Inna Treetossatep, Krajangta Nantawan, Rakmanee Thanasak
Department of Restorative Dentistry, Faculty of Dentistry, Thammasat University, 99 M. 18, Paholyothin Road, Klong Luang, Pathum Thani 12120, Thailand.
Polymers (Basel). 2024 Dec 18;16(24):3523. doi: 10.3390/polym16243523.
This study assessed the susceptibility to staining and surface roughness of white-spot lesions (WSLs) treated with resin infiltration (RIT) and microabrasion (MA) under simulated aging through thermocycling in red wine. Seventy-eight extracted human premolars with artificial WSLs were divided into three groups: untreated WSLs (control), RIT-treated (ICON, DMG), and MA-treated (Opalustre, Ultradent). Each group was further split: one subgroup immersed in artificial saliva and the other thermocycled in red wine. The color change (∆E) and surface roughness (R) were measured before and after staining using a spectrophotometer and a non-contact profilometer. Thermocycling in red wine increased color change (ΔE) across all groups, with the highest values observed for MA (43.94 ± 3.57), followed by RIT (31.40 ± 4.89). Surface roughness (R) was highest in untreated WSLs (0.61 ± 0.18 µm) and lowest in RIT (0.15 ± 0.03 µm). While RIT and MA similarly improved WSL appearance, RIT exhibited superior smoothness. These findings suggest that RIT provides a more durable surface with reduced roughness, although staining susceptibility remains comparable to MA. Moderate positive correlation was found between ΔE and Ra, indicating that roughness is one of the factors influencing color changes.
本研究评估了在红酒中进行热循环模拟老化的条件下,经树脂渗透(RIT)和微研磨(MA)处理的白斑病变(WSLs)的染色易感性和表面粗糙度。78颗带有人工白斑病变的拔除人类前磨牙被分为三组:未处理的白斑病变(对照组)、经树脂渗透处理的(ICON,DMG)和经微研磨处理的(Opalustre,Ultradent)。每组进一步细分:一个亚组浸泡在人工唾液中,另一个在红酒中进行热循环。在染色前后,使用分光光度计和非接触轮廓仪测量颜色变化(∆E)和表面粗糙度(R)。在红酒中进行热循环会增加所有组的颜色变化(ΔE),微研磨组的值最高(43.94±3.57),其次是树脂渗透组(31.40±4.89)。表面粗糙度(R)在未处理的白斑病变中最高(0.61±0.18µm),在树脂渗透组中最低(0.15±0.03µm)。虽然树脂渗透和微研磨同样改善了白斑病变的外观,但树脂渗透表现出更好的光滑度。这些发现表明,树脂渗透提供了一个更耐用且粗糙度降低的表面,尽管其染色易感性与微研磨相当。在ΔE和Ra之间发现了中度正相关,表明粗糙度是影响颜色变化的因素之一。