EFFECT OF GAMMA-RADIATION ON DE- AND RE-MINERALIZATION OF ENAMEL AND DENTIN (An IN-VITRO STUDY)

rehab ahmed ha, A. Abo elezz, Eman Elmaghraby
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Abstract

Introduction : Gamma radiation is usually used, as a primary or supplementary treatment, for oral cancer patients. Aim : The present work was undertaken to investigate, in vitro, the effect gamma irradiation of a cumulative dose of 60 Gy (20 Gy/day over three days) on enamel and dentin microhardness before and after demineralization and remineralization. Materials and methods : Ten healthy freshly extracted human third molars were used in this study. The teeth specimens were cut perpendicular to their occlusal surface into two halves. Half of the specimens were gamma-irradiated to a dose of 60 Gy (20 Gy/day). The data involved the measurement of VHN Vickers microhardness on both radiated and non-irradiated. Results : The results indicated that the mean microhardness values of the non-irradiated enamel samples were decreased after gamma irradiation, and were significantly decreased after demineralization; meanwhile, the microhardness values of the demineralized non-irradiated enamel samples were significantly increased after remineralization. The results showed that the microhardness of the demineralized non-irradiated dentin samples was increased, and that the microhardness of the gamma-irradiated dentin samples was slightly decreased. Conclusions: gamma-irradiation had significant effect on enamel and dentin microhardness values and had significant decrease effect on demineralization of enamel while had significant increase by remineralization.
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伽马辐射对镍烯和牙齿蛋白去金属化和再金属化的影响(体内研究)
导言:伽马射线通常被用作口腔癌患者的主要或辅助治疗手段。目的:本研究旨在体外研究累积剂量为 60 Gy(每天 20 Gy,共三天)的伽马射线照射在脱矿和再矿化前后对牙釉质和牙本质微硬度的影响。材料和方法:本研究使用了 10 颗健康的新鲜拔出的人类第三磨牙。将牙齿标本垂直于咬合面切成两半。一半标本接受伽马射线照射,剂量为 60 Gy(20 Gy/天)。数据包括对辐射和非辐射试样的 VHN 维氏硬度测量。结果:结果表明,非辐照珐琅质样品的平均显微硬度值在伽马射线辐照后有所降低,在脱矿后显著降低;同时,脱矿的非辐照珐琅质样品的显微硬度值在再矿化后显著增加。结果表明,去矿化的非辐照牙本质样本的显微硬度有所提高,而伽马辐照牙本质样本的显微硬度则略有下降。结论:伽玛辐照对珐琅质和牙本质的显微硬度值有显著影响,对珐琅质的脱矿化有显著降低作用,而对再矿化有显著提高作用。
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