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Dr. Werner Geurtsen - Germany
Can resin-modified oral biomaterials cause local and
systemic dysfunctions or diseases?
The application of resin-modified restorative materials
increased dramatically during the past decade. Meanwhile
resins are used as cavity base, filling material, adhesive
‘cement’, preventive restoration, etc. Contrary, to the
diversity and high number of applications, the knowledge
about the biological behavior of resin systems is still
very fragmentary. Evidence exists that various components
leaching from resin restorations may interfere with the
metabolism and vitality of oral cells.
For instance, animal studies and clinical experiments
indicate that resins placed in deep cavities with little
remain dentin thickness or in direct contact with the
dental pulp may cause a chronic persistent inflammation.
Even less information is available if resin substances may
cause alterations in systemic cells. Another area, which
is relatively ‘under-investigated’ are chemical
interactions of resin compounds at low concentrations with
cells and tissues.
An increasing number of studies, however, points out
that resins at non-toxic or only moderately toxic
concentration may significantly interfere with cells’
metabolism. Initiating systems, for example, significantly
increased the amounts of intracellular reactive oxygen
species. Monomers, like BisGMA, UDMA, TEGDMA, and HEMA can
deplete the intracellular pool of detoxifying glutathione
thus making the affected cells more susceptible to
subsequent toxic challenges from other xenobiotics.
Finally, potential synergistic interactions between
biologically active resin molecules and substances from
other dental therapeutics, such as bleaching agents, may
increase potential health risks. Taken together, the
available results indicate that resin-modified materials
could contribute to dysfunction and chronic diseases.
Objectives:
• Become familiar with leaching resin components
• Learn about potential local and systemic adverse
reactions
• Get information about resin-associated cellular
reactions and their possible health effects
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