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评价脱敏剂和掺钕钇铝石榴石(Nd:YAG)激光处理牙本质的矿物质含量。

Evaluation of mineral content of dentin treated with desensitizing agents and neodymium yttrium-aluminium-garnet (Nd:YAG) laser.

机构信息

Department of Prosthodontics, Faculty of Dentistry, Inonu University, Campus, Malatya, Turkey.

出版信息

Lasers Med Sci. 2012 Jul;27(4):743-8. doi: 10.1007/s10103-011-0954-6. Epub 2011 Jul 26.

Abstract

The aim of this study was to evaluate the mineral content of dentin prepared using three different desensitizing agents and the Nd:YAG laser. The occlusal third of the crowns of 30 molar teeth were cut with a slow-speed diamond saw sectioning machine under water cooling. Dentin slabs from the 30 teeth were randomly divided into five experimental groups, each comprising six slabs. The five groups were treated as follows: group A, no treatment; group B, treatment with oxalate-containing desensitizing agent (BisBlock); group C, treatment with resin-based desensitizing agent (Admira Protect); group D, treatment with glutaraldehyde-containing desensitizing agent (Systemp); and group E, irradiation with the Nd:YAG laser (DEKATM ) at 0.40 W. The levels of Mg, P, Ca, K, and Na in each slab were measured by inductively coupled plasma-atomic emission spectrometry (ICP-AES). Data were analyzed by one-way analysis of variance and the Tukey HSD test. The effect of desensitizing agents and laser irradiation on the dentin surface were evaluated using a scanning electron microscope. There were no significant differences between the groups (p > 0.05). Group E was showed the lowest Ca/P ratio. SEM showed that the resin-based agent occluded the dentinal tubules, the glutaraldehyde-containing agent increased the Ca/P ratio, and Nd:YAG laser irradiation decreased the Ca/P ratio. The mean percentages by weight of Ca, Mg, K, Na and P were not affected by Nd:YAG laser irradiation or any of the desensitizing agents.

摘要

本研究旨在评估三种不同脱敏剂和 Nd:YAG 激光对牙本质矿化程度的影响。用慢速金刚石锯片在水下冷却机下将 30 颗磨牙的牙冠咬合面切成 30 个牙本质片。从这 30 颗牙齿中随机选择 30 个牙本质片,分成 5 个实验组,每组 6 个牙本质片。5 个实验组的处理方式如下:A 组,不处理;B 组,用含有草酸盐的脱敏剂(BisBlock)处理;C 组,用树脂基脱敏剂(Admira Protect)处理;D 组,用戊二醛脱敏剂(Systemp)处理;E 组,用 Nd:YAG 激光(DEKATM)以 0.40 W 的功率照射。用电感耦合等离子体原子发射光谱法(ICP-AES)测量每个牙本质片的 Mg、P、Ca、K 和 Na 含量。采用单因素方差分析和 Tukey HSD 检验进行数据分析。用扫描电子显微镜(SEM)观察脱敏剂和激光照射对牙本质表面的影响。各组间无显著差异(p>0.05)。E 组的 Ca/P 比值最低。SEM 显示,树脂基脱敏剂封闭了牙本质小管,戊二醛脱敏剂增加了 Ca/P 比值,Nd:YAG 激光照射降低了 Ca/P 比值。Nd:YAG 激光照射或任何一种脱敏剂均未影响 Ca、Mg、K、Na 和 P 的重量百分比均值。

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