Yuan Gao1, Kunneng Liang1, Michael D Weir2, Jianghong Gao3, Satoshi Imazato4, Franklin R Tay5, Christopher D Lynch6, Thomas W Oates2, Jiyao Li7, Hockin H K Xu8. 1. State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China; Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, 21201, USA. 2. Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, 21201, USA. 3. Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, 21201, USA; Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, 710004, China. 4. Department of Biomaterials Science, Osaka University Graduate School of Dentistry, Osaka, Japan. 5. The Dental College of Georgia, Augusta University, Augusta, GA, USA. 6. Restorative Dentistry, University Dental School and Hospital, University College Cork, Wilton, Cork, Ireland. 7. State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China. Electronic address: jiyaoliscu@163.com. 8. Department of Advanced Oral Sciences and Therapeutics, University of Maryland School of Dentistry, Baltimore, MD, 21201, USA; Center for Stem Cell Biology & Regenerative Medicine, University of Maryland School of Medicine, Baltimore, MD, 21201, USA; Marlene and Stewart Greenebaum Cancer Center, University of Maryland School of Medicine, Baltimore, MD, 21201, USA. Electronic address: hxu@umaryland.edu.
Abstract
OBJECTIVES: The objective of this study was to investigate enamel remineralization using salivary statherin protein-inspired poly(amidoamine) dendrimer (SN15-PAMAM) and adhesive containing nanoparticles of amorphous calcium phosphate (NACP) in a cyclic artificial saliva/demineralizing solution for the first time. METHODS: The enamel shear bond strengths of NACP adhesives were measured compared to commercial adhesive (Scotchbond Multi-Purpose, 3 M). Adhesive disks containing NACP were tested for calcium (Ca) and phosphorus (P) ions release. Four groups were tested: (1) enamel control, (2) enamel with NACP, (3) enamel with SN15-PAMAM, and (4) enamel with SN15-PAMAM + NACP. The specimens were treated with cyclic artificial saliva/demineralizing solution for 28 days. The remineralized enamel specimens were examined by surface and cross-sectional hardness test. RESULTS: NACP adhesive yielded a similar shear bond strength to commercial control (Scotchbond Multi-Purpose, 3 M). NACP adhesive released high levels of Ca and P ions. At 28 days, the enamel hardness of SN15-PAMAM + NACP group was 2.89 ± 0.13 GPa, significantly higher than that of control group (1.46 ± 0.10 GPa) (p < 0.05). SN15-PAMAM + NACP increased the enamel cross-sectional hardness at 28 days; at 25 μm, enamel cross-sectional hardness was 90% higher than that of control group (p < 0.05). SIGNIFICANCE: The novel SN15-PAMAM + NACP adhesive method could achieve 90% higher enamel remineralization of the artificial caries than the control under acid challenge for the first time. This method is promising for use after tooth cavity preparation, or as a coating on enamel with white spot lesions (WSLs) for prevention, to reduce secondary caries, prevent caries procession and protect tooth structures.
OBJECTIVES: The objective of this study was to investigate enamel remineralization using salivary statherin protein-inspired poly(amidoamine) dendrimer (SN15-PAMAM) and adhesive containing nanoparticles of amorphous calcium phosphate (NACP) in a cyclic artificial saliva/demineralizing solution for the first time. METHODS: The enamel shear bond strengths of NACP adhesives were measured compared to commercial adhesive (Scotchbond Multi-Purpose, 3 M). Adhesive disks containing NACP were tested for calcium (Ca) and phosphorus (P) ions release. Four groups were tested: (1) enamel control, (2) enamel with NACP, (3) enamel with SN15-PAMAM, and (4) enamel with SN15-PAMAM + NACP. The specimens were treated with cyclic artificial saliva/demineralizing solution for 28 days. The remineralized enamel specimens were examined by surface and cross-sectional hardness test. RESULTS:NACP adhesive yielded a similar shear bond strength to commercial control (Scotchbond Multi-Purpose, 3 M). NACP adhesive released high levels of Ca and P ions. At 28 days, the enamel hardness of SN15-PAMAM + NACP group was 2.89 ± 0.13 GPa, significantly higher than that of control group (1.46 ± 0.10 GPa) (p < 0.05). SN15-PAMAM + NACP increased the enamel cross-sectional hardness at 28 days; at 25 μm, enamel cross-sectional hardness was 90% higher than that of control group (p < 0.05). SIGNIFICANCE: The novel SN15-PAMAM + NACP adhesive method could achieve 90% higher enamel remineralization of the artificial caries than the control under acid challenge for the first time. This method is promising for use after tooth cavity preparation, or as a coating on enamel with white spot lesions (WSLs) for prevention, to reduce secondary caries, prevent caries procession and protect tooth structures.
Authors: Mohammed Zahedul Islam Nizami; Veena W Xu; Iris X Yin; Ollie Y Yu; Chun-Hung Chu Journal: Nanomaterials (Basel) Date: 2021-12-20 Impact factor: 5.076