Martins Vivian Leite, da Costa Ramos Rodrigo Vitoria, Pimenta Lima Max José, Correia de Araújo Roberto Paulo, Cavalcanti Andrea Nóbrega
School of Medicine and Public Health of Bahia, Salvador, BA, Brazil.
Federal University of Bahia, Salvador, BA, Brazil.
J Conserv Dent. 2018 Jan-Feb;21(1):16-20. doi: 10.4103/JCD.JCD_281_16.
Eroded dentin might present the opening of dentinal tubules, increasing permeability, and consequently dentinal hypersensitivity.
This study evaluated the permeability of dentin surfaces exposed to different levels of erosion and methods of surface protection.
Dentine samples (3 mm × 3 mm × 1 mm) were prepared from bovine incisors ( = 90) and divided into three groups according to the method of controlling erosive challenge: Negative control, topical fluoride application, and glass ionomer sealant. Subsequently, they were randomly divided into three subgroups according to the exposure of simulated gastric acid solution (Demineralization - DES) (5% HCl, pH = 2.2), and remineralization (RE); negative control, 9 and 18 cycles DES-RE. The dentin permeability was measured by assessing the hydraulic conductance (μl/min.cmHO.cm). Statistical analysis was performed by two-way ANOVA and Tukey's test.
Greater permeability was observed after 18 erosive cycles, followed by exposure to 9 cycles and negative control ( < 0.0001). The application of glass ionomer sealant resulted in a major reduction of the hydraulic conductivity, regardless of the erosive challenge. Control groups and topical fluoride application showed similar results. In conclusion, the severity of erosive challenge contributed to the increase of dentin permeability. Besides, the glass ionomer sealant was the only protection agent that promoted significant effects in dentin permeability.
牙本质侵蚀可能导致牙本质小管开放,增加牙本质通透性,进而引发牙本质过敏。
本研究评估了暴露于不同程度侵蚀的牙本质表面的通透性以及表面保护方法。
从牛切牙制备牙本质样本(3mm×3mm×1mm)(n = 90),根据控制侵蚀刺激的方法分为三组:阴性对照组、局部应用氟化物组和玻璃离子封闭剂组。随后,根据模拟胃酸溶液(脱矿 - DES)(5%盐酸,pH = 2.2)的暴露情况将它们随机分为三个亚组,即再矿化(RE)组;阴性对照组、9个循环的DES - RE组和18个循环的DES - RE组。通过评估水力传导率(μl/min·cmH₂O·cm)来测量牙本质通透性。采用双向方差分析和Tukey检验进行统计分析。
在18个侵蚀循环后观察到通透性更高,其次是9个循环组和阴性对照组(P < 0.0001)。无论侵蚀刺激如何,玻璃离子封闭剂的应用均导致水力传导率大幅降低。对照组和局部应用氟化物组结果相似。总之,侵蚀刺激的严重程度导致牙本质通透性增加。此外,玻璃离子封闭剂是唯一对牙本质通透性有显著影响的保护剂。