老年牙齿磨损继发牙本质过敏患者渗透树脂治疗前后牙齿VAS评分和电镜下牙齿形态学比较

doi:10.13481/j.1671-587x.20150524

吉林大学学报(医学版) ›› 2015, Vol. 41 ›› Issue (05): 1008-1011.doi: 10.13481/j.1671-587x.20150524

老年牙齿磨损继发牙本质过敏患者渗透树脂治疗前后牙齿VAS评分和电镜下牙齿形态学比较

刘超¹, 葛久禹², 尹硕³, 李雯⁴, 苗雷英²

1. 江苏省南京市口腔医院正畸科, 江苏南京 210008;
2. 江苏省南京市口腔医院牙体牙髓病科, 江苏南京 210008;
3. 吉林大学口腔医院修复科, 吉林长春 130021;
4. 吉林大学口腔医院牙体牙髓病科, 吉林长春 130021

收稿日期:2015-06-10 发布日期:2015-09-29
通讯作者: 苗雷英(Tel:025-83620212,E-mail:miaoleiying80@163.com) E-mail:miaoleiying80@163.com
作者简介:刘超(1978-),男,吉林省长春市人,主治医师,医学博士,主要从事牙周组织改建方面的研究。
基金资助:
国家自然科学基金青年基金资助课题(81300852);江苏省科技厅自然科学基金青年基金资助课题(BK20130079);江苏省科技厅"六大人才高峰"第十一批高层次人才项目资助课题(WSW-049);江苏省南京市科技局医学科技发展项目资助课题(YKK4109)

Comparison of VAS score and morphology of teeth of elder patients with secondary dentin sensitivity following tooth abrasion before and after penetrating resin treatment

LIU Chao¹, GE Jiuyu², YIN Shuo³, LI Wen⁴, MIAO Leiying²

1. Department of Orthodontics, Nanjing Stomatology Hospital, Jiangsu Province, Nanjing 210008, China;
2. Department of Operative Dentistry and Endodotics, Nanjing Stomatology Hospital, Jiangsu Province, Nanjing 210008, China;
3. Department of Prosthodontics, Stomatology Hospital, Jilin University, Changchun 130021, China;
4. Department of Operative Dentistry and Endodotics, Stomatology Hospital, Jilin University, Changchun 130021, China

Received:2015-06-10 Published:2015-09-29

摘要/Abstract

摘要：

目的:评价渗透树脂治疗老年牙齿磨损继发牙本质过敏患者的效果,并阐明其作用原理。 方法:将 40 例受试者随机分为对照组和实验组,每组20例。实验组患者使用Icon渗透树脂,对照组患者使用3M Adper easy one自酸蚀粘结剂。采用数字化疼痛评判法(VAS)评价治疗前、治疗即刻、治疗后1个月和治疗后3个月受试者的牙齿VAS评分。体外通过扫描电镜观察渗透树脂对牙本质小管的渗透作用。结果:2组患者治疗后即刻、治疗后1个月和治疗后3个月VAS评分均较治疗前明显降低(P<0.05),牙本质过敏症状明显减少;与对照组比较,实验组患者治疗后1个月、治疗后3个月VAS评分下降(P<0.05)。扫描电镜观察,渗透树脂在牙齿表面形成封闭,并在牙本质小管中渗透。结论:渗透树脂对老年人牙齿磨耗导致牙本质过敏有明显效果,可用于临床治疗。

关键词: 自酸蚀粘结剂, 牙本质过敏症, 脱敏治疗, 渗透树脂

Abstract:

Objective To evaluate the effect of penetrating resin treatment on the elder patients with secondary dentin sensitivity following tooth abrasion,and to clarify its function principle. Methods 40 subjects were randomly divided into control and experimental groups(n=20),and the patients in experimental group were treated with icon penetrating resin,and the patients in control group were treated with 3M adper easy oneself-etching adhesives.The visual analogue scale(VAS) method was used to evaluate the VAS scores of teeth of the patients in two groups at different periods,such as before treatment,right after treatment,1 month after treatment and 3 month after treatment.The osmosis of resin for dentin tubule was observed by scanning electron microscope in vitro. Results Compared with before treatment,the VAS scores of the patiants in two groups 1 month after treatment and 3 months after treatment were significantly decreased(P<0.05).Compared with control group,the VAS scores of the patients in experiment group 1 month after treatment and 3 months after treatment were decreased(P<0.05).The scanning electron microscope results showed that the penetrating resin formed a close in the tooth surface and penetrated in the dentin tubule. Conclusion Penetrating resin can be used as the dentin sensitivity treatment in the elderly,and it has apparent effect.

Key words: self-etching adhesives, dentin sensitivity, desensitization treatment, penetrating resin

中图分类号:

R783.1

刘超, 葛久禹, 尹硕, 李雯, 苗雷英. 老年牙齿磨损继发牙本质过敏患者渗透树脂治疗前后牙齿VAS评分和电镜下牙齿形态学比较[J]. 吉林大学学报(医学版), 2015, 41(05): 1008-1011.

LIU Chao, GE Jiuyu, YIN Shuo, LI Wen, MIAO Leiying. Comparison of VAS score and morphology of teeth of elder patients with secondary dentin sensitivity following tooth abrasion before and after penetrating resin treatment[J]. Journal of Jilin University Medicine Edition, 2015, 41(05): 1008-1011.

参考文献

[1] 何群,李俊震,章和平,等.厦门市370名老年人缺牙和牙体磨损情况调查[J].中华老年口腔医学杂志,2003,1(2):68-70.

[2] Pashley DH.The effects of dentin permeability on restorative dentistry [J].Dnt Clin North Am,2002,46 (2):211-245.

[3] Subramaniam P,Girish Babu KL,Lakhotia D.Evaluation of penetration depth of a commercially available resin infiltrate into artificially created enamel lesions:An in vitro study [J].J Conserv Dent,2014,17(2):146-149.

[4] Gugnani N,Pandit IK,Goyal V,et al.Esthetic improvement of white spot lesions and non-pitted fluorosis using resin infiltration technique:series of four clinical cases[J].J Indian Soc Pedod Prev Dent,2014,32(2):176-180.

[5] Paris S,Soviero VM,Chatzidakis AJ.Penetration of experimental infiltrants with different penetration coefficients and ethanol addition into natural caries lesions in primary molars [J].Caries Res,2012,46(2):113-117.

[6] 刘永红,葛立宏,陈慧珍,等.渗透树脂在自然形成的早期龋损中渗透能力的研究[J].华西口腔医学杂志,2012,30(5):483-486.

[7] 崔娜.使用一次性精密过滤输液器减少β-七叶皂苷钠所致疼痛及静脉炎效果观察[J].中国实用内科杂志,2014,34(增1):118-119.

[8] 李仲廉.临床疼痛治疗学[M].3 版.天津:科学技术出版社,2003:378-382.

[9] Pashley DH.The effects of dentin permeability on restorative dentistry[J].Dnt Clin North Am,2002,46(2):211-245.

[10] Nainar SM.Resin infiltration technique for proximal caries lesions in the permanent dentition:a contrarian viewpoint[J].Oper Dent,2014,39(1):1-3.

[11] Paris S,SovieroVM,Seddig S.Penetration depths of an infiltrant into proximal caries lesions in primary molars after different application times in vitro [J].Int J Paediatr Dent,2012,22(5):349-355.

[12] Meyer-Lueckel H,Hendrik A,Chatzidakis A,et al.Influence of application time on penetration of an infiltrant into natural enamel caries [J].J Dent,2011,39(7):465-469.

[13] Torres CR,Rosa PC,Ferreira NS,et al.Effect of caries infiltration technique and fluoride therapy on microhardness of enamel carious lesions [J].Oper Dent,2012,37(4):363-369.

[14] Lausch J,Paris S,Selje T,et al.Resin infiltration of fissure caries with various techniques of pretreatment in vitro[J].Caries Res,2015,49(1):50-55.

[15] Meyer-Lueckel H,Paris S.Improved resin infiltration of natural caries lesions[J].J Dent Res,2008,87 (12):1112-1116.

[16] Ou XY,Zhao YH,Ci XK,et al.Masking white spots of enamel in caries lesions with a non-invasive infiltration technique in vitro[J].Genet Mol Res,2014,29;13(3):6912-6919.

老年牙齿磨损继发牙本质过敏患者渗透树脂治疗前后牙齿VAS评分和电镜下牙齿形态学比较

Comparison of VAS score and morphology of teeth of elder patients with secondary dentin sensitivity following tooth abrasion before and after penetrating resin treatment

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