Department of Conservative Dentistry and Periodontology, University Hospital, LMU Munich Ludwig-Maximilians-University of Munich, Goethestr. 70, 80336 Munich, Germany; Laboratory Becker and Colleagues, Führichstr. 70, 81671 München, Germany.
Thermo Fisher Scientific, Im Steingrund 4-6, 63303 Dreieich, Germany.
Dent Mater. 2020 Apr;36(4):479-490. doi: 10.1016/j.dental.2020.02.008. Epub 2020 Feb 21.
Ethoxylated bisphenol A dimethacrylate (bisEMA) is a base monomer in several dental resin composites. It was the main aim of the present study to determine if bisEMA can reach the dental pulp by generally passive diffusion through the coronal dentinal tubules stimulated via eluent liquids surrounding the root structures only.
In 20 human third molar teeth, standard Class-I occlusal cavities were prepared and provided either with an adhesive system alone or additionally with a composite restoration, according to the instructions of the manufacturer. The teeth were placed in an elution chamber such that the elution media only came into contact with the tooth root/tooth base where they were incubated at 37 °C for up to 7 d. Samples were taken after 1, 2, 4 and 7 d. Gas chromatography/mass spectrometry was used to identify bisEMA and other monomers in ethanol/water (3:1) and aqueous eluates.
bisEMA was only found in ethanol/water eluates, where the teeth had received a composite restoration. Traces of bisEMA with up to three ethylene oxide units could be detected in these eluates. Depending on the dentin thickness, different elution kinetics of bisEMA were determined. Regardless of the treatment of teeth, triethylene glycol dimethacrylate (TEGDMA) and tetraethylene glycol dimethacrylate (TEEGDMA) were found in ethanolic/aqueous eluates in equal amounts. Most TEGDMA and TEEGDMA diffused through the dentin within the first 24 h.
Depending on the dentin layer thickness, bisEMA was released for varied time periods, resulting in varied concentrations and exposure times for the different cells of the dental pulp. The concentrations of TEGDMA and TEEGDMA were greatest for cells of the dental pulp within the first 24 h.
乙氧基化双酚 A 二甲基丙烯酸酯(bisEMA)是几种牙科树脂复合材料的基础单体。本研究的主要目的是确定 bisEMA 是否可以通过仅在根结构周围的洗脱液刺激下通过冠部牙本质小管的一般被动扩散到达牙髓。
在 20 个人类第三磨牙中,按照制造商的说明,制备标准的 I 类咬合腔,并单独使用粘接系统或另外使用复合材料修复体。将牙齿放置在洗脱室中,以使洗脱液仅与牙根部接触,在 37°C 下孵育长达 7 天。在 1、2、4 和 7 d 后取样。气相色谱/质谱联用仪用于鉴定乙醇/水(3:1)和水性洗脱液中的 bisEMA 和其他单体。
仅在牙齿接受复合材料修复的乙醇/水洗脱液中发现 bisEMA。在这些洗脱液中,可以检测到带有多达三个环氧乙烷单元的 bisEMA 痕迹。根据牙本质厚度,确定了不同的 bisEMA 洗脱动力学。无论牙齿如何处理,都可以在乙醇/水性洗脱液中检测到等量的三乙二醇二甲基丙烯酸酯(TEGDMA)和四乙二醇二甲基丙烯酸酯(TEEGDMA)。大多数 TEGDMA 和 TEEGDMA 在最初的 24 小时内通过牙本质扩散。
根据牙本质层厚度,bisEMA 释放时间不同,导致牙髓不同细胞的浓度和暴露时间不同。在最初的 24 小时内,牙髓细胞的 TEGDMA 和 TEEGDMA 浓度最大。