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Kim JH, Kim S, Park YS. Effects of a commercial whitening toothpaste containing hydrogen peroxide and citric acid on dentin abrasion and erosion. BMC Oral Health 2023; 23:619. [PMID: 37658357 PMCID: PMC10474654 DOI: 10.1186/s12903-023-03319-x] [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: 04/05/2023] [Accepted: 08/16/2023] [Indexed: 09/03/2023] Open
Abstract
BACKGROUND Hydrogen peroxide (HP) and citric acid (CA), key contributors to toothpaste acidity, can lead to dental loss. This study aimed to compare the amount of abrasion or loss of dentin based on pH, buffering, and concentration of HP and CA in commercial and experimental toothpastes after toothbrushing or immersion. METHODS Bovine dentin specimens were randomly assigned to nine solutions. The prepared solutions included two commercial toothpastes (whitening toothpaste [WT] with HP and CA; conventional toothpaste [CT] without HP and CA), reference slurry (RS), two CA solutions (1.92%, CAS1; 0.001%, CAS2), basic solution (7.16% sodium phosphate dibasic [SPDS]), CA phosphate buffer solution (3.58% SPDS and 0.96% CA [CAPB]), HP solution (4%, HPS), and distilled water (DW). Dentin specimens were performed in two treatments: one with only abrasion (10,000 brushings) and one with only immersion (1 h). After treatments, the amount of dentin loss and surface images were measured and observed using noncontact profilometry. Data were analyzed using an one-way analysis of variance and the Tukey test as a post hoc analysis (p < 0.05). RESULTS WT with pH 5.0 had lower dentin abrasion than CT and RS after brushing but had higher dentin loss than both after immersion. The dentin surfaces of CAS1, CAPB, and WT were damaged after immersion, whereas HPS, CAS2, CT, SPDS, RS, and DW remained intact after soaking. CAS2 and HPS, which had a pH of 5.0 like WT, did not significantly differ from those of DW after brushing. CONCLUSIONS WT containing HP and CA did not cause significant dentin abrasion but may cause additional dentin loss even without brushing. After brushing or immersion, the CA concentration may affect the dentin surface more than the HP concentration included in WT. The amount of abrasion or loss of dentin after brushing or soaking can vary based on the composition, concentration, and buffer in the solution, even if the pH of the solution is similar to pH 5.0.
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Affiliation(s)
- Jae-Heon Kim
- Department of Oral Anatomy and Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
| | - Soyeon Kim
- Department of Oral Anatomy and Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
| | - Young-Seok Park
- Department of Oral Anatomy and Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
- Center for Future Dentistry, School of Dentistry, Seoul National University, Seoul, 03080, Republic of Korea.
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de Brito GMAP, Silva DO, Macedo RFC, Ferreira MWC, Bauer J, Pedroso FDB, Reis A, Siqueira FSF, Loguercio AD, Cardenas AFM. Does the Application of Additional Hydrophobic Resin to Universal Adhesives Increase Bonding Longevity of Eroded Dentin? Polymers (Basel) 2022; 14:polym14132701. [PMID: 35808746 PMCID: PMC9268900 DOI: 10.3390/polym14132701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 05/17/2022] [Accepted: 05/30/2022] [Indexed: 12/10/2022] Open
Abstract
This paper evaluates the effect of an additional hydrophobic resin coat (extra HL) associated with universal adhesives on sound and eroded dentin and evaluated immediately or after 2 years of water storage to improve the microtensile bond strength (μTBS) and nanoleakage (NL) when compared to the use of universal adhesives only. Sixty-four molars were assigned to eight groups using the following combinations: 1. dentin substrate, including sound and eroded dentin; 2. treatment, including the control and extra HL and storage time (immediately and after two-years of storage). Two universal adhesives (Prime & Bond Active or Scotchbond Universal) were evaluated. Before restoration, half of the teeth were subjected to soft-drink erosion. Composite buildups were bonded; specimens were stored (37 °C/24 h), sectioned into resin−dentin bonded sticks and tested for microtensile bond strength and nanoleakage using SEM (immediately and after two-years of storage). Three-way ANOVA and Tukey’s test (α = 0.05%) were used. In the immediate testing, the application of extra HL did not increase microtensile bond strength values compared with the control group in either substrate (p > 0.05). However, extra HL significantly decreased nanoleakage values when applied to eroded and sound dentin (p = 0.0001). After two years, the application of extra HL produced significantly higher microtensile bond strength and lower nanoleakage values than the control group for both adhesives (p = 0.0001). In all cases, sound dentin showed higher microtensile bond strength and lower nanoleakage values than eroded dentin (p = 0.000001). An extra HL increased the bond strength and reduced nanoleakage in eroded dentin after two-years of storage.
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Affiliation(s)
- Graça Maria Abreu Pereira de Brito
- Department of Postgraduate Program in Dentistry, CEUMA University, São Luis 65075-120, Brazil; (G.M.A.P.d.B.); (D.O.S.); (F.S.F.S.); (A.F.M.C.)
| | - Daniella Oliveira Silva
- Department of Postgraduate Program in Dentistry, CEUMA University, São Luis 65075-120, Brazil; (G.M.A.P.d.B.); (D.O.S.); (F.S.F.S.); (A.F.M.C.)
| | | | | | - Jose Bauer
- Department of Postgraduate Program in Dentistry, Federal University of Maranhao, São Luis 65085-805, Brazil; (R.F.C.M.); (J.B.)
| | - Flavia de Brito Pedroso
- Department of Pharmacology, State University of Ponta Grossa, Uvaranas 84030-900, Brazil; (M.W.C.F.); (F.d.B.P.)
| | - Alessandra Reis
- Department of Restorative Dentistry, State University of Ponta Grossa, Uvaranas 84030-900, Brazil;
| | - Fabiana Suelen Figuerêdo Siqueira
- Department of Postgraduate Program in Dentistry, CEUMA University, São Luis 65075-120, Brazil; (G.M.A.P.d.B.); (D.O.S.); (F.S.F.S.); (A.F.M.C.)
| | - Alessandro Dourado Loguercio
- Department of Restorative Dentistry, State University of Ponta Grossa, Uvaranas 84030-900, Brazil;
- Correspondence:
| | - Andres Felipe Millan Cardenas
- Department of Postgraduate Program in Dentistry, CEUMA University, São Luis 65075-120, Brazil; (G.M.A.P.d.B.); (D.O.S.); (F.S.F.S.); (A.F.M.C.)
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Nekrashevych Y, Schestakow A, Hoth-Hannig W, Hannig M. Influence of periodic milk or cream treatment on the anti-erosive potential of the acquired enamel pellicle. J Dent 2021; 115:103858. [PMID: 34710546 DOI: 10.1016/j.jdent.2021.103858] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 10/03/2021] [Accepted: 10/21/2021] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE The purpose of the present study was to assess the anti-erosive potential of the acquired enamel pellicle formed in situ under the influence of periodic milk or cream treatment. METHODS The pellicle was formed on bovine enamel specimens in the oral cavity at buccal and palatal sites of upper molars in 6 subjects, using removable acrylic splints. During 6-h of intraoral exposure, splints were removed from the oral cavity every 25 min, treated with milk or cream for 5 min, and subsequently re-inserted into the oral cavity. After 6 h, pellicle covered specimens were immersed in citric acid (0.1 or 1.0 %) for 1 min, and processed for measurement of surface microhardness, determination of calcium release by atomic absorption spectroscopy, scanning and transmission electron microscopy. Statistical analysis was performed with SAS. RESULTS Statistical analysis did not indicate major differences between erosive surface alterations on enamel specimens covered by pellicles treated with cream or milk, and those covered by control pellicles. In addition, TEM analysis did not reveal any differences concerning the ultrastructure of the different pellicle treatments during acid exposure. All pellicles were dissolved in part after exposure to 0.1 % citric acid and were nearly completely removed after treatment with 1.0% citric acid. CONCLUSIONS It is concluded that periodic treatment with milk or cream during pellicle formation in situ does not improve the protective potential of the acquired enamel pellicle against erosion. CLINICAL SIGNIFICANCE Modification of the pellicle by consumption of milk or cream prior to an acidic challenge cannot sufficiently protect enamel from erosion.
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Affiliation(s)
- Yuriy Nekrashevych
- Clinic of Operative Dentistry, Periodontology and Preventive Dentistry, Saarland University, Homburg, Saar, Germany.
| | - Anton Schestakow
- Clinic of Operative Dentistry, Periodontology and Preventive Dentistry, Saarland University, Homburg, Saar, Germany.
| | - Wiebke Hoth-Hannig
- Technical Staff, Clinic of Operative Dentistry, Periodontology and Preventive Dentistry, Saarland University, Homburg, Saar.
| | - Matthias Hannig
- Clinic of Operative Dentistry, Periodontology and Preventive Dentistry, Saarland University, Homburg, Saar, Germany.
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Odabas T, Hajiyev R, Gultekin A, Atakoglu OO, Harorli OT. Can We Prevent Coffee Stains on Teeth? J Med Food 2021; 24:1331-1339. [PMID: 34160286 DOI: 10.1089/jmf.2020.0205] [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: 11/13/2022] Open
Abstract
This study evaluates whether some common beverages treated before coffee could protect or increase tooth staining caused by coffee. Initial color of 50 incisor teeth were measured with a spectrophotometer and recorded according to CIELAB color system. Teeth were randomly divided into five groups, water (control), milk, green tea, orange juice, and cola (n = 10) and were kept in selected beverage for 10 min. Immediately afterward, they were immersed in coffee and allowed to stand for 24 h. The treatment was repeated for 5 days. At the end of the fifth day, L*a*b* color measurements of the teeth were repeated. Calcium, phosphorus, potassium, and magnesium changes on representative teeth surfaces were also investigated with X-ray fluorescence spectroscopy. Color differences were calculated with both CIEab and CIE00 formulas. Groups were compared with Kruskal-Wallis test complemented by the Bonferroni correction and Mann-Whitney U test for pairwise comparisons (P = .05). The teeth submitted to coffee challenges after distillated water or beverages showed a perceptible color change. Soaking in cola or orange juice before coffee immersion caused severe tooth discoloration. All the beverages tested here were not able to protect the tooth from coffee staining. People should be informed that some acidic beverages consumed before a coffee can worsen the coffee-based tooth discolorations.
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Affiliation(s)
- Tugce Odabas
- Department of Restorative Dentistry, Faculty of Dentistry, Akdeniz University, Antalya, Turkey
| | - Rufat Hajiyev
- Department of Prosthetic Dentistry, Faculty of Dentistry, Akdeniz University, Antalya, Turkey
| | - Ahmet Gultekin
- Department of Restorative Dentistry, Faculty of Dentistry, Akdeniz University, Antalya, Turkey
| | - Ozge Ozer Atakoglu
- Department of Geology, Engineering Faculty, Akdeniz University, Antalya, Turkey
| | - Osman Tolga Harorli
- Department of Restorative Dentistry, Faculty of Dentistry, Akdeniz University, Antalya, Turkey
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Kensche A, Pötschke S, Hannig C, Dürasch A, Henle T, Hannig M. Efficacy of mouthrinses with bovine milk and milk protein isolates to accumulate casein in the in situ pellicle. Clin Oral Investig 2020; 24:3871-3880. [DOI: 10.1007/s00784-020-03253-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Accepted: 02/26/2020] [Indexed: 10/24/2022]
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Körner P, Wiedemeier DB, Attin T, Wegehaupt FJ. Prevention of Enamel Softening by Rinsing with a Calcium Solution before Dental Erosion. Caries Res 2020; 54:127-133. [PMID: 31910423 DOI: 10.1159/000504747] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Accepted: 11/13/2019] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES This in situ study aimed to evaluate whether rinsing with a calcium-containing solution prior to an erosive attack reduces the softening of enamel. MATERIALS AND METHODS A total of 240 bovine enamel samples with determined baseline surface microhardness (KHN) were allocated to 5 runs in which each of the 12 volunteers performed the following experiment: 4 enamel samples were inserted in a custom-made intraoral appliance and carried in the mouth (upper jaw) for 30 min before each volunteer either rinsed his mouth for 60 s with a fluoride- and stannous ion-containing dental erosion protection mouth rinse as positive control (run 1), milk (run 2), a solution prepared from a 500-mg calcium effervescent tablet dissolved in 100 mL (run 3) or 200 mL (run 4) water, or did not perform any rinsing with a test solution before the erosive attack (run 5, negative control). To simulate the erosive attack, volunteers rinsed their mouth with a commercial soft drink (Sprite Zero) for 60 s and afterwards with water to stop the erosive process. Finally, surface microhardness was measured again and hardness loss (ΔKHN) calculated. A mixed effect model was fitted to the data set to investigate whether the different runs showed differences with respect to ΔKHN. RESULTS No significant difference in softening of enamel (mean of ΔKHN; lower confidence level/upper confidence level) was observed between the negative control run 5 (50.7; 60.8/40.6), run 2 (50.7; 60.8/40.6), run 3 (38.7; 48.8/28.6) and run 4 (40.7; 50.8/30.6) (p > 0.05, respectively). Enamel softening in the positive control run 1 (25.4; 35.6/15.3) was significantly lower compared to the softening in run 5 (p < 0.001). No significant difference was observed between run 1 and run 3 (p = 0.09). CONCLUSION Other than the fluoride- and stannous ion-containing dental erosion protection mouth rinse, none of the investigated calcium-containing solutions is able to significantly reduce erosion-induced softening of enamel.
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Affiliation(s)
- Philipp Körner
- Clinic of Preventive Dentistry, Periodontology and Cariology, Center for Dental Medicine, University of Zurich, Zurich, Switzerland,
| | - Daniel B Wiedemeier
- Statistical Services, Center for Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Thomas Attin
- Clinic of Preventive Dentistry, Periodontology and Cariology, Center for Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Florian Just Wegehaupt
- Clinic of Preventive Dentistry, Periodontology and Cariology, Center for Dental Medicine, University of Zurich, Zurich, Switzerland
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Improving bonding to eroded dentin by using collagen cross-linking agents: 2 years of water storage. Clin Oral Investig 2019; 24:809-822. [DOI: 10.1007/s00784-019-02918-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Accepted: 04/29/2019] [Indexed: 12/11/2022]
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Kensche A, Dürasch A, König B, Henle T, Hannig C, Hannig M. Characterization of the in situ pellicle ultrastructure formed under the influence of bovine milk and milk protein isolates. Arch Oral Biol 2019; 104:133-140. [PMID: 31202148 DOI: 10.1016/j.archoralbio.2019.05.021] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Revised: 05/20/2019] [Accepted: 05/21/2019] [Indexed: 12/26/2022]
Abstract
OBJECTIVES The present study aimed to investigate if bovine milk or milk protein isolates, respectively, alter the ultrastructure of thein situ pellicle and might therefore have an influence on oral health. METHODS In situ pellicle samples were formed on bovine enamel slabs exposed in the oral cavity of three subjects for 6, 30, 60 or 120 min. After 3 min of pellicle formation, mouthrinses were performed for 3 min with (non-)homogenized UHT- or fresh milk (0.3% or 3.8% fat), 30% UHT-treated cream or different types of casein- or milk protein isolates containing preparations. The specimens were removed after the exposure times and transmission electron microscopy (TEM) was performed. Native pellicle samples served as controls. RESULTS Topical ultrastructural pellicle modifications were detected after mouthrinses with all types of homogenized UHT- or fresh milk and after the application of a 3% native casein micelles containing experimental solution. Atypical globular protein structures, identified as casein micelles, were temporarily adsorbed onto the pellicle. They were closely associated with lipid droplets. Furthermore, the mouthrinses occasionally affected the morphology of salivary bacteria. However, no notable ultrastructural alterations remained after 120 min of pellicle formation. CONCLUSION For the first time, bovine milk- and micellar casein-induced pellicle modifications were revealed by TEM. The adsorption of micellar casein is possibly due to its molecular interactions. CLINICAL SIGNIFICANCE Bovine milk or micellar caseins provide some potential for the development of preventive strategies against bacterial biofilm formation or erosive processes at the tooth surface.
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Affiliation(s)
- A Kensche
- Clinic of Operative and Pediatric Dentistry, Medical Faculty Carl Gustav Carus, TU Dresden, Fetscherstr. 74, D-01307 Dresden, Germany.
| | - A Dürasch
- Chair of Food Chemistry, TU Dresden, Dresden, Germany
| | - B König
- Clinic of Operative Dentistry, Periodontology and Preventive Dentistry, University Hospital, Saarland University, Building 73, D- 66421 Homburg/Saar, Germany
| | - T Henle
- Chair of Food Chemistry, TU Dresden, Dresden, Germany
| | - C Hannig
- Clinic of Operative and Pediatric Dentistry, Medical Faculty Carl Gustav Carus, TU Dresden, Fetscherstr. 74, D-01307 Dresden, Germany
| | - M Hannig
- Clinic of Operative Dentistry, Periodontology and Preventive Dentistry, University Hospital, Saarland University, Building 73, D- 66421 Homburg/Saar, Germany
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Cassiano LPS, Ventura TMS, Silva CMS, Leite AL, Magalhães AC, Pessan JP, Buzalaf MAR. Protein Profile of the Acquired Enamel Pellicle after Rinsing with Whole Milk, Fat-Free Milk, and Water: An in vivo Study. Caries Res 2018; 52:288-296. [PMID: 29393147 DOI: 10.1159/000485390] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2017] [Accepted: 11/15/2017] [Indexed: 11/19/2022] Open
Abstract
This study detected changes in the protein profile of the acquired enamel pellicle (AEP) formed in vivo after rinsing with whole milk, fat-free milk, or water. Nine subjects in good oral condition took part in the study. The acquired pellicle was formed in the morning, for 120 min, after prophylaxis with pumice. Following this, the volunteers rinsed with 10 mL of whole milk, fat-free milk, or deionized water for 30 s, following a blinded crossover protocol. After 60 min, the pellicle was collected with filter paper soaked in 3% citric acid and processed for analysis by liquid chromatography-electrospray ionization tandem mass spectrometry. The obtained tandem mass spectrometry spectra were searched against a human protein database (Swiss-Prot). The proteomic data related to protein quantification were analysed using the PLGS software. A total of 260 proteins were successfully identified in the AEP samples collected from all groups. Forty-nine were common to all 3 groups, while 72, 62, and 49 were specific to the groups rinsing with whole milk, fat-free milk, and water, respectively. Some were typical components of the AEP, such as cystatin-B, cystatin-SN, isoforms of α-amylase, IgA and IgG, lysozyme C, protein S100 A78, histatin-1, proline-rich protein 27, statherin, and lactotransferrin. Other proteins are not commonly described as part of the AEP but could act in defence of the organism against pathogens. Distinct proteomic profiles were found in the AEP after rinsing with whole or fat-free milk, which could have an impact on bacterial adhesion and tooth dissolution. The use of fat-free milk could favourably modulate the adhesion of bacteria to the AEP as well as biofilm formation when compared with whole milk.
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Affiliation(s)
- Luiza P S Cassiano
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
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Susceptibility of bovine dental enamel with initial erosion lesion to new erosive challenges. PLoS One 2017; 12:e0182347. [PMID: 28817591 PMCID: PMC5560727 DOI: 10.1371/journal.pone.0182347] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Accepted: 07/17/2017] [Indexed: 11/19/2022] Open
Abstract
This in vitro study evaluated the impact of initial erosion on the susceptibility of enamel to further erosive challenge. Thirty bovine enamel blocks were selected by surface hardness and randomized into two groups (n = 15): GC- group composed by enamel blocks without erosion lesion and GT- group composed by enamel blocks with initial erosion lesion. The baseline profile of each block was determined using the profilometer. The initial erosion was produced by immersing the blocks into HCl 0.01 M, pH 2.3 for 30 seconds, under stirring. The erosive cycling consisted of blocks immersion in hydrochloric acid (0.01 M, pH 2.3) for 2 minutes, followed by immersion in artificial saliva for 120 minutes. This procedure was repeated 4 times a day for 5 days, and the blocks were kept in artificial saliva overnight. After erosive cycling, final profile measurement was performed. Profilometry measured the enamel loss by the superposition of initial and final profiles. Data were analyzed by t-test (p<0.05). The result showed no statistically significant difference between groups (GS = 14.60±2.86 and GE = .14.69±2.21 μm). The presence of initial erosion on bovine dental enamel does not enhance its susceptibility to new erosive challenges.
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In situ effect of a CPP-ACP chewing gum on enamel erosion associated or not with abrasion. Clin Oral Investig 2016; 21:339-346. [DOI: 10.1007/s00784-016-1796-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2015] [Accepted: 03/14/2016] [Indexed: 10/22/2022]
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12
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Cassiano LPS, Charone S, Souza JG, Leizico LC, Pessan JP, Magalhães AC, Buzalaf MAR. Protective Effect of Whole and Fat-Free Fluoridated Milk, Applied before or after Acid Challenge, against Dental Erosion. Caries Res 2016; 50:111-6. [PMID: 26939048 DOI: 10.1159/000444024] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2015] [Accepted: 01/12/2016] [Indexed: 11/19/2022] Open
Abstract
This study analysed in vitro the effect of milk against dental erosion, considering three factors: the type of milk (bovine whole/fat-free), the presence of different fluoride concentrations and the time of application (before/after erosive challenge). Bovine enamel (n = 15/group) and root dentine (n = 12/group) specimens were submitted to the following treatments: after the first erosive challenge - 0.9% NaCl solution (negative control), whole milk with 0, 2.5, 5.0 and 10.0 ppm F, fat-free milk with 0, 2.5, 5.0 and 10.0 ppm F, and 0.05% NaF solution (positive control); before the first erosive challenge - whole milk with 0, 2.5, 5.0 and 10.0 ppm F, fat-free milk with 0, 2.5, 5.0 and 10.0 ppm F, and 0.05% NaF solution (positive control). Specimens were submitted to demineralisation-remineralisation regimes 4 times/day for 5 days. The response variables were enamel and dentine loss (in micrometres). Data were analysed using Kruskal-Wallis/Dunn's test (p < 0.05). For enamel, whole milk containing 10 ppm F, applied before the erosive challenge, was the most protective treatment, but with no significant difference compared with the same treatment carried out after the erosive challenge. For dentine, whole fluoridated milk (all concentrations, after), fat-free 10 ppm F milk (after, before) and whole milk with or without F (except 2.5 ppm F, all before) significantly reduced dentine erosion. It seems that the presence of fluoride, especially at 10 ppm, is the most important factor in reducing dental erosion.
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Affiliation(s)
- Luiza P S Cassiano
- Department of Biological Sciences, Bauru School of Dentistry, University of Sx00E3;o Paulo, Bauru, Brazil
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