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唾液替代品中使用的聚合物对脱矿牛牙釉质和牙本质的影响。

Effect of polymers used in saliva substitutes on demineralized bovine enamel and dentin.

作者信息

Meyer-Lueckel Hendrik, Tschoppe Peter, Hopfenmuller Werner, Stenzel Wolfgang-Ruediger, Kielbassa Andrej M

机构信息

Department of Operative Dentistry and Periodontology, Medical University of Berlin, Charité, Germany.

出版信息

Am J Dent. 2006 Oct;19(5):308-12.

Abstract

PURPOSE

To evaluate the effects of porcine mucin- and carboxymethylcellulose-based (CMC) solutions on the inhibition of demineralization of pre-demineralized bovine enamel and dentin in vitro. Additionally the sugar substitutes sorbit or xylit were added to the various solutions.

METHODS

54 enamel and dentin samples were prepared from 14 freshly extracted permanent bovine central incisors. The samples were demineralized (pH 5.0 for enamel and pH 5.5 for dentin; 14 days) and subsequently exposed to either mucin- or CMC-based solutions combined with xylit and sorbit at pH 5.5. After in vitro exposure, the specimens were cut perpendicular to the enamel/dentin surface and the sections were ground (4000 grit) to a uniform thickness (100 microm). Mineral loss and lesion depths were evaluated from microradiographs with a dedicated software package (TMR 2.0.27.2).

RESULTS

For both dental hard tissues, storage in the mucin-containing solutions resulted in significantly higher lesion depths (deltaLD), but lower mineral loss values (deltadeltaZ) compared to the CMC-containing solutions (P< 0.05; 2-way ANOVA). For the dentin specimens, significant differences in deltadeltaZ were observed between sorbit and xylit (P< 0.05; 2-way ANOVA). The mineral loss and lesion depths of the enamel specimens did not differ significantly after storage in the various solutions (P> 0.05; Bonferroni post hoc test). For the dentin specimens stored in the solution containing mucin/xylit the mineral loss was significantly decreased compared to the other mucin groups as well as to the CMC/xylit solution (P< 0.05; Bonferroni post hoc test).

摘要

目的

评估基于猪粘蛋白和羧甲基纤维素(CMC)的溶液在体外对预脱矿牛牙釉质和牙本质脱矿的抑制作用。此外,还向各种溶液中添加了甜味剂山梨醇或木糖醇。

方法

从14颗新鲜拔除的牛恒中切牙制备54个牙釉质和牙本质样本。将样本进行脱矿处理(牙釉质pH值为5.0,牙本质pH值为5.5;14天),随后暴露于pH值为5.5的含粘蛋白或CMC的溶液中,并分别添加木糖醇和山梨醇。体外暴露后,将标本垂直于牙釉质/牙本质表面切割,切片研磨(4000目)至均匀厚度(100微米)。使用专用软件包(TMR 2.0.27.2)从显微放射照片评估矿物质损失和病变深度。

结果

对于两种牙齿硬组织,与含CMC的溶液相比,储存在含粘蛋白的溶液中导致病变深度显著更高(δLD),但矿物质损失值更低(δΔZ)(P<0.05;双向方差分析)。对于牙本质标本,山梨醇和木糖醇之间的δΔZ存在显著差异(P<0.05;双向方差分析)。牙釉质标本在各种溶液中储存后的矿物质损失和病变深度没有显著差异(P > 0.05;Bonferroni事后检验)。对于储存在含粘蛋白/木糖醇溶液中的牙本质标本,与其他粘蛋白组以及CMC/木糖醇溶液相比,矿物质损失显著降低(P<0.05;Bonferroni事后检验)。

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