Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University, Nanjing 210029, PR China; Department of Polyclinics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing 210029, PR China.
College of Stomatology, Nanjing Medical University, Nanjing 210029, PR China.
J Dent. 2017 May;60:63-69. doi: 10.1016/j.jdent.2017.03.001. Epub 2017 Mar 4.
This study aimed to compare the in vitro dentinal tubule occluding efficacy of two different methods using a nano-scaled bioactive glass (BG)-containing desensitising agent.
Citric acid treated dentine discs were randomly divided into 7 groups (n=8). Group A1, A2 and A3: dentine discs coated with BG desensitising paste; Group B1, B2 and B3: dentine discs coated with BG desensitising paste and covered with matched transparent trays; and control group (GroupC): dentine discs treated with deionised water. Field Emission Scanning Electron Microscopy (FE-SEM) was used to capture topographical images of each dentine discs after they were immersed in artificial saliva for corresponding treatment time and dentinal tubules exposure rates were thus measured. Elemental compositions of dentine discs were identified using Energy-Dispersive X-ray Spectroscopy (EDX).
FE-SEM revealed better tubule occluding effects in Group B. Dentinal tubules in Group B3 were totally occluded with continuous homogeneous minerals to a depth of 20.6-24.7μm. Dentinal tubule exposure rates in Group B1, Group B2 and Group B3 were lower than that in Group A1, Group A2 and Group A3. EDX indicated that occluding deposits observed in each group were calcium-deficient hydroxyapatite.
The application of transparent trays in combination with nano-scaled BG-containing desensitising paste could increase the dentinal tubule occluding effectiveness of the latter one and shorten the treatment time.
Transparent trays could be used in combination with BGs-containing desensitising paste as the containers of the latter one in order to increase the dentinal tubule occluding effectiveness. This could lead to the development of a new therapeutic technique for treating dentine hypersensitivity.
本研究旨在比较两种不同方法在使用含纳米生物活性玻璃(BG)脱敏剂时对牙本质小管的封闭效果。
随机将柠檬酸处理后的牙本质圆盘分为 7 组(n=8)。A1、A2 和 A3 组:牙本质圆盘涂有 BG 脱敏膏;B1、B2 和 B3 组:牙本质圆盘涂有 BG 脱敏膏并覆盖有匹配的透明托盘;对照组(C 组):牙本质圆盘用去离子水处理。场发射扫描电子显微镜(FE-SEM)用于捕获每种牙本质圆盘在浸入人工唾液后的形貌图像,从而测量牙本质小管暴露率。使用能量色散 X 射线光谱(EDX)鉴定牙本质圆盘的元素组成。
FE-SEM 显示 B 组具有更好的小管封闭效果。B 组的牙本质小管完全被连续均匀的矿物质封闭,深度为 20.6-24.7μm。B1、B2 和 B3 组的牙本质小管暴露率低于 A1、A2 和 A3 组。EDX 表明,每组观察到的封闭沉积物均为缺钙羟基磷灰石。
透明托盘与含纳米 BG 的脱敏膏联合应用可增加后者的牙本质小管封闭效果并缩短治疗时间。
透明托盘可与含 BG 的脱敏膏联合使用,作为后者的容器,以提高牙本质小管的封闭效果。这可能会开发出一种治疗牙本质过敏的新治疗技术。