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纳米材料在口腔修复学中的应用综述:脱矿抑制与再矿化应用(第一部分)

A Comprehensive Narrative Review of Nanomaterial Applications in Restorative Dentistry: Demineralization Inhibition and Remineralization Applications (Part I).

作者信息

Elmarsafy Sahar M

机构信息

Department of Restorative Dentistry, Faculty of Dental Medicine, Umm Al-Qura University, Makkah, SAU.

Department of Conservative Dentistry, Faculty of Dental Medicine for Girls, Al-Azhar University, Cario, EGY.

出版信息

Cureus. 2024 Apr 18;16(4):e58544. doi: 10.7759/cureus.58544. eCollection 2024 Apr.

Abstract

Nanotechnology is extensively employed in various aspects of dentistry, including restorative dentistry, because of its substantial improvement and promising potential in the clinical efficacy of restorative materials and procedures. The main purpose of this review is to explore the different uses of nanomaterials in restorative dentistry. The review is divided into two parts: the current review (Part 1) focuses on the prevention of demineralization and promotion of remineralization, while the upcoming review (Part 2) will discuss the reinforcement of restorative materials and their therapeutic applications. Nanofillers are added to dental materials to boost their antibacterial, anticaries, and demineralization inhibitory capabilities. Additionally, they improve remineralization and enhance both mechanical properties and therapeutic features. The nanoparticles (NPs) used to increase antibacterial and remineralization inhibitions can be classified into two main groups: inorganic and organic NPs. Examples of inorganic NPs include silver, zinc oxide, titanium oxide, and gold. Examples of organic NPs include silica, quaternary ammonium salt monomers, and chitosan NPs. Furthermore, the nanofillers utilized to enhance the process of remineralization include various types such as metals, nano-hydroxyapatite, nano-amorphous calcium phosphate (ACP), dicalcium phosphate NPs, casein phosphopeptide-ACP (CPP-ACP), and calcium fluoride NPs. These uses underscore the potential applications of NPs in restorative dentistry, although there are still some limitations to address.

摘要

由于纳米技术在修复材料和修复程序的临床疗效方面有显著提升和巨大潜力,它在牙科的各个方面都得到了广泛应用,包括修复牙科。本综述的主要目的是探讨纳米材料在修复牙科中的不同用途。该综述分为两部分:当前综述(第1部分)聚焦于预防牙齿脱矿和促进再矿化,而即将发表的综述(第2部分)将讨论修复材料的增强及其治疗应用。向牙科材料中添加纳米填料可增强其抗菌、防龋和抑制脱矿的能力。此外,它们还能促进再矿化,提高机械性能和治疗特性。用于增强抗菌和抑制脱矿的纳米颗粒(NPs)可分为两大类:无机纳米颗粒和有机纳米颗粒。无机纳米颗粒的例子包括银、氧化锌、二氧化钛和金。有机纳米颗粒的例子包括二氧化硅、季铵盐单体和壳聚糖纳米颗粒。此外,用于促进再矿化过程的纳米填料有多种类型,如金属、纳米羟基磷灰石、纳米无定形磷酸钙(ACP)、磷酸二钙纳米颗粒、酪蛋白磷酸肽 - ACP(CPP - ACP)和氟化钙纳米颗粒。这些用途凸显了纳米颗粒在修复牙科中的潜在应用,尽管仍有一些局限性需要解决。

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