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KMID : 0362320120370010002
Journal of Korean Academy of Operative Dentistry
2012 Volume.37 No. 1 p.2 ~ p.8
Effects of matrix metallproteinases on dentin bonding and strategies to increase durability of dentin adhesion
Lee Jung-Hyun

Chang Ju-Hea
Son Ho-Hyun
Abstract
The limited durability of resin-dentin bonds severely compromises the longevity of composite resin restorations. Resin-dentin bond degradation might occur via degradation of water-rich and resin sparse collagen matrices by host-derived matrix metalloproteinases (MMPs). This review article provides overview of current knowledge of the role of MMPs in dentin matrix degradation and four experimental strategies for extending the longevity of resin-dentin bonds. They include: (1) the use of broad-spectrum inhibitors of MMPs, (2) the use of cross-linking agents for silencing the activities of MMPs, (3) ethanol wet-bonding with hydrophobic resin, (4) biomimetic remineralization of water-filled collagen matrix. A combination of these strategies will be able to overcome the limitations in resin-dentin adhesion.
KEYWORD
Biomimetic remineralization, Chlorhexidine, Cross-linking agent, Dentin bonding, Ethanol wet-bonding, Matrix metalloproteinase
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