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Francese MM, Urasaki BAN, de Barros MC, Ferrari CR, Grizzo LT, Magalhães AC. Toothpaste containing TiF 4 and chitosan against erosive tooth wear in situ. J Dent 2024; 145:104977. [PMID: 38582434 DOI: 10.1016/j.jdent.2024.104977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Revised: 03/25/2024] [Accepted: 03/26/2024] [Indexed: 04/08/2024] Open
Abstract
OBJECTIVE This study compared the protective effect of an experimental TiF4/Chitosan toothpaste with a commercial toothpaste on the prevention of erosive tooth wear (ETW) in situ. METHODS Fifteen subjects took part in this crossover and double-blind study, in which they wore a palatal appliance containing 4 bovine enamel and 4 dentin in 3 phases (5 days each). Half of the samples were subjected to erosive challenges (90 s in 0.1 % citric acid, pH 2.5, 4 times/day), and the other half to erosive plus abrasive challenges (15 s plus 45 s of contact, 2 times/day). The phases corresponded to the application of the different toothpastes: 1) TiF4 (1400 ppm F-) plus Chitosan, 2) Elmex®, Erosion Protection (1400 ppm F-, Chitosan), and 3) Placebo (negative control). Tooth wear was measured using contact profilometry (μm) and submitted to two-way RM ANOVA/Tukey test (p < 0.05). RESULTS No significant differences were detected between the experimental and commercial toothpastes, regardless of the challenge on both tissues. Both significantly reduce ETW compared to negative control (p < 0.0006). Tooth wear was increased by brushing only on eroded enamel (p < 0.01), but not on dentin (p = 0.6085). TiF4/Chitosan [erosion 2.98 ± 1.12 μm vs. erosion and abrasion 3.12 ± 1.33 μm] and Elmex® toothpastes [erosion 2.35 ± 0.93 μm vs. erosion and abrasion 2.98 ± 1.0 μm] minimized the impact of brushing compared to placebo on enamel [erosion 4.62 ± 1.48 μm vs. erosion and abrasion 5.15 ± 1.50 μm]. CONCLUSIONS TiF4 plus chitosan toothpastes showed to be effective in minimizing the ETW as the commercial toothpaste is in situ. CLINICAL RELEVANCE The experimental toothpaste has similar effect against ETW compared to the commercial toothpaste. Considering the increased ETW prevalence worldwide, this result supports clinical trials and a possible application of this experimental anti-erosive toothpaste in the future.
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Affiliation(s)
- Monique Malta Francese
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | | | - Mariana Carvalho de Barros
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | - Carolina Ruis Ferrari
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | - Larissa Tercilia Grizzo
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | - Ana Carolina Magalhães
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.
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Memarpour M, Jafari S, Rafiee A, Alizadeh M, Vossoughi M. Protective effect of various toothpastes and mouthwashes against erosive and abrasive challenge on eroded dentin: an in vitro study. Sci Rep 2024; 14:9387. [PMID: 38653765 DOI: 10.1038/s41598-024-59631-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Accepted: 04/12/2024] [Indexed: 04/25/2024] Open
Abstract
The study aimed to compare various toothpastes and mouthwashes on permanent tooth dentin after erosive and abrasive challenges. 130 sound premolars dentin were randomly submitted to an initial erosive challenge and a cycle of erosive and abrasive challenges for five days. The five experimental groups (n = 26) were: (1) Control group (artificial saliva), (2) Elmex erosion protection toothpaste and mouthwash, (3) Vitis anticaries biorepair toothpaste and mouthwash, (4) Oral B Pro-expert toothpaste and Oral B Fluorinse mouthwash, and (5) MI Paste ONE toothpaste and Caphosol mouthwash. Microhardness, surface roughness values, and the topographical characteristics of the dentin surface were assessed. The highest percentage of recovered dentin microhardness (%RDMH) value was observed in groups 2 and 4, followed by groups 5 and 3, respectively. The %RDMH values in groups 2 and 4 did not demonstrate a significant difference (p = 0.855). The highest percentage of improvement in surface roughness was recorded in groups 2 and 4, with no significant differences (p = 0.989). The atomic force microscopy (AFM) findings were consistent with the surface roughness data. The best recovery of dentin microhardness and roughness were measured with the Elmex and Oral B toothpaste and mouthwash, followed by MI Paste ONE toothpaste and Caphosol mouthwash and Vitis anticaries biorepair toothpaste and mouthwash.
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Affiliation(s)
- Mahtab Memarpour
- Oral and Dental Disease Research Center, Department of Pediatric Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Saba Jafari
- Student Research Committee, Department of Pediatric Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Azade Rafiee
- Oral and Dental Disease Research Center, Department of Pediatric Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Marzieh Alizadeh
- Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mehrdad Vossoughi
- Mental Health Research Center, Psychological Health Research Institute (PHPRI), Iran University of Medical Sciences, Tehran, Iran
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Bartlett DW, Jadeja SP, Austin RS, Charalambous P, Stewart B, Ruan Q, Won B, Dogu N, Vandeven M, Lavender S. Pilot clinical study to evaluate the efficacy of a professionally delivered high fluoride varnish on erosive tooth wear in an in-situ model. J Dent 2024; 143:104884. [PMID: 38373521 DOI: 10.1016/j.jdent.2024.104884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Revised: 02/05/2024] [Accepted: 02/06/2024] [Indexed: 02/21/2024] Open
Abstract
OBJECTIVES The aim for this pilot study was to investigate the effect of a sodium fluoride varnish on step height measured by a profilometer from human enamel worn by healthy volunteers with a novel in situ/ex vivo erosion design. METHOD Healthy volunteers aged 18-70 years wore a palatal splint containing 8 human enamel samples and underwent two 3-day treatment periods for 6 h a day with a varnish containing sodium fluoride at 22,600 ppm and the control with the same ingredients but without fluoride. Each splint contained 4 polished and 4 unpolished samples. The interventions were applied to the surface of the enamel samples in randomised order, removed after 6 h, then immersed ex-vivo in 1 %, pH 2.7 citric acid for 2 min, repeated 4 times a day, over 2 days. Measurements of enamel were assessed blindly by microhardness on day 2 and by non-contact laser profilometry on day 3 for the two treatments. RESULTS 24 volunteers, 2 males and 22 females aged 27-54 years, were screened and recruited. The delta microhardness, from polished samples removed at the end of day 2, for the control and fluoride treatment was 95.7 (22.9) kgf/mm2 and 123.7 (28.9) kgf/mm2, respectively (p < .005). The mean (SD) step height for the control polished enamel surfaces was 3.67 (2.07) µm and for the fluoride varnish was 1.79 (1.01) µm (p < .0005). The control unpolished enamel surfaces had a mean 2.09 (1.53) µm and the fluoride varnish was 2.11 (1.53) µm but no statistical difference was detected. CONCLUSIONS The results from this pilot study, utilizing an in-situ model where enamel was exposed to acid over the course of 2 days, demonstrated that a high fluoride varnish containing sodium fluoride at 22,600 ppm prevented erosive wear compared to a control on the polished enamel surfaces. CLINICAL SIGNIFICANCE Intra-oral study demonstrated that a high fluoride varnish containing sodium fluoride at 22,600 ppm reduced erosive tooth wear.
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Affiliation(s)
- David W Bartlett
- Centre for Clinical, Oral and Translational Sciences, Faculty of Dentistry, Oral and Clinical Sciences, King's College London, London, SE1 9RT, United Kingdom.
| | - Sagar P Jadeja
- Centre for Clinical, Oral and Translational Sciences, Faculty of Dentistry, Oral and Clinical Sciences, King's College London, London, SE1 9RT, United Kingdom
| | - Rupert S Austin
- Centre for Clinical, Oral and Translational Sciences, Faculty of Dentistry, Oral and Clinical Sciences, King's College London, London, SE1 9RT, United Kingdom
| | - Polyvios Charalambous
- Centre for Clinical, Oral and Translational Sciences, Faculty of Dentistry, Oral and Clinical Sciences, King's College London, London, SE1 9RT, United Kingdom; Division of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, the University of Manchester, Manchester, M15 6FH, United Kingdom
| | - Bernal Stewart
- Colgate Palmolive Company, Global Technology Center, Piscataway, NJ, USA
| | - Qichao Ruan
- Colgate Palmolive Company, Global Technology Center, Piscataway, NJ, USA
| | - Betty Won
- Colgate Palmolive Company, Global Technology Center, Piscataway, NJ, USA
| | - Nihal Dogu
- Colgate Palmolive Company, Global Technology Center, Piscataway, NJ, USA
| | - Mark Vandeven
- Colgate Palmolive Company, Global Technology Center, Piscataway, NJ, USA
| | - Stacey Lavender
- Colgate Palmolive Company, Global Technology Center, Piscataway, NJ, USA
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Pelá VT, Gironda CC, Taira EA, Brito L, Pieretti JC, Seabra AB, Cardoso CDAB, Rodrigues MC, Henrique-Silva F, Buzalaf MAR. Different vehicles containing CaneCPI-5 reduce erosive dentin wear in situ. Clin Oral Investig 2023; 27:5559-5568. [PMID: 37481640 DOI: 10.1007/s00784-023-05175-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Accepted: 07/15/2023] [Indexed: 07/24/2023]
Abstract
OBJECTIVE This study evaluated the protective capacity of a sugarcane-derived cystatin (CaneCPI-5) in different vehicles (1-solution and 2-chitosan gel) against erosive dentin wear in situ. METHODS In part-1, 15 volunteers participated in a crossover protocol (solutions): Water; Elmex™ and CaneCPI-5. The volunteers wore an appliance with 4 dentin samples for 5 days. These samples were treated with a drop of the solutions for 1 min (4X/d), then the acquired pellicle (AP) was formed and the samples were subjected to erosive challenges (EROSION: citric acid, for 90 s, 4X/day). 2X/day, half of the samples were also abraded for 15 s (ABRASION). In part-2, 16 volunteers participated in a crossover protocol (gel): No gel, Chitosan gel, Chitosan gel + NaF and Chitosan gel + CaneCPI-5. The volunteers also wore an appliance. The samples were treated once/day with the gel or not for 4 min, then the AP was formed and the samples were subjected to erosive and abrasive challenges, as reported in part-1. Dentin wear was measured by profilometry. Data were analyzed by two-way RM-ANOVA and Sidak's tests (p < 0.05). RESULTS Part-1: Elmex™ and CaneCPI-5 significantly reduced dentin loss in comparison with Water for the EROSION/ABRASION conditions (p < 0.05). Part-2, all the treated groups significantly reduced the dentin loss in comparison to the No gel. The greatest reduction was found for the gel + CaneCPI-5 group for the EROSION/ABRASION (p < 0.05). CONCLUSION The solution and chitosan gel containing CaneCPI-5 protected against erosive dentin wear in situ. CLINICAL RELEVANCE These different vehicles are probably sufficient for protecting people with high risk of developing erosive dentin wear.
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Affiliation(s)
- Vinicius Taioqui Pelá
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Al. Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil
| | - Carlos Condarco Gironda
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Al. Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil
| | - Even Akemi Taira
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Al. Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil
| | - Leonardo Brito
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Al. Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil
| | - Joana Claudio Pieretti
- Center for Natural and Human Sciences, Federal University of ABC, Santo André, 09210-580, Brazil
| | - Amedea Barozzi Seabra
- Center for Natural and Human Sciences, Federal University of ABC, Santo André, 09210-580, Brazil
| | | | | | - Flavio Henrique-Silva
- Department of Genetics and Evolution, Federal University of São Carlos, São Carlos, 13565-905, Brazil
| | - Marília Afonso Rabelo Buzalaf
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Al. Octávio Pinheiro Brisolla, 9-75, Bauru, SP, 17012-901, Brazil.
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Vieira TI, de Sousa Andrade KM, Cabral LM, Valença AMG, Maia LC, Batista AUD. Linear and areal surface roughness assessments for the study of tooth wear in human enamel. Clin Oral Investig 2023; 27:329-338. [PMID: 36205787 DOI: 10.1007/s00784-022-04727-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Accepted: 09/27/2022] [Indexed: 01/28/2023]
Abstract
OBJECTIVES To test 8 models of linear surface roughness assessment in characterizing surface profile description and to correlate these models with equivalent areal parameters over sound human enamel in vitro. MATERIALS AND METHODS Thirty enamel blocks were randomly selected. The roughness data (2D-Rp; Rv; Rz; Rc; Rt; Ra; Rq; Rsk; Rku/3D-Sp; Sv; Sz; Sa; Sq; Ssk; Sku) was obtained in duplicate in a non-contact 3D optical profilometer. The models were composed by 1 single vertical trace (model 1) until 8 traces (model 8 composed by three vertical traces, three horizontal traces, and two diagonal). RESULTS The addition of linear sampling traces to the enamel blocks did not result in Rp, Rv, Rz, Rc, Rt, Ra, Rq, Rsk, and Rku value changes (low power-from 5 to 72%). Significant Spearman's correlation coefficients were obtained in most correlation analysis (Rp ↔ Sp; Rv ↔ Sv; Rz ↔ Sz; Ra ↔ Sa; Rq ↔ Sq; and Rku ↔ Sku). CONCLUSIONS A single vertical trace in the middle of the sample was representative of the overall enamel surface roughness (Rp, Rv, Rz, Rc, Rt, Ra, Rq, Rsk, and Rku) models. The majority of the assessed models in the correlation evaluation presented significant and positive association. CLINICAL RELEVANCE The findings highlight the applicable model for roughness analysis over human enamel recommended for research and in situ trials assessments.
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Affiliation(s)
- Thiago Isidro Vieira
- Centro de Ciências da Saúde - Térreo, Post-Graduate Program in Dentistry. Federal University of Paraíba, Campus I - Cidade Universitária CEP: 58.051-900, João Pessoa, PB, Brazil.
| | | | - Lúcio Mendes Cabral
- School of Pharmacy, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Ana Maria Gondim Valença
- Department of Clinic and Social Dentistry, School of Dentistry, Federal University of Paraíba, Joao Pessoa, PB, Brazil
| | - Lucianne Cople Maia
- Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
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da Silva BM, Rios D, Foratori-Junior GA, Magalhães AC, Buzalaf MAR, Peres SDCS, Honório HM. Effect of fluoride group on dental erosion associated or not with abrasion in human enamel: A systematic review with network metanalysis. Arch Oral Biol 2022; 144:105568. [DOI: 10.1016/j.archoralbio.2022.105568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 08/08/2022] [Accepted: 10/05/2022] [Indexed: 11/02/2022]
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Francese MM, Gonçalves IVB, Vertuan M, de Souza BM, Magalhães AC. The protective effect of the experimental TiF 4 and chitosan toothpaste on erosive tooth wear in vitro. Sci Rep 2022; 12:7088. [PMID: 35490193 PMCID: PMC9056515 DOI: 10.1038/s41598-022-11261-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Accepted: 04/20/2022] [Indexed: 11/09/2022] Open
Abstract
This study evaluated the protective effect of TiF4 and chitosan toothpaste on erosive tooth wear (ETW) in vitro. Enamel and dentin samples were randomly assigned to toothpastes (n = 12): (G1) TiF4 (1400 ppm F−), (G2) 0.5% chitosan (75% deacetylation, 500 mPas), (G3) TiF4 (1400 ppm F−) plus 0.5% chitosan (75% deacetylation, 500 mPas), (G4) Placebo, (G5) Erosion Protection (Elmex-GABA, 1400 ppm F−). Twelve samples were only eroded. All samples were submitted to erosive pH cycles and G1 to G5 to abrasive challenges using toothpastes’ slurries plus 45 s of treatment, for 7 days. The final profile was overlaid to the baseline one for the ETW calculation (µm). The data were subjected to Kruskal–Wallis/Dunn tests. TiF4 toothpastes, regardless of the presence of chitosan, were able to significantly reduce ETW compared to placebo, while chitosan alone was similar to placebo for both tissues. The toothpastes containing TiF4 were even superior to the commercial Elmex toothpaste on enamel, while they were similar on dentin; both were also significantly different from placebo for both tissues. TiF4 and Elmex toothpastes minimized the impact of brushing on eroded surface. In conclusion, TiF4 toothpastes, regardless the presence of chitosan, showed to be effective in minimizing ETW in vitro.
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Affiliation(s)
- Monique Malta Francese
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | | | - Mariele Vertuan
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | - Beatriz Martines de Souza
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | - Ana Carolina Magalhães
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.
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Chevitarese AB, França Leite KLD, Marañón-Vásquez GA, Masterson D, Pithon M, Maia LC. What is the effectiveness of titanium tetrafluoride to prevent or treat dental caries and tooth erosion? A systematic review. Acta Odontol Scand 2022; 80:441-456. [PMID: 35147483 DOI: 10.1080/00016357.2022.2032329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
OBJECTIVES Answer the question: What is the effectiveness of titanium tetrafluoride (TiF4) when compared to other fluorides, placebo solution or a negative control to prevent or treat dental caries and tooth erosion? MATERIALS AND METHODS This review is in accordance with PRISMA guidelines. In vivo and in situ studies that used TiF4 over enamel or dentine were included. Electronic searches were conducted on MEDLINE, Scopus, Embase, WOS, Cochrane Library, VLH, Clinical Trials and OpenGrey. Risk of bias (ROB) assessments used RoB2 and ROBINS-I for randomized and non-randomized controlled trials (RCTs and on-RCTs); Syrcle's ROB tool for animal studies; and a modified tool proposed by Hollanders for in situ studies. RESULTS A total of 28 studies met the eligibility criteria. From these, 6 were in humans (3 RCT and 3 Non-RCT); 4 were in animals and 18 were in situ. For in vivo studies, all RCTs have some concerns related to ROB and all of the non-RCT studies were classified as with serious risk. One animal study had a low and three a high ROB. Regarding in situ studies, seven had a low, ten had an average and only one had a high ROB. The certainty of the evidence (GRADE) ranged from moderate to very low. CONCLUSIONS Although most of the results suggest a positive effect of TiF4 on the prevention and treatment of caries and dental erosion, it is not possible to have definitive conclusions due to the high studies' methodological heterogeneity, and the low quality of evidence for most outcomes. REGISTRATION The protocol of this syste. atic review was registered in the OPEN SCIENCE FRAMEWORK database (osf.io/6dgs9) DOI:10.17605/OSF.IO/KUZA7 on 6 August 2020.
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Affiliation(s)
- Ana Beatriz Chevitarese
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Karla Lorene de França Leite
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Guido A. Marañón-Vásquez
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Danielle Masterson
- Central Library of the Health Science Center, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Matheus Pithon
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Lucianne Cople Maia
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
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Chevitarese AB, Leite KLDF, Marañón-Vásquez GA, Masterson D, Vicente-Gomila JM, Gonçalves AF, Pitton M, Maia LC. Research Trends on Preventive and Therapeutic Use of TIF4 for Dental Caries and Erosion. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2022. [DOI: 10.1590/pboci.2022.079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/17/2023] Open
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LINS RODRIGOBARROSESTEVES, SANTI MARINARODRIGUES, NORONHA MAYARADOSSANTOS, SEBOLD MAICON, CAVALLI VANESSA. DOES TITANIUM TETRAFLUORIDE PROMOTE A PROTECTIVE EFFECT ON ERODED TOOTH? A SYSTEMATIC REVIEW AND META-ANALYSIS. J Evid Based Dent Pract 2021; 22:101682. [DOI: 10.1016/j.jebdp.2021.101682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2021] [Revised: 11/27/2021] [Accepted: 11/30/2021] [Indexed: 11/28/2022]
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Tavares JDP, da Silva CV, Engel Y, de Freitas PM, Rechmann P. In situ effect of CO2 laser (9.3 μm) irradiation, combined with AmF/NaF/SnCl2 solution in prevention and control of erosive tooth wear in human enamel. Caries Res 2021; 55:617-628. [PMID: 34689142 DOI: 10.1159/000520215] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2020] [Accepted: 09/28/2021] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES This single-blind, controlled cross-over in situ study aimed to evaluate the effect of CO2 laser (9.3µm) irradiation, combined with AmF/NaF/SnCl2 solution on prevention and control of Erosive Tooth Wear (ETW) in human enamel. MATERIALS AND METHODS Two trial conditions were analyzed, Condition-1 as ETW-prevention (sound tooth surface) and Condition-2 as ETW-control (in vitro initial erosive lesion). The experiment was conducted in two phases, one with one without exposure to AmF/NaF/SnCl2 solution. A hundred and ninety-two samples of human enamel (3x3x1mm) were randomly divided into 4 experimental groups for each condition: (C) without treatment (negative control); (F) AmF/NaF/SnCl2 solution (positive control); (L) CO2 laser irradiation; (L+F) CO2 laser+AmF/NaF/SnCl2 solution. Twelve volunteers used a removable device each containing 8 samples per phase. Ex-vivo erosive challenges (4×5min/day) and rinsing protocol (1×30s/day) were performed. The surface loss was determined using optical profilometer (n=12 per group), and the surface morphology was observed with Scanning Electron Microscopy (n=3). RESULTS Condition-1 data were analyzed by one-way ANOVA and Condition-2 by two-way repeated measures ANOVA, both with Tukey post-hoc tests (α=5%). Condition-1: groups L (4.59 ±2.95µm) and L+F (1.58 ±1.24µm) showed significantly less surface loss in preventing ETW than groups C and F. Condition-2: in controlling the progression of ETW, L+F was the only group with no significant surface loss between initial erosive lesion (3.65 ±0.16µm) and after erosive challenge (4.99 ±1.17µm). CONCLUSIONS CO2 9.3µm laser application prevented and controlled ETW progression in human enamel, with greater efficiency when combined with AmF/NaF/SnCl2 solution application.
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Affiliation(s)
- Juliane de Paula Tavares
- Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil,
| | - Camila Vieira da Silva
- Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Yael Engel
- Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | | | - Peter Rechmann
- Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California at San Francisco, San Francisco, California, USA
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Pelá VT, Lunardelli JGQ, Tokuhara CK, Gironda CC, Silva NDG, Carvalho TS, Santiago AC, Souza BM, Moraes SM, Henrique-Silva F, Magalhães AC, Oliveira RC, Buzalaf MAR. Safety and In Situ Antierosive Effect of CaneCPI-5 on Dental Enamel. J Dent Res 2021; 100:1344-1350. [PMID: 33970042 DOI: 10.1177/00220345211011590] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The sugarcane cystatin (CaneCPI-5) was recently cloned and showed strong binding force to dental enamel and protection against initial erosion. However, evaluations on its safety and efficacy in a situation closer to the clinical condition are necessary. In the present study we analyzed 1) the cytotoxicity of CaneCPI-5 on human gingival fibroblasts (HGFs); 2) the ability of CaneCPI-5 to reduce enamel erosion and erosion+abrasion in situ. In part 1, HGFs were treated with CaneCPI-5 (0.025, 0.05, 0.1, 0.5 or 1.0 mg/mL) or no treatment (control). The cytotoxicity was assessed after 60 s and 24 h by mitochondrial activity (MTT), confocal microscopy, and hematoxylin/eosin staining. In part 2, 15 volunteers participated in a double-blind crossover protocol consisting of 3 phases, according to the following treatments: 1) 0.1 mg/mL CaneCPI-5; 2) SnCl2/NaF/AmF (Elmex; positive control); 3) water (negative control). The volunteers wore an appliance containing 4 bovine enamel specimens for 5 d. Each day, the specimens were individually treated with 50 µL of the tested solutions per 60 s and then subjected to erosive challenges (0.1% citric acid, pH 2.5, for 90 s, 4 times per day). After the first and last erosive challenge each day, 2 samples were abraded (toothbrushing, 15 s). Enamel wear was measured by contact profilometry. One or two-way analysis of variance (ANOVA)/Tukey's or Sidak's tests (P < 0.05) were applied. Regardless of the concentration and the experimental time, CaneCPI-5 did not decrease the cell viability compared to the negative control (P < 0.05). Erosion+abrasion led to significantly greater wear compared to erosion only. For both conditions, the lowest wear was found for SnCl2 and CaneCPI-5, which did not differ significantly from each other, but showed significant protection when compared to the negative control. In conclusion, CaneCPI-5 is safe on HGFs and reduces enamel erosive wear to the same extent as a commercial solution used to control erosive tooth wear (ETW).
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Affiliation(s)
- V T Pelá
- Department of Genetics and Evolution, São Carlos Federal University, São Carlos, São Paulo, Brazil
| | - J G Q Lunardelli
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - C K Tokuhara
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - C C Gironda
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - N D G Silva
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - T S Carvalho
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - A C Santiago
- Department of Genetics and Evolution, São Carlos Federal University, São Carlos, São Paulo, Brazil
| | - B M Souza
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - S M Moraes
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - F Henrique-Silva
- Department of Genetics and Evolution, São Carlos Federal University, São Carlos, São Paulo, Brazil
| | - A C Magalhães
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - R C Oliveira
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - M A R Buzalaf
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
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Protective effect of fluorides on erosion and erosion/abrasion in enamel: a systematic review and meta-analysis of randomized in situ trials. Arch Oral Biol 2020; 120:104945. [DOI: 10.1016/j.archoralbio.2020.104945] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Revised: 09/19/2020] [Accepted: 10/08/2020] [Indexed: 01/17/2023]
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14
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Can TiF4 varnish or TiF4/NaF solution stain eroded and sound enamel? J Dent 2019; 85:11-17. [DOI: 10.1016/j.jdent.2019.04.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Revised: 04/08/2019] [Accepted: 04/09/2019] [Indexed: 11/17/2022] Open
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Abdelwahed AG, Temirek MM, Hassan FM. Antierosive Effect of Topical Fluorides: A Systematic Review and Meta-Analysis of In Situ Studies. Open Access Maced J Med Sci 2019; 7:1523-1530. [PMID: 31198467 PMCID: PMC6542392 DOI: 10.3889/oamjms.2019.291] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2019] [Revised: 04/22/2019] [Accepted: 04/23/2019] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND The effectiveness of the application of topical fluorides in prevention of erosive tooth wear has been an issue of controversy in the literature. The objective of this systematic review was to assess in situ studies investigating the effects of using topical fluorides on prevention of erosive tooth wear. MATERIAL AND METHODS Two electronic databases PubMed/MEDLINE and Cochrane Central Register of Controlled Trials were searched. Eligibility criteria included in situ-controlled studies that assessed the effect of the erosive process without additional tooth brushing. The search involved English-written articles only. A total of 684 potentially relevant titles and abstracts were found after removal of duplicates, of which 22 full-text articles were selected. Seventeen studies were included in the qualitative synthesis of which 6 studies included in the meta-analysis. The following data were obtained for each study: authors, year of publication, country, study design, periods of study, duration, blinding, interventions (type/concentration/form), tooth substrate, location of the intraoral appliance, number of samples attached to each appliance, type of acidic media used for erosive challenge, duration of erosive challenge, subjects (number/age/sex), reported side effects -if any-, measuring device, amounts of tissue loss. RESULTS The risk of bias of the included studies was assessed using the Cochrane Collaboration tool for assessing the risk of bias. A meta-analysis of the present study was performed using Comprehensive Meta-Analysis version 2.2.048 software. CONCLUSION The use of oral hygiene products containing AmF/NaF/SnCl2 or NaF may be effective in the prevention of erosive tooth wear.
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Affiliation(s)
- Ahmed Gamal Abdelwahed
- Conservative Dentistry Department, Faculty of Dentistry, October 6 University, Cairo, Egypt
| | - Marwa Mohamed Temirek
- Conservative Dentistry Department; Faculty of Dentistry, Fayoum University, Faiyum, Egypt
| | - Fayez Mohamed Hassan
- Conservative Dentistry Department, Faculty of Dentistry, Cairo University, Cairo, Egypt
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Moghaddam ET, Tafazoli A. Cola Beverages: Clinical Uses versus Adverse Effects. CURRENT NUTRITION & FOOD SCIENCE 2019. [DOI: 10.2174/1573401313666170821130225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Background: Excessive consumption of cola beverages is accompanied by numerous public health risks. But besides these well-known adverse effects, recently, several medical articles have been published that show some indications for cola beverages in clinical practice like resolution of gastrointestinal or feeding tube obstructions, increasing bioavailability and palatability of other medications, rehydration and other uses in healthcare settings. These approaches are not without shortcomings and complications.Methods:In this systematic review we tried to explore these new uses for practitioners and also reemphasize on the most evidence-based complications of cola consumption like bone loss and metabolic and cardiovascular adverse effects in cases of misuse and overuse from both clinical and nutritional points of view via searching the PubMed database.Results:We chose 145 journal articles from the most relevant ones plus 30 extra references and categorized their topics in two classes of medical uses and adverse effects.Conclusion:It could be stated that cola beverages have demonstrated interesting uses and benefits in medicine but their use should be regulated as strict as possible.
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Affiliation(s)
- Ehsan T. Moghaddam
- Orthodontics Department, School of Dentistry, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Ali Tafazoli
- School of Pharmacy, International Campus, Iran University of Medical Sciences, Tehran, Iran
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Lussi A, Buzalaf MAR, Duangthip D, Anttonen V, Ganss C, João-Souza SH, Baumann T, Carvalho TS. The use of fluoride for the prevention of dental erosion and erosive tooth wear in children and adolescents. Eur Arch Paediatr Dent 2019; 20:517-527. [PMID: 30762211 DOI: 10.1007/s40368-019-00420-0] [Citation(s) in RCA: 72] [Impact Index Per Article: 14.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2019] [Accepted: 02/11/2019] [Indexed: 12/29/2022]
Abstract
BACKGROUND Erosive tooth wear (ETW) has gained increasing clinical relevance. It is estimated that worldwide 30-50% of deciduous and 20-45% of permanent teeth are affected. One of the most important nutritional factors causing ETW is the overconsumption of soft drinks, but also patient-related factors like reflux or eating disorders can lead to erosive lesions. Whether acids lead to erosive demineralisation depends on their degree of saturation with respect to tooth mineral at their actual pH. REVIEW Fluoride compounds like sodium or amine fluoride seem to be of limited efficacy against erosion, the main reason for this is the missing biofilm in the erosive process as well as the lower pH of the acids compared to bacterial acids. This means that to achieve some kind of preventive effect it would be necessary to use products with higher fluoride concentration, which is not an appropriate option for small children, and/or to increase the frequency of application. In addition, the fluoride compound plays a role as promising effects were found when fluoride is combined with titanium or stannous ions. TiF4 can cause acid-resistant surface coatings and when Sn2+/F- formulations are applied, Sn is not only found on the surface but is also incorporated into enamel and dentine. Both effects make the tooth surface more resistant against acid demineralisation. Different fluoride-containing vehicles have been tested to prevent erosion/ETW, such as toothpastes, rinses, gels and varnishes. Toothpastes offer some degree of protection, especially Sn2+-containing formulations, but effects of the active ingredients are sometimes counteracted by the presence of abrasives. CONCLUSION Detecting associated factors and influencing them is the main instrument in arresting erosive tooth wear. Additionally, patients at risk for dental erosion should always use an additional fluoride source preferably containing Sn2+.
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Affiliation(s)
- A Lussi
- Department of Restorative, Preventive, and Pediatric Dentistry, School of Dental Medicine, University of Bern, Freiburgstrasse 7, 3010, Bern, Switzerland.
| | - M A R Buzalaf
- Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil
| | - D Duangthip
- Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR, China
| | - V Anttonen
- Research Unit of Oral Health Sciences, Department of Cariology, Endodontology and Pediatric Dentistry, University of Oulu, Oulu, Finland.,Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - C Ganss
- Department for Conservative and Preventive Dentistry, Dental Clinic, Justus-Liebig-University Giessen, Giessen, Germany
| | - S H João-Souza
- Department of Restorative, Preventive, and Pediatric Dentistry, School of Dental Medicine, University of Bern, Freiburgstrasse 7, 3010, Bern, Switzerland
| | - T Baumann
- Department of Restorative, Preventive, and Pediatric Dentistry, School of Dental Medicine, University of Bern, Freiburgstrasse 7, 3010, Bern, Switzerland
| | - T S Carvalho
- Department of Restorative, Preventive, and Pediatric Dentistry, School of Dental Medicine, University of Bern, Freiburgstrasse 7, 3010, Bern, Switzerland
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18
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de Souza BM, Santi LRP, de Souza Silva M, Buzalaf MAR, Magalhães AC. Effect of an experimental mouth rinse containing NaF and TiF 4 on tooth erosion and abrasion in situ. J Dent 2018; 73:45-49. [DOI: 10.1016/j.jdent.2018.04.001] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2018] [Revised: 03/30/2018] [Accepted: 04/01/2018] [Indexed: 11/24/2022] Open
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19
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Medeiros MIDD, Carlo HL, Santos RLD, Sousa FB, Castro RDD, França RCS, Carvalho FGD. TiF4 varnish protects the retention of brackets to enamel after in vitro mild erosive challenge. J Appl Oral Sci 2018; 26:e20170222. [PMID: 29768522 PMCID: PMC5958938 DOI: 10.1590/1678-7757-2017-0222] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2017] [Accepted: 11/13/2017] [Indexed: 11/21/2022] Open
Abstract
The effect of fluoride agents on the retention of orthodontic brackets to enamel under erosive challenge is little investigated. The aim of this study was to evaluate the effect of titanium tetrafluoride (TiF4) and sodium fluoride (NaF) agents on the shear bond strength of brackets to enamel and on the enamel microhardness around brackets under erosive challenge. Brackets were bonded to bovine incisors. Five groups were formed according to fluoride application (n=10): TiF4 varnish, TiF4 solution, NaF varnish, NaF solution and control (without application). The specimens were submitted to erosive challenge (90 s cola drink/2h artificial saliva, 4x per day for 7 days). Solutions were applied before each erosive cycle and varnishes were applied once. Vickers Microhardness (VHN) was obtained before and after all cycles of erosion and the percentage of microhardness loss was calculated. Shear bond strength, adhesive remnant index and polarized light microscopy were conducted after erosion. The data were analyzed by ANOVA, Tukey, Kruskal-Wallis and Mann-Whitney U tests (α=0.05). The %VHN had no statistically significant differences among the experimental groups. However, considering the comparisons of all groups with the control group, TiF4 varnish showed the highest protection from enamel demineralization (effect size of 2.94, while the effect size for the other groups was >2.4). The TiF4 varnish group had significantly higher shear bond strength compared to other groups. There was no difference among groups for adhesive remnant index. Polarized light microscopy showed higher demineralization depth for the control group. Application of NaF and TiF4 agents during mild erosive challenge minimized the enamel mineral loss around brackets, however only the experimental TiF4 varnish was able to prevent the reduction of shear bond strength of brackets to enamel.
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Affiliation(s)
| | - Hugo Lemes Carlo
- Universidade Federal de Juiz de Fora, Departamento de Odontologia, Governador Valadares, Minas Gerais, Brasil
| | - Rogério Lacerda Dos Santos
- Universidade Federal de Juiz de Fora, Departamento de Odontologia, Governador Valadares, Minas Gerais, Brasil
| | - Frederico Barbosa Sousa
- Universidade Federal da Paraíba, Programa de Pós-Graduação em Odontologia, João Pessoa, Paraíba, Brasil
| | - Ricardo Dias de Castro
- Universidade Federal da Paraíba, Programa de Pós-Graduação em Odontologia, João Pessoa, Paraíba, Brasil
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Vieira TI, Câmara JVF, Cardoso JG, Alexandria AK, Pintor AVB, Villaça JC, Cabral LM, Romanos MTV, Fonseca-Gonçalves A, Valença AMG, Maia LC. Cytotoxicity of novel fluoride solutions and their influence on mineral loss from enamel exposed to a Streptococcus mutans biofilm. Arch Oral Biol 2018; 91:57-62. [PMID: 29679886 DOI: 10.1016/j.archoralbio.2018.04.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Revised: 03/24/2018] [Accepted: 04/12/2018] [Indexed: 10/17/2022]
Abstract
OBJECTIVE This study evaluated the cytotoxicity, antimicrobial activity and in vitro influence of new fluoridated nanocomplexes on dental demineralization. DESIGN The nanocomplexes hydroxypropyl-β-cyclodextrin with 1% titanium tetrafluoride (TiF4) and γ-cyclodextrin with TiF4 were compared to a positive control (TiF4), a blank control (without treatment) and negative controls (hydroxypropyl-β-cyclodextrin, γ-cyclodextrin, deionized water), following 12- and 72-hour complexation periods. The cytotoxicity was assessed using the neutral red dye uptake assay at T1-15 min, T2-30 min and T3-24 h. A minimum bactericidal concentration (MBC) against Streptococcus mutans (ATCC 25175) was performed. Enamel blocks were exposed to an S. mutans biofilm, and the percentage of surface microhardness loss was obtained. Biocompatibility and microhardness data were analysed using ANOVA/Tukey tests (p < 0.05). RESULTS At T1, the cell viability results of the nanocomplexes were similar to that of the blank control. At T2 and T3, the 72 h nanocomplexes demonstrated cell viability results similar to that of the blank, while the 12 h solutions showed results different from that of the blank (p < 0.05). All fluoridated nanocompounds inhibited S. mutans (MBC = 0.25%), while the MBC of TiF4 alone was 0.13%. All fluoridated compounds presented a percentage of surface microhardness loss lower than that of deionized water (p < 0.05). CONCLUSIONS The new fluoridated nanocomplexes did not induce critical cytotoxic effects during the experimental periods, whilst they did show bactericidal potential against S. mutans and inhibited enamel mineral loss.
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Affiliation(s)
- Thiago Isidro Vieira
- Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
| | | | | | - Adílis Kalina Alexandria
- Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
| | - Andréa Vaz Braga Pintor
- Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
| | | | - Lúcio Mendes Cabral
- School of Pharmacy, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
| | - Maria Teresa Villela Romanos
- Laboratório Experimental de Drogas Antivirais e Citotóxicas, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
| | - Andrea Fonseca-Gonçalves
- Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
| | - Ana Maria Gondim Valença
- Department of Clinic and Social Dentistry, School of Dentistry, Universidade Federal da Paraíba, Paraíba, Brazil.
| | - Lucianne Cople Maia
- Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
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Olympio KPK, Huila MFG, de Almeida Baldini Cardoso C, da Silva Ferreira APS, Ortiz AG, Toma HE, da Silva RHA, Luz MS, Cardoso MRA, Kelmer GAR, de Oliveira PV, Bechara EJH, Günther WMR, Buzalaf MAR. Can in vivo surface dental enamelmicrobiopsies be used to measure remote lead exposure? ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2018; 25:9322-9329. [PMID: 29264857 DOI: 10.1007/s11356-017-0988-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/10/2017] [Accepted: 12/10/2017] [Indexed: 06/07/2023]
Abstract
Measuring lead in the surface dental enamel (SDE) using biopsies is a rapid, safe, and painless procedure. The dental enamel lead levels (DELLs) decrease from the outermost superficial layer to the inner layer of dental enamel, which becomes crucial for the biopsy depth (BD) measurement. However, whether the origin of lead found in SDE is fully endogenous is not yet established. There is also controversy about the biopsy protocol. The aims of this study were to investigate if DELLs are altered by extrinsic contamination (A) and to evaluate the real geometric figure formed by the erosion provoked by biopsy procedure and the respective BD in SDE (B). To accomplish the aim A, lead from 90 bovine incisor crowns lead was determined by graphite furnace atomic absorption spectrometer as a function of exposure time and lead concentration. Two biopsies were performed in each tooth, before and after lead exposure. Six 15-tooth groups differed by exposure time (1 or 30 min) and lead concentrations (A. 0 mg/L-placebo, B. 0.01 mg/L-standard for drinking water, or C. 0.06 mg/L-concentration found in contaminated groundwater). Phosphorus was determined by an inductively coupled plasm optical emission spectrometer to quantify the enamel removed. To compare intakes/losses of lead in SDE among the groups, values of DELL differences between before and after lead exposure were compared by ANOVA (p < 0.05). To attain the objective B, one extracted human permanent tooth was studied by confocal Raman microscopy. Lead measurements and the surface profile were determined. There was no difference in DELL among the groups (p = 0.964). The biopsy bottom surface area, analyzed by microscopy, showed an irregular area, with regions of peaks and valleys, where areas with depth ranging from 0.2 (peaks) to 1.8 μm (valleys) (± 0.1 μm) could be found. BD carried out in vivo is commonly calculated using the cylinder height formula. The real BD was shown to be very similar to already published data. In conclusion, the SDE of erupted teeth does not seem to be susceptible to environmental lead intake, being thus reliable to measure remote exposures to lead.
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Affiliation(s)
- Kelly Polido Kaneshiro Olympio
- Departamento de Saúde Ambiental, Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr. Arnaldo, 715, Cerqueira César, São Paulo, SP, CEP 01246-904, Brazil.
| | - Manuel Fernando Gonzalez Huila
- Departamento de Química Fundamental, Instituto de Química, Universidade de São Paulo, Av. Prof. Lineu Prestes, 748, Cidade Universitária, Butantã, São Paulo, SP, CEP 05508-000, Brazil
| | - Cristiane de Almeida Baldini Cardoso
- Programa de Pós-Graduação em Odontologia, área de concentração Odontopediatria, Universidade Cruzeiro do Sul (UNICSUL), Rua Galvão Bueno, 868, Liberdade, São Paulo, SP, CEP 01506-000, Brazil
| | - Ana Paula Sacone da Silva Ferreira
- Departamento de Saúde Ambiental, Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr. Arnaldo, 715, Cerqueira César, São Paulo, SP, CEP 01246-904, Brazil
| | - Adrielly Garcia Ortiz
- Departamento de Estomatologia, Saúde Coletiva e Odontologia Legal, Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo, Av do Café, s/n, Ribeirão Preto, SP, CEP 14040-904, Brazil
| | - Henrique Eisi Toma
- Departamento de Química Fundamental, Instituto de Química, Universidade de São Paulo, Av. Prof. Lineu Prestes, 748, Cidade Universitária, Butantã, São Paulo, SP, CEP 05508-000, Brazil
| | - Ricardo Henrique Alves da Silva
- Departamento de Estomatologia, Saúde Coletiva e Odontologia Legal, Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo, Av do Café, s/n, Ribeirão Preto, SP, CEP 14040-904, Brazil
| | - Maciel Santos Luz
- Centro de Tecnologia em Metalurgia e Materiais, Laboratório de Processos Metalúrgicos (CTMM/LPM), Instituto de Pesquisas Tecnológicas do Estado de São Paulo (IPT), Av. Prof. Almeida Prado, 532, Cidade Universitária, Butantã, São Paulo, SP, CEP 05508-901, Brazil
| | - Maria Regina Alves Cardoso
- Departamento de Epidemiologia, Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr. Arnaldo, 715, Cerqueira César, São Paulo, SP, CEP 01246-904, Brazil
| | - Gislayne Aparecida Rodrigues Kelmer
- Departamento de Química Fundamental, Instituto de Química, Universidade de São Paulo, Av. Prof. Lineu Prestes, 748, Cidade Universitária, Butantã, São Paulo, SP, CEP 05508-000, Brazil
| | - Pedro Vitoriano de Oliveira
- Departamento de Química Fundamental, Instituto de Química, Universidade de São Paulo, Av. Prof. Lineu Prestes, 748, Cidade Universitária, Butantã, São Paulo, SP, CEP 05508-000, Brazil
| | - Etelvino José Henriques Bechara
- Departamento de Química Fundamental, Instituto de Química, Universidade de São Paulo, Av. Prof. Lineu Prestes, 748, Cidade Universitária, Butantã, São Paulo, SP, CEP 05508-000, Brazil
| | - Wanda Maria Risso Günther
- Departamento de Saúde Ambiental, Faculdade de Saúde Pública, Universidade de São Paulo, Av. Dr. Arnaldo, 715, Cerqueira César, São Paulo, SP, CEP 01246-904, Brazil
| | - Marília Afonso Rabelo Buzalaf
- Departamento de Ciências Biológicas, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Alameda Otávio Pinheiro Brisolla, 9-75, Vila Nova Cidade Universitária, Bauru, SP, CEP 17012-901, Brazil
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Crastechini E, Borges AB, Becker K, Attin T, Torres CR. Protective Effect of Adhesive Systems associated with Neodymium-doped Yttrium Aluminum Garnet Laser on Enamel Erosive/Abrasive Wear. J Contemp Dent Pract 2017; 18:859-866. [PMID: 28989121 DOI: 10.5005/jp-journals-10024-2140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
AIM This study evaluated the efficacy of self-etching adhesive systems associated or not associated with the neodymium-doped yttrium aluminum garnet (Nd:YAG) laser on the protection against enamel erosive/abrasive wear. MATERIALS AND METHODS Bovine enamel specimens were demineralized with 0.3% citric acid (5 minutes). The samples were randomly assigned to eight groups (n = 20): SB - Single Bond Universal (3M/ESPE); SB+L - Single Bond Universal + laser (80 mJ/10 Hz); FB - Futurabond U (Voco); FB+L -Futurabond U + laser; GEN - G-aenial bond (GC); GEN+L -G-aenial bond + laser; L - laser irradiation; and C - no treatment. The laser was applied before light curing. The samples were subjected to erosive/abrasive challenges (0.3% citric acid - 2 minutes and tooth brushing four times daily for 5 days). Enamel surface loss was recovered profilometrically by comparison of baseline and final profiles. The adhesive layer thickness, retention percentage of the protective layer, and microhardness of cured adhesive were measured. Data were analyzed using one-way analysis of variance and Tukey's test (5%). RESULTS There were significant differences for all parameters (p = 0.0001). Mean values ± SD and results of the Tukey's test were: Surface wear: GEN - 4.88 (±1.09)a, L - 5.04 ± 0.99)a, FB - 5.32 (±0.93)ab, GEN + L - 5.46 (±1.27)abc, SB + L - 5.78 (±1.12)abc, FB + L - 6.23 (±1.25)bc, SB - 6.35 (±1.11)c, and C - 6.46 (±0.61)c; layer thickness: GEN - 15.2 (±8.63)c, FB - 5.06 (±1.96)a, GEN + L - 13.96 (±7.07)bc, SB + L - 4.24 (±2.68)a, FB + L - 9.03 (±13.02)abc, and SB - 7.49 (±2.80)ab; retention: GEN - 68.89 (±20.62)c, FB - 54.53 (±24.80)abc, GEN + L - 59.90 (±19.79)abc, SB + L - 63.37 (±19.30)bc, FB + L - 42.23 (±17.68) a, and SB - 47.78 (±18.29)ab; microhardness: GEN - 9.27 (±1.75)c; FB - 6.99 (±0.89)b; GEN + L - 6.22 (±0.87)ab; SB + L - 15.48 (±2.51)d; FB + L - 10.67 (±1.58)c; SB - 5.00 (±1.60)a. CONCLUSION The application of Futurabond U and G-aenial bond on enamel surface, as well as the Nd:YAG laser irradiation alone, was able to reduce the enamel wear. The use of laser after the adhesive systems did not improve their efficacy. CLINICAL SIGNIFICANCE Erosive/abrasive wear is a prevalent condition in clinical practice affecting many patients. The association of adhesive systems and Nd:YAG laser is of considerable clinical interest because it assesses new treatments to reduce the erosive/abrasive wear that would help dentists in clinical treatment decisions to reduce enamel wear and achieve a successful treatment.
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Affiliation(s)
- Erica Crastechini
- Department of Restorative Dentistry, Institute of Science and Technology, Sao Paulo State University - UNESP, Sao Jose dos Campos, Brazil
| | - Alessandra B Borges
- Department of Restorative Dentistry, Institute of Science and Technology, Sao Paulo State University - UNESP, Sao Jose dos Campos, Brazil
| | - Klaus Becker
- Clinic for Preventive Dentistry, Periodontology and Cariology Center of Dental Medicine, University of Zurich, Zurich Switzerland
| | - Thomas Attin
- Clinic for Preventive Dentistry, Periodontology and Cariology Center of Dental Medicine, University of Zurich, Zurich Switzerland
| | - Carlos Rg Torres
- Department of Restorative Dentistry, Institute of Science and Technology, Sao Paulo State University - UNESP, Sao Jose dos Campos, Brazil, Phone: +551239479376, e-mail:
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Mantilla TF, Silva CVD, Ramos-Oliveira TM, Turssi CP, Ribeiro MS, Freitas PMD. TiF 4 gel effects on tubular occlusion of eroded/abraded human dentin. Microsc Res Tech 2017; 80:1182-1188. [PMID: 28758716 DOI: 10.1002/jemt.22915] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2017] [Revised: 06/19/2017] [Accepted: 07/18/2017] [Indexed: 11/07/2022]
Abstract
This in situ study evaluated the tubular occlusion caused by 4% TiF4 gel on the surface of eroded/abraded dentin. Sixty human dentin samples were eroded in vitro and assigned into six groups (n = 10) according to the in situ surface treatment and number of cycling days: 4% TiF4 gel applied once (TiF4 1), twice (TiF4 2), or three times (TiF4 3) followed by 2, 4, and 6 days of erosive/abrasive in situ cycling, respectively. Control groups (no treatment) were subjected to 2 (C1), 4 (C2), and 6 (C3) days of erosive/abrasive in situ cycling only. A seventh group (n = 10) was comprised by in vitro uneroded samples (UN), subjected to 6 days of in situ erosive/abrasive cycling. Each cycling day consisted on six erosive (0.5% citric acid, pH 2.6) and one abrasive events. Environmental scanning electron microscopy micrographs were taken. For all groups, blinded examiners assessed dentin tubules occlusion using visual scores (0-unoccluded, 1-partially occluded by granular deposits, 2-partially occluded by reduction in tubular lumen into diamond shape, 3-completely occluded) on images captured prior and after the in situ phase. Scheirer-Ray-Hare test demonstrated that treatments significantly affected tubule occlusion (p < .001). Dunn's test showed that tubule occlusion in TiF4 3 was significantly higher than in C1. Tubule occlusion in remaining groups did not differ from that observed in groups TiF4 3 and C1. Tubule occlusion was significantly higher after in situ phase. It may be suggested that TiF4 , when applied three times, was able to positively change tubule occlusion of dentin samples.
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Affiliation(s)
| | | | | | - Cecilia Pedroso Turssi
- São Leopoldo Mandic Institute and Dental Research Center, Campinas, SP, 13045-755, Brazil
| | - Martha Simões Ribeiro
- Institute of Energy and Nuclear Research, University of São Paulo, São Paulo, SP, 05508-000, Brazil
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Comar L, Souza B, Martins J, Santos M, Buzalaf M, Magalhães A. Response of carious enamel to TiF 4 varnish treatment under diverse cariogenic activities in situ. J Dent 2017; 63:81-84. [DOI: 10.1016/j.jdent.2017.05.023] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2017] [Revised: 05/25/2017] [Accepted: 05/30/2017] [Indexed: 10/19/2022] Open
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Esteves SRMS, Huhtala MFRL, Gomes APM, Ye Q, Spencer P, De Paiva Gonçalves SE. Longitudinal Effect of Surface Treatments Modified by NaOCl-Induced Deproteinization and Nd:YAG Laser on Dentin Permeability. Photomed Laser Surg 2016; 34:68-75. [DOI: 10.1089/pho.2015.3977] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
| | | | - Ana Paula Martins Gomes
- Department of Restorative Dentistry, São José dos Campos School of Dentistry, University Estadual Paulista, SP, Brazil
| | - Qiang Ye
- Bioengineering Research Center Laboratories The University of Kansas, School of Engineering, Bioengineering Research Center, Lawrence, Kansas
| | - Paulette Spencer
- Bioengineering Research Center Laboratories The University of Kansas, School of Engineering, Bioengineering Research Center, Lawrence, Kansas
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MEDEIROS MIDD, CARLO HL, LACERDA-SANTOS R, LIMA BAGD, SOUSA FBD, RODRIGUES JA, CARVALHO FGD. Thickness and nanomechanical properties of protective layer formed by TiF4 varnish on enamel after erosion. Braz Oral Res 2016; 30:S1806-83242016000100264. [DOI: 10.1590/1807-3107bor-2016.vol30.0075] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2015] [Accepted: 03/14/2016] [Indexed: 11/22/2022] Open
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