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Limitations in Bonding to Dentin and Experimental Strategies to Prevent Bond Degradation

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单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Stomatol, Wuhan 430030, Peoples R China; [2]Univ Oulu, Inst Dent, Oulu, Finland; [3]Oulu Univ Hosp, Oulu, Finland; [4]Univ Trieste, Unit Dent Sci & Biomat, Dept Biomed, Bologna, Italy; [5]IOR, Unit Bologna, IGM CNR, Bologna, Italy; [6]Univ Bologna, Dept SAU & FAL, I-40126 Bologna, Italy; [7]Univ Tradit Chinese Med, Dept Osteoped & Traumatol, Fujian, Peoples R China; [8]Med Coll Georgia, Sch Dent, Dept Oral Biol, Augusta, GA 30912 USA; [9]Med Coll Georgia, Sch Dent, Dept Endodont, Augusta, GA 30912 USA
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关键词: bottom-up biomimetic remineralization chlorhexidine collagen cross-linking agents cysteine cathepsins degradation esterase ethanol wet-bonding extracellular matrix proteins hydrolysis matrix metalloproteinases resin monomers top-down water sorption

摘要:
The limited durability of resin-dentin bonds severely compromises the lifetime of tooth-colored restorations. Bond degradation occurs via hydrolysis of suboptimally polymerized hydrophilic resin components and degradation of water-rich, resin-sparse collagen matrices by matrix metalloproteinases (MMPs) and cysteine cathepsins. This review examined data generated over the past three years on five experimental strategies developed by different research groups for extending the longevity of resin-dentin bonds. They include: (1) increasing the degree of conversion and esterase resistance of hydrophilic adhesives; (2) the use of broad-spectrum inhibitors of collagenolytic enzymes, including novel inhibitor functional groups grafted to methacrylate resins monomers to produce anti-MMP adhesives; (3) the use of cross-linking agents for silencing the activities of MMP and cathepsins that irreversibly alter the 3-D structures of their catalytic/allosteric domains; (4) ethanol wet-bonding with hydrophobic resins to completely replace water from the extrafibrillar and intrafibrillar collagen compartments and immobilize the collagenolytic enzymes; and (5) biomimetic remineralization of the water-filled collagen matrix using analogs of matrix proteins to progressively replace water with intrafibrillar and extrafibrillar apatites to exclude exogenous collagenolytic enzymes and fossilize endogenous collagenolytic enzymes. A combination of several of these strategies should result in overcoming the critical barriers to progress currently encountered in dentin bonding.

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基金编号: R21 DE019213-02 R01 DE015306-06 R01DE015306 R21DE019213

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出版当年[2010]版:
大类 | 3 区 医学
小类 | 1 区 牙科与口腔外科
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 牙科与口腔外科
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出版当年[2009]版:
Q1 DENTISTRY, ORAL SURGERY & MEDICINE
最新[2024]版:
Q1 DENTISTRY, ORAL SURGERY & MEDICINE

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Stomatol, Wuhan 430030, Peoples R China;
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通讯机构: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Stomatol, Wuhan 430030, Peoples R China;
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