Lavigne Olivier, Vu Anh M, Richards Lindsay, Xie Zonghan
School of Mechanical Engineering, The University of Adelaide.
School of Dentistry, The University of Adelaide.
J Oral Sci. 2018;60(1):121-128. doi: 10.2334/josnusd.17-0038.
The aim of this study was to determine whether recovery of mineral levels restored the mechanical properties of dentin subjected to different durations of demineralization. Dentin at the floor of class 1 cavities (n = 12) was demineralized for 1, 2, and 3 weeks. Half the demineralized cavity floor was coated (control side), and a Fuji IX restoration was placed. The remaining half was therefore in contact with the Fuji IX restoration (test side). Simulated dentin tubular fluid was then supplied to each pulp chamber for 6 weeks. After remineralization, the teeth were detached from the system and sectioned. Concentrations of calcium, phosphorus, fluorine, and strontium and mechanical properties (hardness and Young's modulus) of the test and control sides were determined by electron probe microanalysis and nano-indentation, respectively. For remineralized dentin demineralized for 1 week, the substantial uptake of mineral elements restored hardness and Young's modulus at depths of 50 to 200 μm from the lesion front. For longer periods of demineralization (2 and 3 weeks), structural damage to the demineralized dentin was severe and impeded recovery of mechanical properties, despite mineral uptake.
本研究的目的是确定矿物质水平的恢复是否能恢复经不同脱矿时间处理的牙本质的力学性能。对Ⅰ类洞洞底的牙本质(n = 12)进行1、2和3周的脱矿处理。将脱矿洞底的一半进行涂层处理(对照侧),并放置Fuji IX修复体。因此,其余一半与Fuji IX修复体接触(测试侧)。然后向每个髓腔供应模拟牙本质小管液6周。再矿化后,将牙齿从系统中取出并切片。分别通过电子探针微分析和纳米压痕法测定测试侧和对照侧的钙、磷、氟和锶浓度以及力学性能(硬度和杨氏模量)。对于脱矿1周的再矿化牙本质,矿物质元素的大量吸收使距病变前沿50至200μm深度处的硬度和杨氏模量得以恢复。对于更长时间的脱矿(2周和3周),尽管有矿物质吸收,但脱矿牙本质的结构损伤严重,阻碍了力学性能的恢复。