2018
DOI: 10.1016/j.dental.2018.08.303
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Do collagen cross-linkers improve dentin’s bonding receptiveness?

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Cited by 24 publications
(13 citation statements)
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“…First, the remnant water in demineralized dentin has resulted in a highly porous hybrid layer [ 6 ]. The interspaces at the bottom of the hybrid layer cannot be completely occupied by adhesive monomers, and the denuded demineralized collagen fibrils are therefore under great threat from water hydrolysis and protease degradation [ 7 , 8 ]. Second, the ester group (–CO–O-R-) in both acrylate- and methacrylate-based monomers, especially 2-hydroxyethyl methacrylate (HEMA), could be hydrolyzed by water over time, which is detrimental to the mechanical properties of the hybrid layer [ 9 , 10 ].…”
Section: Introductionmentioning
confidence: 99%
“…First, the remnant water in demineralized dentin has resulted in a highly porous hybrid layer [ 6 ]. The interspaces at the bottom of the hybrid layer cannot be completely occupied by adhesive monomers, and the denuded demineralized collagen fibrils are therefore under great threat from water hydrolysis and protease degradation [ 7 , 8 ]. Second, the ester group (–CO–O-R-) in both acrylate- and methacrylate-based monomers, especially 2-hydroxyethyl methacrylate (HEMA), could be hydrolyzed by water over time, which is detrimental to the mechanical properties of the hybrid layer [ 9 , 10 ].…”
Section: Introductionmentioning
confidence: 99%
“…In this manner, these agents are regarded to increase the bond strength of bonded restorations to dentin, to reduce the biodegradation rate of demineralized collagen, and consequently, to increase the longevity of adhesive restorations [4,26]. Cross-linking agents are claimed to react in different ways with collagen, creating different kinds and extents of cross-links, mainly via bonding with hydrogen ions (with natural agents) and covalent bonds (with synthetic agents) [6,27]. Plant extracts have also been used to induce dentin biomodification mainly due to the presence of tannins, especially proanthocyanidins [28].…”
Section: Discussionmentioning
confidence: 99%
“…Tannin-rich extracts as cross-linkers prior to the application of adhesive restorative materials demonstrated superior results when compared with chlorhexidine [33][34][35][36]. Conversely, concerns have been expressed over their actual benefits, especially when cross-linkers are applied in clinically relevant application times [27]. It has been questioned that the ability of a cross-linking agent to react with the dentin matrix to avoid the degradation of collagen at the adhesive interfacial area depends on its chemical and structural characteristics [27].…”
Section: Discussionmentioning
confidence: 99%
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“…Different MMP inhibitors such as quaternary ammonium methacrylates [17,28], and benzalkonium chloride [12] have been used experimentally to increase the durability of the resin-dentin interface [29]. Collagen cross-linkers have also been used to enhance the mechanical properties of the demineralized collagen network as well as bond durability in coronal [11,[30][31][32][33] and radicular dentin [34]. Because cross-linking of the collagen matrix is a naturally-occurring phenomenon in dentin, scientists have resorted to the use of chemical substances with cross-linking properties to render the dentin collagen matrix less susceptible to proteolytic attack [4,35].…”
Section: Introductionmentioning
confidence: 99%