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酶促化学剂应用后人牙组织的显微硬度及表征:研究

Microhardness and characterization of human dental tissue after application of enzymatic chemical agents: study.

作者信息

Lins-Candeiro Caio-Luiz, Batista-de-Souza Wender, Navarro-de-Oliveira Murilo, Santos-Filho Paulo-César-Freitas, Paranhos Luiz-Renato

机构信息

PhD student, Postgraduate program in dentistry, Faculty of Dentistry, Federal University of Uberlândia.

MSc student, Postgraduate program in dentistry, Faculty of Dentistry, Federal University of Uberlândia.

出版信息

J Clin Exp Dent. 2024 Aug 1;16(8):e961-e966. doi: 10.4317/jced.61811. eCollection 2024 Aug.

Abstract

BACKGROUND

The use of enzymatic chemical agents are papain-based materials used in the selective removal of decayed dentin tissue, assisting in conservative techniques and reducing the chances of accidental pulp exposure.

MATERIAL AND METHODS

A research protocol was subjected to and approved by an Ethics Committee. Using a reporting guide for laboratory studies (CRIS). Healthy human teeth comprised the produced dentin discs subjected to polishing and washing in an ultrasonic bath. Next, the discs received material application according to the experimental groups: water-soluble gel for two minutes, 37% phosphoric acid for 15 seconds in dentin and 30 seconds in enamel, Papacárie Duo (PD) for 30 seconds and two minutes, and Brix 3000 (BX) for two minutes and 30 seconds. The measurement of material pH used solutions at concentrations of 0.1 ml and 2.7 ml prepared for each enzymatic agent. Then, a bench pH meter (n=10) and pH indicator strips determined pH values. The discs underwent the Knoop hardness test (n=10). The sample calculation was performed using the GPower software with α = 0.05, effect 0.63 and power of 95%. Descriptive statistical analysis was carried out for pH, one way ANOVA supplemented by Tukey for knoop hardness and Spearman correlation for pH measurement techniques.

RESULTS

The enamel hardness findings indicated that, after material application, ECAs do not statistically differ from water-soluble gel (<0.05). The dentinal hardness analysis presented a statistical difference in phosphoric acid from the other groups (<0.05). In the pH test, BX values were lower (4.37 ± 0.01) than PD (4.85 ± 0.06). The groups statistically differed (<0.05).

CONCLUSIONS

ECAs for removing decayed dentin tissue did not significantly alter the hardness of enamel and dentin, removal of the smear layer is time-dependent and presents acidity. Dental caries, Hardness, Dental materials, Papain.

摘要

背景

酶促化学剂是基于木瓜蛋白酶的材料,用于选择性去除龋坏牙本质组织,辅助保守治疗技术并减少意外露髓的几率。

材料与方法

一项研究方案已提交伦理委员会并获批准。采用实验室研究报告指南(CRIS)。健康人牙齿制成牙本质盘,在超声浴中进行抛光和清洗。接下来,根据实验组在牙本质盘上施加材料:水溶性凝胶两分钟、37%磷酸在牙本质中15秒、在釉质中30秒、Papacárie Duo(PD)30秒和两分钟、Brix 3000(BX)两分钟和30秒。使用为每种酶促剂制备的浓度为0.1毫升和2.7毫升的溶液测量材料的pH值。然后,使用台式pH计(n = 10)和pH试纸测定pH值。对牙本质盘进行努氏硬度测试(n = 10)。使用GPower软件进行样本计算,α = 0.05,效应值0.63,检验效能95%。对pH值进行描述性统计分析,对努氏硬度进行单因素方差分析并辅以Tukey检验,对pH测量技术进行Spearman相关性分析。

结果

釉质硬度结果表明,施加材料后,酶促化学剂与水溶性凝胶在统计学上无差异(<0.05)。牙本质硬度分析显示磷酸与其他组存在统计学差异(<0.05)。在pH测试中,BX值(4.37 ± 0.01)低于PD(4.85 ± 0.06)。各组在统计学上存在差异(<0.05)。

结论

用于去除龋坏牙本质组织的酶促化学剂不会显著改变釉质和牙本质的硬度,玷污层的去除具有时间依赖性且呈现酸性。龋齿、硬度、牙科材料、木瓜蛋白酶。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c861/11392442/1e73da242bec/jced-16-e961-g001.jpg

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