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使用45S5生物活性玻璃对早期牙釉质脱矿新治疗方法的评估。

Evaluation of new treatment for incipient enamel demineralization using 45S5 bioglass.

作者信息

Bakry A S, Takahashi H, Otsuki M, Tagami J

机构信息

Operative Dentistry Department, Faculty of Dentistry, King AbdulAziz University, Jeddah, Saudia Arabia; Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Egypt; Japan Society for the Promotion of Science, Cariology and Operative Dentistry, Department of Restorative Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan.

Oral Biomaterials Engineering, Department of Oral Materials Sciences and Technology, Course of Oral Health Engineering, School of Health Care Sciences, Faculty of Dentistry, Tokyo Medical and Dental University, 1-5-45Yushima, Bunkyo-ku, Tokyo 113-8549, Japan.

出版信息

Dent Mater. 2014 Mar;30(3):314-20. doi: 10.1016/j.dental.2013.12.002. Epub 2014 Jan 13.

Abstract

Bioglass 45S5 is a silica-based bioactive glass capable of depositing a layer of hydroxyl carbonate apatite on the surface of the glass when immersed in body fluids. The present paper studies a new technique for treating early human dental enamel caries lesions by using a paste composed of 45S5 bioglass and phosphoric acid. Artificial caries lesions were induced in enamel flat surfaces by means of a decalcification solution. All specimens were exposed to a brushing-abrasion challenge to test the durability of any newly formed layer resulting from the application of 45S5 bioglass paste. The specimens treated with bioglass paste showed complete coverage with a layer of brushite crystals. The brushing-abrasion challenge did not statistically affect the percentage of enamel coverage with the crystalline layer formed by the application of bioglass (p<0.05). These crystals were converted to hydroxyapatite crystals when stored in artificial saliva for 14 days. The current technique suggests the possibility of restoring incipient enamel erosive lesion with an abrasion durable layer of hydroxyapatite crystals.

摘要

生物活性玻璃45S5是一种基于二氧化硅的生物活性玻璃,当浸入体液中时,能够在玻璃表面沉积一层羟基碳酸磷灰石。本文研究了一种使用由45S5生物活性玻璃和磷酸组成的糊剂治疗早期人类牙釉质龋损的新技术。通过脱钙溶液在牙釉质平面上诱导人工龋损。所有标本都接受了刷牙磨损挑战,以测试应用45S5生物活性玻璃糊剂形成的任何新形成层的耐久性。用生物活性玻璃糊剂处理的标本显示完全覆盖了一层透钙磷石晶体。刷牙磨损挑战对应用生物活性玻璃形成的晶体层覆盖牙釉质的百分比没有统计学影响(p<0.05)。当储存在人工唾液中14天时,这些晶体转化为羟基磷灰石晶体。目前的技术表明,有可能用一层耐磨的羟基磷灰石晶体层修复早期牙釉质侵蚀性病变。

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