Vogel G L, Mao Y, Chow L C, Proskin H M
American Dental Association Health Foundation, Paffenbarger Research Center, National Institute of Standards and Technology, Gaithersburg, Md 20899, USA.
Caries Res. 2000 Sep-Oct;34(5):404-11. doi: 10.1159/000016615.
Sodium monofluorophosphate (NaMFP) and sodium fluoride (NaF) are the two most common sources of fluoride used in currently marketed fluoride dentifrices. The purpose of this study was to investigate the effect of mouth rinses containing NaF or NaMFP on the concentrations of fluoride, or the MFP ion, in saliva, whole plaque, and plaque fluid. Twelve subjects abstained from tooth brushing for 48 h, fasted overnight, and then rinsed 1 min with 12 mmol/l (228 ppm [microg/g] F) NaF or NaMFP in the morning. Before the rinse and at 30, 60 and 120 min afterwards, upper and lower molar and premolar plaque samples and whole saliva samples were collected. Aliquots of plaque fluid and centrifuged saliva were obtained from these samples, and the whole plaque residue acid extracted. The F and MFP concentrations were then measured in these samples using ultramicro methods. For both rinses, a higher concentration of plaque fluid fluoride was found at lower molar sites while the reverse was true for the whole plaque fluoride. Furthermore, for both rinses, plaque fluid, whole plaque, but not salivary, fluoride concentrations were above baseline at 120 min. Following the NaMFP rinse, a substantial amount of unhydrolyzed MFP was found in plaque fluid and saliva. Although there was a very large range in these measurements, fluoride in plaque fluid (excluding fluoride in unhydrolyzed MFP) and whole plaque were significantly (p<0.05) greater after the NaF rinse at all time periods. In saliva, the NaF rinse produced a statistically significant greater salivary fluoride (excluding fluoride in unhydrolyzed MFP) only at 60 min. The lack of a clear correlation between these measurements and clinical studies suggest a novel mechanism may enhance the effectiveness of NaMFP dentifrices.
单氟磷酸钠(NaMFP)和氟化钠(NaF)是目前市售含氟牙膏中最常用的两种氟来源。本研究的目的是调查含NaF或NaMFP的漱口水对唾液、全口菌斑和菌斑液中氟或MFP离子浓度的影响。12名受试者48小时不刷牙,隔夜禁食,然后在早晨用12 mmol/l(228 ppm [μg/g] F)的NaF或NaMFP漱口1分钟。在漱口前以及漱口后30、60和120分钟,采集上下磨牙和前磨牙的菌斑样本以及全唾液样本。从这些样本中获取菌斑液和离心后的唾液等分试样,并对全口菌斑残渣进行酸提取。然后使用超微量方法测量这些样本中的F和MFP浓度。对于两种漱口水,在较低磨牙部位发现菌斑液氟浓度较高,而全口菌斑氟浓度则相反。此外,对于两种漱口水,在120分钟时,菌斑液、全口菌斑而非唾液中的氟浓度高于基线。用NaMFP漱口后,在菌斑液和唾液中发现了大量未水解的MFP。尽管这些测量值范围很大,但在所有时间段,用NaF漱口后,菌斑液(不包括未水解MFP中的氟)和全口菌斑中的氟显著更高(p<0.05)。在唾液中,仅在60分钟时,用NaF漱口产生的唾液氟(不包括未水解MFP中的氟)在统计学上显著更高。这些测量值与临床研究之间缺乏明确的相关性表明,可能存在一种新机制可提高含NaMFP牙膏的有效性。