Chiang Yung-Show, Chen Ping-Ju, Ting Chun-Chan, Chen Yuh-Ling, Chuang Shu-Fen
School of Dentistry and Institute of Oral Medicine, National Cheng Kung University, Tainan, Taiwan.
Department of Dentistry, Tainan Municipal Hospital (Managed by Show Chwan Medical Care Corporation), Tainan, Taiwan.
J Dent Sci. 2025 Jan;20(1):109-117. doi: 10.1016/j.jds.2024.09.022. Epub 2024 Oct 5.
BACKGROUND/PURPOSE: The efficacy of riboflavin-ultraviolet-A (RF-UVA) treatment in crosslinking collagen and improving dentin bonding has been proven. However, biodegradation of the hybrid layer may compromise the bonding. The purpose of this study was to evaluate different RF-UVA treatments regarding their ability to preserve dentin bonding from enzymatic digestion.
Collagen subjected to different RF (0.1 %, 1 %)-UVA (1, 2, 5 min) treatments and 5 % glutaraldehyde (GA), without or with enzymatic digestion, were examined by gel electrophoresis (SDS-PAGE). Twenty-five teeth with exposed dentin were primed with one of three RF-UVA treatments (0.1 %RF/1-minUVA, 0.1 %RF/2-minUVA, and 1 %RF/1-minUVA), GA, or distilled water after acid-etching, then restored with an adhesive and a resin composite. After 24-h storage, these teeth were sectioned into microbeams. Half of them received an early microtensile bond strength (μTBS) test, while the other half was stored in enzyme solution for 7 days before testing. Nanoleakage and hybrid layer degradation were examined by TEM.
According to SDS-PAGE results, all groups showed the dissipation of intense γ bands of collagen after digestion. For the early bonded specimens and after enzymatic digestions, 0.1 %RF/2-minUVA treated group presented the highest μTBS and none of premature failure. Its TEM images showed less nanoleakage after digestion, which is contributed to the well suspended collagen fibrils and resin infiltration in the hybrid layer.
RF-UVA treatment attained collagen crosslinking effects to improve resin-dentin bonding. 0.1 %RF/2-minUVA effectively enhanced dentin bond strength and resistance to enzymatic digestion by optimally expanding dentinal collagen matrix to facilitate hybrid layer formation.
背景/目的:核黄素-紫外线A(RF-UVA)处理在交联胶原蛋白和改善牙本质粘结方面的疗效已得到证实。然而,混合层的生物降解可能会损害粘结效果。本研究的目的是评估不同的RF-UVA处理在保护牙本质粘结免受酶消化方面的能力。
通过凝胶电泳(SDS-PAGE)检查经不同RF(0.1%、1%)-UVA(1、2、5分钟)处理以及5%戊二醛(GA)处理(有无酶消化)的胶原蛋白。25颗暴露牙本质的牙齿在酸蚀后分别用三种RF-UVA处理(0.1%RF/1分钟UVA、0.1%RF/2分钟UVA和1%RF/1分钟UVA)、GA或蒸馏水进行预处理,然后用粘合剂和树脂复合材料进行修复。储存24小时后,将这些牙齿切成微梁。其中一半进行早期微拉伸粘结强度(μTBS)测试,另一半在酶溶液中储存7天后进行测试。通过透射电子显微镜(TEM)检查纳米渗漏和混合层降解情况。
根据SDS-PAGE结果,所有组在消化后均显示胶原蛋白强烈的γ带消失。对于早期粘结的标本以及酶消化后,0.1%RF/2分钟UVA处理组的μTBS最高,且无一例过早失败。其TEM图像显示消化后纳米渗漏较少,这归因于混合层中胶原纤维良好的悬浮状态和树脂渗透。
RF-UVA处理可实现胶原蛋白交联效果,以改善树脂-牙本质粘结。0.1%RF/2分钟UVA通过最佳地扩展牙本质胶原基质以促进混合层形成,有效地增强了牙本质粘结强度和抗酶消化能力。