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使用微计算机断层扫描和光学显微镜测量侵蚀深度。

Measurement of erosion depth using microcomputed tomography and light microscopy.

机构信息

Center for Dental Research, School of Dentistry, Loma Linda University, Loma Linda, California, USA.

出版信息

Microsc Res Tech. 2020 Dec;83(12):1450-1455. doi: 10.1002/jemt.23537. Epub 2020 Jul 18.

Abstract

Tooth-erosion is the surface loss of dental hard tissue mostly associated with an acid attack. The aim was to compare dentin and enamel erosion depth measurements using micro-computed tomography (microCT) and light microscopy (LM). Enamel/dentin blocks were prepared from caries-free human molar-teeth (N = 12). Teeth were sectioned to a rectangular shape of 4 × 4 × 6 mm. Specimens were treated with water (NC) or 1.0% citric-acid solution (PC). After treatment, specimens were scanned with micro-computed tomography. On completion, specimens were sectioned and observed under a light-microscope. Lesion depth was observed with 10× magnification and images transferred to Simpleware software. Vertical distance from lesion surface to bottom was measured. Pearson correlation test was used to evaluate correlation and Wilcoxon Signed Rank test to evaluate differences in the two-analysis methods. Mean enamel erosion depth was 0.63 and 38.38 μm (microCT) and 0.54 and 39.43 μm (LM) for NC and PC, respectively. Dentin erosion depth was 0.72 and 48.05 μm (microCT) and 0.56 and 49.92 μm (LM) for NC and PC, respectively. There was a significant correlation between the two-analysis methods (r = 0.998; p < .001). No statistically significant difference in results were obtained when microCT and LM were compared (p = .584). This results obtained from the current study suggested that erosion depth measurements made using microCT and LM yielded comparable results. The microCT method is preferred if the conservation of specimens is desired.

摘要

牙齿酸蚀是牙体硬组织表面脱矿,主要与酸蚀作用有关。本研究旨在比较微计算机断层扫描(microCT)和光学显微镜(LM)测量牙本质和牙釉质酸蚀深度。从无龋人磨牙中制备牙本质/牙釉质块(N = 12)。牙齿被切割成 4×4×6mm 的矩形形状。标本用去离子水(NC)或 1.0%柠檬酸溶液(PC)处理。处理后,用 microCT 扫描标本。完成后,将标本切片并用光学显微镜观察。用 10×放大倍数观察病变深度,并将图像传输到 Simpleware 软件中。从病变表面到底部的垂直距离进行测量。采用 Pearson 相关检验评估相关性,采用 Wilcoxon 符号秩检验评估两种分析方法的差异。NC 和 PC 组的牙釉质酸蚀深度分别为 0.63μm 和 38.38μm(microCT)、0.54μm 和 39.43μm(LM),牙本质酸蚀深度分别为 0.72μm 和 48.05μm(microCT)、0.56μm 和 49.92μm(LM)。两种分析方法之间存在显著相关性(r = 0.998;p<.001)。microCT 和 LM 比较时,结果无统计学差异(p =.584)。本研究结果表明,microCT 和 LM 测量的酸蚀深度结果具有可比性。如果需要保存标本,建议使用 microCT 方法。

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