Department of Prosthetic Dentistry, Hospital of Stomatology, Jilin University, Changchun, P.R. China.
State Key Lab of Supramolecular Structure and Materials, College of Chemistry, Jilin University, Changchun, P.R. China.
J Dent Res. 2024 Jul;103(8):820-829. doi: 10.1177/00220345241253526. Epub 2024 Jun 13.
The water-rich nature of the dentin bonding microenvironment, coupled with the stresses on the bonding interface, contributes to the hydrolytic degradation of the hybrid layer, resulting in a decline in bonding durability and, ultimately, restoration failure. Currently, the 3-step etch-and-rinse technique remains the gold standard for dentin bonding, and the bonding mechanism mainly involves a physical interaction with little chemical bonding. In this study, we have developed a siloxane-modified polyurethane monomer (SPU) with acrylate and siloxane modifications that chemically binds to both collagen and hydroxyapatite in dentin. Formulated as a bisphenol A-glycidyl methacrylate alternative, the SPU monomer-based adhesive was designed to improve dentin bonding quality and durability. Attenuated total reflection Fourier transform infrared spectroscopy, thermogravimetric analysis, X-ray photoelectron spectroscopy, scanning electron microscopy, transmission electron microscope, and hydroxyproline release assays were performed on SPU-treated collagen, hydroxyapatite, and acid-etched dentin slices to dentin. The physicochemical properties of the configured SPU adhesives were profiled for polymerization behavior, water contact angle, and tensile strain and strength. The bonding effectiveness was assessed through micro-tensile strength, nano-leakage tests conducted on the bonded samples before and after thermal cycle aging. Finally, we further conducted in vivo and in vitro experiments to assess the biocompatibility of adhesives. The results showed that the siloxane groups of SPU monomer could covalently bind to dentin collagen and hydroxyapatite. The incorporation of SPU in the adhesive led to a significant increase in adhesive polymerization ( < 0.05) and tensile strain at break up to 134.11%. Furthermore, the SPU adhesive significantly improved dentin bond strength ( < 0.05), reduced interfacial nano-leakage ( < 0.05), and displayed good biocompatibility. In conclusion, the application of SPU, which achieves dual chemical bonding with dentin, can improve the quality of the hybrid layer, buffer the interfacial stresses, enhance the interfacial resistance to hydrolysis, and provide a feasible strategy to extend the service life of adhesive restorations.
富含水分的牙本质粘结微环境,加上粘结界面的应力,导致混合层的水解降解,从而降低粘结耐久性,最终导致修复失败。目前,三步酸蚀-冲洗技术仍然是牙本质粘结的金标准,粘结机制主要涉及物理相互作用,化学结合较少。在这项研究中,我们开发了一种带有丙烯酰基和硅氧烷基修饰的硅烷改性聚氨酯单体(SPU),它可以与牙本质中的胶原蛋白和羟磷灰石发生化学结合。作为双酚 A-甲基丙烯酸缩水甘油酯的替代品,设计基于 SPU 单体的胶粘剂可以提高牙本质粘结质量和耐久性。通过衰减全反射傅里叶变换红外光谱、热重分析、X 射线光电子能谱、扫描电子显微镜、透射电子显微镜和羟脯氨酸释放试验对 SPU 处理的胶原蛋白、羟磷灰石和酸蚀刻牙本质切片进行了测试。对配置的 SPU 胶粘剂的物理化学性质进行了聚合行为、水接触角和拉伸应变及强度的分析。通过微拉伸强度、热循环老化前后粘结样品的纳米泄漏试验评估粘结效果。最后,我们进一步进行了体内和体外实验来评估胶粘剂的生物相容性。结果表明,SPU 单体的硅氧烷基可以与牙本质胶原蛋白和羟磷灰石发生共价结合。将 SPU 掺入胶粘剂中可显著提高胶粘剂聚合度(<0.05)和拉伸断裂应变高达 134.11%。此外,SPU 胶粘剂显著提高了牙本质粘结强度(<0.05),降低了界面纳米泄漏(<0.05),表现出良好的生物相容性。总之,SPU 的应用可与牙本质实现双重化学结合,改善混合层质量,缓冲界面应力,增强界面抗水解能力,为延长胶粘剂修复体的使用寿命提供了可行的策略。