Sistemas adesivos modificados com agentes antimicrobianos: uma revisão da literatura
DOI:
https://doi.org/10.11606/issn.2357-8041.clrd.2020.164731Palavras-chave:
Cáries dentárias, Agentes de ligação à dentina, Agentes AntibacterianosResumo
A cárie secundária é a principal causa de falha da restauração. Assim, o desenvolvimento de adesivos com ação antimicrobiana é uma opção vantajosa para sua inibição. No entanto, esse efeito deve ser comprovado, bem como que o benefício adicional não interfere nas propriedades mecânicas do material ou na biocompatibilidade. Analisamos adesivos com ação antimicrobiana por meio de testes microbiológicos, resistência de união, grau de conversão e citotoxicidade. Analisamos 32 estudos com adesivos antimicrobianos disponíveis comercialmente (Clearfil ™ SE Protect Bond / MDPB, Gluma 2Bond / glutaraldeído, Peak Universal Bond / clorexidina) e materiais experimentais ou adesivos comerciais modificados com agentes antimicrobianos, incluindo materiais com metacrilato de amônio quaternário (QAM) [metacrilato de dimetilaminododecil (DMADDM) e metacrilato de dimetilaminohexadecil (DMAHDM)], nanopartículas [prata (NAg), dióxido de titânio (TiO2), óxido de zinco (ZnO)], vidro bioativo dopado com prata ou zinco (BAG), titânio, iodo de titânio, cobre e compostos como triclosan, quercetina, extrato de semente de uva, entre outros. O uso de agentes antimicrobianos é uma perspectiva favorável para a funcionalização de sistemas adesivos para inibir a cárie secundária. No entanto, mais estudos clínicos precisam provar a eficácia desses materiais.
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