现代牙齿美白概念的重要回顾

IF 0.5 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Open Dentistry Journal Pub Date : 2019-08-01 DOI:10.3390/dj7030079
M. Epple, Frederic Meyer, J. Enax
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引用次数: 87

摘要

除了预防龋齿和牙周炎,越来越多的口腔护理产品关注牙齿美白。本文从化学角度对常用的增白剂及其功效进行了综述和讨论。因此,我们对牙齿增白剂和产品进行了全面的文献调查。从化学家的角度对现有的增白方法进行了分析和讨论。常用的增白剂有磨料(机械去除污渍)、抗再沉积剂(防止发色团沉积)、着色剂(旨在导致白色)、蛋白酶(蛋白质降解)、过氧化物(有机发色团氧化)和表面活性剂(去除牙齿表面的疏水化合物)。在办公室使用过氧化物进行漂白是有效的,但可能会产生牙齿敏感或损坏牙釉质和牙本质的天然有机基质等副作用。磨料在牙齿美白中的适用性是有限的,因为潜在的牙齿磨损,特别是当使用高RDA值的牙膏时。由于缺乏安慰剂对照的临床试验,其他增白剂在体内的效果往往不清楚。
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A Critical Review of Modern Concepts for Teeth Whitening
Besides prevention of caries and periodontitis, an increasing number of oral care products focus on teeth whitening. The aim of this review is to summarize and discuss frequently used whitening agents and their efficacy from a chemical viewpoint. Therefore, a comprehensive literature survey on teeth whitening agents and products was conducted. The current whitening methods are analyzed and discussed from a chemist’s viewpoint. Frequently used whitening agents are abrasives (mechanical removal of stains), antiredeposition agents (prevention of deposition of chromophores), colorants (intended to lead to a white color), proteases (degradation of proteins), peroxides (oxidation of organic chromophores), and surfactants (removal of hydrophobic compounds from tooth surface). In-office bleaching using peroxides is effective, but side effects like tooth sensitivity or a damage of the natural organic matrix of enamel and dentin may occur. The applicability of abrasives in teeth whitening is limited due to potential tooth wear, especially when toothpastes with high RDA values are used. The effect of other whitening agents in vivo is often unclear because of a shortage of placebo-controlled clinical trials.
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来源期刊
Open Dentistry Journal
Open Dentistry Journal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.00
自引率
0.00%
发文量
86
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