Bahrololoomi Zahra, Zarebidoki Fatemeh, Mostafalu Nasrin
Associated Professor, Social Determinants of Oral Health Research Center, Department of Pedodontics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Assistant, Department of Pedodontics, Shahid Sadoughi University of Medical Sciences, Faculty of Dentistry, Yazd, Iran.
Laser Ther. 2019 Sep 30;28(3):187-192. doi: 10.5978/islsm.28_19-OR-15.
Dental caries is a global concern and different materials and methods were proposed for its prevention.The aim of this study was evaluation of the effect of different demineralizing agents with and without diode laser radiation on the microhardness of primary molars enamel.
48 primary molar teeth were used in this study. The enamel blocks were prepared. Primary microhardness values were also measured. All samples were demineralized, then demineralization was approved by a DIAGNOdent pen. The remineralization was done into the buccal and lingual surfaces of the samples as follows:Group 1: CPP-ACP, Group 2: CPP-ACPF, Group 3: MI varnish, Group 4: NaF varnish. The lingual surfaces received diode laser irradiation. Finally, a secondary microhardness test was performed on all samples. Statistical analyses were done and a P-value less than 0.05 was considered to be statistically significant.
A comparison between the primary and the secondary microhardness values showed significant differences (P = 0.003). The highest secondary microhardness values belonged to the MI varnish +laser group.
Application of the agents, containing the combination of Ca, P, and F, was significantly better than others in increasing the microhardness of the enamel. Although the application of diode laser increased the hardness of the enamel.
龋齿是一个全球性问题,人们提出了不同的材料和方法来预防龋齿。本研究的目的是评估不同脱矿剂在有无二极管激光照射的情况下对乳磨牙牙釉质显微硬度的影响。
本研究使用了48颗乳磨牙。制备牙釉质块,并测量初始显微硬度值。所有样本进行脱矿,然后用DIAGNOdent笔确认脱矿情况。对样本的颊面和舌面进行再矿化,具体如下:第1组:酪蛋白磷酸肽-无定形磷酸钙(CPP-ACP),第2组:酪蛋白磷酸肽-无定形磷酸钙氟化物(CPP-ACPF),第3组:含氟亚锡离子的防龋涂膜(MI varnish),第4组:氟化钠涂膜(NaF varnish)。舌面接受二极管激光照射。最后,对所有样本进行二次显微硬度测试。进行统计分析,P值小于0.05被认为具有统计学意义。
初始和二次显微硬度值的比较显示出显著差异(P = 0.003)。二次显微硬度值最高的是MI varnish+激光组。
含钙、磷和氟组合的制剂在提高牙釉质显微硬度方面明显优于其他制剂。虽然二极管激光的应用提高了牙釉质的硬度。