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Paiva MF, Delbem ACB, Veri IV, Sampaio C, Wiegand A, Pessan JP. Fluoride varnishes supplemented with nano-sized sodium trimetaphosphate reduce enamel erosive wear in vitro. J Dent 2023; 138:104726. [PMID: 37757908 DOI: 10.1016/j.jdent.2023.104726] [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: 07/31/2023] [Revised: 09/21/2023] [Accepted: 09/24/2023] [Indexed: 09/29/2023] Open
Abstract
OBJECTIVE To evaluate the effect of fluoride (F) varnishes with sodium trimetaphosphate (TMP) on erosive tooth wear (ETW) in vitro. METHODS Enamel blocks (n = 100) were divided into 5 experimental groups (n = 20/group): Placebo (Pla - without F/TMP); 5 % NaF (NaF); 5 % NaF + 5 % micrometric TMP (NaF+5 %MICRO); 5 % NaF + 2.5 % nano-sized TMP (NaF+2.5 %NANO), and 5 % NaF + 5 % nano-sized TMP (NaF+5 %NANO). Blocks received a single varnish application (6 h contact), and were submitted to 4 daily erosive challenges (ERO, 0.05 M citric acid, pH 3.2, 90 s, under agitation), for 5 days. After ERO, half of the blocks (n = 10/group) were subjected to brushing abrasion (ERO+ABR). Profilometry, surface hardness (SH), and cross-sectional hardness (ΔKHN) were determined. The data were submitted to 2-way ANOVA and Fisher's LSD test (p < 0.05). RESULTS Enamel wear was significantly lower for ERO compared with ERO+ABR for all varnishes tested (p < 0.001), following the pattern NaF+5 %NANO < NaF+5 %MICRO < NaF < NaF+2.5 %NANO < Pla (both for ERO and ERO+ABR). The highest SH loss was observed for Pla and the lowest for NaF (ERO) and NaF+2.5 %NANO (ERO+ABR), without significant differences among NaF+2.5 %NANO, NaF, and NaF+5 %MICRO. The highest ΔKHN values were observed for NaF+5 %MICRO and NaF+5 %NANO at 5-30 µm, with less marked differences among the groups at 30-70 µm (ERO and ERO+ABR). CONCLUSIONS The addition of TMP to F varnishes significantly improves protection against ETW in vitro. The use of 5 % nano-sized TMP further enhances such effects. CLINICAL SIGNIFICANCE F varnishes containing TMP can reduce enamel loss caused by ERO or ERO+ABR.
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Affiliation(s)
- Mayra Frasson Paiva
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), José Bonifácio 1193, Araçatuba, SP 16015-050, Brazil
| | - Alberto Carlos Botazzo Delbem
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), José Bonifácio 1193, Araçatuba, SP 16015-050, Brazil
| | - Isabela Vecchiatti Veri
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), José Bonifácio 1193, Araçatuba, SP 16015-050, Brazil
| | - Caio Sampaio
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), José Bonifácio 1193, Araçatuba, SP 16015-050, Brazil
| | - Annette Wiegand
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
| | - Juliano Pelim Pessan
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), José Bonifácio 1193, Araçatuba, SP 16015-050, Brazil.
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Nagata ME, Delbem ACB, Báez-Quintero LC, Danelon M, Sampaio C, Monteiro DR, Wiegand A, Pessan JP. Effect of fluoride gels with nano-sized sodium trimetaphosphate on the in vitro remineralization of caries lesions. J Appl Oral Sci 2023; 31:e20230155. [PMID: 37377311 PMCID: PMC10317051 DOI: 10.1590/1678-7757-2023-0115] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Revised: 05/16/2023] [Accepted: 05/20/2023] [Indexed: 06/29/2023] Open
Abstract
OBJECTIVE To evaluate the effects of fluoride (F) gels supplemented with micrometric or nano-sized sodium trimetaphosphate (TMPmicro and TMPnano, respectively) on the in vitro remineralization of caries-like lesions. METHODOLOGY Bovine enamel subsurface lesions (n=168) were selected according to their surface hardness (SH) and randomly divided into seven groups (n=24/group): Placebo (without F/TMP), 4,500 ppm F (4500F), 4500F + 2.5% TMPnano (2.5% Nano), 4500F + 5% TMPnano (5% Nano), 4500F + 5% TMPmicro (5% Micro), 9,000 ppm F (9000F), and 12,300 ppm F (Acid gel). The gels were applied in a thin layer for one minute. Half of the blocks were subjected to pH cycling for six days, whereas the remaining specimens were used for loosely- (calcium fluoride; CaF2) and firmly-bound (fluorapatite; FA) fluoride analysis. The percentage of surface hardness recovery (%SHR), area of subsurface lesion (ΔKHN), CaF2, FA, calcium (Ca), and phosphorus (P) on/in enamel were determined. Data (log10-transformed) were subjected to ANOVA and the Student-Newman-Keuls' test (p<0.05). RESULTS We observed a dose-response relation between F concentrations in the gels without TMP for %SHR and ΔKHN. The 2.5% Nano and 5% Micro reached similar %SHR when compared with 9000F and Acid gels. For ΔKHN, Placebo and 5% Nano gels had the highest values, and 5% Micro, 2.5% Nano, 9000F, and Acid gels, the lowest. All groups had similar retained CaF2 values, except for Placebo and Acid gel. We verified observed an increase in Ca concentrations in nano-sized TMP groups. Regarding P, TMP groups showed similar formation and retention to 9000F and Acid. CONCLUSION Adding 2.5% nano-sized or 5% micrometric TMP to low-fluoride gels lead to enhanced in vitro remineralization of artificial caries lesions.
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Affiliation(s)
- Mariana Emi Nagata
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Departamento de Odontologia Preventiva e Restauradora, Araçatuba, São Paulo, Brasil
| | - Alberto Carlos Botazzo Delbem
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Departamento de Odontologia Preventiva e Restauradora, Araçatuba, São Paulo, Brasil
| | - Liliana Carolina Báez-Quintero
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Departamento de Odontologia Preventiva e Restauradora, Araçatuba, São Paulo, Brasil
| | - Marcelle Danelon
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Departamento de Odontologia Preventiva e Restauradora, Araçatuba, São Paulo, Brasil
| | - Caio Sampaio
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Departamento de Odontologia Preventiva e Restauradora, Araçatuba, São Paulo, Brasil
| | - Douglas Roberto Monteiro
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Departamento de Odontologia Preventiva e Restauradora, Araçatuba, São Paulo, Brasil
- Universidade do Oeste Paulista (UNOESTE), Programa de Pós-graduação em Ciências da Saúde, Presidente Prudente, São Paulo, Brasil
| | - Annette Wiegand
- University Medical Center Göttingen, Department of Preventive Dentistry, Periodontology and Cariology, Göttingen, Germany
| | - Juliano Pelim Pessan
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia, Departamento de Odontologia Preventiva e Restauradora, Araçatuba, São Paulo, Brasil
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Salim I, Seseogullari-Dirihan R, Imazato S, Tezvergil-Mutluay A. The inhibitory effects of various ions released from S-PRG fillers on dentin protease activity. Dent Mater J 2023; 42:99-104. [PMID: 36450455 DOI: 10.4012/dmj.2022-141] [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: 12/02/2022]
Abstract
This study investigates the effect of ions released from S-PRG fillers on host-derived enzymatic degradation of dentin collagen matrices. Dentin beams (n=80) were demineralized and distributed to eight groups following baseline dry mass and total MMP activity assessments. Each group treated with boron, fluoride, sodium, silicone, strontium, aluminium, or S-PRG eluate solutions for 5 min. Untreated beams served as control. After pre-treatment, MMP activity was reassessed, beams were incubated in complete medium for 1 week, dry mass was reassessed. Incubation media were analyzed for MMP and cathepsin-K-mediated degradation fragments. Data were analyzed with ANOVA and Tukey's test. All pretreatment groups showed significant reduction in total MMP activity (p<0.05) that was sustainable after incubation in all groups except for boron and silicone groups (p<0.05). Cathepsin-K activity did not differ between control or treatment groups. The results indicated that ions released from S-PRG fillers have the potential to partly inhibit MMP-mediated endogenous enzymatic activity.
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Affiliation(s)
- Ikram Salim
- Finnish Doctoral Program in Oral Sciences (FINDOS), University of Turku, Institute of Dentistry.,Department of Cariology and Restorative Dentistry, Institute of Dentistry, University of Turku.,Adhesive Dentistry Research Group, Biomaterials, and Medical Device Research Program, Biocity
| | - Roda Seseogullari-Dirihan
- Department of Cariology and Restorative Dentistry, Institute of Dentistry, University of Turku.,Adhesive Dentistry Research Group, Biomaterials, and Medical Device Research Program, Biocity
| | - Satoshi Imazato
- Department of Biomaterials Science, Osaka University Graduate School of Dentistry
| | - Arzu Tezvergil-Mutluay
- Department of Cariology and Restorative Dentistry, Institute of Dentistry, University of Turku.,Adhesive Dentistry Research Group, Biomaterials, and Medical Device Research Program, Biocity.,Turku University Hospital, TYKS, University of Turku
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Pereira CKK, Leal IC, Nottingham TAFR, S Pereira SL, Lima DLF, Passos VF. In vitro effect of toothpaste with low fluoride combined with sodium trimetaphosphate on dentine erosion. Eur Arch Paediatr Dent 2021; 22:843-849. [PMID: 34056698 DOI: 10.1007/s40368-021-00636-z] [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: 11/10/2020] [Accepted: 05/21/2021] [Indexed: 11/26/2022]
Abstract
PURPOSE This study sought to evaluate in vitro the effect of a dentifrice containing sodium trimetaphosphate (TMP) combined or not with low fluoride (500 ppm NaF) on dentine erosion of intrinsic origin. METHODS Human root dentine blocks were selected based on surface microhardness and randomly allocated into five groups (n = 12): negative control (0 ppm F; no TMP); F500 (500 ppm NaF); F1500 (1500 ppm NaF-positive control); TMP (1% TMP); and F + TMP (500 ppm NaF + 1% TMP). The blocks were submitted to erosion cycles (3 ×/day) for 3 days (0.01 M HCl, pH 1.5-30 s), treatment (1 min-1:3 p/p dentifrice/distilled water) and remineralization (artificial saliva/120 min). Dentine alterations were determined according to the percentage of microhardness loss (%HL), surface loss (SL) and surface analysis by scanning electron microscopy. The data were analyzed using one-way ANOVA (p < 0.05). RESULTS The values of SL and %HL in each group were, respectively: negative control (1.36 ± 0.36; 57.29 ± 14.14), F500 (1.46 ± 0.28; 65.66 ± 5.11), F1500 (1.52 ± 0.36; 61.66 ± 5.15), TMP (1.45 ± 0.45; 62.08 ± 3.83) and F + TMP (1.38 ± 0.42; 63.38 ± 6.47). There was no statistically significant difference in all the parameters (p = 0.873 and p = 0.152). CONCLUSION The dentifrices containing TMP combined or not with fluoride were not able to prevent dentine erosion.
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Affiliation(s)
| | - I C Leal
- Department of Restorative Dentistry, Federal University of Ceará, Rua Monsenhor Furtado s/nº, Fortaleza, Ceará, CEP 60430-350, Brazil
| | | | | | - D L F Lima
- University of Fortaleza, Fortaleza, Ceará, Brazil
| | - V F Passos
- Department of Restorative Dentistry, Federal University of Ceará, Rua Monsenhor Furtado s/nº, Fortaleza, Ceará, CEP 60430-350, Brazil.
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Soares-Yoshikawa AL, Varanda T, Iwamoto AS, Kantovitz KR, Puppin-Rontani RM, Pascon FM. Fluoride release and remineralizing potential of varnishes in early caries lesions in primary teeth. Microsc Res Tech 2020; 84:1012-1021. [PMID: 33278320 DOI: 10.1002/jemt.23662] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Revised: 10/25/2020] [Accepted: 11/18/2020] [Indexed: 11/10/2022]
Abstract
This study evaluated the fluoride (F) release and remineralizing potential of varnishes containing sodium fluoride (5% NaF), 5% NaF with CPP-ACP and 5% NaF with TCP in early caries lesions in primary teeth. To determine the F release at 1, 4, 6, 24, 72, and 168 hr, strips were covered with the varnishes and immersed in purified water (n = 7). The varnishes and purified water (negative control) were applied on enamel blocks with early caries lesions (n = 16). Enamel blocks were stored in artificial saliva and submitted to a pH-cycling. The area of enamel hardness loss (ΔS) was analyzed by microhardness, lesion depth by polarized light microscopy (PLM) and the chemical analysis by Energy-dispersive X-ray spectroscopy. Data were submitted to Shapiro-Wilk, two-way and one-way ANOVA, Tukey and paired t-tests (α = 5%). All varnishes released F, but 5% NaF with CPP-ACP had the highest release at 4, 6, 24, and 72 hr (p < .05) followed by 5% NaF with TCP and 5% NaF. No significant difference in ΔS was observed among varnishes (5% NaF = 4,098.4 ± 1,407.9; 5% NaF with CPP-ACP = 4,164.0 ± 1,019.3; 5% NaF with TCP = 4,183.2 ± 1,527.2; p = .999), but all of them differed from the negative control group (6,757.8 ± 2,274.7; p < .001). Lesion depth was lower in varnishes groups compared to negative control (% reduction: 5% NaF = 41.8%, 5% NaF with CPP-ACP = 38.8%, and 5% NaF with TCP = 36.3%; p < .001). Similar Ca, P, and Ca/P ratio percentages among groups and F was not detected after the treatments. All fluoride varnishes showed potential to enhance remineralization of early caries lesions in primary teeth.
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Affiliation(s)
- Aline Laignier Soares-Yoshikawa
- Department of Health Sciences and Pediatric Dentistry, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil
| | - Thais Varanda
- Department of Health Sciences and Pediatric Dentistry, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil
| | - Alexsandra Shizue Iwamoto
- Department of Health Sciences and Pediatric Dentistry, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil
| | - Kamila Rosamilia Kantovitz
- Department of Health Sciences and Pediatric Dentistry, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil.,Dental Materials Area, Faculdade São Leopoldo Mandic, Campinas, São Paulo, Brazil
| | - Regina Maria Puppin-Rontani
- Department of Health Sciences and Pediatric Dentistry, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil
| | - Fernanda Miori Pascon
- Department of Health Sciences and Pediatric Dentistry, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil
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Cavazana TP, Pessan JP, Hosida TY, Sampaio C, Amarante VDOZ, Monteiro DR, Delbem ACB. Effects of Sodium Trimetaphosphate, Associated or Not with Fluoride, on the Composition and pH of Mixed Biofilms, before and after Exposure to Sucrose. Caries Res 2020; 54:358-368. [PMID: 32998137 DOI: 10.1159/000501262] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Accepted: 05/31/2019] [Indexed: 11/19/2022] Open
Abstract
The aim of the present study was to evaluate the influence of sodium trimetaphosphate (TMP), associated or not with fluoride (F), on the concentrations of F, calcium (Ca), and phosphorus (P) and on the pH of mixed biofilms of Streptococcus mutans and Candida albicans, before and after exposure to sucrose. The biofilms received three treatments (72, 78, and 96 h after the beginning of their formation), at three TMP concentrations (0.25, 0.5, or 1%), with or without F at 500 ppm. Solutions containing 500 and 1,100 ppm F as well as artificial saliva were also tested as controls. Biofilm pH was measured and the concentrations of F, Ca, and P were determined (solid and fluid phases). In a parallel experiment, after the third treatment (96 h), the biofilms were exposed to a 20% sucrose solution to simulate a cariogenic challenge and the pH of the medium, F, Ca, P, and TMP were determined. The data were submitted by two-way ANOVA, followed by Fisher's least significant difference test (p < 0.05). Treatment with TMP and 500 ppm F led to higher F concentration in the biofilm fluid. Although TMP did not affect Ca concentrations, biofilms treated with TMP alone presented higher P concentrations. Treatment with 1% TMP and F led to the highest pH values of the biofilm, both before and after the cariogenic challenge. It was concluded that TMP increases F and P in the biofilm and that its presence promotes an increase in the pH of the medium, even after the cariogenic challenge.
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Affiliation(s)
- Thamires Priscila Cavazana
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Juliano Pelim Pessan
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Thayse Yumi Hosida
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Caio Sampaio
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | | | - Douglas Roberto Monteiro
- Graduate Program in Dentistry (GPD - Master's Degree), University of Western São Paulo (UNOESTE), Presidente Prudente, Brazil
| | - Alberto Carlos Botazzo Delbem
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil,
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Cavazana TP, Hosida TY, Pessan JP, Sampaio C, Monteiro DR, Delbem ACB. Activity of sodium trimetaphosphate, associated or not with fluoride, on dual-species biofilms. BIOFOULING 2019; 35:710-718. [PMID: 31455115 DOI: 10.1080/08927014.2019.1653455] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Revised: 07/23/2019] [Accepted: 08/02/2019] [Indexed: 06/10/2023]
Abstract
This study aimed to evaluate the effect of sodium trimetaphosphate (TMP), either with fluoride (F) or without fluoride, on dual-species biofilms of Streptococcus mutans and Candida albicans. The 72 h biofilms were treated with 0.25%, 0.5%, or 1% TMP solutions, combined or not with 500 ppm F, and analysed by quantification of viable plate counts, metabolic activity, biomass, and extracellular matrix components. Biofilm structure was evaluated by scanning electron microscopy (SEM). TMP significantly reduced the number of S. mutans cells and biomass only when associated to F. Furthermore, fluoride-free TMP promoted significant reductions in biofilm metabolism, while all the tested solutions decreased the contents of the biofilm matrix compared to untreated groups. Regarding biofilm structure, TMP associated with F led to the formation of a less compact biofilm. It was concluded that TMP alone had a reducing effect, mainly on the metabolism and the extracellular matrix components of the biofilms.
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Affiliation(s)
- Thamires Priscila Cavazana
- Department of Pediatric Dentistry and Public Health, São Paulo State University (Unesp), School of Dentistry Araçatuba, SP, Brazil
| | - Thayse Yumi Hosida
- Department of Pediatric Dentistry and Public Health, São Paulo State University (Unesp), School of Dentistry Araçatuba, SP, Brazil
| | - Juliano Pelim Pessan
- Department of Pediatric Dentistry and Public Health, São Paulo State University (Unesp), School of Dentistry Araçatuba, SP, Brazil
| | - Caio Sampaio
- Department of Pediatric Dentistry and Public Health, São Paulo State University (Unesp), School of Dentistry Araçatuba, SP, Brazil
| | - Douglas Roberto Monteiro
- Graduate Program in Dentistry, University of Western São Paulo (UNOESTE), Presidente Prudente, SP, Brazil
| | - Alberto Carlos Botazzo Delbem
- Department of Pediatric Dentistry and Public Health, São Paulo State University (Unesp), School of Dentistry Araçatuba, SP, Brazil
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Ben Mohimd H, Kaaouara Y, Azaroual F, Zaoui F, Bahije L, Benyahia H. Enamel protection after stripping procedures: An in vivo study. Int Orthod 2019; 17:243-248. [PMID: 30987958 DOI: 10.1016/j.ortho.2019.03.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
INTRODUCTION Interproximal enamel reduction (IPR) is a clinical procedure that has been in use since the advent of non-extraction orthodontic techniques. However, such a procedure affects the surface condition of the enamel and may predispose patients to cavities and hypersensitivity. The use of a remineralizing agent is recommended to prevent these side effects. The objective of our study was to evaluate the evolution of stripped proximal dental surfaces after exposure to the oral environment for 4 months with and without fluoride protection. MATERIALS AND METHODS Our sample consisted of 14 premolars (PM) from 6 patients of the Dentofacial Orthopaedics Department of the Consultation and Dental Treatment Centre of Rabat (CDTC) who required orthodontic treatment with PM extraction and had given their informed consent. The teeth were divided into 5 groups: group 1: intact enamel; group 2: intact enamel+fluoride varnish+4-month oral exposure; group 3: IPR (manual and mechanized)+extraction; group 4: IPR (manual and mechanized) without varnish+4-month oral exposure; group 5: IPR (manual and mechanized)+fluoride varnish+4-month oral exposure. Proximal surfaces were subjected to qualitative analysis by scanning electron microscopy and quantitative analysis by Dispersive Energy Spectroscopy (DES) to quantify the percentage of mineral elements. RESULTS Exposure of stripped dental surfaces to the oral environment for 4 months with or without fluoride protection showed the persistence of surface irregularities caused by stripping. We noted an improvement in the percentage of mineral elements for both groups with and without fluoride protection. However, the percentages of calcium (Ca) and phosphorus (P) were close to that of intact enamel in the fluoride varnish group. CONCLUSION Protecting stripped surfaces with fluoride varnish could help preserve the integrity of the enamel surface by restoring some of the mineral elements lost during stripping.
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Affiliation(s)
- Hajar Ben Mohimd
- Institut, université Mohammed V à Rabat, centre de consultation et de traitement dentaire, faculté de médecine dentaire, département d'orthopédie dentofaciale, avenue Allal El Fassi, Mohammed Jazouli street, Al Irfane, BP 6212, Rabat, Morocco.
| | - Yassine Kaaouara
- Institut, université Mohammed V à Rabat, centre de consultation et de traitement dentaire, faculté de médecine dentaire, département d'orthopédie dentofaciale, avenue Allal El Fassi, Mohammed Jazouli street, Al Irfane, BP 6212, Rabat, Morocco
| | - Faouzi Azaroual
- Institut, université Mohammed V à Rabat, centre de consultation et de traitement dentaire, faculté de médecine dentaire, département d'orthopédie dentofaciale, avenue Allal El Fassi, Mohammed Jazouli street, Al Irfane, BP 6212, Rabat, Morocco
| | - Fatima Zaoui
- Institut, université Mohammed V à Rabat, centre de consultation et de traitement dentaire, faculté de médecine dentaire, département d'orthopédie dentofaciale, avenue Allal El Fassi, Mohammed Jazouli street, Al Irfane, BP 6212, Rabat, Morocco
| | - Loubna Bahije
- Institut, université Mohammed V à Rabat, centre de consultation et de traitement dentaire, faculté de médecine dentaire, département d'orthopédie dentofaciale, avenue Allal El Fassi, Mohammed Jazouli street, Al Irfane, BP 6212, Rabat, Morocco
| | - Hicham Benyahia
- Institut, université Mohammed V à Rabat, centre de consultation et de traitement dentaire, faculté de médecine dentaire, département d'orthopédie dentofaciale, avenue Allal El Fassi, Mohammed Jazouli street, Al Irfane, BP 6212, Rabat, Morocco
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da Silva MER, Danelon M, Santos Souza JA, Silva DF, Pereira JA, Pedrini D, de Camargo ER, Botazzo Delbem AC, Duque C. Incorporation of chlorhexidine and nano-sized sodium trimetaphosphate into a glass-ionomer cement: Effect on mechanical and microbiological properties and inhibition of enamel demineralization. J Dent 2019; 84:81-88. [PMID: 30953673 DOI: 10.1016/j.jdent.2019.04.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2018] [Revised: 03/26/2019] [Accepted: 04/02/2019] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE To evaluate the antimicrobial/antibiofilm and mechanical properties, and the effect on enamel demineralization of a resin-modified GIC (RMGIC) containing CHX and nano-sized sodium trimetaphosphate (TMP). METHODS RMGIC was associated with CHX (1.25 or 2.5%) and/or TMP (7 or 14%). Antimicrobial and antibiofilm activity were assessed using agar diffusion test and evaluation of biofilm metabolism, respectively. In addition, fluoride (F) and TMP releases as well as the diametral tensile (DTS) and compressive (CS) strength were determined. The percentage of mineral loss (%SH), integrated loss of subsurface hardness (ΔKHN) and enamel F concentrations were also evaluated. RESULTS RMGICs containing CHX associated or not with TMP presented higher inhibition zones and effect on S. mutans biofilm. A reduction on CS was observed only for RMGIC + 2.5%CHX and on DTS for RMGIC + 2.5%CHX + 14%TMP. The highest F and TMP releases and lowest %SH and ΔKHN values were detected for RMGIC + 1.25%CHX + 14%TMP and RMGIC + 2.5%CHX + 14%TMP. Higher enamel F concentrations were observed for TMP groups. CONCLUSION 1.25%CHX and 14%TMP increased antimicrobial/antibiofilm action and the ability to prevent enamel demineralization, with minimal effect on the mechanical properties of RMGIC. CLINICAL SIGNIFICANCE RMGIC containing CHX and TMP is an alternative material for patients at high risk for dental caries and can be indicated for low-stress regions or provisional restorations.
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Affiliation(s)
| | - Marcelle Danelon
- Department of Pediatric Dentistry and Public Health, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - José Antonio Santos Souza
- Department of Pediatric Dentistry and Public Health, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Dinah Fressato Silva
- Department of Pediatric Dentistry and Public Health, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Jesse Augusto Pereira
- Department of Pediatric Dentistry and Public Health, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Denise Pedrini
- Department of Surgery and Integrated Clinic, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | | | - Alberto Carlos Botazzo Delbem
- Department of Pediatric Dentistry and Public Health, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Cristiane Duque
- Department of Pediatric Dentistry and Public Health, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil.
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González-Cabezas C, Fernández CE. Recent Advances in Remineralization Therapies for Caries Lesions. Adv Dent Res 2018; 29:55-59. [PMID: 29355426 DOI: 10.1177/0022034517740124] [Citation(s) in RCA: 50] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Remineralization of caries lesions is naturally achieved by salivary ions, and it can be enhanced by external factors or elements such as fluoride. Numerous studies have demonstrated the remineralizing efficacy of fluoride therapies as well as the limitations with some groups of the population. Consequently, developing new remineralization therapies to close this gap in efficacy has been a priority for the last 2 decades. In this review, we summarize and briefly discuss some of the latest advances in remineralization therapies. Most new therapies try to enhance the effect of fluoride by adding other potentially active ingredients to the formulation, such as calcium, phosphate, stannous, xylitol, and arginine. Other remineralization strategies have focused on creating remineralizing scaffolds within the lesions (e.g., self-assembling peptides). While several of the new remineralization strategies have progressed significantly in recent years, for most of them, the evidence is still insufficient to assess their true clinical potential.
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Affiliation(s)
- C González-Cabezas
- 1 Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA
| | - C E Fernández
- 1 Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA.,2 College of Dental Medicine-Illinois, Midwestern University, Downers Grove, IL, USA
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Philip N. State of the Art Enamel Remineralization Systems: The Next Frontier in Caries Management. Caries Res 2018; 53:284-295. [PMID: 30296788 DOI: 10.1159/000493031] [Citation(s) in RCA: 138] [Impact Index Per Article: 23.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2018] [Accepted: 07/11/2018] [Indexed: 12/17/2022] Open
Abstract
The principles of minimally invasive dentistry clearly dictate the need for clinically effective measures to remineralize early enamel caries lesions. While fluoride-mediated remineralization is the cornerstone of current caries management philosophies, a number of new remineralization strategies have been commercialized or are under development that claim to promote deeper remineralization of lesions, reduce the potential risks associated with high-fluoride oral care products, and facilitate caries control over a lifetime. These non-fluoride remineralizing systems can be broadly categorized into biomimetic enamel regenerative technologies and the approaches that repair caries lesions by enhancing fluoride efficacy. This paper discusses the rationale for non-fluoride remineralization and the mechanism of action, challenges, and evidence behind some of the most promising advances in enamel remineralization therapies.
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Affiliation(s)
- Nebu Philip
- School of Dentistry, University of Queensland, Brisbane, Queensland, Australia,
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Application of a direct pulp capping cement containing S-PRG filler. Clin Oral Investig 2018; 23:1723-1731. [PMID: 30159805 DOI: 10.1007/s00784-018-2596-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2018] [Accepted: 08/20/2018] [Indexed: 10/28/2022]
Abstract
OBJECTIVES To evaluate new pulp capping cements containing surface pre-reacted glass ionomer (S-PRG) filler and to investigate ion release kinetics and pH shift of eluates from the cement. MATERIALS AND METHODS Molars of Wistar rats were directly pulp capped using three kinds of cement containing S-PRG filler and mineral tri-oxide aggregate (MTA) was used as a control. After 1, 2, or 4 weeks, histological evaluation was performed and differences of tertiary dentin formation were analyzed. Release of Sr2+, BO33-, SiO32-, Na+, and Al3+ ions was determined by inductively coupled plasma-atomic emission spectrometry, and F- ion release was measured using a fluoride ion selective electrode. The pH of the eluate from each cement after mixing was measured with a pH electrode. RESULTS One of S-PRG cements promoted tertiary dentin formation to the same extent as the control (p > 0.05) and it showed a tendency of less inflammatory response. This cement released more BO33- and SiO32-, but less Sr2+, Na+, and F- than other S-PRG specimens. Each cement recovered nearly neutral compared with glass ionomer cement. CONCLUSIONS S-PRG cement induced tertiary dentin formation based on multiple ion releases, suggesting that it is suitable as a pulp capping material. CLINICAL RELEVANCE This new material can be an alternative pulp capping agent to MTA.
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Mendes-Gouvêa CC, do Amaral JG, Fernandes RA, Fernandes GL, Gorup LF, Camargo ER, Delbem ACB, Barbosa DB. Sodium trimetaphosphate and hexametaphosphate impregnated with silver nanoparticles: characteristics and antimicrobial efficacy. BIOFOULING 2018; 34:299-308. [PMID: 29482366 DOI: 10.1080/08927014.2018.1437146] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/15/2017] [Accepted: 01/31/2018] [Indexed: 06/08/2023]
Abstract
This study aimed to synthesize and characterize materials containing silver nanoparticles (AgNP) with polyphosphates (sodium trimetaphosphate (TMP) or sodium hexametaphosphate (HMP), and evaluate their effect against Candida albicans and Streptococcus mutans. The minimum inhibitory concentration (MIC) was determined, which was followed by the quantification of the biofilm by counting colony-forming units (CFUs), the amount of metabolic activity, and the total biomass. The MICs revealed greater effectiveness of composites containing 10% Ag (TMP + Ag10% (T10) and HMP + Ag10% (H10)) against both microorganisms. It was observed that T10 and H10 reduced the formation of biofilms by 56-76% for C. albicans and by 52-94% for S. mutans for total biomass and metabolic activity. These composites promoted significant log reductions in the number of CFUs, between 0.45-1.43 log10 for C. albicans and 2.88-3.71 log10 for S. mutans (p < .001). These composites demonstrated significant antimicrobial activity, especially against S. mutans, and may be considered a potential alternative for new dental materials.
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Affiliation(s)
- Carla Corrêa Mendes-Gouvêa
- a Department of Pediatric Dentistry and Public Health, School of Dentistry Araçatuba , São Paulo State University (UNESP) , Araçatuba , Brazil
| | - Jackeline Gallo do Amaral
- a Department of Pediatric Dentistry and Public Health, School of Dentistry Araçatuba , São Paulo State University (UNESP) , Araçatuba , Brazil
| | - Renan Aparecido Fernandes
- b Department of Dental Materials and Prosthodontics, School of Dentistry Araçatuba , São Paulo State University (UNESP) , Araçatuba , Brazil
| | - Gabriela Lopes Fernandes
- b Department of Dental Materials and Prosthodontics, School of Dentistry Araçatuba , São Paulo State University (UNESP) , Araçatuba , Brazil
| | - Luiz Fernando Gorup
- c Department of Chemistry , Federal University of São Carlos (UFSCar) , São Carlos , Brazil
| | | | - Alberto Carlos Botazzo Delbem
- a Department of Pediatric Dentistry and Public Health, School of Dentistry Araçatuba , São Paulo State University (UNESP) , Araçatuba , Brazil
| | - Debora Barros Barbosa
- b Department of Dental Materials and Prosthodontics, School of Dentistry Araçatuba , São Paulo State University (UNESP) , Araçatuba , Brazil
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Dentinal tubule obliteration using toothpastes containing sodium trimetaphosphate microparticles or nanoparticles. Clin Oral Investig 2018; 22:3021-3029. [PMID: 29464359 DOI: 10.1007/s00784-018-2384-3] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2017] [Accepted: 02/07/2018] [Indexed: 10/18/2022]
Abstract
OBJECTIVES This in vitro study evaluated the effect of microparticles (TMPmicro) or nanoparticles (TMPnano) TMP associated with fluoride (F) in toothpaste formulations on the obliteration of dentinal tubules (DT). MATERIALS AND METHODS The dentinal tubules of bovine dentin blocks were unobstructed by immersion in 37% phosphoric acid solution. Blocks (n = 20/group) underwent mechanical brushing (2×/day) during 7 days with toothpastes: placebo, 1100 ppm F, and 1100 with 3% TMPmicro or 3% TMPnano. After that, ten blocks of each group were immersed in citric acid (pH 3.2) for 1 min. The number, diameter and area of unobstructed DT, atomic % of chemical elements from precipitates, and the mineral concentration were quantified. Data were submitted to two-way ANOVA, followed by Student-Newman-Keuls test (P < 0.05). RESULTS Toothpastes containing TMPmicro and TMPnano promoted greater obliteration of DT and greater mineral concentration compared to other groups (P < 0.05). Placebo and 1100 ppm F group presented similar obliteration but 1100 ppm F group promoted higher mineral concentration. Higher Ca/P ratios were observed in groups treated with TMP; the acid challenge reduced Ca/P ratio for all groups. The atomic % of C and N was significantly lower for TMP toothpastes before acid challenge, but increased afterwards. CONCLUSIONS It was concluded that the addition of TMPmicro or TMPnano to F toothpastes produced greater obliteration of dentinal tubules and higher mineral concentration when compared with 1100 ppm F. CLINICAL RELEVANCE By the addition of TMP, fluoride toothpastes may occlude the dentinal tubules, with potential to reduce dentin hypersensitivity.
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Manarelli MM, Delbem ACB, Báez-Quintero LC, de Moraes FRN, Cunha RF, Pessan JP. Fluoride varnishes containing sodium trimetaphosphate reduce enamel demineralization in vitro. Acta Odontol Scand 2017; 75:376-378. [PMID: 28431491 DOI: 10.1080/00016357.2017.1318448] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE This study evaluated the effects of fluoride varnishes containing sodium trimetaphosphate (TMP) on bovine enamel demineralization in vitro. MATERIAL AND METHODS Enamel bovine discs were randomly assigned into six groups (n = 20/group): placebo, 2.5% NaF, 2.5% NaF/5% TMP, 5% NaF, 5% NaF/5% TMP, and a commercial formulation (Duraphat, 5% NaF). Varnishes were applied on all enamel discs and kept for 6 h. Loosely and firmly bound fluoride formed on/in enamel after treatment were analyzed in 10 discs from each group. The other 10 discs were subjected to a pH-cycling regimen for 7 days, and analyzed for surface (SH) and cross-sectional hardness (ΔKHN), as well as for loosely and firmly bound fluoride in/on enamel. Data were analyzed by analysis of variance (ANOVA) followed by Student-Newman-Keuls' test (p < .05). RESULTS The lowest SH change and ΔKHN were observed for the 5%NaF/5%TMP varnish, which was significantly different from all the other groups. Both fluoridated varnishes containing TMP promoted significantly lower SH change and ΔKHN when compared with their counterparts without TMP. Loosely and firmly bound fluoride was significantly lower in groups treated with varnishes containing TMP. CONCLUSION TMP and fluoride added to varnishes have a synergistic effect against enamel demineralization in vitro.
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Affiliation(s)
- Michele M. Manarelli
- Department of Pediatric Dentistry and Public Health, São Paulo State University (Unesp), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Alberto C. B. Delbem
- Department of Pediatric Dentistry and Public Health, São Paulo State University (Unesp), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Liliana Carolina Báez-Quintero
- Department of Pediatric Dentistry and Public Health, São Paulo State University (Unesp), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Felipe Ricardo N. de Moraes
- Department of Pediatric Dentistry and Public Health, São Paulo State University (Unesp), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Robson F. Cunha
- Department of Pediatric Dentistry and Public Health, São Paulo State University (Unesp), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Juliano P. Pessan
- Department of Pediatric Dentistry and Public Health, São Paulo State University (Unesp), School of Dentistry, Araçatuba, São Paulo, Brazil
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Effect of fluoride toothpaste with nano-sized trimetaphosphate on enamel demineralization: An in vitro study. Arch Oral Biol 2017; 78:82-87. [DOI: 10.1016/j.archoralbio.2017.02.014] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2015] [Revised: 02/08/2017] [Accepted: 02/09/2017] [Indexed: 10/20/2022]
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Souza M, Pessan J, Lodi C, Souza J, Camargo E, Souza Neto F, Delbem A. Toothpaste with Nanosized Trimetaphosphate Reduces Enamel Demineralization. JDR Clin Trans Res 2016; 2:233-240. [DOI: 10.1177/2380084416683913] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
This double-blind crossover study assessed the effects of a low-fluoride (low-F) dentifrice containing nanosized sodium trimetaphosphate (TMP) on enamel demineralization in situ. Nineteen subjects wore palatal appliances containing 4 blocks of bovine enamel and were randomly assigned to brush their teeth with placebo (without F/TMP), 250-ppm F (250F), 250F plus 0.05% nanosized TMP (250F-TMPnano), and 1,100-ppm F (1,100F) dentifrices during 7 d, under cariogenic challenge. Enamel surface hardness and cross-sectional hardness (ΔKHN [Knoop hardness number]), as well as F, calcium (Ca), and phosphorus (P) concentrations, were determined. Also, biofilm that formed on the blocks was analyzed for F, Ca, P, and insoluble extracellular polysaccharide concentrations. Data were submitted to analysis-of-variance models and Student-Newman-Keuls test ( P < 0.05). The 250F-TMPnano dentifrice promoted the lowest ΔKHN among all groups ( P < 0.001), while the percentage of surface hardness loss was similar to 1,100F. Also, similar F, Ca, and P concentrations in enamel were observed for 1,100F and 250F-TMPnano. In the biofilm, the highest F content was observed for 1,100F; Ca content was similar between 1,100F and 250F-TMPnano; and P content was similar among all groups. Similar extracellular polysaccharide values were observed for 250F-TMPnano and 1,100F ( P < 0.001), ionic activity of CaHPO40, CaF+, and HF0 ( P < 0.05) and degree of saturation of hydroxyapatite and CaF2 ( P < 0.05). It was concluded that the protective effect of 250F-TMPnano dentifrice was similar to a conventional dentifrice for most of the variables studied, having a more pronounced effect on the subsurface lesion when compared with the conventional toothpaste (1,100F). Knowledge Transfer Statement: Although toothpastes containing ≥1,000-ppm fluoride are more effective than low-fluoride formulations against dental caries, their early use can lead to side effects. This has prompted intensive research on alternatives to increase the anticaries effect of low-fluoride toothpastes. The present in situ study demonstrated that the addition of sodium trimetaphosphate nanoparticles to toothpastes containing 250-ppm fluoride significantly enhances the protective effect of this formulation against enamel demineralization to levels comparable to a 1,100-ppm fluoride toothpaste in terms of most of the variables studied. Most important, this formulation promoted the lowest loss of subsurface hardness among all groups, suggesting that caries lesions would take longer to develop under clinical conditions when compared with a conventional (1,100-fluoride) toothpaste.
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Affiliation(s)
- M.D.B. Souza
- School of Dentistry, UNIOESTE–Universidade Estadual do Oeste do Paraná, and Rua Universitária, Cascavel, Brazil
- Department of Pediatric Dentistry and Public Health, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - J.P. Pessan
- Department of Pediatric Dentistry and Public Health, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - C.S. Lodi
- Department of Pediatric Dentistry and Public Health, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - J.A.S. Souza
- Department of Pediatric Dentistry and Public Health, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - E.R. Camargo
- Department of Chemistry, Federal University of São Carlos, Sao Carlos, Brazil
| | - F.N. Souza Neto
- Department of Chemistry, Federal University of São Carlos, Sao Carlos, Brazil
| | - A.C.B. Delbem
- Department of Pediatric Dentistry and Public Health, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
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Takeshita EM, Danelon M, Castro LP, Cunha RF, Delbem ACB. Remineralizing Potential of a Low Fluoride Toothpaste with Sodium Trimetaphosphate: An in situ Study. Caries Res 2016; 50:571-578. [DOI: 10.1159/000449358] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2016] [Accepted: 08/22/2016] [Indexed: 11/19/2022] Open
Abstract
Objective: To evaluate the effect of a low-fluoride (F) toothpaste supplemented with sodium trimetaphosphate (TMP) on enamel remineralization in situ. Design: Bovine enamel blocks were selected on the basis of their surface hardness (SH) after caries-like lesions had been induced, and randomly divided into 4 treatment groups, according to the toothpastes used: without F or TMP (placebo); 500 ppm F; 500 ppm F plus 1% TMP; and 1,100 ppm F. The study design was blinded and crossover and performed in 4 phases of 3 days each. Eleven subjects used palatal appliances containing 4 bovine enamel blocks which were treated 3 times per day during 1 min each time, with natural slurries of saliva and toothpaste formed in the oral cavity during toothbrushing. After each phase, the percentages of surface (%SHR) and subsurface hardness recovery (%ΔKHNR) were calculated. F, calcium (Ca), and phosphorus (Pi) contents in enamel were also determined. Data were analyzed by 1-way, repeated-measures ANOVA, followed by the Student-Newman-Keuls test (p < 0.05). Results: Toothpaste with 500 ppm F + TMP and 1,100 ppm F showed similar %SHR and %ΔKHNR as well as enamel F, Ca, and Pi concentrations. Conclusion: The addition of TMP to a low-fluoride toothpaste promoted a similar remineralizing capacity to that of a standard (1,100 ppm F) toothpaste in situ.
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PENG Y, QIAN Z, TING Z, JIE F, XIAOMEI X, LI M. The effect of resin infiltration vs. fluoride varnish in enhancing enamel surface conditions after interproximal reduction. Dent Mater J 2016; 35:756-761. [PMID: 27725512 DOI: 10.4012/dmj.2015-398] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- Yin PENG
- Department of Stomatology, The People’s Hospital of LeShan
| | - Zheng QIAN
- Department of Orthodontics, Hospital of Stomatology, Orofacial Reconstruction and Regeneration Laboratory, Luzhou Medical College
| | - Zhou TING
- Department of Stomatology, The Fourth People’s Hospital of Sichuan Province
| | - Fang JIE
- Department of Orthodontics, West China Hospital of Stomatology, State Key Laboratory of Oral Diseases, Sichuan University
| | - Xu XIAOMEI
- Department of Orthodontics, Hospital of Stomatology, Orofacial Reconstruction and Regeneration Laboratory, Luzhou Medical College
| | - Mei LI
- Discipline of Orthodontics, Department of Oral Sciences, Faculty of Dentistry, University of Otago
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MANARELLI MM, DELBEM ACB, PERCINOTO C, PESSAN JP. Fluoride and sodium trimetaphosphate (TMP) release from fluoride varnishes supplemented with TMP. Braz Oral Res 2016; 30:S1806-83242016000100803. [DOI: 10.1590/1807-3107bor-2016.vol30.0064] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2015] [Accepted: 01/27/2016] [Indexed: 11/22/2022] Open
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Nantanee R, Santiwong B, Trairatvorakul C, Hamba H, Tagami J. Silver diamine fluoride and glass ionomer differentially remineralize early caries lesions, in situ. Clin Oral Investig 2015; 20:1151-7. [PMID: 26395352 DOI: 10.1007/s00784-015-1603-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2015] [Accepted: 09/14/2015] [Indexed: 10/23/2022]
Abstract
OBJECTIVES The aim of the present study was to evaluate the percent mean mineral density (MD) change of early caries lesions after the application of silver diamine fluoride (SDF) or glass ionomer cement (GIC). MATERIALS AND METHODS This double-blind, crossover study involved two experimental phases of 28 days each. Thirty-two pairs of enamel slabs were created from the proximal surfaces of 16 premolars. Each pair of artificial carious slabs was randomly divided into the control or test group (38 % SDF or GIC). The slabs were attached to orthodontic brackets and bonded to the maxillary first permanent molars of 16 subjects for 28 days. After a 7-day washout period between phases, the subjects received the other material for the second phase. The mean MD of the lesions was measured by microcomputed tomography. RESULTS SDF yielded a percent mean MD increase at a depth of 0-84 μm, although increase in the GIC group was observed at a depth of 24-108 μm. The percent mean MD changes of the SDF and GIC groups were similar (p = 0.100) and significantly higher than in control (p < 0.001, p = 0.003, respectively). CONCLUSIONS The two materials increased the percent mean MD change of early proximal caries lesions to a similar extent, but with different spatial patterns. CLINICAL RELEVANCE Due to deeper level of GIC remineralization, the refractive index of the GIC applied enamel might be closer to sound enamel. Hence, GIC is recommended for remineralization of anterior teeth. SDF staining makes it unsuitable for use in anterior teeth; thus, it is reserved for use in posterior teeth.
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Affiliation(s)
- Ratichanok Nantanee
- Department of Pediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, 34 Henry Dunant Road, Pathumwan, Bangkok, 10330, Thailand
| | - Busayarat Santiwong
- Department of Pediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, 34 Henry Dunant Road, Pathumwan, Bangkok, 10330, Thailand
| | - Chutima Trairatvorakul
- Department of Pediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, 34 Henry Dunant Road, Pathumwan, Bangkok, 10330, Thailand.
| | - Hidenori Hamba
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
| | - Junji Tagami
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
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