Development and Assessment of Bioactive Coatings for the Prevention of Recurrent Caries Around Resin Composite Restorations.

IF 2.2 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Operative dentistry Pub Date : 2022-05-01 DOI:10.2341/20-299-L
L M Firoozmand, Y Alania, A K Bedran-Russo
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Abstract

Objective: To develop hydrophilic resin-based surface coatings containing bioactive agents (proanthocyanidins from Vitis vinifera and calcium silicate) and assess their protective role at the dentin and enamel margins of cervical restorations against demineralization under simulated conditions of high and low caries activity.

Methods: Suboptimal resin composite restorations were placed on cervical cavity preparations on buccal and lingual surfaces of thirty-two molars after a contamination protocol. Groups were divided according to the resin-based coatings (n=8): resin without bioactive (C), resin containing 2% enriched Vitis Vinifera (VVE), and resin coat containing 10% calcium silicate (CaSi). The control group did not receive a resin (NC). To simulate a hydrolyticenzymatic degradation, specimens were subjected to 2-month storage followed by incubation in esterase at 37°C for 8 days. Afterwards, recurrent caries was induced using a pH-proteolytic model on half of the specimens to simulate high caries activity, and the other half remained in simulated body fluid (SBF). Measurements of cross-section microhardness (KHN) and infiltration with rhodamine-B assessed the micropermeability (MP), the extent of demineralization (ED), and the demineralization area (DA). Data were analyzed using analysis of variance (ANOVA) and post-hoc tests (α=0.05).

Results: VVE and CaSi presented higher cross-sectional KHN values for enamel and dentin (p<0.001). The bioactive coatings resulted in lower MP, ED, and DA compared to NC (p<0.005) in enamel and dentin. CaSi coating preserved the enamel from demineralization (p=0.160).

Conclusion: The application of bioactive coatings represents a potential strategy to protect the enamel-dentin margins of resin restorations.

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预防树脂复合修复体周围龋复发的生物活性涂层的研制与评价。
目的:制备含生物活性物质(葡萄原花青素和硅酸钙)的亲水树脂表面涂层,并在模拟高、低龋活性条件下评估其对牙本质和牙釉质边缘脱矿的保护作用。方法:对32颗磨牙的颊面和舌面进行污染处理后的口腔预备体进行次优树脂复合修复。根据树脂基涂层(n=8)分为:不含生物活性的树脂(C)、含有2%富集葡萄(VVE)的树脂(C)和含有10%硅酸钙(CaSi)的树脂涂层(n=8)。对照组不注射树脂(NC)。为了模拟水解酶降解,样品被放置2个月,然后在37°C的酯酶中孵育8天。随后,使用ph -蛋白水解模型在一半的标本上诱导复发性龋齿,以模拟高龋活性,另一半留在模拟体液(SBF)中。通过测量横截面显微硬度(KHN)和罗丹明- b浸润来评估微渗透性(MP)、脱矿程度(ED)和脱矿面积(DA)。采用方差分析(ANOVA)和事后检验(α=0.05)对数据进行分析。结果:VVE和CaSi对牙本质和牙釉质的横截面KHN值较高(p)。结论:生物活性涂层的应用是一种潜在的保护树脂修复体牙釉质-牙本质边缘的策略。
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来源期刊
Operative dentistry
Operative dentistry 医学-牙科与口腔外科
CiteScore
4.00
自引率
9.10%
发文量
124
审稿时长
6-12 weeks
期刊介绍: Operative Dentistry is a refereed, international journal published bi-monthly and distributed to subscribers in over 50 countries. In 2012, we printed 84 articles (672 pages). Papers were submitted by authors from 45 countries, in the categories of Clinical Research, Laboratory Research, Clinical Techniques/Case Presentations and Invited Papers, as well as Editorials and Abstracts. One of the strong points of our journal is that our current publication time for accepted manuscripts is 4 to 6 months from the date of submission. Clinical Techniques/Case Presentations have a very quick turnaround time, which allows for very rapid publication of clinical based concepts. We also provide color for those papers that would benefit from its use. The journal does not accept any advertising but you will find postings for faculty positions. Additionally, the journal also does not rent, sell or otherwise allow its subscriber list to be used by any other entity
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