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新型硅烷功能化 BisGMA 为牙科胶粘剂提供了无需浸出的自主增强。

New silyl-functionalized BisGMA provides autonomous strengthening without leaching for dental adhesives.

机构信息

University of Kansas, Institute for Bioengineering Research, 1530 W. 15th Street, Lawrence, KS 66045-7609, USA.

University of Kansas, Institute for Bioengineering Research, 1530 W. 15th Street, Lawrence, KS 66045-7609, USA.

出版信息

Acta Biomater. 2019 Jan 1;83:130-139. doi: 10.1016/j.actbio.2018.10.033. Epub 2018 Oct 24.

Abstract

Resin-based composite has overtaken dental amalgam as the most popular material for direct restorative dentistry. In spite of this popularity the clinical lifetime of composite restorations is threatened by recurrent decay. Degradation of the adhesive leads to gaps at the composite/tooth interface-bacteria, bacterial by-products and fluids infiltrate the gaps leading to recurrent decay and composite restoration failure. The durability of resin-dentin bonds is a major problem. We address this problem by synthesizing silyl-functionalized BisGMA (e.g., silyl-BisGMA), formulating dental adhesives with the new monomer and determining the physicochemical properties and leaching characteristics of the silyl-BisGMA adhesives. Silyl-BisGMA was synthesized by stoichiometric amounts of BisGMA and 3-isocyanatopropyl trimethoxysilane (IPTMS). The control adhesive was a mixture based on HEMA/BisGMA (45/55, w/w). In the experimental formulations, BisGMA was partially or completely replaced by silyl-BisGMA. Water miscibility, polymerization behavior (Fourier transform infrared spectroscopy, FTIR), thermal property (modulated differential scanning calorimetry, MDSC), mechanical properties in dry and wet conditions (dynamic mechanical analysis, DMA), and leached species (HPLC) were investigated. Data from all tests were submitted to appropriate statistical analysis (α = 0.05). Silyl-BisGMA-containing adhesives exhibited comparable water miscibility, lower viscosities, and significantly improved degree of conversion of CC bond as compared to the control. After 4 weeks aqueous aging, the glass transition temperature and rubbery moduli of the experimental copolymers were significantly greater than the control (p < 0.05). HPLC results indicated a substantial reduction of leached HEMA (up to 99 wt%) and BisGMA (up to 90 wt%). By introducing silyl-functional group, the new BisGMA derivative exhibited potential as a monomer that can lead to dental adhesives with improved mechanical properties and reduced leaching under conditions relevant to the oral environment. STATEMENT OF SIGNIFICANCE: The low-viscosity adhesive that bonds the composite to the tooth (enamel and dentin) is intended to seal and stabilize the composite/tooth interface, but it degrades leading to a breach at the composite/tooth margin. As the most popular crosslinking monomer in adhesives, Bisphenol A-glycerolate dimethacrylate (BisGMA) has limitations, e.g. susceptible to hydrolysis and concomitant property degradation. A methoxysilyl-functionalized BisGMA derivative (silyl-BisGMA) was introduced in this work to respond to these limitations. Our results indicated that by introducing silyl-BisGMA, higher crosslinked networks were obtained without sacrificing the homogeneity, and the leached amount of HEMA was reduced up to 99%. This novel resin offers potential benefits including prolonging the functional lifetime of dental resin materials.

摘要

树脂基复合材料已经超过了牙科汞合金,成为最受欢迎的直接修复牙科材料。尽管如此,复合材料修复体的临床寿命仍受到复发性龋的威胁。黏结剂的降解会导致复合材料/牙齿界面出现缝隙——细菌、细菌副产物和液体渗透到缝隙中,导致复发性龋和复合材料修复体失败。树脂-牙本质黏结的耐久性是一个主要问题。我们通过合成硅烷功能化 BisGMA(例如,硅烷-BisGMA)来解决这个问题,用新单体配制牙科黏结剂,并确定硅烷-BisGMA 黏结剂的物理化学性质和浸出特性。硅烷-BisGMA 通过 BisGMA 和 3-异氰酸丙基三甲氧基硅烷(IPTMS)的化学计量比合成。对照黏结剂是基于 HEMA/BisGMA(45/55,w/w)的混合物。在实验配方中,BisGMA 部分或完全被硅烷-BisGMA 取代。研究了水混溶性、聚合行为(傅里叶变换红外光谱,FTIR)、热性能(调制差示扫描量热法,MDSC)、干湿条件下的机械性能(动态机械分析,DMA)和浸出物质(HPLC)。所有测试的数据都提交给了适当的统计分析(α=0.05)。与对照相比,含有硅烷-BisGMA 的黏结剂表现出相当的水混溶性、较低的黏度和显著提高的 CC 键转化率。经过 4 周的水性老化后,实验共聚物的玻璃化转变温度和橡胶态模量明显高于对照(p<0.05)。HPLC 结果表明,浸出的 HEMA(高达 99wt%)和 BisGMA(高达 90wt%)显著减少。通过引入硅烷官能团,这种新型 BisGMA 衍生物有望成为一种单体,可用于制备具有改善的机械性能和减少在口腔环境相关条件下浸出的牙科黏结剂。意义陈述:将复合材料与牙齿(牙釉质和牙本质)黏合的低黏度黏结剂旨在密封和稳定复合材料/牙齿界面,但它会降解,导致复合材料/牙齿边缘出现裂缝。双酚 A-甘油二甲基丙烯酸酯(BisGMA)作为最常用的交联单体,存在易水解和性能降解等局限性。本工作中引入了一种甲氧基硅烷基功能化的 BisGMA 衍生物(硅烷-BisGMA),以应对这些局限性。我们的结果表明,通过引入硅烷-BisGMA,在不牺牲均匀性的情况下,可以获得更高交联的网络,并且浸出的 HEMA 量减少了 99%。这种新型树脂具有潜在的优势,包括延长牙科树脂材料的功能寿命。

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