Kawasaki A, Ishikawa K, Suge T, Yoshiyama M, Asaoka K, Ebisu S
Department of Conservative Dentistry, School of Dentistry, Tokushima University, Japan.
J Dent. 1996 Nov;24(6):429-34. doi: 10.1016/0300-5712(95)00101-8.
To improve the calcium phosphate precipitation (CPP) method for the occlusion of dentine tubules with calcium phosphate, the addition of calcium hexafluorosilicate (CaSiF6) to CPP solution was evaluated in vitro with respect to its occluding capacity and the composition of the precipitate.
The occlusion of dentine tubules was evaluated by SEM observations and by measurements of dentine permeability. The composition of the precipitate was determined by measuring the calcium to phosphorus (Ca/P) ratio of the precipitate in dentine tubules by energy dispersive X-ray spectroscopy (EDS).
The addition of CaSiF6 to the CPP solution resulted in an increase of the Ca/P ratio in the precipitate not only on the dentine surface but also inside the dentine tubules; indicating that the precipitate became more apatitic in nature. The addition of CaSiF6 had no effect on occluding capacity in terms of measurements of dentine permeability or SEM observations. Dentine permeability decreased to approximately 4% of pretreatment values and the dentine tubules were occluded for approximately 10-15 microns from the dentine surface.
It is concluded that the addition of CaSiF6 to CPP solution was desirable, since it provided a more apatitic precipitate in the dentine tubules, not only on the dentine surface but also inside the tubules, and there were no drawbacks with respect to its occluding capacity.
为改进用磷酸钙封闭牙本质小管的磷酸钙沉淀(CPP)法,在体外评估向CPP溶液中添加六氟硅酸钙(CaSiF6)后的封闭能力及沉淀物组成。
通过扫描电子显微镜(SEM)观察和牙本质渗透性测量来评估牙本质小管的封闭情况。通过能量色散X射线光谱法(EDS)测量牙本质小管中沉淀物的钙磷(Ca/P)比来确定沉淀物的组成。
向CPP溶液中添加CaSiF6不仅导致牙本质表面而且牙本质小管内沉淀物的Ca/P比增加;表明沉淀物在性质上变得更具磷灰石性。就牙本质渗透性测量或SEM观察而言,添加CaSiF6对封闭能力没有影响。牙本质渗透性降至预处理值的约4%,并且牙本质小管从牙本质表面起被封闭约10 - 15微米。
得出结论,向CPP溶液中添加CaSiF6是可取的,因为它不仅在牙本质表面而且在小管内的牙本质小管中提供了更具磷灰石性的沉淀物,并且在其封闭能力方面没有缺点。