Zinc-modified nanopolymers improve the quality of resin-dentin bonded interfaces

Clin Oral Investig. 2016 Dec;20(9):2411-2420. doi: 10.1007/s00784-016-1738-y. Epub 2016 Jan 30.

Abstract

Introduction: Demineralized collagen fibers at the hybrid layer are susceptible to degradation. Remineralization may aid to improve bond longevity.

Objectives: The aim of the present study was to infiltrate zinc and calcium-loaded polymeric nanoparticles into demineralized dentin to facilitate hybrid layer remineralization.

Materials and methods: Zinc or calcium-loaded polymeric nanoparticles were infiltrated into etched dentin, and Single Bond Adhesive was applied. Bond strength was tested after 24 h and 6 months storage. Nanomechanical properties, dye-assisted confocal laser microscopy, and Masson's trichrome staining evaluation were performed to assess for the hybrid layer morphology, permeability, and remineralization ability after 24 h and 3 months. Data were analyzed by ANOVA and Student-Newman-Keuls multiple comparisons tests (p < 0.05).

Results: Immediate bond strength was not affected by nanoparticles infiltration (25 to 30 MPa), while after 6 months, bond strengths were maintained (22 to 24 MPa). After 3 months, permeability occurred only in specimens in which nanoparticles were not infiltrated. Dentin remineralization, at the bottom of the hybrid layer, was observed in all groups. After microscopy analysis, zinc-loaded nanoparticles were shown to facilitate calcium deposition throughout the entire hybrid layer. Young's modulus at the hybrid layer increased from 2.09 to 3.25 GPa after 3 months, in specimens with zinc nanoparticles; meanwhile, these values were reduced from 1.66 to 0.49 GPa, in the control group.

Conclusion: Infiltration of polymeric nanoparticles into demineralized dentin increased long-term bond strengths. Zinc-loaded nanoparticles facilitate dentin remineralization within the complete resin-dentin interface.

Clinical relevance: Resin-dentin bond longevity and dentin remineralization at the hybrid layer were facilitated by zinc-loaded nanoparticles.

Keywords: Adhesives; Dentin; Hybrid layer; Nanopolymers; Remineralization; Zinc.

MeSH terms

  • Acid Etching, Dental
  • Calcium / chemistry
  • Dental Bonding
  • Dentin / chemistry*
  • Dentin-Bonding Agents / chemistry*
  • Elastic Modulus
  • Humans
  • Materials Testing
  • Microscopy, Confocal
  • Molar, Third
  • Nanoparticles / chemistry*
  • Resin Cements / chemistry*
  • Staining and Labeling
  • Surface Properties
  • Tensile Strength
  • Tooth Remineralization*
  • Zinc / chemistry*

Substances

  • Dentin-Bonding Agents
  • Resin Cements
  • Zinc
  • Calcium