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扫描电子显微镜分析漂白凝胶与氟硅酸钙磷基牙膏联合使用对牙齿美白和牙本质小管封闭的效果——一项研究。

A scanning electron microscope analysis on the effect of bleaching gel in combination with fluoro calcium phosphosilicate-based dentifrice on whitening of teeth and dentinal tubule occlusion - An study.

作者信息

Gowda R Ananda, Ahmed Shadab, Yoganatha H N, Gowda M C Bharath, Joseph N J Meljo, Raju Roshin Maria

机构信息

Department of Conservative Dentistry and Endodontics, Sri Siddhartha Dental College and Hospital, Tumkur, Karnataka, India.

出版信息

J Conserv Dent Endod. 2024 Aug;27(8):878-883. doi: 10.4103/JCDE.JCDE_386_24. Epub 2024 Aug 7.

Abstract

AIM

The aim of this study is to investigate the use of 15% carbamide peroxide in combination with fluoro calcium phosphosilicate desensitizing dentifrice during bleaching to evaluate postoperative dentinal tubule occlusion.

MATERIALS AND METHODS

Premolars which were extracted and bleached using 15% carbamide peroxide with fluoro calcium phosphosilicate dentifrice were used in this investigation, and the shade change was assessed. They were subsequently divided into sections and examined with scanning electron microscope. The quantity of open tubules, fully obstructed as well as moderately obstructed tubules, was recorded for each specimen. The statistical analysis of shade changes was conducted using the paired -test. The tubule numbers were statistically evaluated after being assigned a mean and standard deviation.

RESULTS

The mean values between test and control groups in completely blocked tubules are 81.370 ± 1.989 and 42.586 ± 11.316, respectively. In partially blocked tubules, the mean values were found to be 13.219 ± 1.747 and 32.264 ± 11.554, respectively. In open tubules, the mean values are 5.398 ± 1.260 and 25.149 ± 8.781. The mean values of shade comparison for test group and control group are 1.95 ± 2.78 and 3.40 ± 2.83, respectively.

CONCLUSIONS

According to the findings of the study, dentinal tubules were blocked when fluoro calcium phosphosilicate dentifrice was administered with 15% carbamide peroxide, but the bleaching process was unaffected. The potential clinical advantage of using a single paste system for both bleaching and desensitizing was also emphasized.

摘要

目的

本研究旨在调查在漂白过程中使用15%过氧化脲联合氟硅酸钙脱敏牙膏,以评估术后牙本质小管的封闭情况。

材料与方法

本研究使用拔除的前磨牙,用15%过氧化脲和氟硅酸钙牙膏进行漂白,并评估颜色变化。随后将其切成薄片,用扫描电子显微镜检查。记录每个标本中开放小管、完全阻塞小管以及中度阻塞小管的数量。使用配对t检验对颜色变化进行统计分析。在赋予平均值和标准差后,对小管数量进行统计学评估。

结果

完全阻塞小管中,试验组和对照组的平均值分别为81.370±1.989和42.586±11.316。在部分阻塞小管中,平均值分别为13.219±1.747和32.264±11.554。在开放小管中,平均值分别为5.398±1.260和25.149±8.781。试验组和对照组颜色比较的平均值分别为1.95±2.78和3.40±2.83。

结论

根据研究结果,当氟硅酸钙牙膏与15%过氧化脲一起使用时,牙本质小管被封闭,但漂白过程未受影响。还强调了使用单一糊剂系统进行漂白和脱敏的潜在临床优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2ac/11451688/1cbbd478c784/JCDE-27-878-g001.jpg

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