
info@juzhikan.asia
荆楚理工学院医学部,湖北荆门,448000;
摘要:牙本质粘接是牙体修复的关键环节,自酸蚀粘接剂因操作简便、术后敏感少成为临床主流,但粘接混合层长期稳定性欠佳,基质金属蛋白酶(MMPs)降解胶原纤维是粘接失效的核心诱因。锌离子可抑制 MMPs 活性,碳化二亚胺(EDC)能够交联强化胶原结构。二者联合使用可形成协同效应,实现交联加固、酶活性抑制、界面再矿化等多重作用,有效提升牙本质粘接的长期稳定性。本文综述锌离子与 EDC 联用对牙本质粘接强度的影响及作用机制,为该技术的临床应用与相关研究提供参考。
关键词:锌离子;碳化二亚胺溶液;牙本质;胶原纤维
参考文献
[1] 孙春娟,郑洪福。综合口腔护理在龋齿患儿中的应用 [J]. 妇儿健康导刊,2024, 3 (05): 187-189.
[2] 魏飞,孙广迪,陈雪,柏婷婷,朱松。提高牙本质粘接耐久性的新型单体研究进展 [J]. 现代口腔医学杂志,2024, 38 (01): 45-48.
[3] Matos A B, Trevelin L T, Silva B T F D, et al. Bondingefficiency and durability: current possibilities [J]. Brazilianoral research, 2017, 31 (suppl 1): e57.
[4] Toledano M,Yamauti M,Osorio E,et al.Zinc-inhibited MMP-mediated collagen degradation after different dentine demineralization procedures [J].Caries Research,2012,46 (3):201-207.
[5] 王艳桐,范志朋。牙髓 - 牙本质复合体再生的研究进展 [J]. 口腔生物医学,2024,15 (04):223-228.
[6] 唐琳,张一,李皓,刘玉华,周永胜,李博文,吴唯伊,王思雯。不同浓度的碳二亚胺乙醇溶液处理对牙本质自酸蚀粘接剂粘接强度的影响 [J]. 北京大学学报 (医学版),2017,v.49 (06):1055-1059.
[7] Mazzoni A,Tjäderhane L,Checchi V,et al.Role of dentin MMPs in caries progression and bond stability [J].J Dent Res,2015,94 (2):241-251.
[8] 黄佳诚,王彦,郭娜,等。人冠部牙本质中基质金属蛋白酶 8 的表达和分布 [J]. 中华口腔医学研究杂志 (电子版),2013,7 (1):27-30.
[9] Kolanko J,Bonsor S.Does immediate dentine sealing improve bonding effectiveness of glass ceramic restorations compared to delayed dentine sealing?[J].Eur J Prosthodont Restor Dent,2022,30 (2):65-75.
[10] 董阔,崔麦芹,刘颖。乳牙修复处理方式与粘结剂光固化后唾液污染乳牙牙本质粘接强度影响分析 [J]. 粘接,2022,49 (5):44-47,59.
[11] Maciel Pires P,Dávila-Sánchez A,Faus-Matoses V,et al.Bonding performance and ultramorphology of the resin-dentine interface of contemporary universal adhesives [J].Clin Oral Investig,2022,4391-4405.
[12] 苏文君,葛艳,王瑾,等。不同类型粘接剂对牙本质粘接强度及耐久性的效果评价 [J]. 中国美容医学,2024,33 (01):149-153.DOI:10.15909/j.cnki.cn61-1347/r.006085.
[13] Liu Y, Tjäderhane L, Breschi L, et al. Limitations in bonding to dentin and experimental strategies to prevent bond degradation [J]. J Dent Res, 2011, 90 (8):953-968.
[14] Parise Gré C, Pedrollo Lise D, Ayres AP, et al. Do collagen cross-linkers improve dentin's bonding receptiveness?[J]. Dent Mater. 2018 Nov;34 (11):1679-1689.
[15] 贾玲玲,万乾炳。基质金属蛋白酶抑制剂的研究进展 [J]. 华西口腔医学杂志,2017,35 (2):208-214. DOI:10.7518/hxkq.2017.02.019.
[16] Mazzoni A, Angeloni V, Comba A, et al. Cross-linking effect on dentin bond strength and MMPs activity [J]. Dent Mater. 2018 Feb;34 (2):288-295.
[17] 陈一宁,但年华,但卫华。碳化二亚胺在胶原改性中的应用 [J]. 皮革科学与工程,2015,25 (06):16-22.
[18] 庞晓燕,贾光宇,丁志文。聚碳化二亚胺类交联剂的性能及研究进展 [J]. 中国皮革,2010,39 (01):49-51.
[19] Singh P, Nagpal R, Singh UP. Effect of dentin biomodifiers on the immediate and long-term bond strengths of a simplified etch and rinse adhesive to dentin [J]. Restor Dent Endod. 2017 Aug;42 (3):188-199.
[20] Zhang Z, Mutluay M, Tezvergil-Mutluay A, et al. Effects of EDC crosslinking on the stiffness of dentin hybrid layers evaluated by nanoDMA over time [J]. Dent Mater. 2017 Aug;33 (8):904-914.
[21] 李晓东,罗巧洁,许佳佳。基于铜、锌离子的牙科粘接预处理系统及用途 [P]. 浙江省:CN202011203072.8,2022-03-22.
[22] Mazzoni A,Angeloni V,Comba A,et al.Cross-linking effect on dentin bond strength and MMPs activity [J].Dental Materials,2017,34 (2):288-295.
[23] 杨旸,唐子圣。锌与龋病关系的研究进展 [J]. 牙体牙髓牙周病学杂志,2012,22 (09):543-546.DOI:10.15956/j.cnki.chin.j.conserv.dent.2012.09.014.
[24] Osorio R,Yamauti M,Osorio E,et al.Zinc reduces collagen degradation in demineralized human dentin explants [J].J Dent,2011,39 (2):148-153.