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关于牙本质再矿化的当代研究发现。

Contemporary research findings on dentine remineralization.

作者信息

Zhong Bo, Peng Ce, Wang Guanhong, Tian Lili, Cai Qiang, Cui Fuzhai

机构信息

Centre of Stomatology, China-Japan Friendship Hospital, Beijing, People's Republic of China.

Department of Materials Science and Engineering, Tsinghua University, Beijing, People's Republic of China.

出版信息

J Tissue Eng Regen Med. 2015 Sep;9(9):1004-16. doi: 10.1002/term.1814. Epub 2013 Aug 16.

Abstract

Dentine remineralization is important for the treatment of dentine caries and the bonding durability of dentine and resin materials in clinical practice. Early studies of dentine remineralization were mostly based on the classical pathway of crystallization, which involves large-scale deposition of calcium phosphate crystals on collagen and is achieved in a liquid environment containing mineral ions. Results from these studies were unsatisfactory and not suitable for clinical application because they did not simulate the ordering of hydroxyapatite in the collagen fibres of natural teeth. As studies on collagen type I and non-collagenous proteins have advanced, dentine biomimetic remineralization has become a popular research topic and has shifted to processes involving intrafibrillar remineralization, which is more similar to natural tooth formation. The objective of this review was to summarize current theory and research progress as it relates to dentine remineralization.

摘要

牙本质再矿化对于临床实践中牙本质龋的治疗以及牙本质与树脂材料的粘结耐久性至关重要。早期关于牙本质再矿化的研究大多基于经典的结晶途径,该途径涉及磷酸钙晶体在胶原蛋白上的大规模沉积,并且是在含有矿物质离子的液体环境中实现的。这些研究的结果并不理想,也不适合临床应用,因为它们没有模拟天然牙齿胶原纤维中羟基磷灰石的排列。随着对I型胶原蛋白和非胶原蛋白研究的进展,牙本质仿生再矿化已成为一个热门的研究课题,并已转向涉及纤维内再矿化的过程,这与天然牙齿的形成更为相似。这篇综述的目的是总结与牙本质再矿化相关的当前理论和研究进展。

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