Piekarz C, Ranjitkar S, Hunt D, McIntyre J
School of Dentistry, The University of Adelaide, Adelaide, South Australia.
Aust Dent J. 2008 Mar;53(1):22-5. doi: 10.1111/j.1834-7819.2007.00003.x.
The recommendation that Tooth Mousse (TM), an anticariogenic remineralizing agent, is effective for controlling dental erosion in professional wine tasters is not evidence-based. The aim of this in vitro study was to determine the effectiveness of TM in reducing erosion of coronal enamel and radicular dentine/cementum simulating a typical wine judging session.
Enamel and dentine/cementum from buccal halves (experimental sample) and palatal halves (control sample) of human maxillary premolar teeth were subjected to 1500 one-minute exposures (cycles) to white wine (pH = 3.5). TM was applied every 20 cycles to the experimental sample, but not to the control sample. Paired t-tests were used to determine whether there were significant differences in erosion depths between the experimental and control samples.
Mean erosion depths were significantly shallower in the experimental sample than the control sample for both enamel (34.4 microm versus 49.2 microm, respectively) (p < 0.05) and dentine/cementum (143.2 microm versus 203.7 microm, respectively) (p < 0.01).
TM may have significant role in the management of wine erosion, which is under-recognized as an occupational hazard by the Australian wine industry. Future studies are needed to compare the relative benefits of TM and other remineralizing agents, when used individually or in combination, in preventing dental erosion.
有建议称防龋再矿化剂“护齿泡沫”（TM）对控制职业品酒师的牙齿侵蚀有效，但这一建议缺乏循证依据。本体外研究的目的是确定TM在模拟典型品酒过程中减少牙冠釉质和牙根牙本质/牙骨质侵蚀方面的有效性。
将人类上颌前磨牙颊侧半片（实验样本）和腭侧半片（对照样本）的釉质和牙本质/牙骨质暴露于白葡萄酒（pH = 3.5）中，进行1500次每次持续一分钟的暴露（循环）。每20个循环对实验样本应用TM，但对照样本不应用。采用配对t检验来确定实验样本和对照样本之间的侵蚀深度是否存在显著差异。
实验样本中，釉质（分别为34.4微米和49.2微米）和牙本质/牙骨质（分别为143.2微米和203.7微米）的平均侵蚀深度均显著浅于对照样本（p < 0.05和p < 0.01）。
TM在葡萄酒侵蚀的管理中可能具有重要作用，而澳大利亚葡萄酒行业尚未充分认识到葡萄酒侵蚀是一种职业危害。未来需要开展研究，比较TM和其他再矿化剂单独使用或联合使用时在预防牙齿侵蚀方面的相对益处。
