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刷牙对口腔健康、牙龈退缩和牙齿磨损的影响——一篇叙述性综述

The Impact of Toothbrushing on Oral Health, Gingival Recession, and Tooth Wear-A Narrative Review.

作者信息

Kumar Santhosh, Gopalkrishna Pratibha, Syed Ayman K, Sathiyabalan Abishikka

机构信息

Department of Periodontology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal 576104, Karnataka, India.

Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal 576104, Karnataka, India.

出版信息

Healthcare (Basel). 2025 May 14;13(10):1138. doi: 10.3390/healthcare13101138.

DOI:10.3390/healthcare13101138
PMID:40427974
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12111729/
Abstract

: Toothbrushing is a recommended daily practice that helps sustain oral health. However, if performed improperly, it can lead to loss of tooth structure and injury to soft tissues. We explored this topic with an extensive literature search. : A literature search was performed across textbooks and journals for original research and review articles in Scopus, PubMed, PubMed Central, and Cochrane databases, published between 1967 and 2024. : The search result yielded 118 articles that were suitable to include in this review. Toothpaste abrasivity plays a major role in combination with toothbrush forces. Therefore, maintaining forces between 2 and 3 N may be gentler on the tissue. Electric toothbrushes are safer. Toothpastes with low RDA values are also less abrasive. Active ingredients in whitening and desensitizing toothpaste can induce tooth wear. Remineralizing agents have the potential to manage the associated lesions. : Cervical abrasions and gingival recession occur frequently due to oral hygiene measures. Standards in oral hygiene aid to match patient needs can prevent hard and soft tissue loss.

摘要

刷牙是一项推荐的日常活动,有助于维持口腔健康。然而,如果操作不当,它可能导致牙齿结构丧失和软组织损伤。我们通过广泛的文献检索来探讨这个话题。:在教科书和期刊中进行文献检索,查找1967年至2024年间发表在Scopus、PubMed、PubMed Central和Cochrane数据库中的原创研究和综述文章。:检索结果产生了118篇适合纳入本综述的文章。牙膏的磨损性与牙刷的力量共同起主要作用。因此,将力量保持在2至3牛之间可能对组织更温和。电动牙刷更安全。RDA值低的牙膏磨损性也较小。美白和脱敏牙膏中的活性成分会导致牙齿磨损。再矿化剂有可能处理相关病变。:由于口腔卫生措施,颈部磨损和牙龈退缩经常发生。符合患者需求的口腔卫生辅助标准可以防止硬组织和软组织丧失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dee/12111729/9d82f9f45735/healthcare-13-01138-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dee/12111729/5b576a801da6/healthcare-13-01138-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dee/12111729/2111c3c8b600/healthcare-13-01138-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dee/12111729/7725ef9691a4/healthcare-13-01138-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dee/12111729/9d82f9f45735/healthcare-13-01138-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dee/12111729/5b576a801da6/healthcare-13-01138-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dee/12111729/2111c3c8b600/healthcare-13-01138-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dee/12111729/7725ef9691a4/healthcare-13-01138-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dee/12111729/9d82f9f45735/healthcare-13-01138-g004.jpg

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本文引用的文献

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Effect of a powered and a manual toothbrush in subjects susceptible to gingival recession: A 36-month randomized controlled clinical study.电动牙刷和手动牙刷对易患牙龈退缩受试者的影响:一项为期36个月的随机对照临床研究。
Int J Dent Hyg. 2025 Feb;23(1):26-36. doi: 10.1111/idh.12834. Epub 2024 Jun 11.
2
Protective effect of various toothpastes and mouthwashes against erosive and abrasive challenge on eroded dentin: an in vitro study.各种牙膏和漱口水对侵蚀性牙本质侵蚀和磨损挑战的保护作用:一项体外研究
Sci Rep. 2024 Apr 24;14(1):9387. doi: 10.1038/s41598-024-59631-1.
3
Assessment of Different Toothbrush Designs on Enamel Surface Abrasion: A Profilometric Study.
不同牙刷设计对牙釉面磨损的评估:一项轮廓测量研究。
J Contemp Dent Pract. 2023 Oct 1;24(10):757-760. doi: 10.5005/jp-journals-10024-3542.
4
The effect of location/site on polished human enamel after mechanical and chemical wear.机械和化学磨损后牙釉质表面位置/部位对其的影响。
J Dent. 2024 Feb;141:104803. doi: 10.1016/j.jdent.2023.104803. Epub 2023 Dec 15.
5
Impact of toothbrush head configuration and dentifrice abrasivity on non-carious cervical lesions in-vitro.牙刷头形状和牙膏磨蚀性对体外非龋性颈病变的影响。
J Dent. 2024 Jan;140:104798. doi: 10.1016/j.jdent.2023.104798. Epub 2023 Dec 2.
6
Interaction between Hexametaphosphate, Other Active Ingredients of Toothpastes, and Erosion-Abrasion in Enamel in vitro.六偏磷酸钠、牙膏中其他有效成分与牙釉质在体外的侵蚀磨损之间的相互作用。
Caries Res. 2023;57(3):265-275. doi: 10.1159/000534057. Epub 2023 Sep 19.
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Effects of a commercial whitening toothpaste containing hydrogen peroxide and citric acid on dentin abrasion and erosion.含过氧化氢和柠檬酸的商业美白牙膏对牙本质磨损和酸蚀的影响。
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