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含无定形磷酸钙(ACP)的粘合剂在正畸治疗中预防脱矿的疗效:一项三盲随机临床试验(RCT)

Efficacy of Amorphous Calcium Phosphate (ACP) Containing Adhesive in Preventing Demineralization during Orthodontic Treatment, a Triple Blinded Randomized Clinical Trial (RCT).

作者信息

Alshammari Fahad Mohammed, Sanea Jamal Al

机构信息

Department of Preventive Dental Sciences, Riyadh Colleges of Dentistry and Pharmacy, Riyadh, Kingdom of Saudi Arabia.

Department of Preventive Dental Sciences, Riyadh Colleges of Dentistry and Pharmacy, Riyadh, Kingdom of Saudi Arabia, e-mail:

出版信息

J Contemp Dent Pract. 2019 Jun 1;20(6):727-731.

Abstract

AIM

The present study was done to evaluate effects of an amorphous calcium phosphate (ACP) containing adhesive in reducing enamel demineralization during the early stage of fixed orthodontic treatment.

MATERIALS AND METHODS

A triple blinded randomized clinical trial (RCT) was conducted to evaluate enamel demineralization on 255 anterior teeth in 23 patients over a period of 6 months. A split-mouth design was used; half of the anterior teeth were bonded with the ACP containing adhesive and the contralateral teeth received regular adhesive as a control. The enamel demineralization measurements were done at three different time intervals: immediately after bonding (T0), 1 month after bonding (T1), and 6 months after bonding (T2) using the DIAGNOdent device.

RESULTS

Significant enamel demineralization variations were determined among groups ( < 0.001). The ACP containing adhesive showed significantly lower enamel demineralization than control adhesive.

CONCLUSION

The result of this study suggests a positive effect on the reduction of enamel demineralization when using ACP containing adhesives during orthodontic treatment over regular adhesive.

摘要

目的

本研究旨在评估含无定形磷酸钙(ACP)的黏结剂在固定正畸治疗早期减少牙釉质脱矿方面的效果。

材料与方法

进行了一项三盲随机临床试验(RCT),以评估23例患者255颗前牙在6个月期间的牙釉质脱矿情况。采用双侧对照设计;一半前牙用含ACP的黏结剂黏结,对侧牙齿使用常规黏结剂作为对照。使用DIAGNOdent设备在三个不同时间点进行牙釉质脱矿测量:黏结后即刻(T0)、黏结后1个月(T1)和黏结后6个月(T2)。

结果

各组间牙釉质脱矿存在显著差异(<0.001)。含ACP的黏结剂显示出比对照黏结剂显著更低的牙釉质脱矿。

结论

本研究结果表明,正畸治疗期间使用含ACP的黏结剂比常规黏结剂在减少牙釉质脱矿方面有积极效果。

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