Suzuki K, Nishiyama N, Nemoto K, Torii Y, Inoue K
Department of Biomaterials, Okayama University Dental School, Japan.
J Dent Res. 1998 Nov;77(11):1881-8. doi: 10.1177/00220345980770110401.
To understand the role of NMAA in the bonding of composite resin to a dentin surface, we investigated the effects of N-methacryloyl amino acid (NMAA) application on the expansion of aggregated collagen fibers, formation of a hybrid layer, and the tensile bond strength between composite resin and dentin. Four NMAA derivatives--N-methacryloyl-alpha-glycine (NMGly), N-methacryloyl-gamma-amino n-butyric acid (NMBu), N-methacryloyl-alpha-hydroxyproline (NMHPro), and N-methacryloyl-alpha-glutamic acid (NMGlu)--were prepared and applied to dentin surfaces which had been etched with 40% by mass H3PO4 and air-blown. The shrunken collagenous layer expanded by approximately 50% to 70% by volume of the original collagenous layer thickness after application of the NMAA primers. Application of the bonding agent and composite resin after NMAA treatment resulted in the formation of a hybrid layer. The thickness of the hybrid layer was somewhat smaller than the collagenous layer formed by the NMAA treatment only, regardless of the type of NMAA used. The thickness of the hybrid layer was approximately ten times larger than that formed without NMAA treatment. Although all NMAA primers formed hybrid layers of similar thickness, higher tensile bond strengths, from 13 to 15 MPa, were obtained when etched and air-blown dentin was treated with NMBu, NMGly, or NMGlu. NMHPro gave only 6.6 MPa, a value similar to that obtained when no NMAA was used. We concluded, therefore, that formation of the hybrid layer is a necessary but insufficient condition for high bond strength.
为了解N - 甲基丙烯酰基氨基酸(NMAA)在复合树脂与牙本质表面结合中的作用,我们研究了应用N - 甲基丙烯酰基氨基酸(NMAA)对聚集胶原纤维膨胀、混合层形成以及复合树脂与牙本质之间拉伸粘结强度的影响。制备了四种NMAA衍生物——N - 甲基丙烯酰基 - α - 甘氨酸(NMGly)、N - 甲基丙烯酰基 - γ - 氨基正丁酸(NMBu)、N - 甲基丙烯酰基 - α - 羟基脯氨酸(NMHPro)和N - 甲基丙烯酰基 - α - 谷氨酸(NMGlu),并将其应用于用质量分数为40%的H3PO4蚀刻并吹干的牙本质表面。应用NMAA引物后,收缩的胶原层体积膨胀了约50%至70%,达到原始胶原层厚度的体积。在NMAA处理后应用粘结剂和复合树脂导致形成混合层。无论使用何种类型的NMAA,混合层的厚度都略小于仅由NMAA处理形成的胶原层。混合层的厚度大约是未进行NMAA处理时形成的厚度的十倍。尽管所有NMAA引物形成的混合层厚度相似,但当用NMBu、NMGly或NMGlu处理蚀刻并吹干的牙本质时,可获得更高的拉伸粘结强度,从13至15 MPa不等。NMHPro仅给出6.6 MPa,这一数值与未使用NMAA时获得的数值相似。因此,我们得出结论,混合层的形成是高粘结强度的必要但不充分条件。