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一种监测牙齿美白剂效果的定量方法的开发。

Development of a quantitative method to monitor the effect of a tooth whitening agent.

作者信息

Amaechi Bennett T, Higham Susan M

机构信息

Cariology Group, Department of Clinical Dental Sciences, University of Liverpool, United Kingdom.

出版信息

J Clin Dent. 2002;13(3):100-3.

Abstract

This study demonstrated a quantitative method for assessing the effect of a tooth whitening agent. Forty human teeth were stained with a tea solution, and randomly assigned to two groups (A, B) of twenty teeth. The teeth were subsequently treated with either sodium hypochlorite (NaOCL) or deionized distilled water (DDW) by intermittent immersion (60 seconds on each occasion) in a 1:10 dilution of NaOCL (group A) or DDW (group B). Prior to whitening and following each immersion, the color of the teeth at the stained spot was measured using ShadeEye-Ex Dental Chroma Meter and quantitative light-induced fluorescence (QLF). ShadeEye-Ex instantly gave a numerical value for the stain intensity, chroma (C), which is the average of three measurements taken automatically by the machine. QLF gave a quantitative value for the stain, delta Q (% mm2), following analysis of the fluorescence image of the tooth. Immersion was stopped after four readings when one specimen, in group A, was observed to have regained its natural color. There was a good correlation between C and delta Q with either NaOCL (Pearson correlation coefficient (r) = 0.974; p < 0.05) or DDW (r = 0.978; p < 0.05). With NaOCL, an inverse relationship observed between stain measurements, C (Linear fit correlation (R) = -0.982; p < 0.05) or delta Q (R = -0.988; p < 0.05) and exposure time correlated to a linear fit, but not with DDW. ANOVA showed a significant difference between the means (n = 20) of the reading at the measurement intervals (0, 60, 120 and 180 seconds) for both C (p < 0.001) and delta Q (p < 0.001) with NaOCL but not with DDW. In conclusion, the study highlighted the potential of ShadeEye-Ex Dental Chroma Meter as a tool for the quantitative assessment of the gradual change in shade of discolored teeth by tooth whitening products.

摘要

本研究展示了一种评估牙齿美白剂效果的定量方法。四十颗人牙用茶溶液染色,然后随机分为两组(A组、B组),每组二十颗牙。随后,通过将牙齿间歇性浸泡(每次60秒)在1:10稀释的次氯酸钠(NaOCL)(A组)或去离子蒸馏水(DDW)(B组)中,分别用次氯酸钠或去离子蒸馏水进行处理。在美白前以及每次浸泡后,使用ShadeEye-Ex牙科色度仪和定量光诱导荧光(QLF)测量牙齿染色部位的颜色。ShadeEye-Ex会立即给出染色强度的数值,即色度(C),它是仪器自动进行的三次测量的平均值。对牙齿的荧光图像进行分析后,QLF会给出染色的定量值,即ΔQ(%mm²)。当观察到A组中有一颗标本恢复其自然颜色时,在进行四次读数后停止浸泡。无论是使用NaOCL(皮尔逊相关系数(r)=0.974;p<0.05)还是DDW(r=0.978;p<0.05),C与ΔQ之间都存在良好的相关性。使用NaOCL时,观察到染色测量值C(线性拟合相关系数(R)=-0.982;p<0.05)或ΔQ(R=-0.988;p<0.05)与曝光时间之间存在反比关系,且与线性拟合相关,但使用DDW时不存在这种关系。方差分析表明,对于使用NaOCL处理的牙齿,在测量间隔(0、60、120和180秒)时,C(p<0.001)和ΔQ(p<0.001)的读数平均值(n=20)之间存在显著差异,但使用DDW处理的牙齿不存在这种差异。总之,该研究突出了ShadeEye-Ex牙科色度仪作为一种工具的潜力,可用于定量评估牙齿美白产品使变色牙齿色度逐渐变化的情况。

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