Department of Operative Dentistry and Periodontology, Albert-Ludwigs-University Freiburg, Hugstetter Str 55, 79106 Freiburg, Germany.
Clin Oral Investig. 2010 Jun;14(3):265-9. doi: 10.1007/s00784-009-0290-4. Epub 2009 Jun 2.
The aim of the present study was to evaluate the remineralization potential of five dentifrices with different fluoride concentrations. Initial caries lesions were created in 72 cylindrical enamel blocks from deciduous teeth. The specimens were randomly distributed among six experimental groups corresponding to six experimental periods. Each of the six volunteers carried two deciduous enamel specimens fixed in an intraoral appliance for a period of 4 weeks. They brushed their teeth and the enamel blocks at least two times a day with dentifrices containing 0 ppm (period 1), 250 ppm (period 2), and 500 ppm fluoride (period 3), respectively. A second group of volunteers (n = 6) used dentifrices with a fluoride content of 0 ppm (period 4), 1,000 ppm (period 5), or 1,500 ppm (period 6). At the end of the respective period, the mineral content was determined by transversal microradiography (TMR). The use of dentifrices containing 500 ppm fluoride (38% MR), 1,000 ppm fluoride (42% MR), and 1,500 ppm fluoride (42% MR) resulted in a statistically significant higher mineral recovery compared to the control group (0 ppm fluoride). Mineral recovery was similar after use of dentifrices containing 0 and 250 ppm fluoride (24%; 25%). It is concluded that it is possible to remineralize initial carious lesions in deciduous enamel in a similar way as it has been described for enamel of permanent teeth.
本研究旨在评估五种不同氟浓度牙膏的再矿化潜力。在 72 个乳牙圆柱形牙釉质块上制作初始龋损。标本随机分布在六个实验组中,对应六个实验周期。每个志愿者携带两个固定在口腔内设备中的乳牙釉质标本,每个周期为 4 周。他们每天至少用含有 0 ppm(第 1 期)、250 ppm(第 2 期)和 500 ppm 氟化物(第 3 期)的牙膏刷牙和刷釉质块。第二组志愿者(n=6)使用氟含量为 0 ppm(第 4 期)、1000 ppm(第 5 期)或 1500 ppm(第 6 期)的牙膏。在相应的周期结束时,通过横向显微射线照相术(TMR)确定矿物质含量。使用含有 500 ppm 氟化物(38%MR)、1000 ppm 氟化物(42%MR)和 1500 ppm 氟化物(42%MR)的牙膏的矿物质恢复率明显高于对照组(0 ppm 氟化物)。使用含有 0 和 250 ppm 氟化物的牙膏(24%;25%)后的矿物质恢复率相似。结论是,乳牙釉质初始龋损的再矿化方式与恒牙釉质的再矿化方式相似。