Matrix metalloproteinases are enzymes that degrade the extracellular matrix. They have different substrates but similar structural organization. Matrix metalloproteinases are involved in many physiological and pathological processes and there is a need to develop inhibitors for these enzymes in order to modulate the degradation of the extracellular matrix (ECM). There exist two classes of inhibitors: endogenous and synthetics. The development of synthetic inhibitors remains a great challenge due to the low selectivity and specificity, side effects in clinical trials, and instability. An extensive review of currently reported synthetic inhibitors and description of their properties is presented.
The process of tooth whitening is intended to restore the original color of teeth. It consists of the application of oxidizing agents, including hydrogen peroxide. Although these products considerably improve the color of teeth, their effects on other properties of enamel are not fully understood. The purpose of this work was to study the effects of hydrogen peroxide concentration on hydrophilicity, roughness, morphology, mechanical and tribological properties of human tooth enamel. Human teeth were subjected to bleaching sessions containing 6, 15 and 35% hydrogen peroxide in order to achieve a similar level of whitening. The enamel roughness and morphology were characterized by atomic force microscopy (AFM) and scanning electron microscopy (SEM). Vickers microindentation hardness data were obtained. The hydrophilicity was determined using the captive bubble method. Reciprocating, ball-on-flat friction and wear tests were conducted in artificial saliva using zirconia as the ball and polished enamel as the flat specimens. Although all three test solutions improved tooth color, they also changed the properties of the enamel. Morphological and roughness changes were observed, and there was a decrease in hardness and wear resistance. The wettability was nearly unaffected. It was found that the 15% hydrogen peroxide solution damaged the enamel the least. It was concluded that there is an ideal concentration of hydrogen peroxide for whitening treatments.
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