J Adhes Dent. 2020;22(3):321-330. doi: 10.3290/j.jad.a44555.
To investigate the effects of root-canal dentin pretreatment with the crosslinker EDC combined with chitosan nanoparticles (Csnp) on the bonding quality of fiber posts in root canals in terms of bond strength, nanoleakage, quantification of collagen degradation, and degree of conversion (DC) of adhesive.
Forty-eight single-rooted teeth were prepared endodontically and etched using UNI-ETCH (Bisco) as per the adhesive procedure for fiber posts. They were randomly divided into three groups before adhesive (All-Bond 3) application, according to different pretreatments: a. immersed in 2.5% glutaraldehyde for 24 h; b. treated with Csnp solution under ultrasonic agitation for 60 s and immersed in EDC crosslinker for 24 h; c. without treatment (control). Bond strength, nanoleakage, DC within the interface, and collagen fiber degradation were evaluated.
The pretreatments had a significant influence on the bonding stability of fiber posts in root canals, but not on the degree of conversion (p = 0.552). Enzymatic degradation significantly influenced bond strength for all groups (p = 0.001), with the greatest effect found in group c. The amount of amino acids released from the adhesive interface differed significantly between groups after hydrolysis and enzymatic degradation (p = 0.000); group c released the highest amount of amino acids.
Csnp binding to dentin in combination with EDC reduced degradation of dentinal collagen and improved the stability of the adhesive interface without jeopardizing adhesive polymerization.
研究用交联剂 EDC 预处理根管牙本质结合壳聚糖纳米粒子 (Csnp) 对纤维桩在根管内的粘结质量的影响,从粘结强度、纳米渗漏、胶原降解定量和粘结剂的转化率 (DC) 方面进行评估。
48 颗单根牙进行根管内预备和蚀刻,使用 UNI-ETCH(Bisco)按照纤维桩的粘结程序进行。根据不同的预处理方法,在应用粘结剂 (All-Bond 3) 之前,将其随机分为三组:a. 浸泡在 2.5%戊二醛中 24 小时;b. 在超声波搅拌下用 Csnp 溶液处理 60 秒,然后浸泡在 EDC 交联剂中 24 小时;c. 不处理(对照组)。评估粘结强度、纳米渗漏、界面内的 DC 和胶原纤维降解。
预处理对根管内纤维桩的粘结稳定性有显著影响,但对转化率没有影响 (p = 0.552)。酶降解对所有组的粘结强度都有显著影响 (p = 0.001),其中组 c 的影响最大。水解和酶降解后,从粘结界面释放的氨基酸量在各组之间有显著差异 (p = 0.000);组 c 释放的氨基酸量最高。
Csnp 与 EDC 结合结合到牙本质上可以减少牙本质胶原的降解,提高粘结界面的稳定性,而不会危及粘结剂的聚合。