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氟化物在正畸釉质黏结剂中的应用
引用本文:张晓慧,刘梅天,冯致远,冉海群,刘斌.氟化物在正畸釉质黏结剂中的应用[J].中国临床康复,2011(21):3925-3928.
作者姓名:张晓慧  刘梅天  冯致远  冉海群  刘斌
作者单位:[1]西北民族大学口腔国家民委重点实验室,甘肃省兰州市730030 [2]解放军第一医院,甘肃省兰州市730030 [3]兰州大学口腔医学院,甘肃省兰州市730030
基金项目:甘肃省科技支撑项目(0708NKCA103)
摘    要:背景:釉质脱矿是固定矫治技术中常见的并发症,氟化物的应用可以抑制釉质脱矿的发生并促进釉质再矿化。目的:了解氟化物预防釉质脱矿的可能机制和在釉质黏接剂中的应用,降低正畸过程中釉质脱矿后白斑的发生。方法:以"fluoride release,enamel demineralization,enamel adhesive,orthdontics treatment"为检索词,检索PubMed数据库(1990-01/2010-08);以"正畸治疗;牙釉质脱矿;氟化物"为检索词,检索中国期刊全文数据库(1990-01/2010-08)。文献检索语种限制为英文和中文。纳入与释氟黏接材料研制及临床应用研究相关内容。结果与结论:氟通过置换羟磷灰石晶胞部分羟基,使磷灰石的结晶性、稳定性和硬度得到增强。氟离子可以和唾液中的钙、磷离子共同组成矿化系统发挥促进脱矿釉质再矿化的作用。研制含有缓释氟源的树脂黏接剂是预防釉质脱矿的一个重要方向,含有无机和有机缓释氟源的树脂黏接剂的释氟效果已得到验证,其临床使用效果有待进一步研究。

关 键 词:牙釉质脱矿  氟化物  黏结剂  正畸治疗  相容性

Application of fluorid in orthodontic enamel adhesive
Zhang Xiao-hui,Liu Mei-tian,Feng Zhi-yuan,Ran Hai-qun,Liu Bin.Application of fluorid in orthodontic enamel adhesive[J].Chinese Journal of Clinical Rehabilitation,2011(21):3925-3928.
Authors:Zhang Xiao-hui  Liu Mei-tian  Feng Zhi-yuan  Ran Hai-qun  Liu Bin
Institution:1Key Laboratory of Stomatology of State Ethnic Affairs Commission,Northwest University for Nationalities,Lanzhou730030,Gansu Province,China;2The First Hospital of PLA,Lanzhou 730030,Gansu Province,China;3School of Stomatology,Lanzhou University,Lanzhou 730000,Gansu Province,China
Abstract:BACKGROUND:Demineralization of dental enamel is a complication in common after orthdontics treatment.The application of fluoride can inhibit the occurrence of demineralization of dental enamel and promote enamal remineralization.OBJECTIVE:To explore the mechanism and the application of fluoride in enamel adhesive in preventing enamel demineralization and reducing incidence of the enamel blazes after the treatment.METHODS:PubMed database from January 1990 to August 2010 was retrieved by computer with the Key words of"fluoride release;enamel demineralization;enamel adhesive;orthdontics treatment"in English.CNKI database from January 1990 to August 2010 was retrieved with the key words of"fluoride release;enamel demineralization;enamel adhesive;orthdontics treatment" in Chinese.Literatures were limited to English and Chinese.Literatures concerning the development and clinical application of fluoride in enamel adhesive were included.RESULTS AND CONCLUSION:Hydroxy of Hhydroxyapatite unit cell was displaced by fluorine,the crystallinity,stability and hardness of apatite unit cell were enhanced.Fluorinion,calcium and phosphate ions in saliva constitute a mineralization system to improve the effect of enamal remineralization.The development of resin adhesive with slow-release fluorine source is an important direction to prevent demineralization of dental enamel.The effect of fluorine releasing in resin adhesive with inorganic and organic slow-release fluorine has been verified,and its clinical effect is need to be further studied.
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