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TiF/NaF 和壳聚糖溶液对微观生物膜模型中釉质龋发展的影响。

Effect of TiF/NaF and chitosan solutions on the development of enamel caries under a microcosm biofilm model.

机构信息

Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Al. Octávio Pinheiro Brisolla, 9-75, Bauru-SP, Zip code: 17012-901, Brazil.

Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Al. Octávio Pinheiro Brisolla, 9-75, Bauru-SP, Zip code: 17012-901, Brazil.

出版信息

J Dent. 2021 Aug;111:103732. doi: 10.1016/j.jdent.2021.103732. Epub 2021 Jun 24.

DOI:10.1016/j.jdent.2021.103732
PMID:34174348
Abstract

OBJECTIVES

To evaluate the effect of experimental solutions containing TiF/NaF and chitosan on bacterial species and on enamel caries prevention.

METHODS

Microcosm biofilm was produced from human saliva mixed with McBain saliva (0.2% sucrose) on bovine enamel for five days, under 5% CO and 37 °C. From the second day until the end, the treatments were applied (1 × 60 s/day): (1) NaF (500 ppm F, positive control); (2) TiF and NaF (TiF: 190 ppm Ti and 300 ppm F; NaF: 190 ppm F); (3) similar to 2 plus 0.5% chitosan (Ch 500 mPas, 75% deacetylation); (4) phosphate buffer solution (negative control); and (5) 0.5% chitosan (Ch 500 mPas, 75% deacetylation). CFU counting was performed for total microorganism, total streptococcus, total lactobacillus and Streptococcus mutans. Enamel demineralization was measured by transverse microradiography-TMR. The data were compared using ANOVA/Tukey or Kruskal-Wallis/Dunn tests (p < .050).

RESULTS

No differences were found between the treatments with respect to CFU counting (ANOVA, p > .050). Enamel treated with TiF/NaF plus chitosan solution presented the lowest demineralization compared to the negative control and pure chitosan solution. On the other hand, this experimental solution did not significantly differ from TiF/NaF and NaF solutions, being all of them able to significantly reduce mineral loss (50-74%), but only TiF/NaF plus chitosan reduced lesion depth (55%) compared to the negative control (p = .001).

CONCLUSION

TiF/NaF plus chitosan solution had no antimicrobial effect, but it was able to reduce enamel caries development in 79% compared to control under this model.

CLINICAL SIGNIFICANCE

This study showed that TiF/NaF plus chitosan solution had no antimicrobial effect, but it was able to reduce enamel caries development under a microcosm biofilm model.

摘要

目的

评估含 TiF/NaF 和壳聚糖的实验溶液对细菌种类和预防釉质龋的影响。

方法

在 5% CO 和 37°C 下,将人唾液与 McBain 唾液(0.2%蔗糖)混合在牛牙釉质上产生微宇宙生物膜,持续五天。从第二天到结束,每天应用以下处理方法(1×60s/天):(1)NaF(500ppmF,阳性对照);(2)TiF 和 NaF(TiF:190ppmTi 和 300ppmF;NaF:190ppmF);(3)类似于 2 加上 0.5%壳聚糖(Ch500mPas,75%脱乙酰度);(4)磷酸盐缓冲溶液(阴性对照);和(5)0.5%壳聚糖(Ch500mPas,75%脱乙酰度)。对总微生物、总链球菌、总乳杆菌和变形链球菌进行 CFU 计数。通过横向显微射线照相法(TMR)测量牙釉质脱矿。使用方差分析/Tukey 或 Kruskal-Wallis/Dunn 检验(p<.050)比较数据。

结果

在 CFU 计数方面,各处理之间没有差异(方差分析,p>.050)。与阴性对照和纯壳聚糖溶液相比,用 TiF/NaF 加壳聚糖溶液处理的牙釉质脱矿程度最低。另一方面,该实验溶液与 TiF/NaF 和 NaF 溶液没有显著差异,所有这些溶液都能够显著减少矿物质损失(50-74%),但只有 TiF/NaF 加壳聚糖溶液能够降低病变深度(55%)与阴性对照相比(p=.001)。

结论

TiF/NaF 加壳聚糖溶液没有抗菌作用,但在该模型下,与对照相比,它能够将釉质龋的发展减少 79%。

临床意义

本研究表明,TiF/NaF 加壳聚糖溶液没有抗菌作用,但在微宇宙生物膜模型下,它能够减少釉质龋的发展。

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