不同龋病强度下口服液中微量元素和常量元素的含量

O. Uspenskaya, M. L. Zhdanova, E. Kostrova, Y. Potekhina
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摘要

介绍。由于龋齿的高发病率,牙釉质和牙本质状态的监测仍然是牙科的一个实际问题,并有助于开发新的方法来诊断和预测口腔内的龋齿情况。其中一种方法是研究口腔内的再矿化和脱矿过程以及口腔液中微量元素和常量元素的水平。研究不同程度龋病患者口腔液中常量元素和微量元素含量的变化。材料和方法。13名年龄在21至35岁之间的人接受了调查,其中包括10名女性和3名男性。根据口腔检查结果,将受试者分为两组:第一组(n=4)健康个体和代偿型龋患者;2st (n=9)例失代偿型龋齿。受试者在刷牙并用蒸馏水漱口三次后,空腹向试管中吐痰,收集口服液。每个受试者在不同的日期抽取3个样本,共39个样本。采用电感耦合等离子体原子发射光谱法测定了样品中Na、K、Ca、Mg、Fe、P、Mn等元素的含量。失代偿型龋齿患者口服液中微量元素、常量元素(Na、K、Ca、Mg、P)含量均高于代偿型龋齿患者和健康人群(P < 0.05)。也许,在没有龋齿过程或代偿性龋齿的情况下,矿物质成分集中在硬组织中,牙齿矿物结构的再矿化修复过程占主导地位。研究口腔液中Na、K、Ca、Mg和P的含量可用于诊断和预测龋病的进程。
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The content of microand macroelements in the oral fluid at different intensity of dental caries
Introduction. Due to the high prevalence of caries, the monitoring of enamel and dentin state remains an actual problem in dentistry and contributes to the development of new methods for diagnosing and predicting a cariogenic situation in the oral cavity. One of these methods is the study of the remineralization and demineralization processes in the oral cavity and of the microelements′ and macroelements′ level in the oral fluid.The aim of the study is to research the level of macroand microelements in the oral fluid in patients with different intensity of dental caries.Materials and methods. 13 people aged 21 to 35 were examined, including 10 women and 3 men. Based on the results of the dental examination, 2 groups of subjects were formed: 1st (n=4) healthy individuals and patients with a compensated form of caries; 2st (n=9) patients with decompensated form of caries. The subjects collected oral fluid by spitting into a test tube on an empty stomach, after brushing their teeth and rinsing their mouth three times with distilled water. Three samples were taken from each subject on different days, a total of 39 samples. The content of elements (Na, K, Ca, Mg, Fe, P, Mn) was determined by inductively coupled plasma atomic emission spectrometry.Results. An increase in the content of most microand macroelements (Na, K, Ca, Mg and P) in the oral fluid was found in patients with decompensated caries compared with the compensated form and healthy people (p<0,05). Perhaps, in the absence of a carious process or compensated caries, the mineral components are concentrated in hard tissues and the remineralization-restoration processes of the tooth mineral structures prevail.Conclusion. The study of the content of Na, K, Ca, Mg and P in the oral fluid can be used to diagnose and predict the course of the carious process.
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