探索类黄酮在受龋齿影响的牙本质粘附中的作用:全面范围综述

IF 2.2 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Camilla Karoline de Carvalho Beckman , Tainá de Lima Costa , Regina Maria Puppin-Rontani , Aline Rogéria Freire de Castilho
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引用次数: 0

摘要

方法 从 2022 年 3 月开始在五个数据库中进行了全面的文献检索,并于 2023 年 4 月进行了更新:PubMed、EMBASE、Scopus、Web of Science 和 Scielo。此外,还对纳入研究的参考文献进行了人工检索。研究选择:纳入标准包括以英语发表的体外、原位和体内研究(动物或人体)。摘要、综述、病例报告、书籍章节、博士论文、指南和使用纯植物提取物的研究除外。对从所选研究中收集到的数据进行了汇总,并进行了叙述性和描述性分析。结果该综述分析了八种不同的类黄酮(橙皮甙、柚皮甙、原花青素、玄皮素、槲皮素、柚皮甙、表儿茶素-3-没食子酸酯和其他儿茶素亚型),这些类黄酮被用作预处理或添加到粘合剂系统、底漆和磷酸中。黄酮类化合物的使用改善了材料的机械性能,并改变了牙本质的生物特性,通过抑制基质金属蛋白酶(MMPs)的蛋白水解活性减少了胶原蛋白的流失。结论根据本范围综述的研究结果,可以得出结论:使用黄酮类化合物作为预处理或添加到牙科材料中,可以保留混合层中的胶原蛋白,抑制 MMPs 的活性,改变牙本质基质的胶原纤维,改善牙科粘合剂系统的机械性能。因此,它是促进牙本质生物改性的一种有前途的方法。这将使粘接修复体与受龋齿影响的牙本质的粘接更加稳定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the role of flavonoids in caries-affected dentin adhesion: A comprehensive scoping review

Objectives

The aim of this scoping review was to evaluate the available scientific evidence regarding the use of flavonoids in the treatment of caries-affected dentin focusing on bonding to dentin.

Methods

A comprehensive literature search was performed in five databases from March 2022 and updated in April 2023: PubMed, EMBASE, Scopus, Web of Science, and Scielo. Additionally, the references of included studies were manually searched. Gray literature was excluded from the review.Study selection: Inclusion criteria included in vitro, in situ, and in vivo studies (animal or human) published in English. Abstracts, reviews, case reports, book chapters, doctoral dissertations, guidelines, and studies using pure plant extracts were excluded. Data collected from the selected studies were summarized and subjected to narrative and descriptive analysis. Out of the 91 studies identified, only 16 studies met the inclusion criteria.

Results

The review analyzed eight different flavonoids (hesperidin, galardin, proanthocyanidin, genipin, quercetin, naringin, epigallocatechin-3-gallate, and other catechins subtypes) used as pretreatment or loaded into adhesive systems, primers, and phosphoric acid. The use of flavonoids improved the mechanical properties of the materials and modified the biological properties of the dentin, reducing collagen loss by the inhibition of proteolytic activity of matrix metalloproteinases (MMPs).

Conclusions

Based on the findings of this scoping review, it can be concluded that the use of flavonoids as pretreatment or incorporation into dental materials preserves collagen in the hybrid layer, inhibiting the MMPs activities, modifying the collagen fibrils of the dentin matrix and improving the mechanical properties of the dental adhesive systems. Therefore, it represents a promising approach for promoting dentin biomodification. This can result in more stable bonding of adhesive restorations to caries-affected dentin.

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来源期刊
Archives of oral biology
Archives of oral biology 医学-牙科与口腔外科
CiteScore
5.10
自引率
3.30%
发文量
177
审稿时长
26 days
期刊介绍: Archives of Oral Biology is an international journal which aims to publish papers of the highest scientific quality in the oral and craniofacial sciences. The journal is particularly interested in research which advances knowledge in the mechanisms of craniofacial development and disease, including: Cell and molecular biology Molecular genetics Immunology Pathogenesis Cellular microbiology Embryology Syndromology Forensic dentistry
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