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来自口腔内两个不同部位的唾液薄膜对牙釉质侵蚀的保护特性。

Protective properties of salivary pellicles from two different intraoral sites on enamel erosion.

作者信息

Hannig M, Balz M

机构信息

Department of Operative Dentistry and Periodontology, Albert-Ludwigs-University, Freiburg, Germany.

出版信息

Caries Res. 2001 Mar-Apr;35(2):142-8. doi: 10.1159/000047446.

Abstract

The purpose of this study was to investigate the protective effect and ultrastructure of salivary pellicles formed in vivo near the orifices of the ducts of parotid and submandibular/sublingual salivary glands. Pellicles were formed by exposing bovine enamel slabs to the oral environment at the buccal aspect of the upper first molars and at the lingual aspect of the lower incisors in 3 subjects over periods of 24 h. Enamel specimens with and without 24-hour pellicles were immersed in citric acid (0.1 and 1%) for periods ranging from 30 s to 5 min, and processed for measurement of surface microhardness (SMH) and transmission electron microscopy (TEM). In comparison to uncovered enamel specimen significantly less decrease in SMH due to acid exposure was observed in pellicle-coated enamel specimens. Pellicles formed at the buccal aspect of the upper molars were less effective in protecting the enamel against acid-induced softening as compared to pellicles formed at the lingual aspect of the lower incisors only after 5 min exposure in 1% citric acid. TEM analysis showed that pellicle layers were dissolved continuously due to acid exposure. However, even after 5 min exposure to 1% citric acid, a residual pellicle layer could be detected on the enamel surface. In conclusion, site-dependent differences of buccally and lingually in vivo formed 24-hour pellicles have minor importance concerning the pellicle-induced protection of the enamel surface against erosive changes.

摘要

本研究的目的是调查在腮腺及下颌下腺/舌下腺导管口附近体内形成的唾液薄膜的保护作用及超微结构。通过将牛牙釉质片暴露于3名受试者上颌第一磨牙颊侧和下颌切牙舌侧的口腔环境中24小时来形成薄膜。将带有和不带有24小时薄膜的牙釉质标本浸入柠檬酸(0.1%和1%)中30秒至5分钟,然后进行表面显微硬度(SMH)测量和透射电子显微镜(TEM)处理。与未覆盖的牙釉质标本相比,在有薄膜覆盖的牙釉质标本中,由于酸暴露导致的SMH降低明显较少。仅在1%柠檬酸中暴露5分钟后,在上颌磨牙颊侧形成的薄膜与在下颌切牙舌侧形成的薄膜相比,在保护牙釉质免受酸诱导软化方面效果较差。TEM分析表明,由于酸暴露,薄膜层不断溶解。然而,即使在1%柠檬酸中暴露5分钟后,在牙釉质表面仍可检测到残留的薄膜层。总之,颊侧和舌侧体内形成的24小时薄膜的部位依赖性差异在薄膜诱导的保护牙釉质表面免受侵蚀性变化方面的重要性较小。

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