含胶原-羟基磷灰石纳米复合材料和/或氯己定的实验性牙髓盖髓材料的显微硬度、单体转化率及抗菌性能评估
Evaluation of microhardness, monomer conversion, and antibacterial properties of an experimental pulp-capping material containing collagen-hydroxyapatite nanocomposite and/or chlorhexidine.
作者信息
Balkaya Hacer, Demirbuğa Sezer, Duman Fatih, Ceylan Ahmet, Aydın Ömer
机构信息
Department of Restorative Dentistry, Faculty of Dentistry, Erciyes University, 38039, Kayseri, Turkey.
Faculty of Science, Biology, Hydrobiology, Erciyes University, 38039, Kayseri, Turkey.
出版信息
Odontology. 2025 Apr 28. doi: 10.1007/s10266-025-01113-5.
This study aimed to develop and characterize an experimental pulp-capping material incorporating collagen-hydroxyapatite nanocomposite (cHAP) derived from fish scales and chlorhexidine (CHX) as an antimicrobial agent. The synthesized cHAP was characterized using XRD, FT-IR, EDX, FE-SEM, and BET analyses. The nanocomposite and/or CHX were loaded onto a commercially available resin-based pulp-capping material (TheraCal LC). Experimental groups were defined as Control group, 1% cHAP (cHAP1), 5% cHAP (cHAP5), 5% chlorhexidine (CHX), and 2.5% CHX + 2.5% cHAP (cHAP-CHX). Standardized samples (6 mm diameter, 1 mm height) were prepared from experimental pulp-capping materials using a Teflon mold for subsequent analyses. Microhardness, monomer conversion, and antibacterial activity of the materials were investigated following SEM-EDX, XRD, and FT-IR analyses. Data were analyzed using one-way analysis of variance (ANOVA) and Tukey's post hoc test, with a significance level of p < 0.05. The cHAP and experimental pulp-capping materials were successfully characterized. CHX incorporation decreased microhardness significantly (p < 0.05), whereas cHAP-containing groups showed no significant differences compared to the control (p > 0.05). The degree of monomer conversion was unaffected by the addition of cHAP or CHX individually (p > 0.05), but a significant increase was observed when both CHX and cHAP were added (p < 0.05). Antibacterial testing revealed that E. faecalis was the most sensitive strain against the tested pulp-capping materials, with the cHAP-CHX group exhibiting the highest antimicrobial activity. The CHX and cHAP-CHX groups demonstrated antimicrobial activity against both E. faecalis and S. mutans, while the cHAP5 group was effective only against E. faecalis. The control group showed no antimicrobial activity against either strain. The addition of cHAP and CHX to the pulp-capping materials enhanced monomer conversion. Pulp-capping materials containing CHX and cHAP-CHX were particularly effective against E. faecalis and S. mutans. The integration of cHAP and CHX into the experimental resin-based pulp-capping materials offers a promising strategy for improving antibacterial activity and biocompatibility. This combination may serve as a potential candidate for enhancing pulp-capping procedures in clinical practice.
本研究旨在开发并表征一种实验性盖髓材料,该材料包含源自鱼鳞的胶原 - 羟基磷灰石纳米复合材料(cHAP)和作为抗菌剂的洗必泰(CHX)。使用X射线衍射(XRD)、傅里叶变换红外光谱(FT - IR)、能谱分析(EDX)、场发射扫描电子显微镜(FE - SEM)和比表面积分析(BET)对合成的cHAP进行表征。将纳米复合材料和/或CHX负载到市售的树脂基盖髓材料(TheraCal LC)上。实验组定义为对照组、1% cHAP(cHAP1)、5% cHAP(cHAP5)、5%洗必泰(CHX)以及2.5% CHX + 2.5% cHAP(cHAP - CHX)。使用聚四氟乙烯模具从实验性盖髓材料制备标准化样本(直径6毫米,高1毫米),用于后续分析。在进行扫描电子显微镜 - 能谱分析(SEM - EDX)、XRD和FT - IR分析后,研究材料的显微硬度、单体转化率和抗菌活性。数据采用单因素方差分析(ANOVA)和Tukey事后检验进行分析,显著性水平为p < 0.05。成功对cHAP和实验性盖髓材料进行了表征。加入CHX显著降低了显微硬度(p < 0.05),而含cHAP的组与对照组相比无显著差异(p > 0.05)。单独添加cHAP或CHX对单体转化率没有影响(p > 0.05),但同时添加CHX和cHAP时观察到单体转化率显著提高(p < 0.05)。抗菌测试表明,粪肠球菌是对测试的盖髓材料最敏感的菌株,cHAP - CHX组表现出最高的抗菌活性。CHX组和cHAP - CHX组对粪肠球菌和变形链球菌均表现出抗菌活性,而cHAP5组仅对粪肠球菌有效。对照组对这两种菌株均无抗菌活性。向盖髓材料中添加cHAP和CHX提高了单体转化率。含CHX和cHAP - CHX的盖髓材料对粪肠球菌和变形链球菌特别有效。将cHAP和CHX整合到实验性树脂基盖髓材料中为提高抗菌活性和生物相容性提供了一种有前景的策略。这种组合可能成为临床实践中增强盖髓程序的潜在候选材料。