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了解牙釉质白斑病变的空间和形态特征以进行靶向再矿化。

Understanding the spatial and topographic characteristics of enamel white spot lesions for targeted remineralization.

作者信息

Chhabria Devanshi Rajesh, Ramadoss Ramya, K Hema Shree, Sundar Sandhya, Selvam Suganya Panneer, Ramani Pratibha

机构信息

Department of Oral Biology, Saveetha Dental College & Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai, India.

Department of Oral Pathology, Saveetha Dental College & Hospitals, Saveetha Institute of Medical and techniical Sciences, Chennai , India.

出版信息

J Oral Biol Craniofac Res. 2024 Sep-Oct;14(5):594-599. doi: 10.1016/j.jobcr.2024.07.006. Epub 2024 Aug 2.

Abstract

INTRODUCTION

White spot lesions are opaque, chalky white or yellowish discolorations on the surface of teeth that result from the demineralization of the tooth structure. Many methods, including SEM, XRD, and FTIR spectroscopy, are crucial for identifying and evaluating enamel white spot lesions. It is imperative to have a thorough grasp of the morphology, crystallographic structure, mineral composition, and chemical changes associated with enamel white spot lesions.

METHOD

In vitro lesions were meticulously obtained by immersing extracted teeth in hydrochloric acid for a week and drying them using artificial caries. Characterization investigations were conducted with utmost precision and thoroughness using FTIR, XRD, and SEM, ensuring the reliability and validity of the results.

RESULTS

FTIR analysis revealed the existence of calcium oxide and hydroxyapatite, and SEM examination assisted in identifying differences in surface shape. The enamel's crystalline nature was revealed via XRD investigation.

CONCLUSION

White spot lesions are associated with the development of deep caries. Advanced imaging strategies are needed for additional validation.

摘要

引言

白斑病变是牙齿表面出现的不透明、粉笔白色或淡黄色变色区域,是牙齿结构脱矿的结果。许多方法,包括扫描电子显微镜(SEM)、X射线衍射(XRD)和傅里叶变换红外光谱(FTIR),对于识别和评估釉质白斑病变至关重要。必须全面了解与釉质白斑病变相关的形态、晶体结构、矿物质组成和化学变化。

方法

通过将拔除的牙齿浸泡在盐酸中一周并使用人工龋损使其干燥,精心制备体外病变样本。使用FTIR、XRD和SEM进行了极其精确和全面的表征研究,确保结果的可靠性和有效性。

结果

FTIR分析揭示了氧化钙和羟基磷灰石的存在,SEM检查有助于识别表面形状的差异。通过XRD研究揭示了釉质的晶体性质。

结论

白斑病变与深龋的发展有关。需要先进的成像策略进行进一步验证。

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