Tostes Mônica Almeida, Santos Emanuel, Camargo Sérgio Alvaro
Department of Pediatric Dentistry, School of Dentistry, Fluminense Federal University, Niterói, RJ, Brazil.
Department of Metallurgical and Materials Engineering, COPPE, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Indian J Dent. 2014 Jul;5(3):116-22. doi: 10.4103/0975-962X.140819.
The aim of the present study was to evaluate the efficacy of resin infiltration in preventing in vitro lesion progression.
Buccal surfaces of bovine incisors were divided into mesial and distal regions and, at the center, nail varnish was applied (1.0 mm width) to protect the enamel surface against any further treatment. In order to create artificial enamel lesions in the unprotected areas, each specimen was soaked in a demineralizing solution. After that, specimens had two enamel lesions. One lesion in each sample was etched with 15% HCl for 120 s and infiltrated with a commercial infiltrating resin for 3 min, while the other lesion was not treated (control). Each specimen was cross-sectionally halved and randomly allocated to two groups: Group 1 was immediately processed and Group 2 was submitted to a new demineralization process. The samples were analyzed by means of cross-sectional hardness measurements using a nanoindenter equipment. Hardness data were statistically analyzed by non-parametric Kruskal-Wallis and MannWhitney tests (α = 0.05).
The findings showed statistical difference between treatments at the same analyzed distance range from the outer surface of the enamel (P < 0.05).
The untreated lesion showed lower hardness values for distances near the outer surface of the enamel. The resin infiltration was efficient in preventing further in vitro demineralization of bovine enamel lesions.
本研究旨在评估树脂渗透法在预防体外病变进展方面的疗效。
将牛切牙的颊面分为近中区域和远中区域,并在中心部位涂抹指甲油(宽度为1.0毫米),以保护釉质表面免受进一步处理。为了在未受保护的区域制造人工釉质病变,将每个标本浸泡在脱矿溶液中。之后,标本有两个釉质病变。每个样本中的一个病变用15%盐酸蚀刻120秒,并用市售渗透树脂渗透3分钟,而另一个病变不进行处理(对照)。将每个标本沿横截面切成两半,并随机分为两组:第1组立即进行处理,第2组进行新的脱矿处理。使用纳米压痕设备通过横截面硬度测量对样本进行分析。硬度数据采用非参数Kruskal-Wallis和Mann-Whitney检验进行统计学分析(α = 0.05)。
研究结果表明,在距釉质外表面相同分析距离范围内,不同处理之间存在统计学差异(P < 0.05)。
未处理的病变在靠近釉质外表面处的硬度值较低。树脂渗透法能有效防止牛釉质病变在体外进一步脱矿。