Tulumbacı Fatih, Oba Aylin Akbay
Department of Pediatric Dentistry, Faculty of Dentistry, Ankara Yıldırım Beyazıt University, Ankara, Turkey.
Department of Pediatric Dentistry, Faculty of Dentistry, Kırıkkale University, Kırıkkale, Turkey.
J Conserv Dent. 2019 May-Jun;22(3):281-286. doi: 10.4103/JCD.JCD_509_18.
The aim of this study was to compare the efficacy of different remineralization (RM) agents on RM of artificial caries by evaluating the density, light reflection, and the crystal size of the newly formed mineral in primary and permanent teeth.
Caries-free primary and permanent molars were divided into seven groups ( = 20) and treated with: G1 - Deionized water, G2 - Colgate Cavity Protection, G3 - Sensodyne Rapid Relief, G4 - GC MI Paste Plus, G5 - Clinpro Tooth Creme, G6 - Clinpro 5000, and G7 - Sensodyne Repair and Protect. Lesion depths were evaluated using laser fluorescence (DIAGNOdent), and polarized light microscopy (PLM), and the minerals were evaluated using X-ray diffractometry (XRD).
The highest decrease in laser fluorescence readings was observed in G6 for both primary and permanent teeth. No significant difference was observed between G2, G4, G5, and G6 in permanent teeth and G4 and G6 in primary teeth ( > 0.05). In PLM analyses, lesions depths were found to be lower in G6 compared to the other groups. No significant difference was observed between G2, G4, and G6 ( < 0.05). XRD evaluation showed that the newly formed mineral in G6 was denser and highly crystallized compared to the other groups.
This study demonstrated that Clinpro 5000 is more efficient in remineralizing incipient enamel lesions compared to the other agents tested.
本研究的目的是通过评估乳牙和恒牙中新形成矿物质的密度、光反射和晶体大小,比较不同再矿化(RM)剂对人工龋再矿化的效果。
将无龋的乳牙和恒牙磨牙分为七组(每组n = 20),并分别用以下物质处理:G1 - 去离子水,G2 - 高露洁防蛀牙膏,G3 - 舒适达速效抗敏牙膏,G4 - GC MI Paste Plus,G5 - Clinpro Tooth Creme,G6 - Clinpro 5000,以及G7 - 舒适达修复保护牙膏。使用激光荧光仪(DIAGNOdent)和偏光显微镜(PLM)评估病变深度,并使用X射线衍射仪(XRD)评估矿物质。
乳牙和恒牙中,G6组的激光荧光读数下降幅度最大。恒牙中G2、G4、G5和G6组之间以及乳牙中G4和G6组之间未观察到显著差异(P>0.05)。在PLM分析中,发现G6组的病变深度低于其他组。G2、G4和G6组之间未观察到显著差异(P<0.05)。XRD评估表明,与其他组相比,G6组中新形成的矿物质密度更高且结晶度更高。
本研究表明,与其他测试剂相比,Clinpro 5000在再矿化初期釉质病变方面更有效。