不同脱敏剂及蜂胶对牙本质小管封闭性实验探究.docVIP

不同脱敏剂及蜂胶对牙本质小管封闭性实验探究[摘要]目的：比较不同脱敏剂与蜂胶对牙本质小管的封闭性。方法：选取因正畸治疗而拔出的48颗牙，制备成为牙本质过敏模型，随机分为4组（3组为实验组，1组为空白对照组），分别用Bifluorid12（双氟剂）脱敏剂（A组）、Gluma脱敏剂（B组）、蜂胶（C组）三种试剂对实验组暴露的牙本质表面进行处理并做刷牙实验，然后用扫描电镜观察牙本质小管的封闭情况。结果：两种脱敏剂与蜂胶均在牙本质表面形成封闭。A、B、C组在牙本质小管内形成“树脂突”样结构，其中A组和C组渗入较深，B组较浅。结论：两种脱敏剂和蜂胶都能取得封闭牙本质小管的效能，其中Bifluorid12（双氟剂）脱敏剂的封闭性、耐久性较佳。 [关键词]脱敏剂；蜂胶；牙本质过敏。 [中图分类号]R783.3 [文献标识码]A [文章编号]1008-6455（2013）01-0062-03 The experimental research for the dentinal tubulesclosure on the different desensitizers and the propolis CUI Yi-lan， LIU Hong （1.Tooth And Dental Pulp Disease Department， The Stomatological Hospital in The First Hospital of Harbin Medical University， Harbin 150000， Heilongjiang，China） Abstract： Objective To compare the different desensitizers and the propolis for the dentinal tubules’ closed. Methods Select 48 teeth pulled out by orthodontic treatment and produce dentin hypersensitivity model， randomly divide them into four groups （three experimental groups， a group of the blank control group）.Use three reagents，the Bifluorid desensitizer （group A）， the Gluma desensitizer （group B），the propolis （group C），proceed treatment about the dentin surface exposed by the experimental group， observe the closed situation of the dentin tubule by scanning through electron microscope. Results Both two desensitizers and the propolis form closed in dentin surface. Group A， B， C formed resin convex structure（resin outstanding） within the dentinal tubules， wherein the group A and the group C are deeper，while group B is shallow. Conclusion Both the two desensitizers and propolis also can obtain the efficiency of closed dentinal tubules，and the character including closure and durability of Bifluorid desensitizer is better. Key words：desensitizer；propolis；dentin hypersensitivity 牙本质过敏是口腔内常见病和多发病。目前普遍认为是Brannstrom[1]的“液体动力学说”认为在外界的各种刺激（温度、化学、机械等）暴露的牙本质小管表面，将导致牙本质小管内的液体流动发生改变（增加和方向改变），机械刺激对压力十分敏感的牙髓神经末梢，产生冲动，传导痛觉。而脱敏剂就是通过封闭牙本质小管，达到减少和避免牙本质内的液体流动，从而较有效的得到治疗牙本质过敏的效果。本实验目的是通过扫描电镜观察