Department of preventive dentistry, Stomatological Hospital of Chongqing Medical University , Chongqing, China.
College of Stomatology, Chongqing Medical University , Chongqing, China.
Ultrastruct Pathol. 2020 May 3;44(3):255-261. doi: 10.1080/01913123.2020.1749198. Epub 2020 Apr 2.
To evaluate the sealing effects of different Chinese herbal medicines on dentinal tubules, and to provide a reference for the clinical treatment of dentin hypersensitivity.
Forty dentin slices prepared by freshly extracted bovine mandibular central incisors were randomly assigned to procyanidins, tannic acid, gallic acid, naringin, epigallocatechin gallate (EGCG), glycyrrhizic acid, paeonol, and blank groups. Dentin slices in each Chinese herbal medicine group were treated three times a day, each for 5 min, and then immersed in a remineralization solution for the rest of the time. Dentin slices in the blank group were directly immersed in the remineralization solution for 7 days. The dentinal tubule sealing effect was observed under the scanning electron microscope (SEM).
SEM results showed that the dentinal tubules were almost completely open in the blank group, which was mostly open in the gallic acid, EGCG, glycyrrhizic acid, and paeonol groups, and were sealed in procyanidins, tannic acid, and naringin groups. Significant differences were detected in mean area, mean diameter of dentinal tubules, and mean plugging rate of dentinal tubules between the remaining Chinese herbal medicine groups and blank group ( < .05). Among them, the dentinal tubule sealing effect of procyanidins, tannic acid, and naringin was obvious.
The findings suggested that procyanidins, tannic acid, and naringin can effectively seal dentinal tubules, which provided a basis for clinical treatment of dentin hypersensitivity.
评估不同中草药对牙本质小管的封闭效果,为临床治疗牙本质敏感症提供参考。
将 40 个新鲜提取的牛下颌中切牙制备的牙本质片随机分为原花青素、鞣酸、没食子酸、柚皮苷、表没食子儿茶素没食子酸酯(EGCG)、甘草酸、丹皮酚和空白组。每天 3 次处理每个中草药组的牙本质片,每次 5 分钟,其余时间浸泡在再矿化溶液中。空白组的牙本质片直接在再矿化溶液中浸泡 7 天。用扫描电子显微镜(SEM)观察牙本质小管的封闭效果。
SEM 结果显示,空白组牙本质小管几乎完全开放,其中没食子酸、EGCG、甘草酸和丹皮酚组牙本质小管大部分开放,原花青素、鞣酸和柚皮苷组牙本质小管封闭。在其余中草药组与空白组之间,牙本质小管的平均面积、平均直径和牙本质小管的平均堵塞率均存在显著差异(<0.05)。其中,原花青素、鞣酸和柚皮苷对牙本质小管的封闭效果明显。
研究结果表明,原花青素、鞣酸和柚皮苷能有效封闭牙本质小管,为临床治疗牙本质敏感症提供了依据。