Department of Biomedical and Surgical Sciences, Odontostomatological University Centre: Chair Prof. Stefano Cianetti, University of Perugia, Perugia, Italy.
Department of Experimental Medicine, Section of Biosciences and Medical Embryology, University of Perugia, Perugia, Italy.
Eur J Paediatr Dent. 2019 Sep;20(3):224-232. doi: 10.23804/ejpd.2019.20.03.11.
Recently, the application of restorative materials containing metacrilate monomers in the conservative and paediatric dentistry has focused on the possible negative effects due to the use of these composites. In particular the release of monomers from reconstructions as a result of an insufficient polymerisation, can spread along the mucosal and dental tissues with potential immunological ed cytotoxic effects. Regarding to the importance of this issue, the aim of this study is to provide a descriptive review of the literature on potential local and systemic interactions of metacrylic and acrylic monomers with the immune system, both in vitro and in vivo.
The most highly used monomers in composite materials applied in conservative dentistry include: 2-hydroessietil- methacrylate (HEMA), triethylene glycol-dimethacrylate (TEGDMA), bisphenol A glycidyl-methacrylate (BisGMA) and urethane- dimethacrylate (UDMA). Different investigations have been performed for better understanding of the potential side effects of metacrylic monomers on immune system cells. Different factors such as cell population, exposure time and parameters more strictly connected to these materials, such as molecular weight, chemical composition and mechanical characteristics, seem to be directly involved in these reactions.
最近,含有甲基丙烯酸盐单体的修复材料在保守和儿科牙科中的应用重点集中在由于使用这些复合材料可能产生的负面影响。特别是由于聚合不充分,单体从重建物中的释放会沿着黏膜和牙齿组织扩散,具有潜在的免疫毒性作用。鉴于这个问题的重要性,本研究旨在对文献进行描述性综述,以了解甲基丙烯酸盐和丙烯酸盐单体在体外和体内与免疫系统的局部和全身相互作用。
在保守牙科中应用的复合材料中最常用的单体包括:2-羟乙基甲基丙烯酸酯(HEMA)、三乙二醇二甲基丙烯酸酯(TEGDMA)、双酚 A 缩水甘油甲基丙烯酸酯(BisGMA)和尿烷二甲基丙烯酸酯(UDMA)。已经进行了不同的研究,以更好地了解甲基丙烯酸盐单体对免疫系统细胞的潜在副作用。不同的因素,如细胞群体、暴露时间以及与这些材料更严格相关的参数,如分子量、化学成分和机械特性,似乎直接参与了这些反应。