Gong Q M, Ling J Q, Wei X
Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2023 Feb 28;58(3):217-223. doi: 10.3760/cma.j.cn112144-20221013-00526.
Dental fluorosis is a developmental disturbance of dental enamel caused by excessive fluoride intake during tooth development, leading to the changes in morphology, structure and function of tooth enamel, which can affect the aesthetics and function of teeth. There are many factors which may account for the occurrence of dental fluorosis. However, the pathogenesis mechanism underlying dental fluorosis has not been fully clarified.In recent years, researches in the fields of fluoride-induced stress response pathways, signaling pathways and apoptosis at the molecular and genetic level had provided extensive knowledge of dental fluorosis. This article focuses on the latest research progress in the mechanism of dental fluorosis, which include the effects of fluoride on ameloblasts and enamel matrix proteins, genetic polymorphism and dietary nutrients, in order to provide new references for the targeted prevention and treatment of dental fluorosis.
氟斑牙是牙齿发育期间因摄入过量氟化物而导致的牙釉质发育障碍,会致使牙釉质的形态、结构及功能发生改变,进而影响牙齿的美观和功能。诸多因素可能导致氟斑牙的发生。然而,氟斑牙的发病机制尚未完全阐明。近年来,在分子和基因水平上对氟诱导的应激反应途径、信号通路及细胞凋亡等领域的研究,为氟斑牙提供了广泛的认知。本文聚焦于氟斑牙发病机制的最新研究进展,其中包括氟对成釉细胞和釉基质蛋白的影响、基因多态性及膳食营养,旨在为氟斑牙的针对性防治提供新的参考依据。