口腔疾病防治 (Apr 2019)
Remineralization effect of nanohydroxyapatite on adjacent glazed surfaces
Abstract
Objective To investigate the effect of a nanohydroxyapatite suspension with a 10% mass fraction on enamel demineralization after adjacent enamel removal and to provide a reference for the clinical use of nanohydroxyap⁃ atite to prevent enamel demineralization after adjacent enamel removal. Methods Forty fresh extracted premolars were incised from the coronal surface of the crown after glazing and polishing with sand strips. Each tooth was made into two specimens. Eighty teeth were randomly divided into four groups: a blank group, a dolofluoride group, a dental mousse group and a 10% nanohydroxyapatite group. After 30 days of pH cycling in vitro, a microhardness tester was used to de⁃ tect the enamel surface elements before and after deglazing treatment. Scanning electron microscopy (SEM) and X⁃ray energy dispersive spectrometry (EDS) were used to analyze the enamel surface elements. Results After the experi⁃ ment, the microhardness values of the adjacent glazed specimens of the four groups were (128.18 ± 6.89) kg/mm2 in the blank group, (216.75 ±9.87) kg/mm2 in the dolefluoride group, (198.88 ± 4.76) kg/mm2 in the dental care group and (218.44 ± 7.88) kg/mm2 in the 10% nanohydroxyapatite group, which were significantly different (F=189.14, P 0.05). There were significant differences in the Ca/P ratio among the blank group (1.39 ± 0.08), the dolefluoride group (1.70 ± 0.11), the dental care group (1.54 ± 0.12) and the 10% nanohydroxyapatite group (1.71 ± 0.14) (F=10.539, P 0.05), but there were significant differences among the other groups (P < 0.05). Conclusion Dolerofluoride, dental protector and 10% nanohydroxyapatite can promote remineralization of enamel after enamel removal. The remin⁃ eralization induced by 10% nanohydroxyapatite is similar to that induced by dolerofluoride.
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