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单体从牙科复合材料向唾液中的释放以及降低患者毒性风险的可能性。

Release of Monomers from Dental Composite Materials into Saliva and the Possibility of Reducing the Toxic Risk for the Patient.

机构信息

Department of Medical and Clinical Biophysics, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Trieda SNP 1, 040 11 Košice, Slovakia.

出版信息

Medicina (Kaunas). 2023 Jun 26;59(7):1204. doi: 10.3390/medicina59071204.

Abstract

: The objective of this study was (1) to measure the amount of monomers released into the saliva depending on the time elapsed after the hardening of the composite and on the type of monomer used; and (2) with the prolongation of the light-curing procedure, to publish information on whether it would be possible to influence the level of leached monomers. : HPLC technique was used to monitor the levels of the unpolymerized monomers Bis-GMA, Bis/EMA, TEGDMA, and UDMA from the four commonly used composite materials, released into the saliva of a volunteer with intact dentition. The levels were monitored in 3 time periods during 24 h after composite hardening. From every composite material, 4 samples were formed and cured with an LED lamp for 10 s, 20 s, 40 s, and 60 s. After the light curing, the same polishing procedure was used and the samples were leached in blank saliva samples. : We observed that every monitored composite material eluted monomers into the saliva after its application. The amount of monomers depended on the time elapsed after the curing of the composite and on the type of composite used. A 40 s LED curing procedure can reduce the amount of leached monomers in comparison with the standard 20 s procedure, especially for monomers of higher molecular weight. : Our study confirmed the hypothesis that the release of monomers gradually decreases with increasing time after the hardening of the composite filling.

摘要

: 本研究的目的是(1)测量在复合树脂凝固后不同时间内以及使用不同单体时释放到唾液中的单体量;(2)随着光固化过程的延长,研究是否有可能影响浸出单体的水平。:采用 HPLC 技术监测从四种常用复合树脂中释放到有完整牙列的志愿者唾液中的未聚合单体 Bis-GMA、Bis/EMA、TEGDMA 和 UDMA 的水平。在复合树脂凝固后 24 小时内的 3 个时间段监测水平。从每种复合树脂中形成 4 个样本,并用 LED 灯固化 10 s、20 s、40 s 和 60 s。光固化后,采用相同的抛光程序,将样本浸在空白唾液样本中。:我们观察到,每种监测到的复合树脂在应用后都会将单体洗脱到唾液中。单体的数量取决于复合树脂固化后经过的时间以及使用的复合树脂的类型。与标准的 20 s 程序相比,40 s 的 LED 固化程序可以减少浸出单体的数量,尤其是对于分子量较高的单体。:我们的研究证实了这样的假设,即在复合填充体凝固后,随着时间的推移,单体的释放逐渐减少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5427/10386426/87c7bc641e7c/medicina-59-01204-g001.jpg

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