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Biomimetic remineralization of dentin

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单位: [1]Fourth Mil Med Univ, Sch Stomatol, Dept Prosthodont, Xian 710032, Peoples R China [2]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Stomatol, Wuhan 430074, Peoples R China [3]Georgia Regents Univ, Dept Oral Biol, Augusta, GA 30912 USA [4]Univ Trieste, Dept Med Sci, Trieste, Italy [5]CNR, IGM, I-40126 Bologna, Italy [6]Georgia Regents Univ, Dept Endodont, Augusta, GA 30912 USA
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关键词: Biomimetic Mineralization Dentin

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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.

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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
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出版当年[2012]版:
Q1 DENTISTRY, ORAL SURGERY & MEDICINE Q1 MATERIALS SCIENCE, BIOMATERIALS
最新[2023]版:
Q1 DENTISTRY, ORAL SURGERY & MEDICINE Q2 MATERIALS SCIENCE, BIOMATERIALS

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第一作者单位: [1]Fourth Mil Med Univ, Sch Stomatol, Dept Prosthodont, Xian 710032, Peoples R China
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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
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