Kijsamanmith Kanittha, Surarit Rudee, Vongsavan Noppakun
Department of Oral Biology, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
J Dent Sci. 2016 Jun;11(2):130-135. doi: 10.1016/j.jds.2015.11.003. Epub 2016 Mar 29.
BACKGROUND/PURPOSE: Acidic diet is one major cause of dentine hypersensitivity. The objective of this study was to determine the effects of different tropical fruit juices on dentine permeability and their erosive ability to remove the smear layer in extracted human teeth.
Thirty-six noncarious human premolars were used, and the dentine was exposed at the tip of the buccal cusp by cutting a cavity (diameter 3 mm, depth 3 mm). Permeability of the dentine was tested under different conditions: with a smear layer and 5 minutes after the application of freshly squeezed green mango, lime, tamarind, and starfruit juices. The smear layer was created before each treatment by gently cutting the dentine with a diamond bur. In the final treatment, the dentine was etched with 37% phosphoric acid for 30 seconds. The erosive ability of these fruit juices to remove the smear layer was also examined using a scanning electron microscope.
Results revealed that application of green mango, tamarind, lime, and starfruit juices for 5 minutes significantly increased dentine permeability by 128.2%, 73.4%, 80.6%, and 70.4%, respectively (P < 0.05, Friedman repeated measures analysis of variance on ranks). The corresponding value of 37% phosphoric acid was 125.1%. Scanning electron microscopy data showed that green mango and lime juices had very strong erosive ability to remove the smear layer, similar to 37% phosphoric acid.
We conclude that tropical fruit juices, especially green mango and lime, increase dentine permeability and have a strong erosive ability to remove the smear layer, which causes dentine hypersensitivity.
背景/目的:酸性饮食是牙本质敏感的一个主要原因。本研究的目的是确定不同热带果汁对牙本质渗透性的影响及其去除离体人牙表面玷污层的侵蚀能力。
使用36颗无龋的人前磨牙,通过制备一个洞(直径3毫米,深度3毫米)使牙本质在颊尖顶端暴露。在不同条件下测试牙本质的渗透性:有玷污层时以及在涂抹新鲜压榨的青芒果汁、酸橙汁、罗望子汁和杨桃汁5分钟后。在每次处理前,用金刚砂车针轻轻切割牙本质以形成玷污层。在最后一次处理中,用37%磷酸蚀刻牙本质30秒。还使用扫描电子显微镜检查了这些果汁去除玷污层的侵蚀能力。
结果显示,涂抹青芒果汁、罗望子汁、酸橙汁和杨桃汁5分钟后,牙本质渗透性分别显著增加了128.2%、73.4%、80.6%和70.4%(P<0.05,Friedman秩次重复测量方差分析)。37%磷酸的相应值为125.1%。扫描电子显微镜数据表明,青芒果汁和酸橙汁具有很强的去除玷污层的侵蚀能力,与37%磷酸相似。
我们得出结论,热带果汁,尤其是青芒果汁和酸橙汁,会增加牙本质渗透性,并具有很强的去除玷污层的侵蚀能力,这会导致牙本质敏感。