华西口腔医学杂志

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牙齿美白剂及酸性饮料对釉质表面结构的影响

陈晓玲1  陈志群1  林垚1  邵金铨1  尹路2   

  1. 1.福建医科大学教学医院·厦门市口腔医院牙体牙髓病科;2.修复科,厦门 361003
  • 收稿日期:2012-11-21 修回日期:2013-07-05 出版日期:2013-10-01 发布日期:2013-10-01
  • 通讯作者: 尹路,Tel:0592-2669532
  • 作者简介:陈晓玲(1967—),女,福建人,主任医师,硕士
  • 基金资助:

    福建医学创新基金资助项目(2012-CXB-039);厦门市科技惠民计划资助项目(3502Z20134046);福建省卫生厅青年科研课题基金资助项目(2013-2-105)

Effects of tooth whitening agents and acidic drinks on the surface properties of dental enamel

Chen Xiaoling1, Chen Zhiqun1, Lin Yao1, Shao Jinquan1, Yin Lu2.   

  1. 1. Dept. of Endodontics, Xiamen Stomatology Hospital, Teaching Hospital of Fujian Medical University, Xiamen 361003, China; 2. Dept. of Prosthodontics, Xiamen Stomatology Hospital, Teaching Hospital of Fujian Medical University, Xiamen 361003, China
  • Received:2012-11-21 Revised:2013-07-05 Online:2013-10-01 Published:2013-10-01

摘要:

目的  比较冷光牙齿美白胶贴和酸性饮料对离体牙釉质表面形貌以及Ca/P值和显微硬度的影响。方法  分别用冷光牙齿美白胶贴、可乐、橙汁对新鲜离体牙表面进行涂覆处理(以生理盐水为对照组),经过即刻、7 d、14 d后分别用扫描电子显微镜观察处理前后离体牙的表面形貌和表面Ca/P值变化,用显微硬度仪检测处理前后釉质显微硬度的改变。结果  处理后即刻,3个实验组的釉质表面均有脱矿现象,Ca/P值和显微硬度值均降低,明显小于对照组(P<0.05);7 d后逐渐升高,14 d后与对照组无明显差异(P>0.05)。结论  牙齿美白剂对釉质有一过性脱矿作用,与日常饮用的酸性饮料相比,其脱矿属于正常范围,且随着时间推移,釉质可以发生再矿化。

关键词: 冷光美白, 釉质, 能谱分析, 显微硬度

Abstract:

Objective  Using tooth whitening agents (bleaching clip) in vitro and acidic drinks, we conducted a compara-tive study of the changes in enamel surface morphology, Ca/P content, and hardness. Methods  Tooth whitening glue pieces, cola, and orange juice were used to soak teeth in artificial saliva in vitro. Physiological saline was used as a control treatment. The morphology of the four groups was observed under a scanning electron microscope (SEM) immediately after the teeth were soaked for 7 and 14 d. The changes in Ca/P content and microhardness were analyzed. Results  The enamel surfaces of the teeth in the three test groups were demineralized. The Ca/P ratio and the average microhardness were significantly lower than those of the control group immediately after the teeth were soaked (P<0.05). The Ca/P ratio and microhardness gradually increased after 7 d. No significant difference was observed between the control group and the test groups after 14 d (P>0.05). Conclusion  Bleaching agents caused transient demineralization of human enamel, but these agents could induce re-mineralization and repair of enamel over time. Demineralization caused by bleaching covered a relatively normal range compared with acidic drinks and daily drinking.

Key words: cold light bleaching, enamel, spectrum analysis, microhardness