一项非随机临床研究:非创伤性修复治疗诱导龋齿儿童唾液总蛋白和氧化还原生物标志物的短暂变化。

IF 4.8 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of dentistry Pub Date : 2025-02-01 DOI:10.1016/j.jdent.2024.105521
Adrielle Ouchi Lopes , Rayara Nogueira de Freitas , Gabriela Alice Fiais , Haylla de Faria Horta , Alanna Ramalho Mateus , Heitor Ceolin Araujo , Alessandra Marcondes Aranega , Beatriz Díaz-Fabregat , Antonio Hernandes Chaves-Neto , Cristina Antoniali
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引用次数: 0

摘要

目的:本研究旨在评估牙科非创伤性修复治疗(ART)是否会影响龋齿儿童的唾液总蛋白和氧化还原生物标志物。方法:研究对象为30例4 ~ 6岁的后乳牙龋病患儿,按ICCMS分类,在基础教育学校就读。将受试者分为牙本质组和牙釉质组。在ART前(B)、ART后(A)和ART后7天(A7)采集未刺激的唾液样本。分析包括总蛋白浓度、脂质过氧化(TBARS)、总抗氧化能力(TAC)和尿酸(UA)。在不同时间点(B、A、A7)对龋齿患儿和牙釉质或牙本质病变患儿的结果进行配对重复测量方差分析,然后进行Tukey事后检验(p < 0.05)。结果:ART使总蛋白浓度显著降低(p = 0.0146),并在第7天出现反弹。TBARS水平在ART治疗后立即升高(p = 0.0215),并保持不变直到第7天。抗逆转录病毒治疗后7天儿童唾液中TAC (p = 0.0032)和UA (p = 0.0006)水平下降。这些变化仅在牙本质病变的儿童中显著,而在牙釉质病变的儿童中不显著。结论:ART可暂时改变龋齿儿童的唾液蛋白水平和氧化还原生物标志物,7天后恢复到基线水平。这些发现强调了补充修复治疗与饮食建议和口腔卫生的重要性,以确保全面的龋齿管理。
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Atraumatic restorative treatment induces transient changes in salivary total protein and redox biomarkers in children with caries: A non-randomized clinical study

Aim

This study aimed to evaluate if dental atraumatic restorative treatment (ART) impacts salivary total protein and redox biomarkers in children with caries.

Methods

The study included 30 children (aged 4 to 6 years) with caries on posterior deciduous teeth, classified by ICCMS, attending a basic education school. Participants were divided into enamel (n = 15) and dentin (n = 15) lesion groups. Unstimulated saliva samples were collected before (B), immediately after (A), and seven days after (A7) ART. Analyses included total protein concentration, lipid peroxidation (TBARS), total antioxidant capacity (TAC), and uric acid (UA). The results obtained at different time points (B, A, A7) were compared between children with caries and between those with enamel or dentin lesions using a paired repeated-measures ANOVA, followed by Tukey's post-hoc test (p < 0.05).

Results

ART caused significant decreases in total protein concentration (p = 0.0146), which rebounded by the 7th day. TBARS levels increased (p = 0.0215) immediately after ART and remained unchanged until the 7th day. TAC (p = 0.0032) and UA (p = 0.0006) levels decreased in the saliva of children 7 days after ART. These changes were significant only in children with dentin lesions, not enamel lesions.

Conclusion

ART temporarily alters salivary protein levels and redox biomarkers in children with caries, returning to baseline after 7 days. These findings highlight the importance of complementing restorative treatments with dietary advice and oral hygiene to ensure comprehensive caries management.
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来源期刊
Journal of dentistry
Journal of dentistry 医学-牙科与口腔外科
CiteScore
7.30
自引率
11.40%
发文量
349
审稿时长
35 days
期刊介绍: The Journal of Dentistry has an open access mirror journal The Journal of Dentistry: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The Journal of Dentistry is the leading international dental journal within the field of Restorative Dentistry. Placing an emphasis on publishing novel and high-quality research papers, the Journal aims to influence the practice of dentistry at clinician, research, industry and policy-maker level on an international basis. Topics covered include the management of dental disease, periodontology, endodontology, operative dentistry, fixed and removable prosthodontics, dental biomaterials science, long-term clinical trials including epidemiology and oral health, technology transfer of new scientific instrumentation or procedures, as well as clinically relevant oral biology and translational research. The Journal of Dentistry will publish original scientific research papers including short communications. It is also interested in publishing review articles and leaders in themed areas which will be linked to new scientific research. Conference proceedings are also welcome and expressions of interest should be communicated to the Editor.
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