Inhibition of enzymatic degradation of adhesive-dentin interfaces

J Dent Res. 2009 Dec;88(12):1101-6. doi: 10.1177/0022034509346952. Epub 2009 Oct 27.

Abstract

Adhesive procedures activate dentin-associated matrix metalloproteinases (MMPs), and so iatrogenically initiate bond degradation. We hypothesized that adding MMP inhibitors to adhesive primers may prevent this endogenous enzymatic degradation, thereby improving bond durability. A non-specific MMP inhibitor (chlorhexidine) and a MMP-2/9-specific inhibitor (SB-3CT) were admixed to the primers of an etch & rinse and a self-etch adhesive, both considered as gold-standard adhesives within their respective categories. For dentin powder exposed to the adhesives under clinical application conditions, gelatin zymography revealed the release of MMP-2 (not of MMP-9) by the etch & rinse adhesive, while no release of enzymes could be detected for the mild self-etch adhesive, most likely because of its limited dentin demineralization effect. The built-in MMP inhibitors appeared effective in reducing bond degradation only for the etch & rinse adhesive, and not for the self-etch adhesive. Water sorption of adhesive interfaces most likely remains the principal mechanism of bond degradation, while endogenous enzymes appear to contribute to bond degradation of only etch & rinse adhesives.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Absorption
  • Acid Etching, Dental / methods
  • Adsorption
  • Chlorhexidine / chemistry
  • Chlorhexidine / pharmacology
  • Dental Bonding*
  • Dentin / drug effects
  • Dentin / ultrastructure*
  • Dentin-Bonding Agents / chemistry*
  • Electrophoresis, Polyacrylamide Gel
  • Enzyme Inhibitors / chemistry*
  • Enzyme Inhibitors / pharmacology
  • Heterocyclic Compounds, 1-Ring / chemistry
  • Heterocyclic Compounds, 1-Ring / pharmacology
  • Humans
  • Materials Testing
  • Matrix Metalloproteinase 2
  • Matrix Metalloproteinase Inhibitors
  • Microscopy, Electron, Transmission
  • Oxidants / chemistry
  • Resin Cements / chemistry
  • Sodium Hypochlorite / chemistry
  • Stress, Mechanical
  • Sulfones / chemistry
  • Sulfones / pharmacology
  • Surface Properties
  • Tensile Strength
  • Time Factors
  • Water / chemistry
  • Young Adult

Substances

  • Clearfil SE Bond
  • Dentin-Bonding Agents
  • Enzyme Inhibitors
  • Heterocyclic Compounds, 1-Ring
  • Matrix Metalloproteinase Inhibitors
  • OptiBond FL
  • Oxidants
  • Resin Cements
  • SB 3CT compound
  • Sulfones
  • Water
  • Sodium Hypochlorite
  • MMP2 protein, human
  • Matrix Metalloproteinase 2
  • Chlorhexidine