Ceramic Physics Laboratory, Kyoto Institute of Technology, Sakyo-ku, Matsugasaki, 606-8585 Kyoto, Japan; Department of Dental Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto 602-8566, Japan.
Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 113-8510 Tokyo, Japan.
Dent Mater. 2020 Dec;36(12):1635-1644. doi: 10.1016/j.dental.2020.10.005. Epub 2020 Nov 7.
Early detection of dental caries and variations in composition/structure of both enamel and dentin represents an important issue in modern dentistry. Demineralization has been associated to teeth discoloration, development of caries, and formation of cavities.
In this study, we systematically monitored the processes of demineralization/remineralization in dentin samples by means of three different spectroscopic techniques, namely, Raman spectroscopy, X-Ray Photo-electron spectroscopy (XPS), and X-Ray Diffractometry (XRD).
Bovine dentin samples were first exposed to acidic solutions and their structure systematically monitored as a function of time and pH. Then, the samples were rinsed in artificial saliva to simulate remineralization.
The above three spectroscopic techniques provided quantitative structural information spanning from the nanometer to the millimeter scale of sample penetration depth. An irreversible level of demineralization was reached when dentin was exposed to pH 2 beyond a time threshold of 6h, successive treatments with artificial saliva being unable to restore the mineral fraction. On the other hand, short-term treatments at pH 5 and long-term treatments at pH 6 could partially or completely recover the dentin structure within one week of remineralization treatment.
Two specific Raman parameters, namely, the bandwidth of the symmetric phosphate-stretching signal and the mineral-to-matrix intensity ratio, showed strong correlations with XPS and XRD data, and matched laser microscopy observations. Such correlations open the path to apply Raman spectroscopy in monitoring dentin demineralization in vivo and provide quantitative working algorithms for the prevention of oral caries.
早期发现龋齿以及釉质和牙本质成分/结构的变化是现代牙科的一个重要问题。脱矿与牙齿变色、龋齿发展和腔形成有关。
在这项研究中,我们通过三种不同的光谱技术,即拉曼光谱、X 射线光电子能谱 (XPS) 和 X 射线衍射 (XRD),系统地监测牙本质样本的脱矿/再矿化过程。
首先将牛牙本质样本暴露于酸性溶液中,并随着时间和 pH 值的变化系统地监测其结构。然后,用人工唾液冲洗样本以模拟再矿化。
上述三种光谱技术提供了定量结构信息,涵盖了从纳米到毫米的样本穿透深度的范围。当牙本质暴露于 pH 2 超过 6 小时的时间阈值时,会达到不可逆转的脱矿水平,随后用人工唾液处理也无法恢复矿物质部分。另一方面,在 pH 5 下进行短期处理和在 pH 6 下进行长期处理,可以在一周的再矿化治疗内部分或完全恢复牙本质结构。
两个特定的拉曼参数,即对称磷酸盐伸缩信号的带宽和矿物质与基质的强度比,与 XPS 和 XRD 数据具有很强的相关性,并与激光显微镜观察结果相匹配。这种相关性为在体内监测牙本质脱矿作用以及为预防口腔龋齿提供定量工作算法开辟了道路。