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含钙和氟材料对患有早期釉质病变的乳牙再矿化的疗效。

Efficacy of calcium- and fluoride-containing materials for the remineralization of primary teeth with early enamel lesion.

作者信息

Memarpour Mahtab, Soltanimehr Elham, Sattarahmady Naghmeh

机构信息

Prevention of Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Pediatric Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Microsc Res Tech. 2015 Sep;78(9):801-6. doi: 10.1002/jemt.22543. Epub 2015 Jul 15.

Abstract

The aim of the study was to determine the efficacy of different products containing fluoride, calcium and phosphate for enamel remineralization in eroded primary teeth. A total of 90 sound primary canine teeth were randomly divided into 5 groups of 18 teeth each: 1) control (polished enamel), 2) 5% DuraShield sodium fluoride varnish, 3) 500 ppm fluoridated toothpaste, 4) casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) cream, and 5) Clinpro White varnish containing functionalized tri-calcium phosphate (fTCP). Enamel microhardness (EMH) was measured in all samples before and after demineralization and after 28 days of remineralization. Also 8 samples in groups 2 to 5 and four samples of sound and demineralized enamel were examined with atomic force microscopy (AFM). All data were analyzed with one-way ANOVA (p<0.05). Mean microhardness of demineralized enamel was significantly lower than in enamel at baseline (p<0.001). Remineralization significantly increased microharness in groups 2 to 5 compared to the control group (p<0.001). Percent EMH after remineralization with CPP-ACP was significantly higher than after fTCP (p=0.029), toothpaste (p< 0.001) or fluoride varnish (p<0.001); however, there was no significant difference between toothpaste and fluoride varnish (p=0.062). Microhardness increased more after fTCP treatment than after treatment with sodium fluoride varnish (p<0.001) or fluoridated toothpaste (p=0.045). AFM images showed that enamel roughness decreased most after treatment with fTCP, followed by CPP-ACP, toothpaste and fluoride varnish. The efficacy of CPP-ACP cream for remineralizing eroded enamel was greater than fluoride toothpaste, fluoride varnish or fTCP varnish.

摘要

本研究的目的是确定含氟化物、钙和磷酸盐的不同产品对乳牙釉质侵蚀再矿化的疗效。总共90颗健康的乳尖牙被随机分为5组,每组18颗牙:1)对照组(抛光釉质),2)5% Durashield氟化钠 varnish,3)500 ppm含氟牙膏,4)酪蛋白磷酸肽 - 无定形磷酸钙(CPP - ACP)乳膏,5)含功能化磷酸三钙(fTCP)的Clinpro White varnish。在脱矿化前后以及再矿化28天后测量所有样本的釉质显微硬度(EMH)。此外,对第2至5组中的8个样本以及健康和脱矿化釉质的4个样本进行了原子力显微镜(AFM)检查。所有数据采用单因素方差分析(p<0.05)。脱矿化釉质的平均显微硬度显著低于基线时的釉质(p<0.001)。与对照组相比,再矿化使第2至5组的显微硬度显著增加(p<0.001)。用CPP - ACP再矿化后的EMH百分比显著高于用fTCP(p = 0.029)、牙膏(p<0.001)或氟化钠 varnish(p<0.001)后的百分比;然而,牙膏和氟化钠 varnish之间没有显著差异(p = 0.062)。fTCP处理后显微硬度的增加比氟化钠 varnish(p<0.001)或含氟牙膏(p = 0.045)处理后更多。AFM图像显示,fTCP处理后釉质粗糙度下降最多,其次是CPP - ACP、牙膏和氟化钠 varnish。CPP - ACP乳膏对侵蚀釉质再矿化的疗效大于含氟牙膏、氟化钠 varnish或fTCP varnish。

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