Dental Biomedical Sciences Ph.D. Program, University of Maryland School of Dentistry, Baltimore, MD 21201, USA; Dental Materials Department, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
Dental Biomedical Sciences Ph.D. Program, University of Maryland School of Dentistry, Baltimore, MD 21201, USA; Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Acta Biomater. 2021 Oct 15;134:337-347. doi: 10.1016/j.actbio.2021.07.031. Epub 2021 Jul 21.
The limited durability of dentin bonding harshly shortens the lifespan of resin composites restorations. The controlled, dynamic movement of materials through non-contacting forces provides exciting opportunities in adhesive dentistry. We, herein, describe comprehensive investigations of a new dental adhesive with superparamagnetic iron oxide nanoparticles (SPIONs) sensitive to magnetic fields for bonding optimization. This contribution outlines a roadmap of (1) designing and tuning of an adhesive formulation containing SPIONs to enhance penetrability into etched dentin guided by magnetic-field; (2) employing a clinically relevant model of simulated hydrostatic pulpal pressure on the microtensile bond to dentin; and (3) investigating a potential antibacterial effect of the formulated adhesives, and their biocompatibility. SPION-concentration-dependency chemical and mechanical behavior was shown via the degree of conversion, ultimate tensile strength, and micro shear bond strength to dentin. The effects of SPIONs carried on a dental adhesive on the bonding strength to dentin are studied in depth by combining experiments with in vitro simulated model. The results show that under the guided magnetic field, 0.07 wt.% of SPIONs-doped adhesive increased the bond strength that surpasses the reduction caused by hydrostatic pulpal pressure. Using a magnetic guide workflow during the bonding procedures, SPIONs-doped adhesives improved dentin's adhesion without changing adhesives' physicochemical properties. This outcome addresses the key challenge of poor resin infiltration of dentin's conventional total etching during the bonding procedure. The real-time magnetic motion of dental adhesives may open new paths to enhance resin-based restorations' longevity. STATEMENT OF SIGNIFICANCE: In this study, dental adhesives containing superparamagnetic iron oxide nanoparticles (SPIONs) were developed to enhance penetrability into dentin guided by a magnetic field. The adhesives were screened for physical, chemical, antibacterial properties, and cytotoxicity. For the first time, simulated pulpal pressure was used concurrently with the magnetic field to simulate a clinical setting. This approach showed that it is feasible to overcome pulpal pressure jeopardization on bond strength when SPIONs and a magnetic field are applied. The magnetic-responsive adhesives had great potential to improve bond strength, opening new paths to enhance resin-based restorations' longevity without affecting adhesives' biological properties. The use of magnetic-responsive particles and magnetically assisted motion is a promising strategy to improve the sealing ability of dental adhesives.
牙本质粘结的耐久性有限,大大缩短了树脂复合材料修复体的寿命。通过非接触力控制、动态的材料运动为粘结提供了令人兴奋的机会。在此,我们描述了一种新的牙科粘结剂的全面研究,该粘结剂含有超顺磁氧化铁纳米粒子(SPIONs),对磁场敏感,可优化粘结。本研究概述了以下内容:(1)设计并调整含有 SPIONs 的粘结剂配方,以增强磁场引导下对蚀刻牙本质的渗透性;(2)采用模拟静态牙髓压力的临床相关模型对牙本质进行微拉伸粘结;(3)研究配方粘结剂的潜在抗菌效果及其生物相容性。通过转化率、极限拉伸强度和微剪切粘结强度对牙本质的化学和机械性能研究了 SPION 浓度依赖性。通过实验与体外模拟模型相结合,深入研究了涂有 SPION 的牙科粘结剂对牙本质粘结强度的影响。结果表明,在磁场引导下,0.07wt.%的 SPION 掺杂粘结剂增加了粘结强度,超过了静态牙髓压力引起的降低。在粘结过程中使用磁场引导工作流程,SPION 掺杂粘结剂改善了牙本质的粘结强度,而不改变粘结剂的理化性能。这一结果解决了粘结过程中牙本质常规全蚀刻时树脂渗透不良的关键挑战。牙科粘结剂的实时磁运动可能为增强基于树脂的修复体的耐久性开辟新途径。意义声明:在这项研究中,开发了含有超顺磁氧化铁纳米粒子(SPIONs)的牙科粘结剂,以增强磁场引导下对牙本质的渗透性。对粘结剂的物理、化学、抗菌性能和细胞毒性进行了筛选。首次同时使用模拟牙髓压力和磁场来模拟临床情况。该方法表明,当应用 SPION 和磁场时,克服牙髓压力对粘结强度的危害是可行的。磁性响应粘结剂具有提高粘结强度的巨大潜力,在不影响粘结剂生物性能的情况下,为提高基于树脂的修复体的寿命开辟了新途径。磁性响应颗粒和磁辅助运动的使用是提高牙科粘结剂密封能力的一种很有前途的策略。
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