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Digital light printing of zirconia/resin composite material with biomimetic graded design for dental application 用于牙科应用的具有仿生分级设计的氧化锆/树脂复合材料的数字光打印。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-01 DOI: 10.1016/j.dental.2024.10.010
Qiuyi Li , Yongzhe Liu , Delu Zhao , Yupu Yang , Qibo Liu , Yujun Zhang , Junling Wu , Zheqin Dong

Objective

Stress concentration and excessive wear on the opposite jaw teeth are the main problems that lead to the failure of all-ceramic crown restoration. The objectives of this study were to: (1) Synthesize the biomimetic gradient zirconia/resin composites. (2) Control the porosity and structure so that the mechanical properties of the biomimetic gradient zirconia/resin composites are close to enamel and dentin.

Methods

Biomimetic uniform zirconia scaffolds with different widths (1.6 mm, 1.8 mm, 1.9 mm, 2.0 mm, 2.2 mm) and Biomimetic gradient (1.6 mm-2.2 mm) zirconia scaffolds were designed using 3DMax and Magics, fabricated by digital light processing 3D printing, and then infiltrated into dental resin for mechanical testing, finite element simulation and cytotoxicity testing.

Results

Results show that the ceramic-polymer composites exhibit a significant enhancement in strength (1.37-fold increase) and toughness (2.08-fold increase) compared to zirconia ceramic scaffold (P < 0.05), highlighting the effectiveness of our structural design. In addition, the gradient design further improves the mechanical strength of the composites. Notably, the gradient composite crown exhibits a bending strength of 138.3 (±16.7) MPa, a toughness of 9.0 (±0.5) MJ/m³, and a compressive strength of 113.7 (±2.6) MPa, values that are comparable to those of natural enamel and dentin, and shows good biosafety.

Conclusion

Biomimetic gradient zirconia/dental resin materials were precisely fabricated through a series of studies, which is expected to further improve the clinical treatment effect. At the same time, the strategic design also provides new ideas for the performance improvement of other dental materials.

Significance

Gradient zirconia/resin composite materials with mechanical properties matching natural teeth were precisely fabricated, and are expected to significantly improve clinical treatment outcomes. Additionally, the strategic design provides new insights for enhancing the performance of other dental materials.
目的:应力集中和对颌牙过度磨损是导致全瓷冠修复失败的主要问题。本研究的目的是(1) 合成仿生物梯度氧化锆/树脂复合材料。(2)控制孔隙率和结构,使仿生梯度氧化锆/树脂复合材料的机械性能接近牙釉质和牙本质:方法:使用3DMax和Magics设计了不同宽度(1.6毫米、1.8毫米、1.9毫米、2.0毫米、2.2毫米)的仿生均匀氧化锆支架和仿生梯度(1.6毫米-2.2毫米)氧化锆支架,通过数字光处理3D打印制作了支架,然后将其渗入牙科树脂中进行力学测试、有限元模拟和细胞毒性测试:结果表明,与氧化锆陶瓷支架相比,陶瓷-聚合物复合材料的强度(增加 1.37 倍)和韧性(增加 2.08 倍)均有显著提高(P 结论:陶瓷-聚合物复合材料的强度和韧性与氧化锆陶瓷支架相比均有显著提高(P 结论:与氧化锆陶瓷支架相比,陶瓷-聚合物复合材料的强度和韧性均有显著提高(P 结论):通过一系列研究,精确制备了仿生梯度氧化锆/牙科树脂材料,有望进一步提高临床治疗效果。同时,这种策略性设计也为其他牙科材料的性能改进提供了新思路:意义:精确制备了具有与天然牙齿相匹配的机械性能的梯度氧化锆/树脂复合材料,有望显著改善临床治疗效果。此外,该战略设计还为提高其他牙科材料的性能提供了新的思路。
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引用次数: 0
Graphene nanocoating on titanium maintains structural and antibiofilm properties post-sterilization 钛上的石墨烯纳米涂层在灭菌后仍能保持结构和抗生物膜特性。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-01 DOI: 10.1016/j.dental.2024.10.009
Julien Luc Paul Morin , Nileshkumar Dubey , Emma Kim Luong-Van , Baiqing Yu , Clarice Ferreira Sabino , Nick Silikas , Shruti Vidhawan Agarwalla , AH Castro Neto , Vinicius Rosa

Objective

To evaluate the impact of sterilization methods on the structural integrity and antimicrobial properties of graphene nanocoating on titanium (GN).

Methods

GN was transferred to titanium using wet (WT) or dry transfer (DT) techniques and sterilized using an autoclave (AC), glutaraldehyde (GA), or ethylene oxide (EtO). The GN structure was characterized using Raman spectroscopy before and after sterilization. Additional specimens were characterized by Raman after AC and water jetting. Biofilm formation was assessed before and after AC using colony-forming units (CFU), biofilm biomass, and SEM (uncoated titanium was the control). Three independent samples were used for structural characterization and biofilm quantification. Statistical analyses were conducted using one-way analysis of variance (ANOVA) and Tukey's test (α = 0.05).

Results

WT and DT demonstrated high structural stability after sterilization and water jetting, with negligible coating quality or coverage loss. GN exhibited lower biofilm formation even after AC sterilization, as shown by the reduction in CFU counts, biofilm biomass, and SEM images compared to the control.

Significance

GN demonstrated high resistance to the stresses imposed by all sterilization methods tested, maintaining its structural integrity, resistance to water-jet cleaning, and antibiofilm potential. The findings suggest that standard industrial practices can effectively sterilize highly resilient GN on titanium implants and possibly other biomaterials.
目的评估灭菌方法对钛上石墨烯纳米涂层(GN)的结构完整性和抗菌性能的影响:采用湿法(WT)或干法(DT)技术将石墨烯纳米涂层转移到钛上,并使用高压灭菌器(AC)、戊二醛(GA)或环氧乙烷(ETO)进行灭菌。在灭菌前后,使用拉曼光谱对 GN 结构进行表征。在 AC 和水喷射后,还对其他试样进行了拉曼表征。使用菌落形成单位 (CFU)、生物膜生物量和扫描电子显微镜(未涂层的钛为对照)对灭菌前后的生物膜形成进行了评估。结构表征和生物膜定量使用了三个独立样本。统计分析采用单因素方差分析(ANOVA)和 Tukey 检验(α = 0.05):结果:WT 和 DT 在灭菌和喷水后表现出很高的结构稳定性,涂层质量或覆盖率的损失可以忽略不计。与对照组相比,GN 在 AC 灭菌后仍能减少生物膜的形成,这体现在 CFU 计数、生物膜生物量和 SEM 图像的减少上:重要意义:GN 对所有测试灭菌方法施加的压力都有很强的抵抗力,保持了其结构的完整性、对喷水清洗的耐受性以及抗生物膜的潜力。研究结果表明,标准的工业实践可以有效地对钛植入物上的高弹性 GN 以及其他生物材料进行灭菌。
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引用次数: 0
How many tooth colors are there? 有多少种牙齿颜色?
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-01 DOI: 10.1016/j.dental.2024.10.016
Sascha Hein , Ján Morovič , Peter Morovič , Omnia Saleh , Jörg Lüchtenborg , Stephen Westland

Objectives

This study aimed to estimate the number of distinct tooth colors using a large dataset of in-vivo CIELAB measurements. It further assessed the coverage error (CE) and coverage error percentage (CEP) of commonly used shade guides and determined the number of shades needed for an ideal guide, using the Euclidean distance (ΔEab) and thresholds for clinical perceptibility (PT) and acceptability (AT) as evaluation criteria.

Methods

A total of 8153 untreated maxillary and mandibular anterior teeth were measured in vivo using calibrated dental photography. Cardinality was applied to determine the number of unique natural tooth colors. The CE and CEP were calculated for the Vita Classical and Vita 3D-Master shade guides, while the cardinality method was also used to estimate the number of shades required to adequately cover the estimated gamut of natural tooth colors.

Results

The cardinality analysis revealed 1173 unique natural tooth colors. The CE for the Vita Classical shade guide was 4.1 ΔEab, with a CEP of 75 % beyond AT, while the 3D-Master shade guide had a CE of 3.3 ΔEab and a CEP of 70 % beyond AT. Based on cardinality computation, 92 discrete shades are required to adequately cover the estimated gamut of natural tooth colors with a CE of 1.2 ΔEab and CEP of 0.3 % beyond AT.

Conclusions

Cardinality computations estimated 1173 unique tooth colors while 92 discrete shades are estimated for full coverage. Such a number is impractical for physical shade guides, but new digital tools and 3D printing may offer future solutions. Both, the Vita Classical and 3D-Master shade guides do not fully represent the range of natural tooth colors.

Clinical significance

This study highlights the limitations of existing shade guides and underscores the potential for new developments.
研究目的本研究旨在利用大量的体内 CIELAB 测量数据集估算不同牙齿颜色的数量。它进一步评估了常用遮色板的覆盖误差(CE)和覆盖误差百分比(CEP),并以欧氏距离(ΔEab)和临床可感知性(PT)和可接受性(AT)阈值作为评估标准,确定了理想遮色板所需的色调数量:方法:使用校准过的牙科照片对 8153 颗未经治疗的上颌和下颌前牙进行了活体测量。采用卡方计算方法确定独特天然牙色的数量。计算了 Vita Classical 和 Vita 3D-Master 遮光导板的 CE 和 CEP,同时还使用卡方方法估算了充分覆盖估计的天然牙色域所需的色调数量:结果:卡方分析显示有 1173 种独特的天然牙色。Vita Classical 色度指南的 CE 值为 4.1 ΔEab,CEP 值超出 AT 值 75%,而 3D-Master 色度指南的 CE 值为 3.3 ΔEab,CEP 值超出 AT 值 70%。根据卡方计算,需要 92 个离散色调才能充分覆盖估计的自然牙色色域,CE 为 1.2 ΔEab,CEP 超出 AT 0.3%:卡方计算估计有 1173 种独特的牙齿颜色,而要全面覆盖估计有 92 种离散色调。这样的数字对于实体色调指南来说是不切实际的,但新的数字工具和 3D 打印可能会提供未来的解决方案。Vita Classical 和 3D-Master 牙色指南都不能完全代表天然牙色的范围:临床意义:本研究强调了现有牙色指南的局限性,并强调了新发展的潜力。
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引用次数: 0
Assessment of 10-MDP and GPDM monomers on viability and inflammatory response in human dental pulp stem cells 评估 10-MDP 和 GPDM 单体对人类牙髓干细胞活力和炎症反应的影响。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-01 DOI: 10.1016/j.dental.2024.10.008
Fabiana Dubau Cavallaro-Mota, Gabriela Nunes Esposo, Matheus Kury, Bruna M. Fronza, Cintia Helena C. Saraceni, Denise Carleto Andia, Adriano F. Lima

Objectives

to assess the cytotoxicity of the following functional monomers used in dental adhesives: 10-Methacryloyloxydecyl dihydrogen phosphate (10-MDP) and glycerol phosphate dimethacrylate (GPDM), and their effect on cytokine release from human dental pulp stem cells (hDPSCs).

Methods

The hDPSCs cells were isolated from the dental pulp of extracted human third molars. The functional monomers, 10-MDP and GPDM, were diluted in dimethyl sulfoxide (DMSO) at concentrations ranging from 1 to 4 mM. Cells not exposed to the compounds served as controls. The hDPSCs were seeded into 96-well plates and incubated for 48 h. Subsequently, the cells were exposed to 10-MDP and GPDM for 24 h. Then, the culture medium was removed, the mitochondrial metabolism was evaluated using the MTT assay, while cell death analyzed by flow cytometry. Cytokine release (IL-1β, IL-6, IL-8, IL-10, TNF-α) was analyzed by the MAGPIX. The data were analyzed using one-way ANOVA and Tukey’s test.

Results

10-MDP demonstrated significant toxicity to hDPSCs, reaching the IC50 at 3 mM. However, its impact on cytokine release was minimal, resulting only in IL-6 and IL-8 levels. GPDM exhibited lower toxicity, even at 4 mM, but induced an increase in IL-1β release and a reduction in IL-6, IL-8, and IL-10 levels, with no effect on TNF-α. Despite the MTT assay results indicating cytotoxicity, the cell death was low for both functional monomers.

Significance

10-MDP exhibited significant toxicity to hDPSCs, unlike GPDM, however, both monomers resulted in minimal cell death. 10-MDP had a minor impact on cytokine release, whereas GPDM demonstrated a potential to trigger an inflammatory reaction, particularly in the short term.
目的:评估牙科粘合剂中使用的以下功能单体的细胞毒性:10-甲基丙烯酰氧癸基磷酸二氢酯(10-MDP)和甘油磷酸二甲基丙烯酸酯(GPDM)的细胞毒性,以及它们对人牙髓干细胞(hDPSCs)释放细胞因子的影响:hDPSCs 细胞是从拔出的人类第三磨牙的牙髓中分离出来的。将功能单体 10-MDP 和 GPDM 稀释在二甲基亚砜(DMSO)中,浓度为 1 至 4 mM。未接触化合物的细胞作为对照组。将 hDPSCs 种子接种到 96 孔板中培养 48 小时,然后将细胞暴露于 10-MDP 和 GPDM 24 小时,去除培养基,用 MTT 法评估线粒体代谢,并用流式细胞术分析细胞死亡。细胞因子释放(IL-1β、IL-6、IL-8、IL-10、TNF-α)由 MAGPIX 分析。数据分析采用单因素方差分析和 Tukey 检验:结果:10-MDP 对 hDPSCs 有明显毒性,IC50 值为 3 mM。然而,它对细胞因子释放的影响很小,只导致 IL-6 和 IL-8 水平的升高。GPDM 的毒性较低,即使在 4 毫摩尔时也是如此,但它会诱导 IL-1β 释放增加,IL-6、IL-8 和 IL-10 水平降低,对 TNF-α 没有影响。尽管 MTT 检测结果表明了细胞毒性,但两种功能单体的细胞死亡率都很低。10-MDP 对细胞因子的释放影响较小,而 GPDM 则有可能引发炎症反应,尤其是在短期内。
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引用次数: 0
Ability of a novel primer to enhance the polymerization of a self-cured resin composite 一种新型底漆促进自固化树脂复合材料聚合的能力。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-01 DOI: 10.1016/j.dental.2024.10.013
Juliana Anany Gonzales Guarneri , Cristiane Maucoski , Soheil Ghaffari , Brett Daniel MacNeil , Richard Bengt Price , Cesar Augusto Galvão Arrais

Objective

This study evaluated the degree of conversion (DC), polymerization kinetics, and temperature of a new self-cure bulk-fill resin-based composite (Stela Automix, SDI).

Methods

The study was divided into seven groups: (1) Stela Primer, (2) Stela Automix, (3) Stela Automix exposed to light for 20 s after 100 s, (4) Stela Primer with Stela Automix, (5) Stela Primer with Stela Automix and exposed to light for 20 s after 100 s, (6) Scotchbond Universal with Stela Automix, and (7) Scotchbond Universal with Stela Automix and exposed to light for 20 s after 100 s. The real-time reaction rates and DC at the bottom of 2 mm thick specimens at ∼32 °C were measured at 720 s after insertion using a spectrometer with an Attenuated Total Reflectance detector. The temperature of Stela, Stela exposed to light, Stela Primer with Stela, and Stela Primer with Stela exposed to light were measured by an infrared thermal camera in human molar teeth with Class I cavities. The temperature was recorded in real-time every 0.03 s for 720 s. The results were compared with ANOVA and Tukey's multiple comparison test (α = 0.05).

Results

The highest degree of conversion (DC) at the 2 mm depth was achieved when Stela Primer was combined with Stela (72.4 ± 3.5 % at 720 s). Stela could self-cure independently, but not as rapidly or effectively as when used with its Primer. The greatest temperature increase was for the light-cured Stela, followed by Stela Primer with Stela RBC exposed to light for 20 s. The Scotchbond Universal bonding system did not significantly increase the DC compared to Stela alone, except when exposed to light for 20 s, which slightly increased the final DC. Exposing Stela to light for 20 s did not improve the final DC of Stela as much as using the Stela Primer, but it did increase the temperature and prolonged the time taken to return to 37 °C.

Significance

The Stela primer accelerates the degree of conversion of Stela. The reaction occurred rapidly and achieved a higher DC at the bottom of the specimens where the Stela was in contact with the Stela primer. Exposing Stela to light for 20 s is not recommended. Instead, Stela should be used with Stela Primer.
目的:本研究评估了新型自固化批量填充树脂基复合材料(Stela Automix,SDI)的转化率(DC)、聚合动力学和温度:本研究评估了一种新型自固化批量填充树脂基复合材料(Stela Automix,SDI)的转化率(DC)、聚合动力学和温度:研究分为七组:(1) Stela Primer;(2) Stela Automix;(3) Stela Automix 100 秒后对光照射 20 秒;(4) Stela Primer 与 Stela Automix;(5) Stela Primer 与 Stela Automix 100 秒后对光照射 20 秒;(6) Scotchbond Universal 与 Stela Automix;(7) Scotchbond Universal 与 Stela Automix 100 秒后对光照射 20 秒。插入后 720 秒,使用带衰减全反射检测器的光谱仪测量了 2 毫米厚试样底部在 ∼32 °C下的实时反应速率和直流电。使用红外热像仪测量了带有 I 级龋洞的人类磨牙中的 Stela、Stela 暴露于光线下、Stela 底剂与 Stela 以及 Stela 底剂与 Stela 暴露于光线下的温度。结果采用方差分析和 Tukey 多重比较检验(α = 0.05)进行比较:结果:当 Stela 底漆与 Stela 混合使用时,2 毫米深度的转化率(DC)最高(720 秒时为 72.4 ± 3.5%)。Stela 可以独立自固化,但不如与底漆一起使用时快速或有效。光固化 Stela 的温度升幅最大,其次是 Stela 底漆和 Stela RBC 对光照射 20 秒。与单独使用 Stela 相比,思高万能粘结系统并没有显著增加直流电,只有对光照射 20 秒时,最终直流电略有增加。将 Stela 暴露在光线下 20 秒并不能像使用 Stela 底漆那样提高 Stela 的最终直流电,但它确实提高了温度并延长了恢复到 37 °C 的时间:Stela 催化剂加速了 Stela 的转化程度。反应发生得很快,在石碑与石碑底漆接触的试样底部达到了较高的直流电。不建议将 Stela 暴露在光下 20 秒。Stela 应与 Stela 底漆一起使用。
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引用次数: 0
Erratum to “Novel co-initiators of polymerization: Cytotoxicity profile and modulation of inflammatory mediators in human dental pulp stem cells” [Dent Mater 40/10 (2024) 1692–1696] 新型聚合辅助引发剂:人牙髓干细胞的细胞毒性概况和炎症介质调节" [Dent Mater 40/10 (2024) 1692-1696]。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-01 DOI: 10.1016/j.dental.2024.11.001
Adriano F. Lima , Giulia G. Pizzanelli , Camila S. Stolf , Jean-Pierre Salomon , Jacques Lalevée , Denise Carleto Andia
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引用次数: 0
Classification and bibliometric analysis of hydrogels in periodontitis treatment: Trends, mechanisms, advantages, and future research directions 牙周炎治疗中水凝胶的分类和文献计量分析:趋势、机制、优势和未来研究方向。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2025-01-01 DOI: 10.1016/j.dental.2024.10.017
Reena Das , Nisha Suryawanshi , Nishant Burnase , Anand Barapatre , Rajathirajan Siva Dharshini , Bikash Kumar , Pachaiyappan Saravana Kumar

Objectives

The review assess the potential of hydrogel-based drug delivery systems in treating periodontitis. Hydrogels are classified based on source, composition, configuration, crosslinking methods, ionic charge, and response to stimuli.

Methods

The methodology comprised of comprehensive data collection from WoS, Scopus and PubMed databases covering the period of 2004–2024 of 626 documents. A bibliometric analysis was conducted using VOS Viewer to identify research trends, key contributors, prominent topics, and leading journals. A comparative analysis was performed to examine the benefits of hydrogels over conventional periodontitis treatments. Current research and innovations in hydrogel formulations were reviewed, including ongoing clinical trials and commercial products.

Results

China was found to be the leading contributor to hydrogel research in periodontitis, with key topics including "hydrogels," "nanoparticles," and "drug delivery." A detailed classification system for hydrogels was established, aiding in their application for targeted drug delivery and tissue regeneration. Hydrogels were found to offer controlled drug release, support for tissue regeneration, and improved clinical outcomes compared to traditional treatments. Innovations highlighted including the use of various polymers like nano-hydroxyapatite/collagen composites, PLGA-based materials, and chitosan gels in clinical trials, demonstrating enhanced cell proliferation and tissue regeneration.

Significance

This review underscores the significant potential of hydrogel-based therapies in advancing the treatment of periodontitis. By providing a comprehensive bibliometric analysis and highlighting key research and innovations, it emphasizes the advantages of hydrogels in terms of targeted drug delivery, minimal invasiveness, and support for tissue regeneration. The findings suggest that with further clinical trials and regulatory approvals, hydrogels could become a mainstream, effective treatment option for periodontitis, offering improved patient outcomes and potentially transforming periodontal therapy.
目的:综述评估了水凝胶给药系统在治疗牙周炎方面的潜力。水凝胶根据来源、成分、构造、交联方法、离子电荷和对刺激的反应进行分类:研究方法包括从 WoS、Scopus 和 PubMed 数据库中全面收集 2004-2024 年间的 626 篇文献。使用 VOS Viewer 进行了文献计量分析,以确定研究趋势、主要贡献者、突出主题和主要期刊。通过比较分析,研究了水凝胶与传统牙周炎治疗方法相比的优势。研究还回顾了水凝胶配方的当前研究和创新,包括正在进行的临床试验和商业产品:结果:研究发现,中国是水凝胶治疗牙周炎研究的主要贡献者,主要研究课题包括 "水凝胶"、"纳米颗粒 "和 "药物输送"。研究建立了详细的水凝胶分类系统,有助于水凝胶在靶向给药和组织再生方面的应用。研究发现,与传统疗法相比,水凝胶可控制药物释放、支持组织再生并改善临床效果。重点介绍的创新包括在临床试验中使用各种聚合物,如纳米羟基磷灰石/胶原蛋白复合材料、基于聚乳酸丙烯酰胺的材料和壳聚糖凝胶,结果表明它们增强了细胞增殖和组织再生能力:本综述强调了水凝胶疗法在推进牙周炎治疗方面的巨大潜力。通过提供全面的文献计量分析并突出关键研究和创新,它强调了水凝胶在靶向给药、微创性和支持组织再生方面的优势。研究结果表明,随着进一步的临床试验和监管部门的批准,水凝胶可能会成为牙周炎的一种主流、有效的治疗方法,为患者提供更好的治疗效果,并有可能改变牙周治疗方法。
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引用次数: 0
Bonding performance of universal adhesive systems to enamel – Effects of the acidic composition 通用粘合剂系统与珐琅质的粘合性能--酸性成分的影响。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-28 DOI: 10.1016/j.dental.2024.12.011
João Carlos Silva do Nascimento Foly , Murillo Weissheimer , Cristiane Falcão Gaspar , Julia Fehrenbach , Leonardo Lamberti Miotti , Evandro Piva , Eliseu Aldrighi Münchow
<div><h3>Objectives</h3><div>To evaluate the self-etch bonding potential of universal adhesive systems with varying acidic compositions by analyzing the wettability properties, topographical change, and microshear bond strength (µSBS) to enamel.</div></div><div><h3>Methods</h3><div>Eight universal adhesives were tested: All-Bond Universal (Bisco), Ambar Universal (FGM), Gluma Bond Universal (Kulzer), OptiBond Universal (Kerr), Peak Universal Bond (Ultradent), Prime&Bond Universal (Dentsply), Singlebond Universal (3 M ESPE), and Tetric N-Bond Universal (Ivoclar). Bovine incisors were prepared and treated with each adhesive according to the manufacturer's instructions. The following tests were carried out: contact angle to measure the adhesives’ wetting ability; optical profilometry to evaluate the topographical changes obtained with adhesives’ application; energy dispersive X-ray spectroscopy (EDX) to quantify the removal of inorganic elements from enamel; and µSBS to verify the bonding potential of adhesives to enamel. Statistical analyzes included ANOVA, Kruskal-Wallis, Weibull analysis, Pearson correlation, and chi square test (α=0.05).</div></div><div><h3>Results</h3><div>Significant differences were found in contact angles immediately after adhesive application and after 30 s, with Gluma Bond Universal and Tetric N-Bond Universal showing the lowest (the best wetting ability) and the highest values (the lowest wetting ability), respectively. EDX revealed varying degrees of Ca and P reduction, with Gluma Bond Universal resulting in the greatest Ca and P reduction from enamel (∼65 % and ∼62 % reduction, respectively. Topographical analysis indicated significant changes in roughness, mainly for Gluma Bond Universal. The µSBS mean values ranged from 14.7 MPa (Ambar Universal) to 26.8 MPa (Tetric N-Bond Universal). OptiBond Universal and Tetric N-Bond Universal exhibited the highest resin-enamel bonds. Weibull analysis was performed to better understand the bonding reliability of the tested adhesives, with OptiBond Universal demonstrating increased modulus and characteristic strength, performing as one of the most interesting compositions for enamel bonding. Adhesives based on carboxylic acids were more acidic than adhesives containing phosphate-based monomers (p = 0.033), and the removal of Ca and P elements from enamel was more intense with the use of adhesives based on carboxylic acids (p = 0.029). There was a strong relationship between the Sz values of adhesively treated enamel and the baseline contact angle (wettability) of adhesives (R² = −0.771; p = 0.025).</div></div><div><h3>Significance</h3><div>The study highlights significant variability among universal adhesives in terms of their interaction with enamel. Adhesives based on GPDM (OptiBond Universal) and 10-MDP (Tetric N-Bond Universal) demonstrated the best bonding performance, suggesting they may be preferable in clinical settings where strong and reliable enamel bonds are critica
目的:通过分析不同酸性成分的通用胶粘剂体系的润湿性、形貌变化和与牙釉质的微剪切粘接强度(µSBS),评价其自蚀刻粘接潜力。方法:对8种通用胶粘剂:All-Bond universal (Bisco)、Ambar universal (FGM)、Gluma Bond universal (Kulzer)、OptiBond universal (Kerr)、Peak universal Bond (Ultradent)、Prime&Bond universal (Dentsply)、Singlebond universal(3 M ESPE)和Tetric N-Bond universal (Ivoclar)进行了测试。根据制造商的说明,用每种粘合剂制备和处理牛门牙。通过接触角测试胶粘剂的润湿能力;用光学轮廓术评价黏合剂应用后的地形变化;能量色散x射线光谱学(EDX)用于定量牙釉质中无机元素的去除;和µSBS来验证粘合剂与牙釉质的粘合潜力。统计分析采用方差分析、Kruskal-Wallis分析、威布尔分析、Pearson相关分析和卡方检验(α=0.05)。结果:涂胶后即刻接触角与30 s后接触角有显著差异,Gluma Bond Universal和Tetric N-Bond Universal分别表现出最低(最佳润湿能力)和最高(最低润湿能力)。EDX显示不同程度的Ca和P还原,Gluma Bond Universal导致釉质中Ca和P的最大还原(分别为~ 65 %和~ 62 %)。地形分析表明粗糙度发生了显著变化,主要是针对Gluma Bond Universal。µSBS平均值从14.7 MPa (Ambar Universal)到26.8 MPa (Tetric N-Bond Universal)不等。OptiBond Universal和Tetric N-Bond Universal表现出最高的树脂-珐琅键合。为了更好地了解测试粘合剂的粘接可靠性,进行了Weibull分析,OptiBond Universal显示出增加的模量和特征强度,是牙釉质粘接中最有趣的成分之一。羧酸类胶粘剂比磷酸基单体胶粘剂的酸性更强(p = 0.033),羧酸类胶粘剂对牙釉质中Ca、p元素的去除效果更强(p = 0.029)。黏合剂处理后牙釉质的Sz值与黏合剂的基线接触角(润湿性)有很强的相关性(R²= -0.771; = 0.025页)。意义:该研究强调了通用胶粘剂在与牙釉质相互作用方面的显著差异。基于GPDM (OptiBond Universal)和10-MDP (Tetric N-Bond Universal)的粘接剂表现出最好的粘接性能,这表明它们可能更适合临床环境,因为牢固可靠的牙釉质粘接是至关重要的。10-MDP的存在与牙合的改善无显著相关。本研究结果为牙医师选择黏合剂以优化牙釉质基板的临床效果提供了有价值的信息。
{"title":"Bonding performance of universal adhesive systems to enamel – Effects of the acidic composition","authors":"João Carlos Silva do Nascimento Foly ,&nbsp;Murillo Weissheimer ,&nbsp;Cristiane Falcão Gaspar ,&nbsp;Julia Fehrenbach ,&nbsp;Leonardo Lamberti Miotti ,&nbsp;Evandro Piva ,&nbsp;Eliseu Aldrighi Münchow","doi":"10.1016/j.dental.2024.12.011","DOIUrl":"10.1016/j.dental.2024.12.011","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;To evaluate the self-etch bonding potential of universal adhesive systems with varying acidic compositions by analyzing the wettability properties, topographical change, and microshear bond strength (µSBS) to enamel.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Eight universal adhesives were tested: All-Bond Universal (Bisco), Ambar Universal (FGM), Gluma Bond Universal (Kulzer), OptiBond Universal (Kerr), Peak Universal Bond (Ultradent), Prime&amp;Bond Universal (Dentsply), Singlebond Universal (3 M ESPE), and Tetric N-Bond Universal (Ivoclar). Bovine incisors were prepared and treated with each adhesive according to the manufacturer's instructions. The following tests were carried out: contact angle to measure the adhesives’ wetting ability; optical profilometry to evaluate the topographical changes obtained with adhesives’ application; energy dispersive X-ray spectroscopy (EDX) to quantify the removal of inorganic elements from enamel; and µSBS to verify the bonding potential of adhesives to enamel. Statistical analyzes included ANOVA, Kruskal-Wallis, Weibull analysis, Pearson correlation, and chi square test (α=0.05).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Significant differences were found in contact angles immediately after adhesive application and after 30 s, with Gluma Bond Universal and Tetric N-Bond Universal showing the lowest (the best wetting ability) and the highest values (the lowest wetting ability), respectively. EDX revealed varying degrees of Ca and P reduction, with Gluma Bond Universal resulting in the greatest Ca and P reduction from enamel (∼65 % and ∼62 % reduction, respectively. Topographical analysis indicated significant changes in roughness, mainly for Gluma Bond Universal. The µSBS mean values ranged from 14.7 MPa (Ambar Universal) to 26.8 MPa (Tetric N-Bond Universal). OptiBond Universal and Tetric N-Bond Universal exhibited the highest resin-enamel bonds. Weibull analysis was performed to better understand the bonding reliability of the tested adhesives, with OptiBond Universal demonstrating increased modulus and characteristic strength, performing as one of the most interesting compositions for enamel bonding. Adhesives based on carboxylic acids were more acidic than adhesives containing phosphate-based monomers (p = 0.033), and the removal of Ca and P elements from enamel was more intense with the use of adhesives based on carboxylic acids (p = 0.029). There was a strong relationship between the Sz values of adhesively treated enamel and the baseline contact angle (wettability) of adhesives (R² = −0.771; p = 0.025).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Significance&lt;/h3&gt;&lt;div&gt;The study highlights significant variability among universal adhesives in terms of their interaction with enamel. Adhesives based on GPDM (OptiBond Universal) and 10-MDP (Tetric N-Bond Universal) demonstrated the best bonding performance, suggesting they may be preferable in clinical settings where strong and reliable enamel bonds are critica","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"41 3","pages":"Pages 272-282"},"PeriodicalIF":4.6,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142902285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dentin remineralization induced by experimental composites containing calcium orthophosphate particles 含正磷酸钙颗粒复合材料诱导牙本质再矿化。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-27 DOI: 10.1016/j.dental.2024.12.004
Amanda Lopes Campos , Marina Damasceno e Souza de Carvalho Chiari , Beatriz Fonseca Vela , Rafael Bergamo Trinca , Gabriela de Souza Balbinot , Fabrício Mezzomo Collares , Roberto Ruggiero Braga

Objectives

This study aimed to verify if composites containing dicalcium phosphate dihydrate particles (DCPD) are able to induce dentin remineralization in vitro. Additionally, the mechanical properties of the materials were tested.

Methods

Four composites with 50 vol% inorganic content and 1 BisGMA: 1 TEGDMA (mols) were prepared, with different DCPD:glass ratios (50:0, 40:10, 30:20 and 0:50). Ca2 + release in water was monitored for 8 weeks using inductively coupled plasma optical emission spectrometry (n = 3). Composites were applied to artificial lesions (180 μm in depth) prepared in dentin discs and the specimens were kept in simulated body fluid for 8 weeks (n = 8–10). Dentin elastic modulus (EM) and hardness (H) across the lesion were determined by nanoindentation (5 mN, 5 s). Mineral density was determined by microCT. Composite degree of conversion (DC) was determined by near-FTIR spectroscopy (n = 3). Fracture strength and elastic modulus were determined using biaxial flexural test (n = 10). Data were analysed by ANOVA/Tukey test, except for mineral density (Kruskal-Wallis, alpha:0.05).

Results

Ca2+ release increase linearly with DCPD fraction in the composite (p < 0.001). Lesions kept in contact with composites containing 40 % and 50 % DCPD presented significant increases in EM and H in the outer region (0–90 μm) and in EM in the inner region (90–180 μm) compared to the negative control. MicroCT was not able to differentiate among treatments. DCPD-containing composites presented DC higher than the control (p < 0.01). Flexural strength and modulus were inversely related to DCPD content (p < 0.001).

Significance

The composite containing 40 vol% DCPD presented the best compromise between mechanical properties and remineralization potential.
目的:本研究旨在验证含有二水磷酸二钙颗粒(DCPD)的复合材料是否能够在体外诱导牙本质再矿化。此外,还测试了材料的力学性能。方法:制备4种无机含量为 vol% 50, BisGMA: TEGDMA (mol)为1的复合材料,DCPD与玻璃的比例分别为50:0、40:10、30:20和0:50。用电感耦合等离子体发射光谱法监测Ca2 +在水中的释放8周(n = 3)。将复合材料应用于牙本质盘中制备的深度为180 μm的人工病变,并将标本置于模拟体液中保存8周(n = 8-10)。采用纳米压痕法(5 mN, 5 s)测定牙本质弹性模量(EM)和硬度(H)。显微ct测定矿物质密度。采用近红外光谱法测定复合转化率(DC) (n = 3)。采用双轴弯曲试验测定断裂强度和弹性模量(n = 10)。除矿物质密度(Kruskal-Wallis, alpha:0.05)外,其他数据均采用方差分析/Tukey检验。结果:Ca2+释放量随复合材料中DCPD含量的增加而线性增加(p )。意义:DCPD含量为40 vol%的复合材料在力学性能和再矿化电位之间表现出最佳的平衡。
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引用次数: 0
Guidance for evaluating biomaterials’ properties and biological potential for dental pulp tissue engineering and regeneration research 牙髓组织工程和再生研究生物材料特性和生物潜力评估指南。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-13 DOI: 10.1016/j.dental.2024.12.003
Vinicius Rosa , Bruno Neves Cavalcanti , Jacques E. Nör , Arzu Tezvergil-Mutluay , Nikolaos Silikas , Marco C. Bottino , Anil Kishen , Diana Gabriela Soares , Cristiane M. Franca , Paul Roy Cooper , Henry F. Duncan , Jack L. Ferracane , David C. Watts

Background

Dental pulp regeneration is a complex and advancing field that requires biomaterials capable of supporting the pulp’s diverse functions, including immune defense, sensory perception, vascularization, and reparative dentinogenesis. Regeneration involves orchestrating the formation of soft connective tissues, neurons, blood vessels, and mineralized structures, necessitating materials with tailored biological and mechanical properties. Numerous biomaterials have entered clinical practice, while others are being developed for tissue engineering applications. The composition and a broad range of material properties, such as surface characteristics, degradation rate, and mechanical strength, significantly influence cellular behavior and tissue outcomes. This underscores the importance of employing robust evaluation methods and ensuring precise and comprehensive reporting of findings to advance research and clinical translation.

Aims

This article aims to present the biological foundations of dental pulp tissue engineering alongside potential testing methodologies and their advantages and limitations. It provides guidance for developing research protocols to evaluate the properties of biomaterials and their influences on cell and tissue behavior, supporting progress toward effective dental pulp regeneration strategies
背景:牙髓再生是一个复杂且不断发展的领域,需要生物材料能够支持牙髓的多种功能,包括免疫防御、感知、血管化和修复性牙本质生成。牙髓再生需要协调软结缔组织、神经元、血管和矿化结构的形成,因此需要具有定制生物和机械特性的材料。许多生物材料已进入临床实践,还有一些正在开发用于组织工程应用。材料的成分和广泛的特性,如表面特性、降解率和机械强度,对细胞行为和组织结果有重大影响。目的:本文旨在介绍牙髓组织工程的生物学基础、潜在的测试方法及其优势和局限性。它为制定研究方案提供指导,以评估生物材料的特性及其对细胞和组织行为的影响,支持有效牙髓再生策略的进展。
{"title":"Guidance for evaluating biomaterials’ properties and biological potential for dental pulp tissue engineering and regeneration research","authors":"Vinicius Rosa ,&nbsp;Bruno Neves Cavalcanti ,&nbsp;Jacques E. Nör ,&nbsp;Arzu Tezvergil-Mutluay ,&nbsp;Nikolaos Silikas ,&nbsp;Marco C. Bottino ,&nbsp;Anil Kishen ,&nbsp;Diana Gabriela Soares ,&nbsp;Cristiane M. Franca ,&nbsp;Paul Roy Cooper ,&nbsp;Henry F. Duncan ,&nbsp;Jack L. Ferracane ,&nbsp;David C. Watts","doi":"10.1016/j.dental.2024.12.003","DOIUrl":"10.1016/j.dental.2024.12.003","url":null,"abstract":"<div><h3>Background</h3><div>Dental pulp regeneration is a complex and advancing field that requires biomaterials capable of supporting the pulp’s diverse functions, including immune defense, sensory perception, vascularization, and reparative dentinogenesis. Regeneration involves orchestrating the formation of soft connective tissues, neurons, blood vessels, and mineralized structures, necessitating materials with tailored biological and mechanical properties. Numerous biomaterials have entered clinical practice, while others are being developed for tissue engineering applications. The composition and a broad range of material properties, such as surface characteristics, degradation rate, and mechanical strength, significantly influence cellular behavior and tissue outcomes. This underscores the importance of employing robust evaluation methods and ensuring precise and comprehensive reporting of findings to advance research and clinical translation.</div></div><div><h3>Aims</h3><div>This article aims to present the biological foundations of dental pulp tissue engineering alongside potential testing methodologies and their advantages and limitations. It provides guidance for developing research protocols to evaluate the properties of biomaterials and their influences on cell and tissue behavior, supporting progress toward effective dental pulp regeneration strategies</div></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"41 3","pages":"Pages 248-264"},"PeriodicalIF":4.6,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Dental Materials
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