Zieniewska Izabela, Maciejczyk Mateusz, Zalewska Anna
Doctoral Studies, Medical University of Bialystok, 24a M. Sklodowskiej-Curie Street, 15-274 Bialystok, Poland.
Department of Hygiene, Epidemiology and Ergonomics, Medical University of Bialystok, 15-022 Bialystok, Poland.
Int J Mol Sci. 2020 Dec 18;21(24):9684. doi: 10.3390/ijms21249684.
Oxidative stress (OS) is a redox homeostasis disorder that results in oxidation of cell components and thus disturbs cell metabolism. OS is induced by numerous internal as well as external factors. According to recent studies, dental treatment may also be one of them. The aim of our work was to assess the effect of dental treatment on the redox balance of the oral cavity. We reviewed literature available in PubMed, Medline, and Scopus databases, including the results from 2010 to 2020. Publications were searched according to the keywords: oxidative stress and dental monomers; oxidative stress and amalgam; oxidative stress and periodontitis, oxidative stress and braces, oxidative stress and titanium; oxidative stress and dental implants, oxidative stress and endodontics treatment, oxidative stress and dental treatment; and oxidative stress and dental composite. It was found that dental treatment with the use of composites, amalgams, glass-ionomers, materials for root canal filling/rinsing, orthodontic braces (made of various metal alloys), titanium implants, or whitening agents can disturb oral redox homeostasis by affecting the antioxidant barrier and increasing oxidative damage to salivary proteins, lipids, and DNA. Abnormal saliva secretion/composition was also observed in dental patients in the course of OS. It is suggested that the addition of antioxidants to dental materials or antioxidant therapy applied during dental treatment could protect the patient against harmful effects of OS in the oral cavity.
氧化应激(OS)是一种氧化还原稳态紊乱,会导致细胞成分氧化,从而扰乱细胞代谢。OS由多种内部和外部因素诱导。根据最近的研究,牙科治疗也可能是其中之一。我们工作的目的是评估牙科治疗对口腔氧化还原平衡的影响。我们回顾了PubMed、Medline和Scopus数据库中可得的文献,包括2010年至2020年的结果。根据以下关键词搜索出版物:氧化应激与牙科单体;氧化应激与汞合金;氧化应激与牙周炎;氧化应激与牙箍;氧化应激与钛;氧化应激与牙种植体;氧化应激与牙髓治疗;氧化应激与牙科治疗;以及氧化应激与牙科复合材料。研究发现,使用复合材料、汞合金、玻璃离子体、根管充填/冲洗材料、正畸牙箍(由各种金属合金制成)、钛种植体或美白剂进行牙科治疗,可通过影响抗氧化屏障并增加对唾液蛋白质、脂质和DNA的氧化损伤,扰乱口腔氧化还原稳态。在OS过程中,牙科患者还观察到唾液分泌/成分异常。建议在牙科材料中添加抗氧化剂或在牙科治疗期间进行抗氧化治疗,以保护患者免受口腔OS的有害影响。