不同再矿化剂治疗恒牙自然龋的疗效评价。

IF 1 4区 医学 Q4 ENGINEERING, BIOMEDICAL Bio-medical materials and engineering Pub Date : 2023-01-01 DOI:10.3233/BME-221396
Ece Yilmazkasapoglu Turkay, Betul Kargul, Aysu Karakas Aydinoglu, Afife Binnaz Hazar Yoruc
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引用次数: 0

摘要

背景:在牙本质脱矿性龋的预防性治疗方案中,提供组织再矿化治疗是重要的一步。目的:探讨再矿化剂对天然龋病牙本质(NCAD)的治疗效果。方法:采用国际龋齿检测与评估系统(ICDAS 2) (Code 3)制作恒磨牙本质龋片40片,pH周期为8 d的干预措施为:去离子水(DW);5%氟化钠清漆;酪蛋白磷酸肽-无定形氟化钙磷酸(CPP-ACFP);甘糖磷酸钙(CaGP) +镁(Mg) +木糖醇。在pH循环前后计算诊断(激光荧光,LF),表面显微硬度(SMH)和x射线荧光(XRF)光谱测量。结果:5% NaF、CCP-ACFP和CaGP组LF值下降。与对照组相比,5% NaF、CaGP和CCP-ACFP处理的NCAD硬度有统计学意义上的提高。施用5% NaF后,SMH值显著高于其他处理。对照组pH循环后与基线硬度比较,差异无统计学意义。循环后,XRF显示各组Ca、P浓度均升高。结论:本研究所使用的药物可作为牙本质龋病常规治疗的一种选择,值得推荐和推广。
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Evaluation of different remineralization agents in the treatment of natural caries-affected dentin in permanent teeth.

Background: In the preventive treatment protocol, providing remineralization of the tissue in demineralized dentin caries is an important step.

Objective: In this in vitro study, the effectiveness of remineralization agents in natural caries-affected dentin (NCAD) were investigated.

Methods: Forty caries slices were prepared from permanent molar dentin with International Caries Detection and Assessment System (ICDAS 2) (Code 3). The interventions with 8 days pH cycling were as follows: Deionized water (DW); 5% Sodium Fluoride (5% NaF) Varnish; Casein Phosphopeptide-Amorphous Calcium Fluoride Phosphate (CPP-ACFP); Calcium Glyserophosphate (CaGP) + Magnesium (Mg) + Xylitol. DIAGNOdent (Laser Fluorescence, LF), Surface Microhardness (SMH), and X-ray Fluorescence (XRF) Spectroscopy measurements were calculated before and after pH cycling.

Results: LF values decreased between 5% NaF, CCP-ACFP and CaGP. NCAD treated with 5% NaF, CaGP and CCP-ACFP exhibited statistically higher hardness compared to the control group. After 5% NaF application, SMH values were significantly higher than the others. There was no statistically significant difference between baseline and after pH cycling hardness of the control group. After cycling, XRF showed that Ca and P concentrations were increased in all groups.

Conclusion: The application of agents used in the study could be recommended and promoted as a treatment option of caries dentin for conventional management of caries.

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来源期刊
Bio-medical materials and engineering
Bio-medical materials and engineering 工程技术-材料科学:生物材料
CiteScore
1.80
自引率
0.00%
发文量
73
审稿时长
6 months
期刊介绍: The aim of Bio-Medical Materials and Engineering is to promote the welfare of humans and to help them keep healthy. This international journal is an interdisciplinary journal that publishes original research papers, review articles and brief notes on materials and engineering for biological and medical systems. Articles in this peer-reviewed journal cover a wide range of topics, including, but not limited to: Engineering as applied to improving diagnosis, therapy, and prevention of disease and injury, and better substitutes for damaged or disabled human organs; Studies of biomaterial interactions with the human body, bio-compatibility, interfacial and interaction problems; Biomechanical behavior under biological and/or medical conditions; Mechanical and biological properties of membrane biomaterials; Cellular and tissue engineering, physiological, biophysical, biochemical bioengineering aspects; Implant failure fields and degradation of implants. Biomimetics engineering and materials including system analysis as supporter for aged people and as rehabilitation; Bioengineering and materials technology as applied to the decontamination against environmental problems; Biosensors, bioreactors, bioprocess instrumentation and control system; Application to food engineering; Standardization problems on biomaterials and related products; Assessment of reliability and safety of biomedical materials and man-machine systems; and Product liability of biomaterials and related products.
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