“生物活性”材料通过矿物质沉积诱导牙本质再矿化:一项体外研究。

Dentine Remineralisation Induced by "Bioactive" Materials through Mineral Deposition: An In Vitro Study.

作者信息

Kunert Marta, Piwonski Ireneusz, Hardan Louis, Bourgi Rim, Sauro Salvatore, Inchingolo Francesco, Lukomska-Szymanska Monika

机构信息

Department of General Dentistry, Medical University of Lodz, 251 Pomorska St., 92-213 Lodz, Poland.

Department of Materials Technology and Chemistry, Faculty of Chemistry, University of Lodz, 163 Pomorska St., 90-236 Lodz, Poland.

出版信息

Nanomaterials (Basel). 2024 Jan 27;14(3):274. doi: 10.3390/nano14030274.

Abstract

This study aimed to assess the ability of modern resin-based "bioactive" materials (RBMs) to induce dentine remineralisation via mineral deposition and compare the results to those obtained with calcium silicate cements (CSMs). The following materials were employed for restoration of dentine cavities: CSMs: ProRoot MTA (Dentsply Sirona), MTA Angelus (Angelus), Biodentine (Septodont), and TheraCal LC (Bisco); RBMs: ACTIVA BioACTIVE Base/Liner (Pulpdent), ACTIVA Presto (Pulpdent), and Predicta Bioactive Bulk (Parkell). The evaluation of the mineral deposition was performed through scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDX) on the material and dentine surfaces, as well as at the dentine-material interface after immersion in simulated body fluid. Additionally, the Ca/P ratios were also calculated in all the tested groups. The specimens were analysed after setting (baseline) and at 24 h, 7, 14, and 28 days. ProRoot MTA, MTA Angelus, Biodentine, and TheraCal LC showed significant surface precipitation, which filled the gap between the material and the dentine. Conversely, the three RBMs showed only a slight ability to induce mineral precipitation, although none of them was able to remineralise the dentine-material interface. In conclusion, in terms of mineral precipitation, modern "bioactive" RBMs are not as effective as CSMs in inducing dentine remineralisation; these latter represent the only option to induce a possible reparative process at the dentin-material interface.

摘要

本研究旨在评估现代树脂基“生物活性”材料(RBMs)通过矿物质沉积诱导牙本质再矿化的能力,并将结果与硅酸钙水门汀(CSMs)的结果进行比较。以下材料用于修复牙本质龋洞:CSMs:ProRoot MTA(登士柏西诺德)、MTA Angelus(安吉利斯)、Biodentine(Septodont)和TheraCal LC(Bisco);RBMs:ACTIVA BioACTIVE Base/Liner(Pulpdent)、ACTIVA Presto(Pulpdent)和Predicta Bioactive Bulk(Parkell)。通过扫描电子显微镜(SEM)和能量色散X射线光谱(EDX)对材料和牙本质表面以及浸泡在模拟体液后的牙本质-材料界面进行矿物质沉积评估。此外,还计算了所有测试组的钙磷比。在凝固后(基线)以及24小时、7天、14天和28天时对标本进行分析。ProRoot MTA、MTA Angelus、Biodentine和TheraCal LC显示出明显的表面沉淀,填补了材料与牙本质之间的间隙。相反,三种RBMs仅显示出轻微的诱导矿物质沉淀的能力,尽管它们都无法使牙本质-材料界面再矿化。总之,在矿物质沉淀方面,现代“生物活性”RBMs在诱导牙本质再矿化方面不如CSMs有效;后者是在牙本质-材料界面诱导可能的修复过程的唯一选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/000a/10857417/3670e4c7f52c/nanomaterials-14-00274-g0A1a.jpg

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