Prencipe Michael, Vandeven Mark, Feldman Brian N, Schemehorn Bruce R
Colgate-Palmolive Company Piscataway, NJ, USA.
Core Message Incorporated, Toronto, ON, Canada.
J Clin Dent. 2016 Dec;27(4):105-109.
Recently, a profilometry-based method for measuring toothpaste dentin abrasivity has been proposed to be equivalent to the traditional radiotracer RDA (relative dentin abrasion) procedure. This review outlines the findings and comparative assessment of laboratory studies used to measure the abrasivity of commercially available whitening dentifrices on human dentin. Traditional radiotracer and profilometry RDA-PE (Profilometry Equivalent) methods were assessed, with the objective of determining how they compare, and also to learn if the two techniques yield RDA values that are consistent with each other, specifically in ranking and potential for discrimination of three commercially available silica-based products. Chosen were regular toothpaste and two whitening dentifrices having abrasive properties against dentin ranging from medium to high.
Dentin specimens underwent standard preparation, preconditioning, and abrasivity testing according to the ISO 11609 requirements for radiotracer method and RDA-PE. Three test dentifrices were used, each product containing various abrasive and polyphosphate agents, namely: Whitening Product A: Hydrated silica with disodium pyrophosphate (Crest® 3D Luxe); Product B: Hydrated silica (Crest® Cavity Protection); and Whitening Product C: Hydrated silica with tetrasodium pyrophosphate (Colgate® Ultrabrite Advanced Whitening). The products were chosen since they gave a range of RDA values from mid to high when compared with an ADA reference material that is given a value of 100.
The data were subjected to statistical and SNK (Student-Newman-Keuls) analyses. Both procedures yielded numerical RDA values that permitted a ranking of the three test dentifrices. However, there was no direct correlation of the RDA values obtained by profilometry with those from the conventional radiotracer method. Significantly, one dentifrice rated as most abrasive using the radiotracer method was rated as moderately abrasive using profilometry. Additionally, there was loss of statistical significance and discrimination between products with RDA-PE.
Given the lack of agreement between radiotracer and profilometry for the products tested in this study,it would appear that the RDA-PE method may not be equivalent to the traditional RDA radiotracer method, specifically in the higher abrasivity range.
最近,有人提出一种基于轮廓测定法的测量牙膏牙本质磨损性的方法,该方法被认为等同于传统的放射性示踪剂相对牙本质磨损(RDA)程序。本综述概述了用于测量市售美白牙膏对人牙本质磨损性的实验室研究的结果和比较评估。对传统的放射性示踪剂和轮廓测定法RDA-PE(轮廓测定法等效)方法进行了评估,目的是确定它们之间的比较情况,同时了解这两种技术得出的RDA值是否相互一致,特别是在对三种市售二氧化硅基产品进行排名和区分潜力方面。所选的是普通牙膏和两种对牙本质具有中等至高磨损性的美白牙膏。
根据ISO 11609对放射性示踪剂法和RDA-PE的要求,对牙本质标本进行标准制备、预处理和磨损性测试。使用了三种测试牙膏,每种产品都含有各种磨料和多磷酸盐试剂,即:美白产品A:含水合二氧化硅和焦磷酸二钠(佳洁士®3D亮白);产品B:含水合二氧化硅(佳洁士®防蛀);美白产品C:含水合二氧化硅和焦磷酸四钠(高露洁®极致美白进阶版)。选择这些产品是因为与ADA参考材料(其值为100)相比,它们给出了从中等到高的一系列RDA值。
对数据进行了统计分析和SNK(Student-Newman-Keuls)分析。两种程序都得出了数值RDA值,从而可以对三种测试牙膏进行排名。然而,轮廓测定法获得的RDA值与传统放射性示踪剂法获得的RDA值没有直接相关性。值得注意的是,一种使用放射性示踪剂法被评为磨损性最高的牙膏,使用轮廓测定法时被评为中等磨损性。此外,使用RDA-PE时,产品之间的统计学显著性和区分度有所丧失。
鉴于本研究中测试的产品在放射性示踪剂法和轮廓测定法之间缺乏一致性,似乎RDA-PE方法可能不等同于传统的RDA放射性示踪剂法,特别是在较高磨损性范围内。