Objectives. Remineralization of demineralized dentin is important for improving dentin bonding stability and controlling primary and secondary caries. Nevertheless, conventional dentin remineralization strategy is not suitable for remineralizing completely demineralized dentin within hybrid layers created by etch-and-rinse and moderately aggressive self-etch adhesive systems, or the superficial part of a caries-affected dentin lesion left behind after minimally invasive caries removal. Biomimetic remineralization represents a different approach to this problem by attempting to backfill the demineralized dentin collagen with liquid-like amorphous calcium phosphate nanoprecursor particles that are stabilized by biomimetic analogs of noncollagenous proteins. Methods. This paper reviewed the changing concepts in calcium phosphate mineralization of fibrillar collagen, including the recently discovered, non-classical particle-based crystallization concept, formation of polymer-induced liquid-precursors (PILP), experimental collagen models for mineralization, and the need for using phosphate-containing biomimetic analogs for biomimetic mineralization of collagen. Published work on the remineralization of resin-dentin bonds and artificial caries-like lesions by various research groups was then reviewed. Finally, the problems and progress associated with the translation of a scientifically sound concept into a clinically applicable approach are discussed. Results and significance. The particle-based biomimetic remineralization strategy based on the PILP process demonstrates great potential in remineralizing faulty hybrid layers or caries-like dentin. Based on this concept, research in the development of more clinically feasible dentin remineralization strategy, such as incorporating poly(anionic) acid-stabilized amorphous calcium phosphate nanoprecursor-containing mesoporous silica nanofillers in dentin adhesives, may provide a promising strategy for increasing of the durability of resin-dentin bonding and remineralizing caries-affected dentin. (C) 2013 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.
基金:
NIDCR [R01 DE015306-06]; ERA award from Georgia Regents University; IRRM award from Georgia Regents University; National Nature Science Foundation of China [81130078]; National Key Basic Research Program of China [2012CB526704]
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2013]版:
大类|2 区工程技术
小类|2 区牙科与口腔外科2 区材料科学:生物材料
最新[2025]版:
大类|1 区医学
小类|1 区牙科与口腔外科2 区材料科学:生物材料
JCR分区:
出版当年[2012]版:
Q1DENTISTRY, ORAL SURGERY & MEDICINEQ1MATERIALS SCIENCE, BIOMATERIALS
最新[2023]版:
Q1DENTISTRY, ORAL SURGERY & MEDICINEQ2MATERIALS SCIENCE, BIOMATERIALS
第一作者单位:[1]Fourth Mil Med Univ, Sch Stomatol, Dept Prosthodont, Xian 710032, Peoples R China
通讯作者:
通讯机构:[3]Georgia Regents Univ, Dept Oral Biol, Augusta, GA 30912 USA[6]Georgia Regents Univ, Dept Endodont, Augusta, GA 30912 USA[*1]Georgia Regents Univ, Augusta, GA 30912 USA
推荐引用方式(GB/T 7714):
Niu Li-na,Zhang Wei,Pashley David H.,et al.Biomimetic remineralization of dentin[J].DENTAL MATERIALS.2014,30(1):77-96.doi:10.1016/j.dental.2013.07.013.
APA:
Niu, Li-na,Zhang, Wei,Pashley, David H.,Breschi, Lorenzo,Mao, Jing...&Tay, Franklin R..(2014).Biomimetic remineralization of dentin.DENTAL MATERIALS,30,(1)
MLA:
Niu, Li-na,et al."Biomimetic remineralization of dentin".DENTAL MATERIALS 30..1(2014):77-96