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口腔疾病与生物医学重庆市重点实验室,重庆医科大学附属口腔医院儿童口腔科,重庆,401147
纸质出版日期:2014,
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钱维雯, 胡 赟, 林居红. 4种再矿化制剂对酸蚀牙釉质磨损的影响[J]. 重庆医科大学学报, 2014,38(8):1181-1185.
Qian Weiwen, Hu Yun, Lin Juhong. Effect of four remineralization agents on abration of acid eroded enamel[J]. Journal of Chongqing Medical University, 2014,38(8):1181-1185.
目的:比较酪蛋白磷酸肽-无定形磷酸钙复合物(casein phosphopeptide-amorphous calcium phosphate,CPP-ACP)、含氟酪蛋白磷酸肽-无定形磷酸钙复合物(casein phosphopeptide-amorphous calcium phosphate fluoride,CPP-ACPF)、含氟磷酸三钙(tri-calcium phosphate fluoride,TCP+F)、Duraphat 保护漆4种再矿化制剂对酸蚀牙釉质刷牙磨损后表面硬度和表面形态的影响。方法:选择因阻生拔除的下颌第三磨牙制成釉质块,选择硬度值介于280~330 HV的釉质块50个,随机分为5组。将5组样本进行可口可乐酸蚀处理,5次/d,5 min/次,共5 d。采用电动牙刷对酸蚀后的5组釉质块进行刷牙磨损,刷牙所用的压力为2 N,2次/d,3 min/次,共5 d。刷牙间隔期5组样本分别涂布去离子水、CPP-ACP、CPP-ACPF、TCP+F、Duraphat,继续磨损-再矿化-酸蚀处理5 d。采用显微硬度法测量处理前后牙釉质表面硬度,采用扫描电镜(scanning electron microscope,SEM)观察牙釉质表面形态的变化。结果:CPP-ACP组、CPP-ACPF组显微硬度值继续降低,与去离子水组无统计学差异(P >0.05);TCP+F组、Duraphat组显微硬度值出现增加,明显高于去离子水组(P<0.05)。SEM显示除去离子水组以外,其余4组釉质样本表面均变得平整。结论:Duraphat和TCP+F可以防止持续酸蚀牙釉质的磨损。
Objective:To compare the effect of casein phosphopeptide-amorphous calcium phosphate(CPP-ACP),casein phosphopep-tide-amorphous calcium phosphate fluoride(CPP-ACPF),tri-calcium phosphate fluoride(TCP+F) and Duraphat fluoride var-nish on surface microhardness and surface morphology after toothbrushing abrasion of eroded enamel. Methods:Impacted mandibular third molars were collected at clinic and 50 sam-ples with hardness between 280-330 HV were selected. The samples were processed into enamel slabs and then were randomly divided into five groups. The samples were first immersed into Co-ca-Cola for 5 min,5 times a day for 5 days. Then erosive enamel samples were subjected to brushing abrasion with an electric tooth-brush 2 N brushing load for 3 min,2 times a day for 5 days. Distilled water,CPP-ACP,CPP-ACPF,TCP+F and Duraphat were re-spectively applied during brushing interval and abrasion-remineralization-erosion treatment was provided for 5 days. Microhardness of enamel surface before and after the treatment was measured by microhardness tester and morphology changes of enamel surface was observed by scanning electron microscope(SEM). Results:Microhardness in CPP-ACP and CPP-ACPF group was decreased,having no significant difference compared with that of distilled water group(P >0.05). Microhardness in TCP+F and Duraphat group was significantly higher than that of distilled water group(P<0.05). Smooth enamel surface was observed with SEM in other four groups except in distilled water group. Conclusion:Duraphat and TCP+F can prevent the abrasion of constant acid eroded enamel.
酸蚀牙釉质刷牙磨损显微硬度扫描电镜
acid eroded enameltoothbrushing abrasionmicrohardnessscanning electron microscope
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