Malekafzali Beheshteh, Ekrami Maliheh, Mirfasihi Armin, Abdolazimi Zahra
Associate Professor, Department of Pediatric, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Post Graduate Student, Department of Operative, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Dent (Tehran). 2015 Jan;12(1):11-7.
Although fluoridated toothpastes are among the most accessible fluoride sources for caries prevention, their remineralization potential remains questionable. This study sought to compare the effects of 5 different child formula dentifrices on remineralization of artificial primary enamel caries using a pH cycling model.
Twenty sound primary canine teeth were immersed in demineralizing solution for 96 hours to produce 100μm-deep artificial caries. The teeth were then longitudinally sectioned into 100-150 μm-thick slices and randomly divided into 5 groups and treated as follows: group A. Calcium phosphate toothpaste, group B. Pooneh children's toothpaste, group C. Biotin toothpaste, group D. Crest children's toothpaste and group E. Darougar children's toothpaste. The specimens underwent a pH cycling model for 10 days. The degree of demineralization before and after treatment and its changes were evaluated under a polarized light microscope and a stereomicroscope and data were statistically analyzed using repeated measures ANOVA and post-hoc test.
Stereomicroscopic analysis showed that only group C had a significant difference with other groups (P<0.001) and no significant differences were found between the remaining groups (P>0.05). Polarized light microscopic analysis revealed that in addition to group C, a significant difference was detected between groups A and B (P=0.02) and calcium phosphate toothpaste showed higher efficacy.
All the understudy toothpastes had remineralizing effect but calcium phosphate children's toothpaste had the highest and biotin toothpaste had the lowest efficacy.
尽管含氟牙膏是预防龋齿最容易获得的氟来源之一,但其再矿化潜力仍存在疑问。本研究旨在使用pH循环模型比较5种不同儿童配方牙膏对人工乳牙釉质龋再矿化的影响。
将20颗完好的乳尖牙浸泡在脱矿溶液中96小时,以产生100μm深的人工龋。然后将牙齿纵向切成100 - 150μm厚的薄片,随机分为5组并进行如下处理:A组.磷酸钙牙膏,B组.普内儿童牙膏,C组.生物素牙膏,D组.佳洁士儿童牙膏,E组.达鲁加尔儿童牙膏。标本进行10天的pH循环模型。在偏光显微镜和体视显微镜下评估处理前后的脱矿程度及其变化,并使用重复测量方差分析和事后检验对数据进行统计分析。
体视显微镜分析显示,只有C组与其他组有显著差异(P<0.001),其余组之间未发现显著差异(P>0.05)。偏光显微镜分析显示,除C组外,A组和B组之间也检测到显著差异(P = 0.02),且磷酸钙牙膏显示出更高的疗效。
所有研究中的牙膏都有再矿化作用,但磷酸钙儿童牙膏疗效最高,生物素牙膏疗效最低。