An in vitro evaluation of the effects of fluoride, CPP-ACP, or resin infiltration on discoloration caused by pediatric supplements.

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Muge Tokuc, Elif Yazan Sukur
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引用次数: 0

Abstract

Objectives: White spot lesions are more susceptible to staining agents due to their porous structure. This study examines the impact of white spot lesion treatments on discoloration caused by pediatric supplements.

Method and materials: Three treatments (fluoride, casein phosphopeptide-amorphous calcium phosphate [CPP-ACP], resin infiltration), a control, and their respective syrup-based subgroups (iron and black elderberry syrups) were established, each with eight teeth. Artificial white spot lesions were induced, and weekly applications of fluoride varnish, daily applications of CPP-ACP paste, or a single resin infiltration procedure were performed on the white spot lesions within the treatment groups over 4 weeks. Simultaneously, samples were exposed daily to iron or black elderberry syrups. Spectrophotometer measurements were taken at baseline, after demineralization (T0), and after 1 (T1), 2 (T2), and 4 weeks (T4). ΔE00 values were calculated. Statistical analysis was conducted using a three-way mixed-design ANOVA, with the significance level set at P = .05.

Results: At T4, ΔE00 values from all groups exceeded the clinical acceptability limit of 1.8. At T2 and T4, the ΔE00 values obtained from the black elderberry syrup subgroups were significantly higher (P < .001). At T4, the highest ΔE00 values were seen in the CPP-ACP groups (P < .001). The lowest ΔE00 values at T2 and T4 were observed in the resin infiltration groups (P < .05).

Conclusions: Supplements containing ferrous sulfate and black elderberry extract caused color changes in white spot lesions that exceeded the clinical acceptability limit. Resin infiltration of white spot lesions provides advantages over remineralization treatments, particularly in minimizing discoloration induced by pediatric supplements.

体外评估氟化物、CPP-ACP 或树脂渗透对儿科营养补充剂引起的变色的影响。
目的:白斑病(WSL)由于其多孔结构更容易受到染色剂的影响。本研究探讨了 WSL 治疗对儿科保健品引起的变色的影响:方法:建立三种治疗方法(氟化物、酪蛋白磷酸肽-无定形磷酸钙(CPP-ACP)、树脂浸润(RI))、对照组及其各自的糖浆亚组(铁糖浆和黑接骨木糖浆),每组 8 颗牙齿。诱导人工 WSL,并在 4 周内对治疗组中的 WSL 每周涂抹一次氟化物清漆、每天涂抹一次 CPP-ACP 糊剂和进行一次树脂浸润程序。同时,每天将样本暴露于铁或黑接骨木果糖浆中。分光光度计测量分别在基线、脱矿化后(T0)、一周后(T1)、两周后(T2)和四周后(T4)进行。计算出 ΔE00 值。统计分析采用三元混合方差分析,显著性水平设定为 P = .05 结果:在 T4,各组的 ΔE00 值均超过了 1.8 的临床可接受性限值。在 T2 和 T4,黑接骨木果糖浆亚组的 ΔE00 值明显更高(P < .001)。在 T4,CPP-ACP 组的 ΔE00 值最高(P < .001)。RI组在T2和T4的ΔE00值最低(P < .05):结论:含有硫酸亚铁和黑接骨木果提取物的营养补充剂会导致 WSL 的颜色变化超过临床可接受的限度。与再矿化治疗相比,WSL 的树脂渗透具有优势,尤其是在减少儿科补充剂引起的变色方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Quintessence international
Quintessence international 医学-牙科与口腔外科
CiteScore
3.30
自引率
5.30%
发文量
11
审稿时长
1 months
期刊介绍: QI has a new contemporary design but continues its time-honored tradition of serving the needs of the general practitioner with clinically relevant articles that are scientifically based. Dr Eli Eliav and his editorial board are dedicated to practitioners worldwide through the presentation of high-level research, useful clinical procedures, and educational short case reports and clinical notes. Rigorous but timely manuscript review is the first order of business in their quest to publish a high-quality selection of articles in the multiple specialties and disciplines that encompass dentistry.
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