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碳酸饮料致离体年轻恒牙釉质脱矿深度的观察

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目的 比较碳酸饮料作用不同时间致离体年轻恒牙釉质脱矿的显微结构变化和脱矿深度.方法 收集因正畸减数拔除的年轻恒牙前磨牙40颗,置人可口可乐中浸泡1周后,随机分为A、B、C、D组,每组10颗牙齿.A组牙齿在扫描电镜(SEM)下观察牙釉质表面的形态学变化;B组牙齿在SEM下观察脱矿的深度;C、D组牙齿再置入含体积分数0.10可口可乐的人体唾液内,1个月后取出,C组在SEM下观察牙釉质表面的形态学变化,D组在SEM下观察牙齿脱矿的深度.结果 A组牙齿釉质表面形态不规则,形成无数微小间隙呈凹凸不平的粗糙面;B组牙齿脱矿深度在牙釉质浅层;C组牙齿牙釉质脱矿程度加重,釉质表面多孔隙,呈蜂窝状脱矿;D组牙齿的脱矿深度仍在牙釉质层,但其脱矿深度高于B组(x2 =5.0,P<0.05).结论 碳酸饮料会导致牙釉质脱矿,其程度随牙齿与碳酸饮料接触时间延长加重;碳酸饮料对牙齿的脱矿作用限于牙釉质层,未累及牙本质.
ENAMEL DEMINERALIZATION DEPTH OF EXTRACTED YOUNG PERMANENT TEETH CAUSED BY CARBONATED BEVERAGE
Objective To investigate the change in microstructure and enamel demineralization depth of extracted young permanent teeth treated by carbonated beverage for different periods of time.Methods A total of 40 young permanent premolars were collected from orthodontic extraction.After being immersed in coca-cola for 1 week,the premolars were randomly divided into groups A,B,C,and D,with 10 premolars in each group.A scanning electron microscope was used to observe the morphological change of enamel surface in group A and enamel demineralization depth in group B.The premolars in groups C and D were immersed in human saliva with a volume fraction of coca-cola of 0.10 for 1 month,and then a scanning electron microscope was used to observe the morphological change of enamel surface in group C and enamel demineralization depth in group D.Results Group A had an irregular shape of enamel surface with a number of tiny crevices and rough surface.In group B,demineralization occurred at superficial enamel.Group C showed aggravated enamel demineralization with numerous holes at the enamel surface and an alveolate shape.Group D had demineralization in enamel and a significantly greater enamel demineralization depth than group B (x2 =5.0,P<0.05).Conclusion Carbonated beverage may cause enamel demineralization,and the degree of enamel demineralization increases over the time of exposure to carbonated beverage.Demineralization caused by carbonated beverage is limited to the enam el,without the involvement of dentin.

carbonated beveragesmolardental enamelminerals

周娟、叶双、许琼莉、何今成

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十堰市太和医院(湖北医药学院附属医院)口腔医学中心,湖北十堰442000

湖北医药学院图书馆

碳酸盐饮料 磨牙 釉质 矿物质

2017

齐鲁医学杂志
青岛大学医学院

齐鲁医学杂志

影响因子:0.609
ISSN:1008-0341
年,卷(期):2017.32(4)
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