Joshi Surabhi, Gowda Ashwini Shivananje, Joshi Chintan
Department of Periodontics, Karnavati School of Dentistry, Gandhinagar, India.
Department of Periodontics, M.S. Ramaiah Dental College, Bangalore, India.
J Periodontal Implant Sci. 2013 Dec;43(6):269-75. doi: 10.5051/jpis.2013.43.6.269. Epub 2013 Dec 31.
In this study, the effect of calcium sodium phosphosilicate (NovaMin) desensitizing agent, which is a powder-based system, and hydroxyethyl methacrylate and glutaraldehyde (Gluma desensitizer), which is liquid-based system, on dentinal tubule occlusion was analyzed by scanning electron microscope. The effects of the above two along with one control group were compared to determine the more effective method of sealing the dentinal tubules after initial application.
Twenty specimens were allocated to each of 3 groups: Control, Gluma desensitizer, and NovaMin. Two additional samples were also prepared and treated with Gluma and NovaMin; these samples were longitudinally fractured. The specimens were prepared from extracted sound human premolars and were stored in 10% formalin at room temperature. The teeth were cleaned of gross debris and then sectioned to provide one to two dentin specimens. The dentin specimens were etched with 6% citric acid for 2 minutes and rinsed in distilled water. Control discs were dried, and the test discs were treated with the desensitizing agents as per the manufacturer's instructions. The discs as well as longitudinal sections were later analyzed under the scanning electron microscope. The proportions of completely occluded, partially occluded, and open tubules within each group were calculated. The ratios of completely and partially occluded tubules to the total tubules for all the groups was determined, and the data was statistically analyzed using nonparametric tests and statistical significance was calculated.
NovaMin showed more completely occluded tubules (0.545±0.051) while Gluma desensitizer showed more partially occluded tubules (0.532±0.075). The differences among all the groups were statistically significant (P≤ 0.05).
Both materials were effective in occluding dentinal tubules but NovaMin appeared more promising in occluding tubules completely after initial application.
在本研究中,通过扫描电子显微镜分析了基于粉末体系的磷酸硅钙钠(NovaMin)脱敏剂以及基于液体体系的甲基丙烯酸羟乙酯和戊二醛(Gluma脱敏剂)对牙本质小管封闭的影响。将上述两种脱敏剂与一个对照组进行比较,以确定初次应用后封闭牙本质小管的更有效方法。
将20个标本分配到3组中的每组:对照组、Gluma脱敏剂组和NovaMin组。还另外制备了两个样本,分别用Gluma和NovaMin进行处理;这些样本被纵向折断。标本取自拔除的健康人前磨牙,并在室温下保存在10%的福尔马林中。清除牙齿上的大块碎屑,然后进行切片以提供一到两个牙本质标本。牙本质标本用6%的柠檬酸蚀刻2分钟,然后用蒸馏水冲洗。对照组圆盘干燥,测试圆盘按照制造商的说明用脱敏剂处理。随后在扫描电子显微镜下对圆盘以及纵向切片进行分析。计算每组中完全封闭、部分封闭和开放小管的比例。确定所有组中完全和部分封闭小管与总小管的比例,并使用非参数检验对数据进行统计分析并计算统计学意义。
NovaMin显示出更多完全封闭的小管(0.545±0.051),而Gluma脱敏剂显示出更多部分封闭的小管(0.532±0.075)。所有组之间的差异具有统计学意义(P≤0.05)。
两种材料在封闭牙本质小管方面均有效,但NovaMin在初次应用后似乎在完全封闭小管方面更有前景。