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正畸托槽患者使用局部用药进行牙釉质再矿化:一项随机对照试验

Remineralization of Enamel Using Topical Agents among Patients with Orthodontic Brackets: and Randomized Control Trial.

作者信息

Sain Shaniya, Hegde Sundeep K, Bhat Sham S, Satheesh Gayathri J

机构信息

Department of Pediatric and Preventive Dentistry, PMS College of Dental Science and Research, Thiruvananthapuram, Kerala, India.

Department of Pediatric and Preventive Dentistry, Yenepoya Dental College, Mangaluru, Karnataka, India.

出版信息

Int J Clin Pediatr Dent. 2024 Oct;17(10):1093-1098. doi: 10.5005/jp-journals-10005-2975.

Abstract

AIM AND BACKGROUND

To evaluate the and effects of three topical agents in reducing enamel demineralization around orthodontic brackets. Postorthodontic enamel demineralization persists to be undesirable and common complication.

MATERIALS AND METHODS

Twenty patients, who consented, were included into three experimental and a control group, following screening for inclusion, exclusion, and randomization. The experimental group was intervened with either GC Tooth Mousse Plus®, Clinpro® Tooth Cream, or Amflor® toothpaste. The baseline values were recorded using DIAGNOdent® following oral prophylaxis and brackets were bonded. The intervention group received the respective topical application of agents. Posttreatment values were recorded after 90 seconds of intervention and 20th day postintervention. Extraction of respective tooth was done on the 21st day to evaluate the microhardness using the Vickers hardness test.

RESULTS

The results show the effectiveness of GC Tooth Mousse Plus® over Amflor® toothpaste followed by Clinpro® Tooth Cream for remineralization among patients undergoing orthodontic treatment and microhardness was highest for GC Tooth Mousse Plus®.

CONCLUSION

Topical agents can be used effectively as remineralizing agents in patients undergoing orthodontic treatment.

CLINICAL SIGNIFICANCE

Advanced diagnostic tools like the DIAGNOdent Pen® and remineralizing agents contribute to a comprehensive and proactive approach to dental care, particularly in populations with specific risk factors like children with high sucrose consumption.

HOW TO CITE THIS ARTICLE

Sain S, Hegde SK, Bhat SS, Remineralization of Enamel Using Topical Agents among Patients with Orthodontic Brackets: and Randomized Control Trial. Int J Clin Pediatr Dent 2024;17(10):1093-1098.

摘要

目的与背景

评估三种局部用制剂对减少正畸托槽周围牙釉质脱矿的疗效和再矿化效果。正畸后牙釉质脱矿仍是一种不良且常见的并发症。

材料与方法

20名同意参与的患者经纳入、排除和随机筛选后被分为三个试验组和一个对照组。试验组分别使用GC护牙素加强型、Clinpro® 牙膏或Amflor® 牙膏进行干预。在进行口腔预防和粘结托槽后,使用DIAGNOdent® 记录基线值。干预组接受相应的局部用制剂。在干预90秒后和干预后第20天记录治疗后值。在第21天拔除相应牙齿,使用维氏硬度测试评估显微硬度。

结果

结果显示,在接受正畸治疗的患者中,GC护牙素加强型在再矿化方面比Amflor® 牙膏更有效,其次是Clinpro® 牙膏,且GC护牙素加强型的显微硬度最高。

结论

局部用制剂可有效用作正畸治疗患者的再矿化剂。

临床意义

像DIAGNOdent Pen® 这样的先进诊断工具和再矿化剂有助于采取全面且积极主动的口腔护理方法,特别是对于有特定风险因素的人群,如高蔗糖摄入量的儿童。

如何引用本文

Sain S, Hegde SK, Bhat SS, 使用局部用制剂对正畸托槽患者进行牙釉质再矿化:一项双盲随机对照试验。《国际临床儿科牙科学杂志》2024年;17(10):1093 - 1098。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ce/11617432/9f91bdd95910/ijcpd-17-1093-g001.jpg

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