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使用刺激响应性工程小分子GSK3拮抗剂功能化粘合剂进行牙本质再矿化。

Dentin remineralization using a stimuli-responsive engineered small molecule GSK3 antagonists-functionalized adhesive.

作者信息

Toledano Manuel, Aguilera Fátima S, Fernández-Romero Enrique, Lagos Alejandro Js, Bonilla Marco, Lynch Christopher D, Osorio Raquel

机构信息

University of Granada, Faculty of Dentistry, Colegio Máximo de Cartuja s/n, 18071 Granada, Spain.

University of Granada, Faculty of Dentistry, Colegio Máximo de Cartuja s/n, 18071 Granada, Spain.

出版信息

Dent Mater. 2024 Mar;40(3):393-406. doi: 10.1016/j.dental.2023.12.010. Epub 2023 Dec 19.

Abstract

OBJECTIVES

Tideglusib has shown great performance in terms of dentin regenerative properties. This study aims to evaluate bonding ability, of demineralized dentin infiltrated with polymeric nanoparticles (NPs) doped with tideglusib (TG) (TG-NPs).

METHODS

Dentin conditioned surfaces were infiltrated with NPs and TG-NPs. Bonded interfaces were created and stored for 24 h and then submitted to mechanical, chemical and thermal challenging. The resin-dentin interface was evaluated through a doubled dye fluorescent technique and a calcium chelator fluorophore under a confocal laser scanning microscopy, and by field emission scanning electron microscopy.

RESULTS

Dentin surfaces treated with TG-NPs and load cycled produced higher bond strength than the rest of the groups. Immersion of dentin specimens treated with undoped-NPs in collagenase solution attained the lowest microtensile bond strength (MTBS) values. Both porosity and nanoleakage decreased when dentin was infiltrated with TG-NPs, that revealed strong signals of xylenol orange stain at both hybrid layer and dentinal tubules. The presence of NPs, in general, inducted the presence of mineralized interfaces after mechanical loading and thermocycling.

CONCLUSIONS

Nanoparticles doped with tideglusib promoted the highest dentin bonding efficacy among groups, as they facilitated the maximum bond strength values with creation of mineral deposits at the hybrid layer and dentinal walls. Tideglusib enabled scarce porosity, nanoleakage and advanced sealing among dentin groups.

SIGNIFICANCE

Doping hydrophilic polymeric NPs with tideglusib, infiltrated in etched dentin represents a reproducible technique to create reparative dentin at the resin-dentin interface, by inducing therapeutic bioactivity.

摘要

目的

替格瑞洛在牙本质再生性能方面表现出色。本研究旨在评估用掺杂替格瑞洛(TG)的聚合物纳米颗粒(NPs)(TG-NPs)浸润的脱矿牙本质的粘结能力。

方法

用NPs和TG-NPs浸润牙本质预处理表面。创建粘结界面并储存24小时,然后进行机械、化学和热刺激。通过双染料荧光技术和共聚焦激光扫描显微镜下的钙螯合剂荧光团,以及场发射扫描电子显微镜评估树脂-牙本质界面。

结果

用TG-NPs处理并进行加载循环的牙本质表面产生的粘结强度高于其他组。未掺杂NPs处理的牙本质标本浸入胶原酶溶液中获得的微拉伸粘结强度(MTBS)值最低。当牙本质用TG-NPs浸润时,孔隙率和纳米渗漏均降低,在混合层和牙本质小管处均显示出强烈的二甲酚橙染色信号。一般来说,NPs的存在导致机械加载和热循环后矿化界面的出现。

结论

掺杂替格瑞洛的纳米颗粒在各组中促进了最高的牙本质粘结效果,因为它们通过在混合层和牙本质壁处形成矿物质沉积促进了最大粘结强度值。替格瑞洛使牙本质组中的孔隙率、纳米渗漏减少,并实现了更好的封闭。

意义

用替格瑞洛掺杂亲水性聚合物NPs,浸润在酸蚀牙本质中,是一种可重复的技术,通过诱导治疗性生物活性在树脂-牙本质界面形成修复性牙本质。

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