Wefel J S, Jensen M E, Triolo P T, Faller R V, Hogan M M, Bowman W D
Dows Institute for Dental Research, College of Dentistry, University of Iowa, Iowa City 52242, USA.
Am J Dent. 1995 Aug;8(4):217-20.
To test the demineralization/remineralization effects of sodium fluoride dentifrices using an in situ single-section crown model system.
A fluoride dose response was evaluated using 0, 1100 and 2800 ppm F-, along with the effects of an enhanced fluoride delivery system (polyampholyte-NaF). The single-section crown model was employed with supervised toothbrushing twice a day. At the end of each 1-month study leg, sections were removed and replaced with new sections for the next leg. Both before and after the double-blind, crossover portion of the study, sections were evaluated by polarized light microscopy and microradiography. The change in mineral content of the enamel and root lesions was analyzed by ANOVA with a Waller-Duncan K-Ratio Test post hoc.
The placebo dentifrice group showed a loss of mineral and was statistically different from all groups. The fluoride dentifrices showed increasing amounts of enamel mineral gain, with increasing fluoride concentration. The polyampholyte-NaF delivery system with 1100 ppm F- was equivalent to the 2800 ppm F- dentifrice. Root lesions gave similar rank-order results although all treatments showed demineralization or mineral loss.
使用原位单冠模型系统测试含氟牙膏的脱矿/再矿化效果。
使用0、1100和2800 ppm F-评估氟剂量反应,以及增强氟输送系统(聚两性电解质-氟化钠)的效果。采用单冠模型,每天监督刷牙两次。在每个为期1个月的研究阶段结束时,取出切片并用新的切片替换进行下一阶段研究。在研究的双盲交叉部分前后,通过偏光显微镜和显微放射照相术对切片进行评估。采用方差分析和Waller-Duncan K比率检验对釉质和根面病变的矿物质含量变化进行事后分析。
安慰剂牙膏组显示矿物质流失,且与所有组在统计学上有差异。含氟牙膏随着氟浓度增加,釉质矿物质增加量也增加。含1100 ppm F-的聚两性电解质-氟化钠输送系统与含2800 ppm F-的牙膏效果相当。尽管所有治疗均显示脱矿或矿物质流失,但根面病变的排序结果相似。