Lipei Chen, Xiangke Ci, Xiaoyan Ou
Dept. of Pediatric Dentistry, Zhengzhou Stomatological Hospital, Zhengzhou 450000, China.
Dept. of Preventive Dentistry, The Affiliated Stomatological Hospital of Nanchang University, Nanchang 330000, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2017 Aug 1;35(4):379-383. doi: 10.7518/hxkq.2017.04.007.
Objective A study was conducted to compare the effect of different enamel remineralization periods after erosion on the depth of brushing abrasion. Methods Ten volunteers were selected for a 4-day experiment. A total of 60 enamels were randomly assigned into six groups (A-F) and placed in intraoral palatal devices. On the first day, the palatal devices were placed in oral cavity (24 h) . On the following three days, brushing experiments were performed extraorally, two times per day. The specific experimental method of brushing follows these next steps. First, the group F specimens were covered with a film of wax, and then acid etched for 2 min. Subsequently, the film of wax was detached. The groups from A to D were brushed after remineralization at the following time intervals: group A, 0 min; group B, 20 min; group C, 40 min; group D, 60 min. Erosion and remineralization were performed on group E, but without brushing. Remineralization was performed on group F, but without acid etching and brushing. The depth of enamel abrasion was determined by a mechanical profilometer. The surface morphology of the enamel blocks was observed using a scanning electron microscope. Results 1) The depth of abrasion was different in varied enamel remineralization time after acid etching. The statistical significant differences between groups were as follows. 2) When the time of enamel remineralization after acid etching was short, the surface depression in the electron microscope was deep, and the surface morphology was rough. Conclusion Brushing immediately after acid etching would cause much serious abrasion to the enamel surface. Brushing after 60 min can effectively reduce the abrasion of acid etching enamel.
目的 进行一项研究以比较酸蚀后不同牙釉质再矿化时间对刷牙磨损深度的影响。方法 选取10名志愿者进行为期4天的实验。将总共60颗牙釉质随机分为六组(A - F),并放置于口腔腭部装置中。第一天,将腭部装置置于口腔内24小时。在接下来的三天里,在口外进行刷牙实验,每天两次。刷牙的具体实验方法如下步骤。首先,将F组样本覆盖一层蜡膜,然后酸蚀2分钟。随后,去除蜡膜。A至D组在以下时间间隔再矿化后进行刷牙:A组,0分钟;B组,20分钟;C组,40分钟;D组,60分钟。E组进行酸蚀和再矿化,但不刷牙。F组进行再矿化,但不进行酸蚀和刷牙。通过机械轮廓仪测定牙釉质磨损深度。使用扫描电子显微镜观察牙釉质块的表面形态。结果 1)酸蚀后不同牙釉质再矿化时间的磨损深度不同。各实验组间的统计学显著差异如下。2)酸蚀后牙釉质再矿化时间短时,电子显微镜下表面凹陷深,表面形态粗糙。结论 酸蚀后立即刷牙会对牙釉质表面造成更严重的磨损。60分钟后刷牙可有效减少酸蚀牙釉质的磨损。