extracted molars (n=80, 20 for each group) were selected to conduct microtensile bond strength tests. The following groups were tested, immediately or after 1-year aging in artificial saliva: G1: Clearfil SE (CSE) primer applied on unetched dentin, pretreated with 0.3M EDC water-solution for 1min and bonded with CSE Bond; G2: as G1 but without EDC pre-treatment; G3: acid-etched (35% phosphoric-acid for 15s) dentin pretreated with 0.3M EDC, then bonded with XP Bond (XPB); Group 4 (G4): as G3 without EDC pre-treatment. Further, gelatinase activity in dentin powder treated with CSE and XPB with and without EDC pre-treatment, was analyzed using gelatin zymography. RESULTS: The use of 0.3M EDC-containing conditioner did not affect the immediate bond strength of XPB or CSE adhesive systems (p>0.05), while it improved the bond strength after 1year of aging (p<0.05). Pre-treatment with EDC followed by the application of CSE resulted in an incomplete MMPs inactivation, while EDC pretreatment followed by the application of XPB resulted in an almost complete inactivation of dentinal gelatinases. SIGNIFICANCE: The μTBS and zymography results support the efficacy of EDC over time and reveal that changes within the dentin matrix promoted by EDC are not adhesive-system-dependent.
目的:本研究的目的是评估含有 1-乙基-3(3-二甲基氨基丙基)碳化二亚胺(EDC)的底涂剂提高自酸蚀或酸蚀-冲洗型黏接剂即刻黏接强度的能力,并观察其在一段时间内对黏接界面的稳定性。进一步的目的是使用酶谱分析研究 EDC 对牙本质基质金属蛋白酶(MMPs)活性的影响。
方法:选择新鲜拔出的磨牙(n=80,每组 20 个)进行微拉伸黏接强度测试。测试以下各组,即刻测试或在人工唾液中老化 1 年后测试:G1:在未处理牙本质上应用 Clearfil SE(CSE)底涂剂,用 0.3M EDC 水溶液预处理 1min,并用 CSE Bond 黏接;G2:同 G1,但无 EDC 预处理;G3:酸蚀(35%磷酸酸蚀 15s)牙本质,用 0.3M EDC 预处理,然后用 XP Bond(XPB)黏接;G4:同 G3,但无 EDC 预处理。进一步,使用凝胶电泳分析牙本质粉末中经 CSE 和 XPB 处理及 EDC 预处理的明胶酶活性。
结果:使用含 0.3M EDC 的处理剂不会影响 XPB 或 CSE 黏接系统的即刻黏接强度(p>0.05),但会提高 1 年后的黏接强度(p<0.05)。EDC 预处理后应用 CSE 导致 MMPs 不完全失活,而 EDC 预处理后应用 XPB 则导致牙本质明胶酶几乎完全失活。
意义:微拉伸黏接强度和酶谱结果支持 EDC 在一段时间内的效果,并表明 EDC 引起的牙本质基质内的变化不依赖于黏接系统。
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