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含β-TCP 纳米颗粒的实验性牙膏,经氟化物和锡功能化处理,可预防侵蚀性牙齿磨损。

Experimental toothpastes containing β-TCP nanoparticles functionalized with fluoride and tin to prevent Erosive Tooth Wear.

机构信息

Department of Restorative Dentistry, University of São Paulo (USP), School of Dentistry, Av. Prof Lineu Prestes 2227, São Paulo, SP, 05508-000, Brazil.

Material Science and Technology Center, Nuclear and Energy Research Institute (IPEN-CNEN), Av. Prof. Lineu Prestes 2242, São Paulo, SP 05508-000, Brazil.

出版信息

J Dent. 2024 Oct;149:105273. doi: 10.1016/j.jdent.2024.105273. Epub 2024 Jul 29.

DOI:10.1016/j.jdent.2024.105273
PMID:39084548
Abstract

OBJECTIVES

The present study aimed to synthesize toothpastes containing Beta- TriCalcium Phosphate (β-TCP) nanoparticles, functionalized with fluoride and tin, and test their ability to reduce erosive tooth wear (ETW).

METHODS

Toothpastes were synthesized with the following active ingredients: 1100 ppm of fluoride (as sodium fluoride, F), 3500 ppm of tin (as stannous chloride, Sn), and 800 ppm of β-TCP (Sizes a - 20 nm; and b - 100 nm). Enamel specimens were randomly assigned into the following groups (n = 10): 1. Commercial toothpaste; 2. Placebo; 3 F; 4. F + β-TCP; 5. F + β-TCP; 6. F + Sn; 7. F + Sn + β-TCP and 8. F + Sn + β-TCP. Specimens were subjected to erosion-abrasion cycling. Surface loss (in µm) was measured by optical profilometry. Toothpastes pH and available F were also assessed.

RESULTS

Brushing with placebo toothpaste resulted in higher surface loss than brushing with F (p = 0.005) and F + β-TCP (p = 0.007); however, there was no difference between F and F + β-TCP (p = 1.00). Commercial toothpaste showed no difference from Placebo (p = 0.279). The groups F, F + β-TCP, F + β-TCP, F + Sn, F + Sn + β-TCP and F + Sn + β-TCP were not different from the commercial toothpaste (p > 0.05). Overall, the addition of β-TCP reduced the amount of available fluoride in the experimental toothpastes. The pH of toothpastes ranged from 4.97 to 6.49.

CONCLUSIONS

Although toothpaste containing β-TCP nanoparticles protected enamel against dental erosion-abrasion, this effect was not superior to the standard fluoride toothpaste (commercial). In addition, the functionalization of β-TCP nanoparticles with fluoride and tin did not enhance their protective effect.

CLINICAL SIGNIFICANCE

Although β-TCP nanoparticles have some potential to control Erosive Tooth Wear, their incorporation into an experimental toothpaste appears to have a protective effect that is similar to a commercial fluoride toothpaste.

摘要

目的

本研究旨在合成含有β-三钙磷酸盐(β-TCP)纳米粒子的牙膏,这些纳米粒子经过氟化物和锡的功能化处理,以测试其减少酸蚀性牙齿磨损(ETW)的能力。

方法

使用以下活性成分合成牙膏:1100ppm 氟化物(以氟化钠,F 表示)、3500ppm 锡(以二氯化锡,Sn 表示)和 800ppm β-TCP(粒径分别为 a-20nm 和 b-100nm)。将牙釉质标本随机分为以下几组(n=10):1. 市售牙膏;2. 安慰剂;3. F;4. F+β-TCP;5. F+β-TCP;6. F+Sn;7. F+Sn+β-TCP 和 8. F+Sn+β-TCP。标本进行酸蚀-磨损循环。通过光学轮廓仪测量表面损失(以 µm 计)。还评估了牙膏的 pH 值和可用氟化物。

结果

用安慰剂牙膏刷牙导致的表面损失高于用 F(p=0.005)和 F+β-TCP(p=0.007)刷牙;然而,F 与 F+β-TCP 之间没有差异(p=1.00)。商业牙膏与安慰剂之间无差异(p=0.279)。F、F+β-TCP、F+β-TCP、F+Sn、F+Sn+β-TCP 和 F+Sn+β-TCP 组与市售牙膏之间无差异(p>0.05)。总体而言,β-TCP 的添加减少了实验牙膏中可用氟化物的量。牙膏的 pH 值范围为 4.97 至 6.49。

结论

尽管含有β-TCP 纳米粒子的牙膏能保护牙釉质免受酸蚀-磨损,但这种效果并不优于标准的氟化物牙膏(市售)。此外,β-TCP 纳米粒子经氟化物和锡功能化处理并未增强其保护作用。

临床意义

尽管β-TCP 纳米粒子具有控制酸蚀性牙齿磨损的潜力,但将其纳入实验牙膏似乎具有与市售氟化物牙膏相似的保护作用。

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