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脱敏牙膏刷牙力对牙本质小管通透性和表面粗糙度的影响。

Effects of tooth-brushing force with a desensitising dentifrice on dentine tubule patency and surface roughness.

机构信息

Department of Prosthodontics, King's College London Dental Institute, Guy's, King's and St. Thomas' Hospitals, London, SE1 9RT, UK.

Department of Prosthodontics, King's College London Dental Institute, Guy's, King's and St. Thomas' Hospitals, London, SE1 9RT, UK.

出版信息

J Dent. 2017 May;60:50-55. doi: 10.1016/j.jdent.2017.02.015. Epub 2017 Feb 27.

Abstract

OBJECTIVES

To investigate the effects of a 5% NovaMin containing dentifrice on dentine tubule patency and surface roughness at 100g and 400g tooth brush abrasion forces.

METHODS

75 polished human dentine samples were prepared and randomly allocated into one of five groups; control (1), NaPFO 100g abrasion force (2), NovaMin 100g (3), NaPFO 400g (4) and NovaMin 400g (5). The control group underwent two 2-min cycles of artificial saliva (AS), one 2-min erosion cycle; the rest underwent two toothbrush abrasion cycles in an AS/dentifrice slurry and one 2-min erosion cycle. All samples were imaged at baseline and post intervention using Tandem Scanning Microscopy and Profilometry to analyse tubule patency and roughness.

RESULTS

Mean tubule patency increased significantly between baseline and post intervention in groups 1,2 and 4 and decreased significantly post intervention in groups 3 and 5 (p<0.01). Post intervention, there were statistically significant differences in mean patent tubules between NovaMin and the NaPFO and control groups (p<0.001). Surface roughness increased for all groups between baseline and post interventions (P<0.001); mean (SD) roughness increases for groups 1, 2, 3, 4 and 5 were 0.14 (0.05) μm, 0.18 (0.04) μm, 0.16 (0.06) μm, 0.19 (0.07) μm and 0.21 (0.02) μm respectively. Differences between group 1 and 5 were significant (p<0.01).

CONCLUSIONS

Brushing with NovaMin resulted in significant dentine tubule occlusion at 100g and 400g, but brushing with NaPFO resulted in increased tubule patency. Surface roughness increased significantly at 400g brushing with NovaMin. There was no correlation between tubule patency and surface roughness.

CLINICAL SIGNIFICANCE

A NovaMin desensitising dentifrice resulted in tubule occlusion even at high brushing forces. There was minimal increase in surface roughness at the lower (100g) brushing force.

摘要

目的

研究 5%NovaMin 脱敏牙膏对 100g 和 400g 牙刷磨损力下牙本质小管通透性和表面粗糙度的影响。

方法

制备 75 个抛光人牙本质样本,随机分为五组:对照组(1)、NaPFO100g 磨损力组(2)、NovaMin100g 组(3)、NaPFO400g 组(4)和 NovaMin400g 组(5)。对照组进行两次 2 分钟唾液(AS)循环,一次 2 分钟侵蚀循环;其余组在 AS/牙膏浆中进行两次牙刷磨损循环和一次 2 分钟侵蚀循环。所有样本在基线和干预后使用串联扫描显微镜和轮廓仪进行成像,以分析小管通透性和粗糙度。

结果

组 1、2 和 4 的小管通透性在基线和干预后显著增加,组 3 和 5 的小管通透性在干预后显著降低(p<0.01)。干预后,NovaMin 与 NaPFO 和对照组之间的平均有髓小管有统计学差异(p<0.001)。所有组的表面粗糙度在基线和干预后均增加(P<0.001);组 1、2、3、4 和 5 的平均(SD)粗糙度增加分别为 0.14(0.05)μm、0.18(0.04)μm、0.16(0.06)μm、0.19(0.07)μm 和 0.21(0.02)μm。组 1 和 5 之间的差异具有统计学意义(p<0.01)。

结论

用 NovaMin 刷牙在 100g 和 400g 时会导致牙本质小管明显闭塞,但用 NaPFO 刷牙会增加小管通透性。用 NovaMin 在 400g 刷牙时,表面粗糙度显著增加。小管通透性与表面粗糙度之间无相关性。

临床意义

NovaMin 脱敏牙膏即使在高刷牙力下也会导致小管闭塞。在较低的(100g)刷牙力下,表面粗糙度的增加很小。

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