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不同表面处理方法对人工釉质损伤微硬度和颜色变化的影响。

Effect of different surface treatments on the microhardness and colour change of artificial enamel lesions.

机构信息

Operative Dentistry Department, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.

Conservative Dentistry Department, Faculty of Dentistry, Newgiza University (NGU), Giza, Egypt.

出版信息

Aust Dent J. 2022 Sep;67(3):230-238. doi: 10.1111/adj.12908. Epub 2022 Mar 14.

DOI:10.1111/adj.12908
PMID:35224731
Abstract

BACKGROUND

To investigate the effect of three different surface treatments on the microhardness and colour change of artificial enamel lesions.

MATERIALS AND METHODS

One hundred bovine teeth were randomly assigned into four groups. Artificial enamel lesions were created using demineralizing solution for all groups except the sound enamel group. Different surface treatments were then performed G1: resin-infiltrant; G2: Casein phosphopeptide-amorphous calcium phosphate (CPP-ACP); G3: artificial saliva; G4: Sound Enamel. Each group was subdivided into three subgroups, where each subgroup was subjected to a different testing method. Subgroup 1: surface microhardness; subgroup 2: cross-sectional microhardness; subgroup 3: colour measurement. Statistical analysis was performed by ANOVA, followed by Tukey's post hoc test.

RESULTS

Sound enamel group recorded the highest surface and cross-sectional microhardness results. No significant difference was found between the resin-infiltrant group and CPP-ACP regarding surface and cross-sectional microhardness at different lesion depths. Resin-infiltrant group showed the least colour change (∆E) results compared to the other groups.

CONCLUSION

Resin-infiltrant can effectively enhance surface microhardness and enamel resistance to demineralization, additionally, reduces the staining susceptibility of white spot lesions (WSLs) after treatment. CPP-ACP application for 4 weeks seems to improve surface microhardness; however, has a limited effect in resisting staining of WSLs after treatment. © 2022 Australian Dental Association.

摘要

背景

研究三种不同表面处理方法对人工釉质损伤的显微硬度和颜色变化的影响。

材料与方法

将 100 颗牛牙随机分为四组。除正常釉质组外,所有组均使用脱矿溶液制备人工釉质损伤。然后对各组进行不同的表面处理:G1:树脂渗入剂;G2:酪蛋白磷酸肽-无定形磷酸钙(CPP-ACP);G3:人工唾液;G4:正常釉质。每组再分为三个亚组,每个亚组采用不同的测试方法。亚组 1:表面显微硬度;亚组 2:横截面显微硬度;亚组 3:颜色测量。采用方差分析(ANOVA)进行统计分析,然后进行 Tukey 事后检验。

结果

正常釉质组记录的表面和横截面显微硬度结果最高。在不同损伤深度下,树脂渗入剂组和 CPP-ACP 组的表面和横截面显微硬度无显著差异。与其他组相比,树脂渗入剂组的颜色变化(∆E)最小。

结论

树脂渗入剂可有效提高表面显微硬度和釉质抗脱矿能力,此外,治疗后可降低白斑病变(WSL)的染色易感性。CPP-ACP 应用 4 周似乎可提高表面显微硬度,但对治疗后 WSL 的染色抑制作用有限。© 2022 澳大利亚牙科协会。

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