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隐形矫治器制作中树脂的后处理细胞毒性

Post-Process Cytotoxicity of Resins in Clear Aligner Fabrication.

作者信息

Bor Sabahattin, Kaya Yeşim, Demiral Ayşe, Güngörmüş Mustafa

机构信息

Department of Orthodontics, Faculty of Dentistry, İnönü University, Malatya 44280, Türkiye.

Department of Orthodontics, Faculty of Dentistry, Ankara Yıldırım Beyazıt University, Ankara 06760, Türkiye.

出版信息

Polymers (Basel). 2025 Jun 26;17(13):1776. doi: 10.3390/polym17131776.

DOI:10.3390/polym17131776
PMID:40647786
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12252382/
Abstract

This study aimed to evaluate the cytotoxicity of two resin materials, Tera Harz TC-85 DAC and Clear-A, along with the effects of two different post-printing protocols applied to Clear-A. Samples were produced using the Ackuretta Sol printer. The following three groups were formed based on the resins used and the post-curing methods applied: Group 1: Tera Harz TC-85 DAC resin + Tera Harz Cure; Group 2: Clear-A resin + Curie machine; and Group 3: Clear-A resin + Tera Harz Cure. All samples were sterilized in 70% ethanol for 5 min, rinsed with sterile deionized water, and incubated in Dulbecco's Modified Eagle Medium at 37 °C for 72 h. Cytotoxicity assessment was performed by the XTT and RTCA methods using the human gingival fibroblast cell line. According to the XTT assay, undiluted resin extracts exhibited approximately 75-80% cell viability at 24 h, while further dilutions resulted in a viability exceeding 90%. No significant differences in viability were observed among the groups at any dilution at 48 and 72 h. The xCELLigence RTCA results aligned with the XTT findings, showing a transient decrease in cell viability within the first 24 h, followed by continued cell growth. This study demonstrated that extracts from all tested 3D-printed resins exhibited biocompatibility with human gingival fibroblasts. These findings support their potential for further applications in the dental and biomedical fields.

摘要

本研究旨在评估两种树脂材料(Tera Harz TC - 85 DAC和Clear - A)的细胞毒性,以及应用于Clear - A的两种不同后处理方案的效果。使用Ackuretta Sol打印机制作样本。根据所使用的树脂和应用的后固化方法形成以下三组:第1组:Tera Harz TC - 85 DAC树脂 + Tera Harz Cure;第2组:Clear - A树脂 + 居里机;第3组:Clear - A树脂 + Tera Harz Cure。所有样本在70%乙醇中灭菌5分钟,用无菌去离子水冲洗,并在37°C的杜氏改良 Eagle培养基中孵育72小时。使用人牙龈成纤维细胞系通过XTT和RTCA方法进行细胞毒性评估。根据XTT分析,未稀释的树脂提取物在24小时时表现出约75 - 80%的细胞活力,而进一步稀释导致活力超过90%。在48小时和72小时时,任何稀释度下各组之间的活力均未观察到显著差异。xCELLigence RTCA结果与XTT结果一致,显示在最初24小时内细胞活力短暂下降,随后细胞持续生长。本研究表明,所有测试的3D打印树脂提取物均表现出与人牙龈成纤维细胞的生物相容性。这些发现支持了它们在牙科和生物医学领域进一步应用的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1ee/12252382/61047c92ac82/polymers-17-01776-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1ee/12252382/c54f34067fc6/polymers-17-01776-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1ee/12252382/9f107129aae0/polymers-17-01776-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1ee/12252382/ff0146cf820b/polymers-17-01776-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1ee/12252382/61047c92ac82/polymers-17-01776-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1ee/12252382/c54f34067fc6/polymers-17-01776-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1ee/12252382/9f107129aae0/polymers-17-01776-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1ee/12252382/ff0146cf820b/polymers-17-01776-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1ee/12252382/61047c92ac82/polymers-17-01776-g004.jpg

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本文引用的文献

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Biocompatibility of direct printed clear aligners: A systematic review of in vitro studies.直接打印的透明矫治器的生物相容性:体外研究的系统评价。
Int Orthod. 2025 May 28;23(4):101028. doi: 10.1016/j.ortho.2025.101028.
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Biocompatibility of 3D-printed vs. thermoformed and heat-cured intraoral appliances.3D打印与热成型及热固化口腔矫治器的生物相容性
Front Bioeng Biotechnol. 2024 Oct 29;12:1453888. doi: 10.3389/fbioe.2024.1453888. eCollection 2024.
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Polymerization kinetics of 3D-printed orthodontic aligners under different UV post-curing conditions.
3D 打印正畸保持器在不同紫外光后固化条件下的聚合动力学。
Prog Orthod. 2024 Oct 28;25(1):42. doi: 10.1186/s40510-024-00540-4.
4
Detecting Bisphenol A Leaching from Four Different Commercially Available Clear Aligner Sheets: An Study.检测四种市售透明矫正器薄片中双酚 A 的浸出:一项研究。
J Contemp Dent Pract. 2024 Jun 1;25(6):535-539. doi: 10.5005/jp-journals-10024-3707.
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Evaluation of the effects of temperature and centrifugation time on elimination of uncured resin from 3D-printed dental aligners.评价温度和离心时间对 3D 打印牙托中未固化树脂去除效果的影响。
Sci Rep. 2024 Jul 2;14(1):15206. doi: 10.1038/s41598-024-66150-6.
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Influence of Post-Processing on the Degree of Conversion and Mechanical Properties of 3D-Printed Polyurethane Aligners.后处理对3D打印聚氨酯矫治器转化率和力学性能的影响
Polymers (Basel). 2023 Dec 20;16(1):17. doi: 10.3390/polym16010017.
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Cytotoxicity of 3D printed resin materials for temporary restorations on human periodontal ligament (PDL-hTERT) cells.用于临时修复的3D打印树脂材料对人牙周膜(PDL-hTERT)细胞的细胞毒性
Dent Mater. 2023 May;39(5):529-537. doi: 10.1016/j.dental.2023.04.003. Epub 2023 Apr 11.
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The Role of Gingival Fibroblasts in the Pathogenesis of Periodontitis.牙龈成纤维细胞在牙周炎发病机制中的作用。
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Advances in orthodontic clear aligner materials.正畸透明矫治器材料的进展。
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