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在体外脱矿模型中,酪蛋白磷酸肽 - 无定形磷酸钙(CPP - ACP)与氟化物产品的有效性比较

Effectiveness of Casein Phosphopeptide-Amorphous Calcium Phosphate (CPP-ACP) Compared to Fluoride Products in an In-Vitro Demineralization Model.

作者信息

Reise Markus, Kranz Stefan, Heyder Markus, Jandt Klaus D, Sigusch Bernd W

机构信息

Department of Conservative Dentistry and Periodontology, Jena University Hospital, An der Alten Post 4, 07743 Jena, Germany.

Chair of Materials Science, Otto Schott Institute of Materials Research (OSIM), Faculty of Physics and Astronomy, Friedrich Schiller University Jena, Löbdergraben 32, 07743 Jena, Germany.

出版信息

Materials (Basel). 2021 Oct 11;14(20):5974. doi: 10.3390/ma14205974.

Abstract

The goal of this study was to evaluate the effectiveness of the toothpaste Tooth Mousse compared to conventional fluoride-based versions in the prevention of enamel and dentin demineralization. Human enamel and dentin samples ( = 120 each) were exposed to artificial demineralization at pH 4.92. During the demineralization process, the samples in the test groups were periodically treated with Tooth Mousse (TM) containing casein-phosphopeptide -amorphous-calcium-phosphate (CPP-ACP) and Tooth Mousse Plus (TMP) containing amorphous-calcium-fluoride-phosphate (CPP-ACPF) to evaluate their protective properties. Fluoride toothpastes containing 1400 ppm amine fluoride (AmF) and 1450 ppm sodium fluoride (NaF) were applied in the positive control groups. Treatment with distilled water (group C-W) or demineralization without treatment (group C-D) served as negative controls. After the demineralization and treatment process, all samples were cut longitudinally and lesion depths were determined at six locations using polarized light microscopy. In TM/TMP groups (enamel: 80/86 µm, dentin: 153/156 µm) lesion depths were significantly smaller compared to the negative control groups C-W/C-D (enamel: 99/111 µm, dentin: 163/166 µm). However, TM and TMP compared to the positive controls AmF/NaF (enamel: 58/63 µm, dentin: 87/109 µm) showed higher lesion depths. The application of TM/TMP (89%/78%) during demineralization led to a reduced number of severe lesions compared to the negative controls C-W/C-D (100%/95%). In this study we demonstrate that Tooth Mousse is less effective regarding prevention of enamel and dentin demineralization compared to fluoride containing toothpastes.

摘要

本研究的目的是评估与传统含氟牙膏相比,牙菌斑防护牙膏(Tooth Mousse)在预防牙釉质和牙本质脱矿方面的有效性。将人类牙釉质和牙本质样本(各120个)暴露于pH值为4.92的人工脱矿环境中。在脱矿过程中,对试验组样本定期使用含有酪蛋白磷酸肽 - 无定形磷酸钙(CPP - ACP)的牙菌斑防护牙膏(TM)和含有无定形氟化磷酸钙(CPP - ACPF)的加强型牙菌斑防护牙膏(TMP),以评估它们的保护性能。在阳性对照组中使用含有1400 ppm氟化胺(AmF)和1450 ppm氟化钠(NaF)的含氟牙膏。用蒸馏水进行处理(C - W组)或不进行处理的脱矿(C - D组)作为阴性对照。在脱矿和处理过程结束后,将所有样本纵向切开,并使用偏光显微镜在六个位置测定病变深度。与阴性对照组C - W/C - D(牙釉质:99/111 µm,牙本质:163/166 µm)相比,TM/TMP组(牙釉质:80/86 µm,牙本质:153/156 µm)的病变深度明显更小。然而,与阳性对照组AmF/NaF(牙釉质:58/63 µm,牙本质:87/109 µm)相比,TM和TMP的病变深度更高。与阴性对照组C - W/C - D(100%/95%)相比,脱矿过程中使用TM/TMP(89%/78%)导致严重病变数量减少。在本研究中,我们证明与含氟牙膏相比,牙菌斑防护牙膏在预防牙釉质和牙本质脱矿方面效果较差。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdc1/8540000/a3dbc7f2a72f/materials-14-05974-g001.jpg

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