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用片状玻璃增强玻璃离子水门汀:牙科修复的新前沿。

Enhancing glass-ionomer cements with flake-shaped glass: A new frontier in dental restoration.

作者信息

Song Aiyang, Gong Haihuan, Zhang Jiahui, Wang Huimin, Zhu Song, Cui Zhanchen

机构信息

Department of Prosthetic Dentistry, Hospital of Stomatology, Jilin University, Changchun, People's Republic of China.

State Key Lab of Supramolecular Structure and Materials, College of Chemistry, Jilin University, Changchun, People's Republic of China.

出版信息

J Biomed Mater Res A. 2025 Jan;113(1):e37780. doi: 10.1002/jbm.a.37780. Epub 2024 Sep 2.

Abstract

This study aims to investigate whether the combined use of thin sheet glass (FSG) and polyurethane acrylate (PUA) can enhance the mechanical properties and biocompatibility of glass ionomer cements (GICs) to improve the overall performance of commercial GICs. In this study, an innovative approach was employed by incorporating diluents and photoinitiators into PUA to develop a novel light-curable PUA material. The PUA was then used to modify the GIC to obtain PUA-modified GIC. Subsequently, physical and chemical methods were employed to corrode and chemically modify the glass fiber surface to acquire dried thin sheet glass (FSG). Different proportions of FSG (10%, 20%, and 30% by mass) were mixed with PUA-GIC to obtain FSG-PUA modified GIC. Mechanical and biocompatibility tests were conducted on regular GIC, PUA-GIC, resin-modified glass ionomer cement (RMGIC), and various proportions of FSG-PUA-GIC materials, including flexural strength, surface hardness, water absorption rate, solubility, shear strength, compressive strength (CS), in vitro cytotoxicity, as well as short-term oral toxicity and subcutaneous implantation trials. A novel FSG-PUA modified GIC was successfully prepared, which not only retained the excellent biocompatibility and fluoride ion release capacity of the original GIC but also significantly enhanced its mechanical strength and durability. The application of this innovative method provides a new direction for the development of dental restorative materials, particularly in addressing the shortcomings of GICs in terms of mechanical performance. The addition of FSG notably increased the flexural strength and surface hardness of GICs, especially at a 20% additive level, demonstrating superior performance compared with standard Fuji IX (F9) and slightly better than RMGIC. Water absorption rate and solubility initially decreased and then increased with an increase in FSG content, and significantly outperformed F9 and RMGIC at 10% and 20% additive levels. Shear strength and CS decreased with an increase in FSG content but remained superior to commercial groups. Material incubation with cells in vitro for 24-48 h showed no significant impact on cell viability, with cell viability exceeding 90%. Short-term oral toxicity tests demonstrated good biocompatibility of the material, and subcutaneous implant trials did not observe any significant inflammation or pathological changes within 12 weeks of observation. The use of FSG-PUA materials effectively enhances the mechanical properties of GIC materials, demonstrating excellent biocompatibility and significant potential as dental restorative materials. Among them, the 20% FSG-PUA modified GICs exhibited significantly superior flexural strength, surface hardness, shear strength, water absorption, and solubility compared with F9 and slightly surpassing RMGIC, showcasing the best mechanical performance.

摘要

本研究旨在探讨薄片状玻璃(FSG)与聚氨酯丙烯酸酯(PUA)联合使用是否能增强玻璃离子水门汀(GIC)的机械性能和生物相容性,以改善市售GIC的整体性能。在本研究中,采用了一种创新方法,即将稀释剂和光引发剂加入PUA中,开发出一种新型光固化PUA材料。然后用PUA对GIC进行改性,得到PUA改性GIC。随后,采用物理和化学方法对玻璃纤维表面进行腐蚀和化学改性,以获得干燥的薄片状玻璃(FSG)。将不同比例(质量分数分别为10%、20%和30%)的FSG与PUA-GIC混合,得到FSG-PUA改性GIC。对普通GIC、PUA-GIC、树脂改性玻璃离子水门汀(RMGIC)以及不同比例的FSG-PUA-GIC材料进行了机械性能和生物相容性测试,包括弯曲强度、表面硬度、吸水率、溶解度、剪切强度、抗压强度(CS)、体外细胞毒性以及短期口腔毒性和皮下植入试验。成功制备了一种新型FSG-PUA改性GIC,它不仅保留了原始GIC优异的生物相容性和氟离子释放能力,还显著提高了其机械强度和耐久性。这种创新方法的应用为牙科修复材料的发展提供了新方向,特别是在解决GIC机械性能方面的缺点。FSG的添加显著提高了GIC的弯曲强度和表面硬度,尤其是在添加量为20%时,与标准富士IX(F9)相比表现出优异性能,且略优于RMGIC。吸水率和溶解度最初随FSG含量增加而降低,然后升高,在添加量为10%和20%时显著优于F9和RMGIC。剪切强度和CS随FSG含量增加而降低,但仍优于市售产品组。材料与细胞在体外孵育24 - 48小时对细胞活力无显著影响,细胞活力超过90%。短期口腔毒性试验表明该材料具有良好的生物相容性,皮下植入试验在观察的12周内未观察到任何显著的炎症或病理变化。FSG-PUA材料的使用有效增强了GIC材料的机械性能,显示出优异的生物相容性,作为牙科修复材料具有巨大潜力。其中,20% FSG-PUA改性GIC在弯曲强度、表面硬度、剪切强度、吸水率和溶解度方面与F9相比显著优越,略超过RMGIC,展现出最佳的机械性能。

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