Влияние ортодонтических адгезивов, модифицированных антибактериальными наночастицами, на прочность сцепления: обзор литературы

ВВЕДЕНИЕ. С появлением нанотехнологий создаются новые стоматологические изделия с добавлением различных наночастиц для улучшения качества материала, а также увеличения их долговечности и антибактериальной терапии. В последнее время наночастицы серебра, гидроксиапатита кальция, диоксида кальция, магния, корицы и ванилина включаются в ортодонтические адгезивы для предотвращения деминерализации эмали во время лечения несъемной аппаратурой. Однако, прочность фиксации брекет-системы к эмали зуба играет важную роль в противостоянии ортодонтическим и механическим воздействиям в полости рта для достижения точного контроля перемещения зубов. ЦЕЛЬ. Целью этого исследования является аналитический обзор лабораторных исследований на силу сцепления при сдвиге ортодонтических адгезивов, модифицированных антибактериальными наночастицами.

МАТЕРИАЛЫ И МЕТОДЫ. В базах данных eLibrary, PubMed и Google Scholar был выполнен запрос научных статей, опубликованных с 2019 по 2024 г., с использованием ключевых слов: nanoparticles, orthodontics, bond strength, orthodontic adhesive, nanoadhesive. Таким образом, в данную статью было включено 13 исследовательских работ in vitro по теме прочности сцепления на сдвиг наноадгезивов, остальные 40 научных статей были посвящены изучению методов применения нанотехнологий в ортодонтической клинике, свойству различных наночастиц и проблемам деминерализации зубной ткани в период коррекции зубочелюстных аномалий, их профилактике.

ВЫВОД. На основе данного анализа было выявлено, что большинство результатов лабораторных исследований ортодонтических адгезивов, содержащих наночастицы в низких концентрациях, продемонстрировали положительный антимикробный потенциал при сохранении приемлемой силы адгезивного сцепления. При этом необходимы дальнейшие исследования в клинических условиях, учитывая влажность и изменения температуры в полости рта, для достижения наилучших механических характеристик и антибактериальной эффективности в отношении патогенов, образующих биопленки во время ортодонтической терапии.

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