CN114395075B - 一种牙科用零填料渗透树脂及其制备方法 - Google Patents
一种牙科用零填料渗透树脂及其制备方法 Download PDFInfo
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Abstract
本发明提供一种牙科用零填料渗透树脂及其制备方法,所述渗透树脂按质量分数包括:低粘度异山梨醇基光固化单体91.5%‑98%;2‑甲基丙烯酰氧乙基磷酰胆碱0.5%‑6%;光引发剂1%‑2%;阻聚剂0.5%。本发明公开的新型渗透树脂的主成分为具有良好生物相容性的异山梨醇基光固化单体,能有效规避传统渗透树脂所引起的明显细胞毒反应,并且异山梨醇基光固化单体的双五环结构也赋予了其更优异的机械性能,实现了高生物安全性及良好的机械性能的统一;同时还引入了一种具有抗菌斑生物膜黏附作用的两性离子化合物MPC,这有助于提高渗透树脂的抗菌性能,从而降低病损治疗区再脱矿发生的风险。
Description
技术领域
本发明涉及医用树脂技术领域,尤其涉及一种牙科用零填料渗透树脂。
背景技术
渗透树脂是以低粘度、高渗透系数的三缩四乙二醇二甲基丙烯酸酯(TEGDMA)光固化单体为主要成分的一种树脂材料,现有的商用产品为ICON。它主要适用于无光泽的白垩色釉质病损区,如早期釉质龋,特别是正畸治疗后托槽周围的釉质白斑,氟牙症或釉质发育不全等。低粘度渗透树脂通过毛细作用力渗入羟基磷灰石晶体微孔之中,填充间隙,形成树脂-多孔羟基磷灰石复合体。微孔中的空气或水被树脂所取代,孔隙和釉质之间折光率的差异减小使得原本呈现白垩色的病变恢复接近正常牙釉质的色泽,获得美学的改善。应用渗透树脂能避免钻磨轻度病变的牙体,以最大程度保留自身牙体组织,属于微创治疗的范畴,这也吸引了一众学者对其材料性能及功能改善等开展研究。
当前的牙科用渗透树脂材料产品单一,存在诸多不足。一方面相较Bis-GMA,UDMA等单体,TEGDMA分子质量小且含有环氧乙烷长链,易发生化学降解反应、更易从基质中释放导致细胞毒反应。现有研究发现固化后ICON树脂的浸出液培养牙髓干细胞48h后呈现中度的细胞毒性。复合树脂或流动树脂等材料中作为稀释剂的TEGDMA含量较少,而在渗透树脂中其占比大于70%,具有较大的潜在生物学风险。考虑到渗透树脂的应用人群多为儿童及青少年,我们要特别关注该材料的生物安全性能。另一方面由于主成分为长链状TEGDMA单体,ICON固化后机械强度不足,耐磨性不如流体树脂和树脂封闭剂等,并且其中缺乏抗菌成分,长期口腔环境下病损治疗区再脱矿发生的风险不容忽视。
针对上述问题,我们尝试研制新型的牙科用渗透树脂,考虑利用异山梨醇这一原料合成其中的主要成分-低粘度光固化单体。异山梨醇是一种由葡萄糖衍生而来的无毒、可生物降解的二元醇,它可以从包括纤维素和淀粉在内的生物质材料的解聚中广泛获得。现有的基于异山梨醇合成的光固化单体均表现出良好的生物安全性,其中部分结构具备与TEGDMA类似的低粘性,提示此类单体有用于渗透性树脂改性的可能,并且异山梨醇中的双五环结构理论上能赋予其衍生单体良好的机械性能。同时新型渗透树脂中还尝试加入2-甲基丙烯酰氧乙基磷酰胆碱(MPC)成分,它是可参与光固化反应的两性离子化合物,生物相容性好,具有抗蛋白附着、减少菌斑生物膜形成的性能。已有研究将其作为抗菌成分加入复合树脂或粘结剂中。
发明内容
本发明的目的在于,提供一种具有良好的机械性能及抗菌性的、含有低粘度异山梨醇基光固化单体及2-甲基丙烯酰氧乙基磷酰胆碱(MPC)的新型牙科用零填料渗透树脂。
为了实现上述目的,本发明提供了一种牙科用零填料渗透树脂,所述渗透树脂按质量分数包括:
作为一个优选方案,所述异山梨醇基光固化单体为异山梨醇二甲基丙烯酸酯(IBM)或异山梨醇二烯丙基碳酸酯(IBAC)中的至少一种。
作为一个优选方案,所述渗透树脂按质量分数包括:
作为一个优选方案,所述光引发剂为樟脑醌(CQ),以及甲基丙烯酸N,N-二甲氨基乙酯(DEAEMA)或(2,4,6-三甲基苯甲酰氯)二苯基氧化膦(TPO)中的至少一种。即光引发剂为樟脑醌(CQ)及甲基丙烯酸N,N-二甲氨基乙酯(DEAEMA)的组合,或者樟脑醌(CQ)及(2,4,6-三甲基苯甲酰氯)二苯基氧化膦(TPO)的组合,或者樟脑醌(CQ)、甲基丙烯酸N,N-二甲氨基乙酯(DEAEMA)及(2,4,6-三甲基苯甲酰氯)二苯基氧化膦(TPO)的组合。
作为一个优选方案,所述阻聚剂为2,6-二叔丁基对甲酚(BHT)或4-甲氧基苯酚(MEHQ)中的至少一种。
本发明的另一方面,提供了牙科用零填料渗透树脂的制备方法,所述制备方法包括以下步骤:将各组分避光条件下磁力搅拌充分混匀,转速为800-1000r/min,静置后即得。
首先利用异山梨醇和甲基丙烯酰氯或氯甲酸烯丙基酯反应,生成具有低粘度的异山梨醇基光固化单体,即异山梨醇二甲基丙烯酸酯(IBM)或异山梨醇二烯丙基碳酸酯(IBAC),后按一定质量比将各组分避光条件下充分磁力搅拌混匀,静置后即得。
应用时,釉质白垩色病损区经酸蚀处理2min后,冲洗吹干,并用乙醇润湿酸蚀面30s后吹干,将制备的新型渗透树脂足量涂布5min,多余材料用棉卷去除,光固化灯照射40s,固化后打磨抛光表面即可。
本发明优选所述异山梨醇二甲基丙烯酸酯(IBM)的制备方法为将异山梨醇,三乙胺以及4-二甲氨基吡啶(DMAP)加入预置磁子的250mL三颈瓶中,无水CH2Cl2搅拌溶解。将反应瓶置于冰水浴中,缓慢滴加甲基丙烯酰氯。滴加结束后反应温度自然回升至室温,反应过夜。加水淬灭反应,分出有机相,CH2Cl2萃取水相一次。合并有机相,无水Na2SO4干燥后旋干,硅胶柱层析后得到透明无色液体产物。
本发明优选所述异山梨醇二烯丙基碳酸酯(IBAC)的制备方法:将异山梨醇,三乙胺以及4-二甲氨基吡啶(DMAP)加入预置磁子的250mL三颈瓶中,无水CH2Cl2搅拌溶解。将反应瓶置于冰水浴中,缓慢加入氯甲酸烯丙基酯。加入完毕后反应温度自然回升至室温,搅拌过夜。加水淬灭反应,分出有机相,CH2Cl2萃取水相一次。合并有机相,无水Na2SO4干燥后旋干,硅胶柱层析后得到透明无色液体产物。低粘度单体易产生毛细管虹吸作用,填充脱矿区的羟基磷灰石微孔结构,产生改善光泽的效果,并且阻止病变发展。
本发明的优点在于,本发明公开的新型渗透树脂的主成分为具有良好生物相容性的异山梨醇基光固化单体,能有效规避传统渗透树脂所引起的明显细胞毒反应,并且异山梨醇基光固化单体的双五环结构也赋予了其更优异的机械性能,实现了高生物安全性及良好的机械性能的统一;同时还引入了一种具有抗菌斑生物膜黏附作用的两性离子化合物MPC,这有助于提高渗透树脂的抗菌性能,从而降低病损治疗区再脱矿发生的风险。
附图说明
图1是新型牙科用渗透树脂A与ICON渗透树脂的粘度比较;
图2是新型牙科用渗透树脂A与ICON渗透树脂在牛牙釉质表面的接触角比较;
图3是新型牙科用渗透树脂A与ICON渗透树脂固化试件的维氏表面显微硬度的比较;
图4是新型牙科用渗透树脂A在牛牙釉质脱矿表面的色泽改善效果;
图5是新型牙科用渗透树脂A在牛牙釉质脱矿区作用后的表面形貌变化;
图6是新型牙科用渗透树脂A,B,C固化试件浸提液的细胞毒性;
图7是新型牙科用渗透树脂A,B,C固化试件表面的变形链球菌UA159生物膜形成情况的扫描电镜图;
图8是渗透树脂D,E在牛牙釉质表面的接触角;
图9是渗透树脂D,E固化试件表面的变形链球菌UA159生物膜形成情况的扫描电镜图。
具体实施方式
下面结合具体实施例,进一步阐述本发明。下述实施例中所使用的实验方法如无特殊说明,均为常规方法。下述实施例中所用的材料、试剂等,如无特殊说明,均可从商业途径得到。显然,所描述的实施例仅为本发明的一部分应用,而并非全部。应理解,这些实施例仅用于说明本发明的特性而并非用于限制本发明的范围。本领域普通技术人员在没有做出创造性劳动的前提下所获得的所有其他实施例,都属于本发明的保护范围。
异山梨醇二甲基丙烯酸酯(IBM)的制备:
将异山梨醇(5.01g,0.034mol),三乙胺(14.56g,0.144mol)以及DMAP(0.42g,3.4mmol)加入预置磁子的250mL三颈瓶中,30mL无水CH2Cl2搅拌溶解。将反应瓶置于0℃冰水浴中,缓慢滴加甲基丙烯酰氯(11.92g,0.114mol)。滴加结束后反应温度自然回升至室温,反应过夜。加水淬灭反应,分出有机相,CH2Cl2萃取水相一次。合并有机相,无水Na2SO4干燥后旋干,硅胶柱层析(淋洗剂:正己烷/二氯甲烷/甲醇(v/v/v=100/300/5))后得到5.14g透明无色液体产物异山梨醇二甲基丙烯酸酯(IBM),产率53.55%。
异山梨醇二烯丙基碳酸酯(IBAC)的制备:
将异山梨醇(5.00g,0.034mol),三乙胺(14.56g,0.144mol)以及DMAP(0.42g,3.4mmol)加入预置磁子的250mL三颈瓶中,30mL无水CH2Cl2搅拌溶解。将反应瓶置于0℃冰水浴中,缓慢加入氯甲酸烯丙基酯(10.31g,0.0855mol)。加入完毕后反应温度自然回升至室温,搅拌过夜。加水淬灭反应,分出有机相,CH2Cl2萃取水相一次。合并有机相,无水Na2SO4干燥后旋干,硅胶柱层析得到透明无色液体产物异山梨醇二烯丙基碳酸酯(IBAC)。
实施例1.
IBM,MPC,CQ,DMAEMA,BHT各自按质量占比97%,1%,0.5%,1%,0.5%取样,充分混匀,采用磁力搅拌器避光搅拌30min,转速设置为800r-1000r/min,静置后即得新型渗透树脂A,避光保存待用。
实施例2.
IBM,IBAC,MPC,CQ,DMAEMA,BHT各自按质量占比78%,18%,2%,0.5%,1%,0.5%取样,充分混匀,采用磁力搅拌器避光搅拌30min,转速设置为800r-1000r/min,静置后即得新型渗透树脂B,避光保存待用。
实施例3.
IBM,IBAC,MPC,CQ,DMAEMA,BHT各自按质量占比75%,20%,3%,0.5%,1%,0.5%取样,充分混匀,采用磁力搅拌器避光搅拌30min,转速设置为800r-1000r/min,静置后即得新型渗透树脂C,避光保存待用。
新型渗透树脂的性能测定
粘度:
37度恒温条件下流变仪检测剪切速率1-10s-1范围内新型渗透树脂A与ICON商用树脂的粘度,如图1所示两者粘度相仿。
接触角:
选取形态完整,釉质发育正常,无龋坏,隐裂和缺损的牛切牙,除去牙结石及色素,经硬组织切割机制备长宽约6mm,厚度约3-4mm的牙釉质本质块。SiC砂纸600目,1200目,3000目依次表面打磨平整。各取新型渗透树脂A与ICON树脂1滴滴在平整的釉质表面,DSA接触角测量仪拍照并分析角度,如图2显示两者接触角相仿。
表面硬度:
取适量新型渗透树脂A与ICON树脂于直径*高为4mm*6mm的不锈钢模具中,聚酯薄膜覆盖并用盖玻片压平,光固化灯照射表面及底面各40s,获得相应的固化试样(n=5)。按照50g,10s的加载条件测得每个试样的维氏表面显微硬度值并计算平均值,如图3所示新型渗透树脂A的表面硬度优于ICON树脂。
色泽改善:
选取形态完整,釉质发育正常,无龋坏,隐裂和缺损的牛切牙,除去牙结石及色素,在牙颈部将牙横向切断去除牙根。每颗牙牙冠的唇面保留一区域(3mm*4mm)作为脱矿区,保留区以外涂布两层防酸指甲油,干燥24h。按部分饱和酸缓冲系统配制人工脱矿液:0.01mmol/l NaF,2.2mmol/l CaCl2,2.2mmol/l KH2PO4及50mmol/l醋酸,调定pH至4.5。
将处理后的牛牙浸泡在人工脱矿液中,置于37度恒温箱内3周,每2日更换新鲜脱矿液。最终获得的脱矿区牙面光泽消失、粗糙,形成明显的白垩色斑,冲洗擦干备用。
脱矿病损区经酸蚀处理2min后,冲洗吹干,并用乙醇润湿酸蚀面30s后吹干,将新型渗透树脂A或ICON树脂足量涂布5min,多余材料用棉卷去除,光固化灯照射40s,固化后打磨抛光表面。观察治疗前后的釉质病损区的色泽变化并拍照记录,如图4所示新型渗透树脂A作用后白垩色病损区的色泽改善效果明显。
脱矿区牛牙釉质表面的粗糙形貌改善:
将表面包含渗透树脂A治疗区,ICON树脂治疗区,脱矿未治疗区及正常釉质区的牛牙脱水干燥,表面镀金,进行扫描电镜检测,电压5kV,放大率20000倍。结果如图5所示新型渗透树脂A能有效改善脱矿区牛牙釉质表面的粗糙形貌。
细胞存活率比较:
分别取适量新型渗透树脂A,B,C与ICON于直径*高为4mm*6mm的不锈钢模具中,聚酯薄膜覆盖并用盖玻片压平,光固化灯照射表面及底面各40s,获得相应的固化试样。固化的树脂试件消毒后依照0.2g/1ml的浸提比例,37度恒温条件下浸泡在DMEM细胞培养液中24h,获得各自的条件培养液。取处于对数期生长的L929细胞进行96孔板铺板,待细胞贴壁生长良好后去除旧培养基,加入相应条件培养液培养24h,最终采用CCK8法检测细胞活率。如图6所示新型渗透树脂A,B,C组的细胞存活率明显优于ICON组。
抗生物膜黏附性能比较:
分别取适量新型渗透树脂A,B,C与ICON于直径*高为4mm*6mm的不锈钢模具中,聚酯薄膜覆盖并用盖玻片压平,光固化灯照射表面及底面各40s,获得相应的固化试样。固化的树脂试件消毒后放入无菌24孔板中,每孔加入2ml左右含浓度106CFU/ml变形链球菌UA159菌液的BHI培养液(1%蔗糖),37度厌氧培养24h后取出进行后续检测。各组样品采用戊二醛固定,后行梯度酒精脱水,喷金后扫描电镜下观察材料试件表面的菌斑生物膜的黏附情况,电压5kV,放大率5000倍。图7显示新型渗透树脂A,B,C均表现出优于ICON的抗生物膜黏附的性能,其中以渗透树脂C效果最佳。
对比例1.
IBM,MPC,CQ,DMAEMA,BHT各自按质量占比90%,8%,0.5%,1%,0.5%取样,充分混匀,采用磁力搅拌器避光搅拌30min,转速设置为800r-1000r/min,静置后即得渗透树脂D,避光保存待用。
对比例2.
IBM,MPC,CQ,DMAEMA,BHT各自按质量占比88%,10%,0.5%,1%,0.5%取样,充分混匀,采用磁力搅拌器避光搅拌30min,转速设置为800r-1000r/min,静置后即得渗透树脂E,避光保存待用。
对比例的性能测试
选取形态完整,釉质发育正常,无龋坏,隐裂和缺损的牛切牙,除去牙结石及色素,经硬组织切割机制备长宽约6mm,厚度约3-4mm的牙釉质本质块。SiC砂纸600目,1200目,3000目依次表面打磨平整。各取渗透树脂D,E 1滴滴在釉质表面,DSA接触角测量仪拍照并分析角度(图8),与图2对比显示渗透树脂D,E的接触角明显大于ICON树脂,提示我们渗透树脂D,E不易在釉质病损微孔区形成良好的渗透效果。
分别取适量渗透树脂D,E树脂于直径*高为4mm*6mm的不锈钢模具中,聚酯薄膜覆盖并用盖玻片压平,光固化灯照射表面及底面各40s,获得相应的固化试样。固化的树脂试件消毒后放入无菌24孔板中,每孔加入2ml左右含浓度106CFU/ml变形链球菌UA159菌液的BHI培养液(1%蔗糖),37度厌氧培养24h后取出进行后续检测。各组样品采用戊二醛固定,后行梯度酒精脱水,喷金后扫描电镜下观察材料试件表面的菌斑生物膜的黏附情况,电压5kV,放大率2000倍。图9显示渗透树脂D,E虽具有良好的抗生物膜黏附的性能,但是两者固化后表面结构完整性差,不适合应用于牙釉质微创治疗。
以上所述仅是本发明的优选实施方式,应当指出,对于本技术领域的普通技术人员,在不脱离本发明原理的前提下,还可以做出若干改进和润饰,这些改进和润饰也应视为本发明的保护范围。
Claims (5)
3.根据权利要求1或2所述的一种牙科用零填料渗透树脂,其特征在于,所述光引发剂为樟脑醌,以及甲基丙烯酸N,N-二甲氨基乙酯或(2,4,6-三甲基苯甲酰氯)二苯基氧化膦中的至少一种。
4.根据权利要求1或2所述的一种牙科用零填料渗透树脂,其特征在于,所述阻聚剂为2,6-二叔丁基对甲酚或4-甲氧基苯酚中的至少一种。
5.权利要求1—2任一所述牙科用零填料渗透树脂的制备方法,其特征在于,所述制备方法包括以下步骤:将各组分避光条件下磁力搅拌充分混匀,转速为800-1000r/min,静置后即得。
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