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Sun Y, Shukla A, Ramachandran RA, Kanniyappan H, Yang B, Harlow R, Campbell SD, Thalji G, Mathew M. Fretting-corrosion at the Implant-Abutment Interface Simulating Clinically Relevant Conditions. Dent Mater 2024:S0109-5641(24)00255-0. [PMID: 39174418 DOI: 10.1016/j.dental.2024.08.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2024] [Revised: 08/14/2024] [Accepted: 08/15/2024] [Indexed: 08/24/2024]
Abstract
OBJECTIVE Implant treatment is provided to individuals with normal, idealized masticatory forces and also to patients with parafunctional habits such as grinding, clenching, and bruxing. Dental erosion is a common increasing condition and is reported to affect 32 % of adults, increasing with age. This oral environment is conducive to tribocorrosion and the potential loss of materials from the implant surfaces and interfaces with prosthetic components. Although several fretting-corrosion studies have been reported, until now, no study has simulated clinically relevant micromotion. Therefore, our aim is to investigate fretting-corrosion using our new micro-fretting corrosion system, simulating clinical conditions with 5 µm motion at the implant-abutment interface under various occlusal loads and acidic exposures. METHODS We simulated four conditions in an oral environment by varying the contact load (83 N and 233 N) and pH levels (3 and 6.5). The commonly used dental implant material, Grade IV titanium, and abutment material Zirconia (ZrO2)/ Grade IV titanium were selected as testing couple materials. Artificial saliva was employed to represent an oral environment. In addition, a standard tribocorrosion protocol was followed, and the pin was controlled to oscillate on the disk with an amplitude of 5 μm during the mastication stage. After the testing, 3D profilometry and scanning electron microscopy (SEM) with energy dispersive spectroscopy (EDS) were utilized to analyze the worn surfaces. Inductively coupled plasma mass spectrometry (ICP-MS) was also used to measure the metal ion release. RESULTS Energy ratios were below 0.2, indicating a fretting regime of partial slip for all groups. Open-circuit potential (OCP) and electrochemical impedance spectroscopy (EIS) were analyzed to compare the electrochemical behavior among groups. As a result, corrosive damage was observed to be more in the Ti4- Ti4 groups than in Zr-Ti4 ones, whereas more mechanical damage was found in the Zr-Ti4 groups than in the Ti4-Ti4 groups. Possible mechanisms were proposed in the discussion to explain these findings. SIGNIFICANCE The results observed from this study might be helpful to clinicians with implant selection. For example, for patients with bruxism, a titanium implant paired with a titanium abutment may be preferable, while patients with GERD may benefit more from a titanium implant paired with a zirconia abutment.
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Affiliation(s)
- Yani Sun
- Department of Civil, Material, and Environmental Engineering, University of Illinois at Chicago, Chicago, IL, USA
| | - Apurwa Shukla
- Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, IL, USA
| | | | - Hemalatha Kanniyappan
- Department of Biomedical Sciences, University of Illinois-School of Medicine at Rockford, Rockford, IL, USA
| | - Bin Yang
- Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, IL, USA
| | - Rand Harlow
- Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, IL, USA
| | - Stephen D Campbell
- Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, IL, USA
| | - Ghadeer Thalji
- Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, IL, USA
| | - Mathew Mathew
- Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, IL, USA; Department of Biomedical Engineering, University of Illinois at Chicago, Chicago, IL, USA; Department of Biomedical Sciences, University of Illinois-School of Medicine at Rockford, Rockford, IL, USA.
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Todorov J, Shmarina E, Johannsen A. Dental care staff's experience with risk assessment of dental erosion: a qualitative study. BMC Oral Health 2024; 24:933. [PMID: 39129015 PMCID: PMC11318332 DOI: 10.1186/s12903-024-04700-0] [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: 03/29/2024] [Accepted: 08/02/2024] [Indexed: 08/13/2024] Open
Abstract
BACKGROUND The risk assessment of dental erosion among children and adolescents is an important aspect of dental care, as dental erosion constitutes a rapidly growing, global problem. Dental professionals rely solely on their own perception, as the current risk assessment process is not completely automatized, which affects the risk assessment reliability. AIM To explore dental professionals' experiences with risk assessment of dental erosion among children and adolescents. METHOD In-depth interview was used as data collection method. A total of 11 dental professionals were interviewed. The interviews were analyzed using qualitative content analysis. RESULTS The findings were summarized in the categories Professionals' responsibility, Systematic approach , and Collaboration and communication. Dental staff perceived that their basic knowledge regarding erosion should be improved, and skills development was desired to reduce the knowledge gaps around the risk assessment of dental erosion. They alleged that the systematic approach could be improved by reducing workplace stress, implementing a universal dental erosion index, improving the existing risk assessment software, and automating the risk assessment of the condition. Dental professionals also experienced a need to calibrate and collaborate with each other and with other healthcare professionals to improve patient care. CONCLUSION Dental professionals experienced their basic knowledge of dental erosion and their risk assessment as good, but a more advanced skill development was required. Furthermore, they experienced the risk assessment software as a good tool that should be improved to compile more objective risk assessment. A universal erosion index was also requested.
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Affiliation(s)
- Johannes Todorov
- Division of Oral Health and Periodontology, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.
- Kronoberg County Council, Public Dental Service, Växjö, Sweden.
| | - Elena Shmarina
- Kalmar County Council, Public Dental Service, Oskarshamn, Sweden
| | - Annsofi Johannsen
- Division of Oral Health and Periodontology, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden
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Daher R, Krejci I, Ardu S. Time-and cost-effective 3-dimensional-printing workflow to rehabilitate worn dentitions: A clinical report. J Prosthet Dent 2024; 131:996-999. [PMID: 36959005 DOI: 10.1016/j.prosdent.2023.02.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Revised: 02/08/2023] [Accepted: 02/08/2023] [Indexed: 03/25/2023]
Abstract
Current restorative methods of restoring worn or eroded dentition present drawbacks that may deter dentists or patients from pursuing complete mouth rehabilitation. A novel additive manufacturing approach using 3D printed definitive composite resin restorations is described as a less technique-sensitive and more cost-effective alternative. These restorations are straightforward to repair, modify, or replace.
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Affiliation(s)
- René Daher
- Senior Lecturer, Division of Cariology and Endodontology, Clinique Universitaire de Médecine Dentaire (CUMD), University of Geneva, Geneva, Switzerland.
| | - Ivo Krejci
- Full Professor and Chairman, Division of Cariology and Endodontology, Clinique Universitaire de Médecine Dentaire (CUMD), University of Geneva, Geneva, Switzerland
| | - Stefano Ardu
- Senior Lecturer, Division of Cariology and Endodontology, Clinique Universitaire de Médecine Dentaire (CUMD), University of Geneva, Geneva, Switzerland
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Elmarsafy SM, Elkwatehy WM, Radi RE, Alhindi AK, Iskandar RM, Salem RA. The Prevalence of Tooth Wear and Their Associated Etiologies Among Adult Subjects Visiting Umm Al-Qura University Dental Clinic in Makkah City, Saudi Arabia. Cureus 2024; 16:e59622. [PMID: 38707749 PMCID: PMC11070214 DOI: 10.7759/cureus.59622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/04/2024] [Indexed: 05/07/2024] Open
Abstract
In the past two decades, changing trends in socioeconomic status, dietary habits, and individual lifestyles of individuals have led to the emergence of tooth wear as an oral health problem. The present study aimed to investigate the prevalence and the associated etiologies of tooth wear in a convenience sample of adult patients visiting outpatient clinics of the Faculty of Dentistry at Umm Al-Qura University. This cross-sectional study was conducted on adult patients (18-40 years old) visiting outpatient clinics of the Faculty of Dentistry, Umm Al-Qura University. Two trained examiners visually assessed patients' tooth wear using Smith and Knight's Tooth Wear Index (TWI). Following the clinical examination, patients completed a self-administered questionnaire detailing risk factors such as the frequency of intake of acidic food and medicines, general health, chewing habits, dietary factors, and oral health-associated preventive behaviors. The resulting collected data were tabulated and statistically analyzed using Statistical Product and Service Solutions (SPSS, version 21; IBM SPSS Statistics for Windows, Armonk, NY). The total prevalence of tooth wear was 74%, and the recorded mean wear score (TWI) was 0.380 ± 0.386; anterior teeth exhibited greater wear than posterior teeth. Numerous associations were recorded between tooth wear and the tested variables in demographics, habits, diet, and medications, but most of them were not statistically significant. When toothbrushing habits were explored, the only factors to played a significant role in abrading the tooth structure were the type of brush bristles used (P-value = 0.026) and the frequency of brush renewal (P = 0.043). Patients who frequently ate citrus fruits and other acidic foods recorded high wear scores (0.509 ± 0.311 and 0.508 ± 0.402, respectively), although the difference was not statistically significant. When chewing occurred on both sides of the mouth, less tooth wear was recorded than if chewing was on the right or left side only (0.371 ± 0.260, 0.422 ± 0.273, and 0.520 ± 0.419, respectively). The study data support an association between tooth wear and patient occupation, use of hard-bristled and new toothbrushes, eating of citrus and other acidic food, and chewing on one side, as all of these factors increased the risk of tooth wear.
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Affiliation(s)
- Sahar M Elmarsafy
- Restorative Dentistry, Faculty of Dental Medicine, Umm Al-Qura University, Makkah, SAU
- Conservative Dentistry, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, EGY
| | - Wahdan M Elkwatehy
- Dental Public Health and Preventive Dentistry, Faculty of Dentistry, Mansoura University, Mansoura, EGY
| | - Rehab E Radi
- Dentistry, King Faisal Hospital Makkah, Makkah, SAU
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Fu C, Brand HS, Nazmi K, Werner A, van Splunter A, Bikker FJ. Carbon dots combined with phytosphingosine inhibit acid-induced demineralization of hydroxyapatite in vitro. Arch Oral Biol 2024; 160:105911. [PMID: 38335699 DOI: 10.1016/j.archoralbio.2024.105911] [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: 11/08/2023] [Revised: 01/29/2024] [Accepted: 02/01/2024] [Indexed: 02/12/2024]
Abstract
OBJECTIVES To study the effects of carbon dots (CDs), in combination with phytosphingosine (PHS), against acid-induced demineralization of hydroxyapatite in vitro. METHODS CDs were generated from citric acid and urea by microwave heating. Transmission electron microscope (TEM), FT-IR, and fluorescence intensity were used to characterize the CDs. A hydroxyapatite (HAp) model was used to investigate the protective effects of CDs, PHS, and their combinations with and without a salivary pellicle against acid-induced demineralization in vitro. Ca2+ release as a parameter to evaluate the inhibition of demineralization was measured by capillary electrophoresis. The interactions between CDs, PHS, and HAp discs were investigated using a fluorescence detector. RESULTS Uniform-sized CDs were synthesized, showing typical optical characteristics. CDs exhibited no inhibition of acid-induced demineralization in vitro, in contrast to PHS. Notably, a pre-coating of CDs increased the protective effects of PHS against acid-induced demineralization, which was not disturbed by the presence of a salivary pellicle and Tween 20. Scanning electron microscope (SEM) confirmed the binding and layers formed of both CDs and PHS to the HAp surfaces. Based on fluorescence spectra CDs binding to HAp seemed to be dependent on Ca2+ and PO43- interactions. CONCLUSIONS CDs combined with PHS showed protective effects against acid-induced demineralization of HAp discs in vitro.
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Affiliation(s)
- Cuicui Fu
- Department of Oral Biochemistry, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam (UvA) and Vrije Universiteit Amsterdam (VU), Amsterdam 1081LA, the Netherlands.
| | - Henk S Brand
- Department of Oral Biochemistry, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam (UvA) and Vrije Universiteit Amsterdam (VU), Amsterdam 1081LA, the Netherlands
| | - Kamran Nazmi
- Department of Oral Biochemistry, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam (UvA) and Vrije Universiteit Amsterdam (VU), Amsterdam 1081LA, the Netherlands
| | - Arie Werner
- Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam (UvA) and Vrije Universiteit Amsterdam (VU), Amsterdam 1081LA, the Netherlands
| | - Annina van Splunter
- Department of Oral Biochemistry, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam (UvA) and Vrije Universiteit Amsterdam (VU), Amsterdam 1081LA, the Netherlands
| | - Floris J Bikker
- Department of Oral Biochemistry, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam (UvA) and Vrije Universiteit Amsterdam (VU), Amsterdam 1081LA, the Netherlands
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George J, Mary Varughese J, Narayanankutty SK, Attuvalappil Rajan D, Shaji D, Ramakrishnan C. The Effect of Food Polymers (Pectin, Alginate, and Gum Arabic) on Carbonated Drink-Induced Enamel Demineralization: An In Vitro Study. Cureus 2024; 16:e56385. [PMID: 38633928 PMCID: PMC11021998 DOI: 10.7759/cureus.56385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2024] [Accepted: 03/16/2024] [Indexed: 04/19/2024] Open
Abstract
INTRODUCTION The increased use of soft drinks leads to a high prevalence of dental erosion (DE), and the use of polymers can decrease tooth demineralization by a carbonated drink. Assessment of the effect of food-approved polymers such as highly esterified pectin (HP), propylene glycol alginate (PGA), and gum arabic (GA) on their efficiency to reduce enamel demineralization on addition with a commercially available carbonated drink was the main objective of this study. MATERIALS AND METHODS For this study, 300 premolar teeth were studied for enamel erosion and were divided into five groups consisting of 60 samples in each group. The teeth treated with distilled water had negative control, a commercially available carbonated drink with pH 2.7 had positive control, and food polymers were added individually to the carbonated drink in a specified quantity with minimal pH change and were taken as groups A, B, and C, respectively. The enamel erosion that occurred in study groups was measured using a laser fluorescence spectroscopic system with laser excitation at 404 nm at different treatment times (30, 60, and 120 seconds). Results: Demineralization was less in samples treated with polymer added to carbonated drink solutions compared to samples exposed to plain carbonated drink. As the time of exposure increased up to 120 seconds, a significant decrease in demineralization occurred in polymer-treated groups of samples as against plain carbonated drink with HP showing more decreased demineralization with extended exposure periods compared to other polymers. The surface morphology of tooth samples exhibited the anti-erosive effect of polymers, and the scanning electron microscopic pictures revealed a smoother surface for the polymer-added group. CONCLUSION This study shows the efficacy of HP, PGA, and GA on reducing the effect of carbonated drink-induced enamel demineralization, and these polymers' addition to drinks can be an innovative way to reduce the demineralization potential of carbonated acidic drinks.
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Affiliation(s)
- Jinu George
- Department of Conservative Dentistry and Endodontics, Government Dental College, Thrissur, IND
| | - Jolly Mary Varughese
- Department of Conservative Dentistry and Endodontics, Government Dental College, Trivandrum, IND
| | | | | | - Dhanya Shaji
- Department of Conservative Dentistry and Endodontics, Government Dental College, Thrissur, IND
| | - Christalin Ramakrishnan
- Department of Conservative Dentistry and Endodontics, Government Dental College, Thrissur, IND
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Inchingolo F, Inchingolo AM, Latini G, Ferrante L, Trilli I, Del Vecchio G, Palmieri G, Malcangi G, Inchingolo AD, Dipalma G. Oxidative Stress and Natural Products in Orthodontic Treatment: A Systematic Review. Nutrients 2023; 16:113. [PMID: 38201943 PMCID: PMC10780648 DOI: 10.3390/nu16010113] [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: 11/05/2023] [Revised: 12/20/2023] [Accepted: 12/22/2023] [Indexed: 01/12/2024] Open
Abstract
In recent years, orthodontics, a specialized branch of dentistry, has evolved considerably in terms of both techniques and materials used. Aimed at correcting dental malocclusions and craniofacial anomalies, it improves the functionality and aesthetics of the face and oral cavity. However, orthodontic treatment, in its developmental stages, may induce oxidative stress (O.S.) phenomena, with an increase in the production of reactive oxygen species (ROS), damaging the dental and periodontal tissues involved, affecting the short-, medium- and long-term results. Studies on the antioxidant effects of natural products (e.g., resveratrol, green tea, turmeric, etc.) in the medical field have aroused considerable interest in recent years. A systematic literature review was conducted on the PubMed, Scopus, and Web of Science databases using natural products (N.P.s), O.S., and orthodontic as keywords. The study aims to consider the determinants of the increase in ROS occurring during orthodontic treatment and the possibility of natural products being able to control and neutralize biochemical phenomena by restoring the physiological process in which the balance between the production of ROS and the ability of the body's antioxidant system to neutralize them is in favor of the latter.
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Affiliation(s)
| | | | | | | | | | | | | | - Giuseppina Malcangi
- Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy; (F.I.); (A.M.I.); (G.L.); (L.F.); (I.T.); (G.D.V.); (G.P.); (A.D.I.); (G.D.)
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Rabelo CS, de Oliveira JMR, Leal IDC, Costa FDMLL, Ricardo NMPS, Passos VF. The potential of galactomannan from Caesalpinia ferrea on erosive dentin wear reduction in vitro. Braz Dent J 2023; 34:72-78. [PMID: 38133475 PMCID: PMC10759959 DOI: 10.1590/0103-6440202305508] [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: 04/02/2023] [Accepted: 08/29/2023] [Indexed: 12/23/2023] Open
Abstract
Gels containing juca seed galactomannan (JSG) were evaluated for their potential to prevent the progression of dentin erosive wear in an in vitro study with four experimental groups (n = 9). The treatments included distilled water (DW), 0.05% stannous fluoride (121 ppm F), and 0.5% or 1% JSG. The specimens underwent a cycle (3 times/day) consisting of immersion in 1% citric acid (5 minutes), treatment (5 minutes), and artificial saliva exposure (2 hours/overnight) for 5 days. Surface changes were assessed using mechanical profilometry (wear), scanning electron microscopy (SEM), and energy-dispersive X-ray spectroscopy (EDS). The data were analyzed using ANOVA followed by Tukey's post-test (p < 0.05). The negative control group exhibited the highest wear (6.0 µm ± 3.5), significantly differing from the group treated with 0.05% stannous fluoride gel (p = 0.007), which showed less dentin loss. The groups treated with 0.5% and 1% JSG showed results similar to the negative control (p = 0.661; p = 0.212, respectively) and the stannous fluoride group (p = 0.103; p = 0.379, respectively). In the SEM images, the specimen treated with stannous fluoride showed obliterated tubules, while the JSG gels formed crystals on the dentin surface, as confirmed by the presence of oxygen and calcium in the EDS analysis. Although the JSG gels showed similar results to the stannous fluoride, did not exhibit superior efficacy at the tested concentrations.
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Affiliation(s)
- Cibele Sales Rabelo
- Department of Clinical Dentistry, School of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Fortaleza, Ceará, Brazil
| | | | - Isabelly de Carvalho Leal
- Department of Clinical Dentistry, School of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Fortaleza, Ceará, Brazil
| | | | | | - Vanara Florêncio Passos
- Department of Restorative Dentistry, School of Pharmacy, Dentistry and Nursing, Federal University of Ceará, Fortaleza, Ceará, Brazil
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Inchingolo F, Dipalma G, Azzollini D, Trilli I, Carpentiere V, Hazballa D, Bordea IR, Palermo A, Inchingolo AD, Inchingolo AM. Advances in Preventive and Therapeutic Approaches for Dental Erosion: A Systematic Review. Dent J (Basel) 2023; 11:274. [PMID: 38132412 PMCID: PMC10742734 DOI: 10.3390/dj11120274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 10/24/2023] [Accepted: 11/24/2023] [Indexed: 12/23/2023] Open
Abstract
This review discusses both preventive measures and clinically implemented therapy procedures that have been developed recently for the prevention and treatment of tooth erosion. METHODS The databases PubMed, Scopus, and Web of Science were used for a thorough search. Studies on the prevention and treatment of dental erosion that were conducted in English and used in vitro were among the inclusion criteria. RESULTS The search turned up 391 papers in total, with 34 of those publications matching the requirements for inclusion. Varnishes, toothpastes, and solutions containing fluoride and other substances were used as preventive measures. CONCLUSIONS Dental erosion is a significant issue, and taking preventative steps is crucial to lessening the disease's spread and its effects. Interventions based on fluoride seem to be successful at halting erosion and encouraging remineralization. To effectively address severe tooth erosion, therapeutic methods, including composite restorations, prosthetic crowns, and veneers, are available. Dental erosion causes aesthetic and functional issues that are best addressed with less invasive treatments like direct composite restorations. To improve and broaden the range of available treatments for this common dental issue, additional research and development are required.
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Affiliation(s)
- Francesco Inchingolo
- Interdisciplinary Department of Medicine D.I.M., University of Bari “Aldo Moro”, 70124 Bari, Italy; (G.D.); (D.A.); (I.T.); (V.C.); (D.H.); (A.D.I.); (A.M.I.)
| | - Gianna Dipalma
- Interdisciplinary Department of Medicine D.I.M., University of Bari “Aldo Moro”, 70124 Bari, Italy; (G.D.); (D.A.); (I.T.); (V.C.); (D.H.); (A.D.I.); (A.M.I.)
| | - Daniela Azzollini
- Interdisciplinary Department of Medicine D.I.M., University of Bari “Aldo Moro”, 70124 Bari, Italy; (G.D.); (D.A.); (I.T.); (V.C.); (D.H.); (A.D.I.); (A.M.I.)
| | - Irma Trilli
- Interdisciplinary Department of Medicine D.I.M., University of Bari “Aldo Moro”, 70124 Bari, Italy; (G.D.); (D.A.); (I.T.); (V.C.); (D.H.); (A.D.I.); (A.M.I.)
| | - Vincenzo Carpentiere
- Interdisciplinary Department of Medicine D.I.M., University of Bari “Aldo Moro”, 70124 Bari, Italy; (G.D.); (D.A.); (I.T.); (V.C.); (D.H.); (A.D.I.); (A.M.I.)
| | - Denisa Hazballa
- Interdisciplinary Department of Medicine D.I.M., University of Bari “Aldo Moro”, 70124 Bari, Italy; (G.D.); (D.A.); (I.T.); (V.C.); (D.H.); (A.D.I.); (A.M.I.)
| | - Ioana Roxana Bordea
- Department of Oral Rehabilitation, Faculty of Dentistry, Iuliu Hatieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
| | - Andrea Palermo
- College of Medicine and Dentistry Birmingham, University of Birmingham, Birmingham B4 6BN, UK;
| | - Alessio Danilo Inchingolo
- Interdisciplinary Department of Medicine D.I.M., University of Bari “Aldo Moro”, 70124 Bari, Italy; (G.D.); (D.A.); (I.T.); (V.C.); (D.H.); (A.D.I.); (A.M.I.)
| | - Angelo Michele Inchingolo
- Interdisciplinary Department of Medicine D.I.M., University of Bari “Aldo Moro”, 70124 Bari, Italy; (G.D.); (D.A.); (I.T.); (V.C.); (D.H.); (A.D.I.); (A.M.I.)
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Surarit R, Jiradethprapai K, Lertsatira K, Chanthongthiti J, Teanchai C, Horsophonphong S. Erosive potential of vitamin waters, herbal drinks, carbonated soft drinks, and fruit juices on human teeth: An in vitro investigation. J Dent Res Dent Clin Dent Prospects 2023; 17:129-135. [PMID: 38023803 PMCID: PMC10676538 DOI: 10.34172/joddd.2023.40413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 08/17/2023] [Indexed: 12/01/2023] Open
Abstract
Background Dental erosion is the loss of dental hard tissues through the acid dissolution of tooth minerals. One of the major factors that cause erosion is the consumption of acidic food and drinks. This study investigated and compared the effect of vitamin waters, herbal beverages, carbonated soft drinks, and fruit juices on the loss of human dental hard tissue. Methods Human tooth samples were immersed in various drinks: vitamin waters, herbal beverages, carbonated soft drinks, and fruit juices. The pH value of each drink was measured using a pH meter. The weight of each sample was determined before and after six days of immersion in the tested drink, and the weight loss percentage was calculated. The exposed tooth surfaces were also examined under a scanning electron microscope. Results Most of the tested drinks were acidic and displayed pH values lower than the critical pH for enamel erosion. Significant weight loss of the tooth samples was found in all tested drink groups. Additionally, the samples immersed in fruit juices and herbal beverages exhibited significantly greater weight loss than those immersed in carbonated soft drinks. Scanning electron micrographs showed samples immersed in the tested drinks to demonstrate structural disintegration with occasional void spaces, except for samples immersed in Doi Kham® Lemongrass drink. Conclusion Most of the tested drinks have the potential to cause dissolution and destruction of dental hard tissues. Consumers should be aware that prolonged exposure to these drinks could lead to permanent loss of tooth mineral and dental erosion.
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Affiliation(s)
- Rudee Surarit
- Department of Oral Biology, Faculty of Dentistry, Mahidol University, Bangkok, Thailand
- Faculty of Dentistry, Siam University, Bangkok, Thailand
| | | | - Kanyakorn Lertsatira
- Undergraduate Program, Faculty of Dentistry, Mahidol University, Bangkok, Thailand
| | | | - Chayada Teanchai
- Research Office, Faculty of Dentistry, Mahidol University, Bangkok, Thailand
| | - Sivaporn Horsophonphong
- Department of Pediatric Dentistry, Faculty of Dentistry, Mahidol University, Bangkok, Thailand
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Jablonski-Momeni A, Hanselmann F, Bottenberg P, Korbmacher-Steiner H. Detection of Erosive Changes on Smooth Surfaces with and without Orthodontic Brackets Using an Intraoral Scanner-An In Vitro Study. Diagnostics (Basel) 2023; 13:3232. [PMID: 37892052 PMCID: PMC10606051 DOI: 10.3390/diagnostics13203232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 10/16/2023] [Accepted: 10/16/2023] [Indexed: 10/29/2023] Open
Abstract
BACKGROUND Consumption of acidic beverages favours development of erosions. Modern diagnostic methods are required to detect erosions at an early stage. This study aimed to evaluate the suitability of an intraoral scanner (IOS) for detection of erosive changes on smooth surfaces adjacent to orthodontic brackets. METHODS Orthodontic metal brackets were attached to the buccal surfaces of 58 extracted permanent human teeth. Teeth were randomly divided into groups: A = 6% citric acid, B = Coca-Cola, C = Redbull, D = Powerade, E = Control, no acid exposure. Teeth were exposed to acid in three erosion cycles, followed by rinsing and brushing. Scans of teeth were performed at baseline and after each erosion cycle and enamel loss was measured. Quantitative light-induced fluorescence (QLF) measurements were performed as reference standard. RESULTS Significant substance loss was measured in all acid groups after the second and third erosion cycle (p < 0.0001). Correlation between scans and QLF were significant (p = 0.001). CONCLUSIONS With IOS, it was possible to detect and quantify enamel erosion at smooth surfaces with and without orthodontic brackets after a short exposure time. Considering the limitations of in vitro results, the use of IOS can be a promising digital tool to detect and monitor erosive enamel changes during fixed orthodontic treatment.
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Affiliation(s)
- Anahita Jablonski-Momeni
- Department of Orthodontics, Dental School, Medical Faculty, Philipps-University Marburg, 35033 Marburg, Germany
| | - Franka Hanselmann
- Department of Orthodontics, Dental School, Medical Faculty, Philipps-University Marburg, 35033 Marburg, Germany
| | - Peter Bottenberg
- Department of Oral Health Care, Free University of Brussels (ULB-VUB), 1050 Brussels, Belgium
| | - Heike Korbmacher-Steiner
- Department of Orthodontics, Dental School, Medical Faculty, Philipps-University Marburg, 35033 Marburg, Germany
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12
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Nijakowski K, Jankowski J, Gruszczyński D, Surdacka A. Eating Disorders and Dental Erosion: A Systematic Review. J Clin Med 2023; 12:6161. [PMID: 37834805 PMCID: PMC10573129 DOI: 10.3390/jcm12196161] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 09/21/2023] [Accepted: 09/23/2023] [Indexed: 10/15/2023] Open
Abstract
Both eating disorders and dental erosion are increasingly affecting adolescents and young adults. Thus, our systematic review was designed to answer the question: "Is there a relationship between dental erosion and eating disorders?" Following the inclusion and exclusion criteria, 31 studies were included in this systematic review (according to the PRISMA statement guidelines). Based on the meta-analysis, 54.4% of patients with bulimia nervosa and 26.7% with anorexia nervosa experienced tooth erosion. For the whole group of 1699 patients with eating disorders, erosive lesions were observed in 42.1% of patients. Bulimics were more than 10 times more likely to experience dental erosion compared to healthy individuals (OR = 10.383 [95%CI: 4.882-22.086]). Similarly, more than 16 times increased odds of tooth erosion were found in patients with self-induced vomiting (OR = 16.176 [95%CI: 1.438-181.918]). In conclusion, eating disorders are associated with an increased risk of developing erosive lesions, especially in patients with bulimia nervosa.
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Affiliation(s)
- Kacper Nijakowski
- Department of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, 60-812 Poznan, Poland;
| | - Jakub Jankowski
- Student’s Scientific Group in Department of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, 60-812 Poznan, Poland; (J.J.); (D.G.)
| | - Dawid Gruszczyński
- Student’s Scientific Group in Department of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, 60-812 Poznan, Poland; (J.J.); (D.G.)
| | - Anna Surdacka
- Department of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, 60-812 Poznan, Poland;
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13
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Tapalaga G, Bumbu BA, Reddy SR, Vutukuru SD, Nalla A, Bratosin F, Fericean RM, Dumitru C, Crisan DC, Nicolae N, Luca MM. The Impact of Prenatal Vitamin D on Enamel Defects and Tooth Erosion: A Systematic Review. Nutrients 2023; 15:3863. [PMID: 37764647 PMCID: PMC10537257 DOI: 10.3390/nu15183863] [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: 08/17/2023] [Revised: 08/31/2023] [Accepted: 09/01/2023] [Indexed: 09/29/2023] Open
Abstract
Prenatal Vitamin D has been suggested to be critical for dental health in children, affecting outcomes including the prevalence of enamel defects and tooth erosion. This systematic review aimed to evaluate the potential impact of prenatal Vitamin D levels on these dental health outcomes. A total of seven studies, involving 6978 participants, were included after a comprehensive search of PubMed, Web of Science, and Scopus from 2013 to June 2023. The average age of mothers varied across studies, with Vitamin D levels or supplementation practices displaying significant variation among the study populations. The age of children at examination ranged from 3.6 to 6.6 years. The analysis demonstrated a diverse association between Vitamin D levels and dental outcomes, with enamel defects reported in 21.1% to 64% of the children and opacities ranging from 36% to 79.5% across studies. Maternal Vitamin D insufficiency was identified as a significant risk factor for enamel defects in one study (OR: 3.55), whereas high prenatal Vitamin D levels indicated a protective effect against Hypomineralized Second Primary Molars (OR: 0.84) and Molar Incisor Hypomineralization (OR: 0.95) in another. Conversely, low Vitamin D levels increased the risk of enamel hypoplasia (OR: 1.29) and dental decay. The maternal and child demographics varied greatly across the studies, and the assessment and prevalence of Vitamin D deficiency or insufficiency were heterogenous. This review illuminates the potential influence of prenatal Vitamin D on dental health in children, underscoring the importance of adequate Vitamin D levels during pregnancy. However, more robust research is required to establish the optimal Vitamin D intake during pregnancy to ensure healthy dental outcomes in children.
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Affiliation(s)
- Gianina Tapalaga
- Department of Odontotherapy and Endodontics, Faculty of Dental Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Bogdan Andrei Bumbu
- Department of Dental Medicine, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania
| | - Sandhya Rani Reddy
- Department of General Medicine, Prathima Institute of Medical Sciences, Hyderabad 505417, India
| | - Sai Diksha Vutukuru
- Department of General Medicine, MNR Medical College, Hyderabad 502285, India
| | - Akhila Nalla
- Department of General Medicine, MNR Medical College, Hyderabad 502285, India
| | - Felix Bratosin
- Department XIII, Discipline of Infectious Diseases, University of Medicine and Pharmacy "Victor Babes" Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
- Doctoral School, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Roxana Manuela Fericean
- Department XIII, Discipline of Infectious Diseases, University of Medicine and Pharmacy "Victor Babes" Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
- Doctoral School, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Catalin Dumitru
- Department of Obstetrics and Gynecology, University of Medicine and Pharmacy "Victor Babes" Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Doru Ciprian Crisan
- Department of Obstetrics and Gynecology, University of Medicine and Pharmacy "Victor Babes" Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Nicoleta Nicolae
- Department of Obstetrics and Gynecology, University of Medicine and Pharmacy "Victor Babes" Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
| | - Magda Mihaela Luca
- Department of Pediatric Dentistry, Faculty of Dental Medicine, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, Romania
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14
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Shukla K, Saxena A, Joshi J, Jain D. A Comparative Study of the Effect of Tooth Mousse Plus Remin Pro and Fluor Protector Gel on Enamel Erosion: An In Vitro Study. Int J Clin Pediatr Dent 2023; 16:S57-S62. [PMID: 37663219 PMCID: PMC10474398 DOI: 10.5005/jp-journals-10005-2602] [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: 09/05/2023] Open
Abstract
Background The purpose of this in vitro study was to assess the effect of Tooth Mousse Plus, Remin Pro, and Fluor Protector Gel on enamel erosion, measuring mean weight loss after exposure to a demineralizing agent. Materials and methods A total of 60 sound-extracted permanent incisors were sectioned and enamel specimens were randomly distributed to different groups. The initial weight of all specimens was registered. The samples were randomly divided into four groups (n = 30). Group I specimens were treated with tap water (control). Groups II, III, and IV were treated with Tooth Mousse, Remin Pro, and Fluor Protector Gel application. After that, specimens were placed all together in a plastic container with 6 mL of a soft drink and immersed for 8 minutes at room temperature, dried, and weighed. Specimens were weighed after each immersion period and mean weight loss was calculated. The data was analyzed for probability distribution using the Kolmogorov-Smirnov test. The intergroup comparison was done using a one-way analysis of variance (ANOVA) followed by post hoc analysis. Results According to pairwise comparisons in post hoc analysis, the weight of specimens at baseline was significantly greater than the weight of specimens on day 12. The difference in the mean weight of the specimen from baseline to day 12 was 2.833 mg for group I, 2.367 mg for group II, 1.467 mg for group III, and 2.133 mg for group IV. Conclusion Tooth Mousse Plus, Remin Pro, and Fluor Protector Gel have no significant effect on dental erosion. How to cite this article Shukla K, Saxena A, Joshi J, et al. A Comparative Study of the Effect of Tooth Mousse Plus Remin Pro and Fluor Protector Gel on Enamel Erosion: An In Vitro Study. Int J Clin Pediatr Dent 2023;16(S-1):S57-S62.
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Affiliation(s)
- Kamlakant Shukla
- Department of Paediatrics and Preventive Dentistry, Government Autonomous College of Dentistry, Indore, Madhya Pradesh, India
| | - Ashish Saxena
- Department of Paediatrics and Preventive Dentistry, Government Autonomous College of Dentistry, Indore, Madhya Pradesh, India
| | - Jaya Joshi
- Department of Oral Pathology and Microbiology, Government College of Dentistry, Indore, Madhya Pradesh, India
| | - Deepika Jain
- Department of Public Health Dentistry, College of Dental Science and Hospital, Indore, Madhya Pradesh, India
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15
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Ipeaiyeda OJ, Taiwo JO, Lawal FB. The Impact of Tooth Wear on the Oral Health-Related Quality of Life of the Elderly in Ibadan, Nigeria. Niger Med J 2023; 64:327-336. [PMID: 38974063 PMCID: PMC11223014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/09/2024] Open
Abstract
Background Tooth wear lesion, otherwise known as tooth surface loss, is an insidious cumulative and multifactorial condition causing irreversible destruction of tooth enamel and dentine. Over time this lesion can threaten the affected individual's Oral Health-Related Quality of Life (OHRQoL). OHRQoL entails interaction among oral health systems: social factors, psychological factors, and the rest of the body. Though, previous studies done decades ago also reported a high prevalence of tooth wear among the elderly in Nigeria, before now there has been no study on the impact of tooth wear types and severity on the OHRQoL of the elderly in this environment, which is necessary for their comprehensive management. The study was done to assess the impacts of tooth wear lesions on the Oral Health-Related Quality of Life of the elderly in Ibadan. Methodology It was a cross-sectional study, involving 1,200 elderly individuals. Using a multistage random sampling technique, participants were randomly selected from 2 Local Government Areas in Ibadan. Data were obtained using a structured interviewer-administered questionnaire and oral examination using the Simplified Tooth Wear Index, as well as Geriatric Oral Health Assessment Index. Data were analysed using descriptive statistics at p ≤ 0.05. Result Out of these elderly participants with Tooth wear lesions, 667 (55.6%) had good Oral Health-Related Quality of Life and 552 (43.5%) had poor Oral Health-Related Quality of Life. Attrition and Abfraction were the most common 1,189(99.1%) and least 5(0.4%) types of tooth wear lesions respectively. The lesions were more severe on the posterior teeth than the anterior teeth and more on the lower than the upper teeth. Conclusion The majority of the elderly with Tooth wear lesions had good OHRQoL, as more of them had mild to moderate grade of tooth wear.
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Affiliation(s)
| | - Juliana Obontu Taiwo
- Department of Family Dentistry, University College Hospital, Ibadan, Nigeria
- Department of Periodontology and Community Dentistry, University of Ibadan, Nigeria
| | - Folake Barakat Lawal
- Department of Periodontology and Community Dentistry, University of Ibadan, Nigeria
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16
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Inchingolo AM, Malcangi G, Ferrante L, Del Vecchio G, Viapiano F, Mancini A, Inchingolo F, Inchingolo AD, Di Venere D, Dipalma G, Patano A. Damage from Carbonated Soft Drinks on Enamel: A Systematic Review. Nutrients 2023; 15:nu15071785. [PMID: 37049624 PMCID: PMC10096725 DOI: 10.3390/nu15071785] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 04/03/2023] [Accepted: 04/04/2023] [Indexed: 04/08/2023] Open
Abstract
The present study was conducted to analyze the erosive potential of the ever-increasing consumption of carbonated drinks on the dental surface. To identify relevant studies, a comprehensive search was conducted on PubMed, Scopus, and Web of Science covering the last 5 years (2018–2023) using the following Boolean keywords: “soft drinks AND tooth”. Finally, a total of 19 studies were included. The initial search provided a total of 407 items. Nineteen records were finally involved in the inclusion phase, seven of which were in vivo and twelve in vitro. An abuse of carbonated acid substances leads to an increase in the possibility of dental erosion with consequent structural disintegration and reduction of the physical and mechanical properties of the enamel. There is thus greater bacterial adhesion on rougher surfaces, determined by the erosive process, and therefore a greater risk of caries. The pH of most commercialized carbonated drinks is lower than the critical pH for the demineralization of the enamel. Carbonated drinks’ pH and duration of exposure have different deleterious effects on enamel.
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Affiliation(s)
| | - Giuseppina Malcangi
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Laura Ferrante
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Gaetano Del Vecchio
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Fabio Viapiano
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Antonio Mancini
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Francesco Inchingolo
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | | | - Daniela Di Venere
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Gianna Dipalma
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Assunta Patano
- Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
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17
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New insights into the protective effect of statherin-derived peptide for different acquired enamel pellicle formation times on the native human enamel surfaces. Arch Oral Biol 2023; 148:105643. [PMID: 36773559 DOI: 10.1016/j.archoralbio.2023.105643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Revised: 01/31/2023] [Accepted: 02/02/2023] [Indexed: 02/05/2023]
Abstract
OBJECTIVES This study evaluated the protective impact of acquired enamel pellicle (AEP) engineering with statherin-derived peptide (StatpSpS), considering different AEP formation times. DESIGN A total of 120 native human enamel specimens were divided into 2 main groups: 1) No AEP engineering and 2) AEP engineering with StatpSpS (pretreatment for 1 min; 37 °C, under agitation). Each group was further divided into 4 subgroups: No pellicle, or 1, 60-and-120 min AEP formation times (human saliva; 37 °C). The specimens were then subjected to an erosive challenge (1% citric acid; pH 3.6; 1 min; 25 °C). This procedure was repeated for 5 cycles. Relative surface reflection intensity (%SRI) was measured and scanning electron microscopy (SEM) of the enamel surface was done. RESULTS All AEP engineering groups protected against initial dental erosion in comparison with No pellicle (p < 0.001), likewise all groups with AEP, independent of engineering or formation times (p 0.001). Furthermore, engineering with StatpSpS even without the presence of AEP protected the enamel when compared to the No engineering/No pellicle group (p < 0.0001). No difference was observed regarding the protection from the different AEP formation times (p > 0.05). Regarding the SEM analysis, in the "No AEP engineering & No AEP" group, a more severe effect of citric acid was observed, with more enamel prism heads and scratches on the surface when compared with the other groups. CONCLUSIONS AEP provides almost instant protection at formation times even as short as 1 min, protecting the native enamel against erosion. Treatment with StatpSpS by itself provides similar protection as the AEP.
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18
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Shkembi B, Huppertz T. Impact of Dairy Products and Plant-Based Alternatives on Dental Health: Food Matrix Effects. Nutrients 2023; 15:1469. [PMID: 36986199 PMCID: PMC10056336 DOI: 10.3390/nu15061469] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Revised: 03/08/2023] [Accepted: 03/16/2023] [Indexed: 03/30/2023] Open
Abstract
The impact of dairy products on dental health has been researched widely and shows an important role of various constituents, as well as the specific product matrix, in maintaining and improving dental health. These include, for instance, the position of lactose as the least cariogenic fermentable sugar, the high levels of calcium and phosphate, the presence of phosphopeptides as well as the antibacterial peptides lactoferrin and lysozyme and high buffering capacity. With plant-based alternatives for dairy products being developed and marketed these days, the specific benefits of dairy products in relation to dental health are often overlooked and most products contain more cariogenic carbohydrates, lack phosphopeptides, and have fewer minerals and less buffering capacity. Comparative studies performed to date indeed suggest that plant-based products do not match dairy counterparts when it comes to maintaining and improving dental health. Careful consideration of these aspects is required in relation to future developments of products and human diets. In this paper, we review the impact of dairy products and plant-based dairy alternatives on dental health.
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Affiliation(s)
- Blerina Shkembi
- Food Quality & Design Group, Wageningen University & Research, 6708 WG Wageningen, The Netherlands
| | - Thom Huppertz
- Food Quality & Design Group, Wageningen University & Research, 6708 WG Wageningen, The Netherlands
- FrieslandCampina, 3818 LE Amersfoort, The Netherlands
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19
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Akküç S, Duruk G, Keleş A. Remineralization effect of three different agents on initial caries and erosive lesions: a micro-computed tomography and scanning electron microscopy analysis. BMC Oral Health 2023; 23:106. [PMID: 36797742 PMCID: PMC9936636 DOI: 10.1186/s12903-023-02805-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 02/10/2023] [Indexed: 02/18/2023] Open
Abstract
BACKGROUND This study aimed to investigate the remineralization efficiency of Sensodyne Promine containing Sodium flouride (NaF), GC Tooth Mousse containing CPP-ACP, and Agarta herbal toothpaste on initial caries and erosion using micro-computed tomography (CT) and scanning electron microscopy (SEM). METHODS Forty-five third-molar teeth for micro-CT were divided into three main groups after initial scans (T1) were completed. Artificial caries lesions were created with the demineralization cycle (group 1, n = 15) and artificial erosion lesions were created with orange juice (group 2, n = 15) and Cola (group 3, n = 15), and second scans (T2) were performed. The groups were divided into three subgroups within themselves. Sensodyne Promine toothpaste (subgroup 1a, 2a, 3a), GC Tooth Mousse topical cream (subgroup 1b, 2b, 3b), and Agarta herbal toothpaste (subgroup 1c, 2c, 3c) were applied using soft-tipped brushes for 2 min, twice per day for 15 days, and then a third scan (T3) was performed. Mineral density, surface area, and lesion volume and depth were calculated using micro-CT. Changes in the surface morphology of the teeth were examined using SEM in 13 samples representing each group, subgroup, and healthy enamel. In the analysis of the data obtained from the scans performed at three different times (T1, T2, T3), one-way analysis of variance (ANOVA) with the post-hoc Tukey test, repeated measures ANOVA with the post-hoc Bonferroni test, and paired sample t-test analyses were used. RESULTS All three agents caused a statistically significant increase in mineral density, and a decrease in surface area and lesion volume and depth (p < 0.05). There was no statistically significant difference between the groups in remineralization efficiency (p > 0.05). A statistically significant difference was found between the groups regarding the mineral density of the tissue that increased after remineralization (NaF > CPP-ACP > He; p < 0.05). CONCLUSION The remineralization efficacy of herbal toothpaste as an alternative to NaF and CPP-ACP was found to be successful.
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Affiliation(s)
- Sibel Akküç
- grid.411650.70000 0001 0024 1937Department of Pediatric Dentistry, Faculty of Dentistry, Inonu University, Malatya, Turkey
| | - Gülsüm Duruk
- Department of Pediatric Dentistry, Faculty of Dentistry, Inonu University, Malatya, Turkey.
| | - Ali Keleş
- grid.411049.90000 0004 0574 2310Department of Endodontic, Faculty of Dentistry, Ondokuz Mayıs University, Samsun, Turkey
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20
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Butera A, Maiorani C, Gallo S, Pascadopoli M, Quintini M, Lelli M, Tarterini F, Foltran I, Scribante A. Biomimetic Action of Zinc Hydroxyapatite on Remineralization of Enamel and Dentin: A Review. Biomimetics (Basel) 2023; 8:biomimetics8010071. [PMID: 36810402 PMCID: PMC9944842 DOI: 10.3390/biomimetics8010071] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 02/03/2023] [Accepted: 02/05/2023] [Indexed: 02/11/2023] Open
Abstract
Biomimetic zinc-carbonate hydroxyapatite technology was developed to realize materials that mimic the natural hydroxyapatite of enamel and dentin and possess good activity in terms of affinity to adhere to these biological tissues. The chemical and physical characteristics of this active ingredient allows the hydroxyapatite itself to be particularly similar to dental hydroxyapatite, enhancing the bond between biomimetic hydroxyapatite and dental hydroxyapatite. The aim of this review is to assess the efficacy of this technology in terms of benefits for enamel and dentin and reduction of dental hypersensitivity. MATERIALS AND METHODS A literature search (Pubmed/MEDLINE and Scopus) of articles from 2003 to 2023 was conducted to analyze studies focused on the use of zinc-hydroxyapatite products. Duplicates were eliminated from the 5065 articles found, leaving 2076 articles. Of these, 30 articles were analyzed based on the use of products with zinc-carbonate hydroxyapatite in these studies. RESULTS 30 articles were included. Most of the studies showed benefits in terms of remineralization and prevention of enamel demineralization in terms of occlusion of the dentinal tubules and reduction of dentinal hypersensitivity. CONCLUSION Oral care products such as toothpaste and mouthwash with biomimetic zinc-carbonate hydroxyapatite were shown to provide benefits according to the aims of this review.
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Affiliation(s)
- Andrea Butera
- Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy
- Correspondence: (A.B.); (C.M.)
| | - Carolina Maiorani
- Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy
- Correspondence: (A.B.); (C.M.)
| | - Simone Gallo
- Unit of Orthodontics and Pediatric Dentistry, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy
| | - Maurizio Pascadopoli
- Unit of Orthodontics and Pediatric Dentistry, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy
| | - Martina Quintini
- Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy
| | - Marco Lelli
- Department of Industrial Chemistry “Toso Montanari”, University of Bologna, 40126 Bologna, Italy
| | - Fabrizio Tarterini
- Department of Industrial Chemistry “Toso Montanari”, University of Bologna, 40126 Bologna, Italy
| | - Ismaela Foltran
- Incos-Cosmeceutica Industriale, Funo di Argelato, 40050 Bologna, Italy
| | - Andrea Scribante
- Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy
- Unit of Orthodontics and Pediatric Dentistry, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy
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21
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Methuen M, Kangasmaa H, Alaraudanjoki VK, Suominen AL, Anttonen V, Vähänikkilä H, Karjalainen P, Väistö J, Lakka T, Laitala ML. Prevalence of Erosive Tooth Wear and Associated Dietary Factors among a Group of Finnish Adolescents. Caries Res 2023; 56:477-487. [PMID: 36279856 PMCID: PMC9932844 DOI: 10.1159/000527305] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Accepted: 09/18/2022] [Indexed: 11/19/2022] Open
Abstract
The aim of this study was to investigate the prevalence and severity of erosive tooth wear (ETW) among Finnish adolescents and to evaluate how frequency as well as amount of the use of erosive products is associated with ETW. The study population consisted of 328 voluntary, >15-year-old secondary school students (males 49.1%, females 50.9%) in three municipalities in Finland. Clinical examination to measure ETW (BEWE index) was carried out by trained and calibrated dentists. Piloted questionnaires included questions on consumption of drinks, fruits and berries, as well as tooth brushing frequency. Means and medians of frequencies and amounts of consumed erosive products were calculated and associations with ETW severity were analysed by logistic regression models. One-third (36.9%) of the participants were in need of at least preventive measures for ETW (BEWE sum score ≥3), but severe ETW (BEWE sum score >9) was rare (2.1%). Boys had severe ETW significantly more frequently than girls (p < 0.001). Habitual consumption of erosive drinks was common especially among boys compared to girls (p = 0.001). ETW was significantly associated with the amount of consumed erosive drinks, fruits, or berries. The prevalence of ETW among adolescences in Finland seems to be at the same level as in other Nordic and European countries. Consumption of erosive products is common and thus, the risk for tooth erosion is high, especially in boys. In addition to erosive drinks, also berries and fruits are associated with ETW and should be included in individual dietary counselling when early signs of ETW are clinically detected.
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Affiliation(s)
- Mirja Methuen
- Institute of Dentistry, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland,Department of Oral and Maxillofacial Diseases, Kuopio University Hospital, Kuopio, Finland,*Mirja Methuen,
| | - Hanna Kangasmaa
- Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland
| | | | - Anna L. Suominen
- Institute of Dentistry, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland,Department of Oral and Maxillofacial Diseases, Kuopio University Hospital, Kuopio, Finland
| | - Vuokko Anttonen
- Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland,MRC, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - Hannu Vähänikkilä
- Northern Finland Birth Cohorts, Arctic Biobank, Infrastructure for Population Studies, Faculty of Medicine, University of Oulu, Oulu, Finland
| | - Panu Karjalainen
- Institute of Biomedicine, School of Medicine, University of Eastern Finland, Kuopio, Kuopio, Finland
| | - Juuso Väistö
- Institute of Biomedicine, School of Medicine, University of Eastern Finland, Kuopio, Kuopio, Finland
| | - Timo Lakka
- Institute of Biomedicine, School of Medicine, University of Eastern Finland, Kuopio, Kuopio, Finland,Department of Clinical Physiology and Nuclear Medicine, Kuopio University Hospital, Kuopio, Kuopio, Finland,Foundation for Research in Health Exercise and Nutrition, Kuopio Research Institute of Exercise Medicine, Kuopio, Kuopio, Finland
| | - Marja-Liisa Laitala
- Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland,MRC, Oulu University Hospital and University of Oulu, Oulu, Finland
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Aseri A, Khan SDAA, Aljarullah AM, Al-aqil FH, Almasabi S, Alqathia NS, Al Haider FF, Al Gfenh YM. Knowledge and attitude on tooth wear among Najran population, KSA. Bioinformation 2022; 18:1029-1035. [PMID: 37654841 PMCID: PMC10465779 DOI: 10.6026/973206300181029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 10/31/2022] [Accepted: 10/31/2022] [Indexed: 09/02/2023] Open
Abstract
Tooth wear is the loss of a hard dental surface. This condition might occur due to some external or internal factors. The physiological, as well as pathological factors also caused loss of tooth surface. The aim of the following survey was to evaluate the knowledge and attitude of the Najran population about tooth wear. A questionnaire-based study was conducted among the people of Najran. Questions regarding attitude and knowledge about tooth wear were asked from the participants. Data were collected and statistically analyzed. It has been seen that participants of both genders almost have the same knowledge about tooth wear. However, females were more concerned with their dietary habits and the use of fluoride toothpaste. The participants of all age groups were well familiar with tooth wear and its prevention. It has been clear from the results that residents of Najran have good knowledge about the causes of tooth wear and its prevention but there is a need to increase their practices and change their food habits to avoid the severity of Tooth wear.
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Affiliation(s)
- Abdulrahman Aseri
- Department of Preventive Dental Sciences, Faculty of Dentistry, Najran University, KSA
| | - Siraj DAA Khan
- Department of Preventive Dental Sciences, Faculty of Dentistry, Najran University, KSA
| | | | - Fahad H Al-aqil
- Department of Preventive Dental Sciences, Faculty of Dentistry, Najran University, KSA
| | - Salem Almasabi
- Department of Preventive Dental Sciences, Faculty of Dentistry, Najran University, KSA
| | - Nasser S Alqathia
- Department of Preventive Dental Sciences, Faculty of Dentistry, Najran University, KSA
| | - Fahad F Al Haider
- Department of Preventive Dental Sciences, Faculty of Dentistry, Najran University, KSA
| | - Yassin Mana Al Gfenh
- Department of Preventive Dental Sciences, Faculty of Dentistry, Najran University, KSA
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Correlation between Bruxism and Gastroesophageal Reflux Disorder and Their Effects on Tooth Wear. A Systematic Review. J Clin Med 2022; 11:jcm11041107. [PMID: 35207380 PMCID: PMC8879082 DOI: 10.3390/jcm11041107] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2021] [Revised: 02/14/2022] [Accepted: 02/17/2022] [Indexed: 11/17/2022] Open
Abstract
Bruxism and gastroesophageal reflux (GERD) can lead to wear of the dental tissues. Wear has a mechanical or chemical origin, and it is of extrinsic or intrinsic type. Bruxism and GERD are two etiological factors of dental wear. The intrinsic mechanical wear (abfraction) of Bruxism and intrinsic chemical wear (erosion) of GERD are both involved in sleep disorders; indeed, they could have associations and act in synergy in dental wear. The purpose of this review was to find out the possible associations between bruxism and GERD and their effects on tooth wear. The research was conducted on PubMed and the Cochrane Library using the following Keywords/Mesh Terms: Tooth wear, Bruxism, Sleep Bruxism, Sleep Disorders, or GERD. Only systematic reviews and clinical studies performed exclusively on human subjects were included in the review. Initially, the research gave more than 630 results on dental wear, bruxism and GERD and after application of the inclusion criteria irrelevant studies were excluded, and 5 studies were finally included in this review. It was possible to observe the presence of some associations between the two problems (reflux and GERD) and hypothesize negative effects on tooth wear. This research revealed the presence of an interconnection between these three problems (reflux, GERD and tooth wear) that can further act in synergy by attacking the hard dental tissues both from a chemical (reflux) and mechanical (bruxism) point of view. The dentist could play a role of “sentinel” in a multidisciplinary team, intercepting these problems early in order to treat them in the most appropriate way. PROSPERO Registration Number: CRD42021234209.
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Tew IM, Ho EHT. Minimally Invasive Rehabilitation of Posterior Erosive Tooth Wear: Two Case Reports of the One-Stage Dahl Approach. Cureus 2022; 14:e22235. [PMID: 35340518 PMCID: PMC8929473 DOI: 10.7759/cureus.22235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/15/2022] [Indexed: 11/26/2022] Open
Abstract
Rehabilitation of posterior erosive tooth wear can be especially challenging in the presence of substantial tooth structure loss and limited inter-occlusal space. This article describes two case reports illustrating a conservative approach using the one-step Dahl approach in the management of localized posterior erosive tooth wear. The occlusal surfaces of worn teeth in both cases were successfully restored using direct composite resin and gold onlay, respectively. The material was placed in supra-occlusion during the initial stage. This technique enables intrusion of affected worn teeth and the opposing counterpart. Eruption of the remaining dentition will occur after two to three months to re-establish a complete occlusal relationship. With proper treatment planning, the one-step Dahl approach offers a simpler and predictable positive outcome in restoring structurally compromised posterior worn teeth.
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25
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Avila V, Díaz-Báez D, Beltrán EO, Castellanos J, Martignon S. Validation of an erosive tooth wear risk factors questionnaire for adolescents. Clin Oral Investig 2022; 26:3573-3584. [DOI: 10.1007/s00784-021-04325-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Accepted: 11/27/2021] [Indexed: 11/03/2022]
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26
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Tooth Wear in Children and Adolescents. Pediatr Dent 2022. [DOI: 10.1007/978-3-030-78003-6_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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27
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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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Kangasmaa H, Tanner T, Laitala ML, Mulic A, Kopperud SE, Vähänikkilä H, Anttonen V, Alaraudanjoki V. Knowledge on and treatment practices of erosive tooth wear among Finnish dentists. Acta Odontol Scand 2021; 79:499-505. [PMID: 33689559 DOI: 10.1080/00016357.2021.1896031] [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] [Indexed: 10/21/2022]
Abstract
OBJECTIVES To investigate Finnish dentists' knowledge on and means of recording, detecting and diagnosing erosive tooth wear (ETW). Treatment options and possible differences in treatment decisions between general and specialized dentists were also evaluated. MATERIALS AND METHODS An electronic questionnaire was sent by e-mail to 3664 Finnish dentists. Respondents' gender, age, work experience, field of specialty, and practice location were requested. The questionnaire also included a patient case where the dentists were asked about their choice of treatment. Statistical analyses were performed using means, proportions, and cross tabulations. RESULTS Response rate was 24% (n = 866). Almost all respondents (98.0%) recorded ETW in patient files, but only 4.1% used a detailed scoring system. Of the respondents, 64.4% usually found the cause of ETW. Use of carbonated beverages (84.3%), energy drinks (57.0%), and reflux disease (53.1%) were reported to be probable causes. The majority of the respondents (80.9%) usually assessed patient's dietary history while 1.9% evaluated saliva secretion rate. When asked about treatment decisions of ETW patients, the differences between general dentists and specialized dentists were not as obvious as hypothesized. CONCLUSIONS This study suggests that the Finnish dentists who participated in this survey are able to detect and/or diagnose erosive tooth wear, but there is variation in recording it. The differences in treatment decisions between general dentists and specialized dentists seem to be moderate. The treatment practices for ETW are not established and further research to create clinical guidelines seems to be needed.
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Affiliation(s)
- Hanna Kangasmaa
- Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland
| | - Tarja Tanner
- Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland
- MRC, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - Marja-Liisa Laitala
- Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland
- MRC, Oulu University Hospital and University of Oulu, Oulu, Finland
| | - Aida Mulic
- Nordic Institute of Dental Materials, NIOM, Oslo, Norway
| | | | - Hannu Vähänikkilä
- Faculty of Medicine, Infrastructure for Population Studies, University of Oulu, Oulu, Finland
| | - Vuokko Anttonen
- Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland
- MRC, Oulu University Hospital and University of Oulu, Oulu, Finland
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Nascimento BL, Vieira AR, Bezamat M, Ignácio SA, Souza EM. Occlusal problems, mental health issues and non-carious cervical lesions. Odontology 2021; 110:349-355. [PMID: 34568988 DOI: 10.1007/s10266-021-00658-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 09/13/2021] [Indexed: 12/16/2022]
Abstract
Non-carious cervical lesions (NCCLs) are characterized by a loss of hard dental tissue near the cement-enamel junction with multifactorial etiology. The aim of this study was to demonstrate that occlusal factors as attrition, malocclusion, and bruxism, and mental disorders as depression, stress, and anxiety are involved in the etiology of NCCLs. Salivary samples and clinical data of 340 individuals selected from 6,112 participants were obtained from the University of Pittsburgh School of Dental Medicine Dental Registry and DNA Repository project. The affected group was formed by individuals with NCCL (34 females, 34 males, mean age 55.34 years). In addition, the comparison group was formed by individuals without NCCL (136 females, 136 males, mean age 55.14 years). Eleven single-nucleotide polymorphisms (SNPs) previously associated with mental disorders were genotyped and tested for association with NCCLs. When all occlusal factors were combined there was found a significant association with NCCL (p = 0.000001/adjusted OR 4.38, 95% CI 2.50-7.69). Attrition (OR 3.56, 95% CI 2.00-6.32) and malocclusion (OR 5.09, 95% CI 1.65-15.68) as separate variables showed statistically significant associations with NCCL. There was a significant difference in stress history between the two groups (OR 2.17, 95% CI 1.08-4.39). No associations between NCCLs and the SNPs selected were found. However, when the occlusal factors were analyzed as covariates, associations were found between bruxism and seven of the selected SNPs. Our results suggest that occlusal factors might be associated with NCCLs.
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Affiliation(s)
- Bruna L Nascimento
- Graduate Program in Dentistry, School of Life Sciences, Pontifícia Universidade Católica do Paraná, R. Imaculada Conceição, 1155, Curitiba, PR, 80215-901, Brazil
| | - Alexandre R Vieira
- Department of Oral Biology, University of Pittsburgh, Pittsburgh, Pennsylvania , USA
| | - Mariana Bezamat
- Department of Oral Biology, University of Pittsburgh, Pittsburgh, Pennsylvania , USA
| | - Sergio A Ignácio
- Graduate Program in Dentistry, School of Life Sciences, Pontifícia Universidade Católica do Paraná, R. Imaculada Conceição, 1155, Curitiba, PR, 80215-901, Brazil
| | - Evelise M Souza
- Graduate Program in Dentistry, School of Life Sciences, Pontifícia Universidade Católica do Paraná, R. Imaculada Conceição, 1155, Curitiba, PR, 80215-901, Brazil.
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Influence of Low-pH Beverages on the Two-Body Wear of CAD/CAM Monolithic Materials. Polymers (Basel) 2021; 13:polym13172915. [PMID: 34502955 PMCID: PMC8433770 DOI: 10.3390/polym13172915] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Revised: 08/21/2021] [Accepted: 08/23/2021] [Indexed: 01/21/2023] Open
Abstract
The aim of this in vitro study is to evaluate the effect of different acidic media on volumetric wear and surface roughness of CAD/CAM monolithic materials. Forty-eight rectangular specimens were prepared using different CAD/CAM monolithic materials: nanohybrid composite (Grandio Blocks, Voco), resin-based composite (Cerasmart, GC), lithium disilicate (E-Max, Ivoclar), and high-translucency zirconia (Katana STML, Kuraray Noritake). After storage in distilled water at 37 °C for two days, the specimens were tested using a chewing machine with a stainless-steel ball as an antagonist (49N loads, 250,000 cycles). Testing was performed using distilled water, Coca-Cola, and Red Bull as abrasive media. Wear and surface roughness analyses of the CAD/CAM materials were performed using a 3D profilometer and analyzed with two-way analysis of variance and post hoc pairwise comparison procedures. Worn surfaces were examined using scanning electron microscopy. Resin-based materials suffered higher volumetric wear than ceramics (p = 0.00001). Water induced significantly less volumetric wear than the other tested solutions (p = 0.0014), independent of the material tested. High-translucency zirconia showed less surface roughness than all the other materials tested. The selection of monolithic CAD/CAM materials to restore worn dentition due to erosive processes could impact restorative therapy stability over time. Resin-based materials seem to be more influenced by the acidic environment when subjected to a two-body wear test.
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Ünal M, Candan M, İpek İ, Küçükoflaz M, Özer A. Evaluation of the microhardness of different resin-based dental restorative materials treated with gastric acid: Scanning electron microscopy-energy dispersive X-ray spectroscopy analysis. Microsc Res Tech 2021; 84:2140-2148. [PMID: 33871142 DOI: 10.1002/jemt.23769] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Revised: 03/13/2021] [Accepted: 03/25/2021] [Indexed: 12/14/2022]
Abstract
The aim of this study is to evaluate the microhardness, relative surface roughness, and elemental changes of resin-based dental restorative materials (RDRMs) after gastric acid treatment. Five different RDRMs (Group 1 [Filtek Z550], Group 2 [Beautifil II], Group 3 [Vertise Flow], Group 4 [Dyract XP], Group 5 [Fuji II LC]) were used. Samples were formed by using plexiglass molds of 10 mm diameter and 2 mm thickness. A total of 50 samples (n = 10) for microhardness tests and a total of 15 samples (n = 3) for scanning electron microscopy (SEM)-energy dispersive X-ray spectroscopy (EDX) analysis were prepared. All samples of each group were treated to gastric acid, simultaneously. A Vickers microhardness tester was used to evaluate the microhardness of the upper surfaces of each sample. SEM-EDX system was used for microstructure and elemental composition detection. The SEM-EDX, microhardness and relative surface roughness analysis were made prior to treatment in gastric acid for 14 days and analysis were repeated on the 14th day. As the difference in the microhardness values of RDRMs was compared, the time-dependent variation in all RDRMs was found to be statistically significant. It was observed that a drastic decrease in microhardness values was in Beautifil II, Filtek Z550, Vertise Flow, Fuji II LC, and Dyract XP, respectively. Average decrease rate of microhardness values compared to the initial state can be listed from high to low as Beautifil II (%35.72), Vertise Flow (% 28.88), Fuji II LC (% 21.09), Dyract XP (%17.60), and Filtek Z550 (% 16.58). As a result, in in-vitro conditions gastric acid decreased microhardness while increasing the relative surface roughness of RDRMs.
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Affiliation(s)
- Murat Ünal
- Faculty of Dentistry, Department of Pediatric Dentistry, Sivas Cumhuriyet University, Sivas, Turkey
| | - Merve Candan
- Faculty of Dentistry, Department of Pediatric Dentistry, Sivas Cumhuriyet University, Sivas, Turkey
| | - İrem İpek
- Faculty of Dentistry, Department of Pediatric Dentistry, Sivas Cumhuriyet University, Sivas, Turkey
| | - Merve Küçükoflaz
- Faculty of Engineering, Department of Biomedical Engineering, Erciyes University, Kayseri, Turkey
| | - Ali Özer
- Faculty of Engineering, Department of Metallurgy and Material Engineering, Sivas Cumhuriyet University, Sivas, Turkey
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Travassos da Rosa Moreira Bastos R, Teixeira da Silva P, Normando D. Reliability of qualitative occlusal tooth wear evaluation using an intraoral scanner: A pilot study. PLoS One 2021; 16:e0249119. [PMID: 33765042 PMCID: PMC7993778 DOI: 10.1371/journal.pone.0249119] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Accepted: 03/11/2021] [Indexed: 11/24/2022] Open
Abstract
Dental wear analysis through the use of an intraoral scanner is a reality of modern dentistry. This study aimed to investigate the reliability of qualitative tooth wear evaluation through three-dimensional images captured with an intraoral scanner and compared to clinical and photographic examinations. Eighteen adult volunteers of both genders (18 to 55 years old) were submitted to clinical exams, intraoral photographs and intraoral scanning protocol using an optical scanner (TRIOS® Pod, 3Shape, Copenhagen, Denmark). Occlusal tooth wear, from second to second premolars, was measured by two evaluators and reevaluated after 30 days, according to a slight modification of the method described by Mockers et al. Weighted Kappa was used to measure intra and inter-examiner agreement. The Friedman test was used to verify the differences among methods. Random and systematic errors were assessed using Bland-Altman plots. All statistical analysis was performed with p<0.05. There was a substantive agreement for clinical (K = 0.75) and photographic exams (K = 0.79) and a moderate agreement for intraoral scanner analysis (K = 0.60) for inter-examiner evaluation. A substantial intra-examiner agreement was obtained for both evaluators. No significant difference between the methods was observed (p = 0.7343 for examiner 1 and 0.8007 for examiner 2). The Bland-Altman plot confirmed no systematic errors between the methods and a random error of 0.25 with the scanner method when compared to clinical assessment. All three methods showed reliability in qualitative occlusal tooth wear evaluation. Intraoral scanning seems to be a sound and reliable tool to evaluate tooth wear when compared to traditional methods, considering the lower inter-examiner agreement and the inherent limitations of this pilot study. Further research will be necessary in order to achieve more robust evidence.
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Affiliation(s)
| | | | - David Normando
- Department of Orthodontics, Dental School, Federal University of Pará, Belém, Pará, Brazil
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33
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Meira IA, Dos Santos EJL, Fernandes NLS, de Sousa ET, de Oliveira AFB, Sampaio FC. Erosive effect of industrialized fruit juices exposure in enamel and dentine substrates: An in vitro study. J Clin Exp Dent 2021; 13:e48-e55. [PMID: 33425231 PMCID: PMC7781208 DOI: 10.4317/jced.57385] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Accepted: 09/23/2020] [Indexed: 11/23/2022] Open
Abstract
Background Erosive tooth wear has been a highly prevalent and emerging phenomenon related to eating habits of the population. Aim: This study sought to investigate industrialized fruit juices exposure in enamel and dentine substrates in terms of erosive effect.
Material and Methods Human enamel and dentine specimens were randomized into 8 groups (n=8): Grape juice – Ades®, Grape juice – Del Valle Kapo®, Grape juice – Aurora®, Orange juice – Del Valle Kapo®, Orange juice – Ades®, Strawberry juice – Mais Vita®, Strawberry juice – Ades®, Citrus fruit juice – Tampico®. Specimens were submitted to an in vitro erosive challenge and to a microhardness test to evaluate the percentage of surface microhardness loss. The pH, titratable acidity, buffering capacity, degree of saturation and critical pH concerning hydroxyapatite and fluorapatite of the juices were measured as well as their composition of calcium, phosphate, fluoride, and total protein. Data were submitted to the analysis of variance and multivariate linear regression (α=0.05).
Results All test agents were undersaturated concerning hydroxyapatite and fluorapatite. A significant interaction between the type of juice and substrate was found (α=0.000, β=0.99). However, Orange juice – Del Valle Kapo®, Orange juice – Ades®, and Strawberry juice – Mais Vitta® demonstrated no difference between substrates. Grape juice – Ades® promoted less mineral than other juices in enamel and dentine. The calcium concentration in juices was a protective variable for microhardness loss in both substrates.
Conclusions The erosive effect of industrialized fruit juices affects enamel differently from dentine, and this effect differed between some, but not all, tested juices. Key words:Tooth erosion, dental enamel, dentine. beverages, food habits.
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Affiliation(s)
- Ingrid-Andrade Meira
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas-UNICAMP, Piracicaba/São Paulo, Brazil
| | - Elis-Janaina-Lira Dos Santos
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas-UNICAMP, Piracicaba/São Paulo, Brazil
| | | | - Emerson-Tavares de Sousa
- Department of Health Sciences and Pediatric Dentistry, Piracicaba Dental School, University of Campinas-UNICAMP, Piracicaba/São Paulo, Brazil
| | | | - Fábio-Correia Sampaio
- Department of Clinic and Social Dentistry, Federal University of Paraiba-UFPB, João Pessoa/Paraiba, Brazil
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West NX, He T, Zou Y, DiGennaro J, Biesbrock A, Davies M. Bioavailable gluconate chelated stannous fluoride toothpaste meta-analyses: Effects on dentine hypersensitivity and enamel erosion. J Dent 2020; 105:103566. [PMID: 33383100 DOI: 10.1016/j.jdent.2020.103566] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 12/17/2020] [Accepted: 12/22/2020] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVES To compare the effect of bioavailable gluconate-chelated stannous fluoride (SnF2) toothpaste with control toothpastes for treatment of dentine hypersensitivity (DH) and enamel erosion. DATA AND SOURCES A Procter & Gamble Oral Care archive of clinical studies was reviewed from 2000 to 2020. Eligible studies were Randomised Controlled Trials (RCTs) investigating bioavailable gluconate-chelated SnF2 toothpaste efficacy compared to controls in adult participants measured following tactile (Yeaple force) and/or evaporative stimuli (Schiff score) in-vivo, duration <2 months (DH); or by erosive toothwear (profilometry) from in-situ samples, duration 10-15 days. Two authors independently assessed eligibility and resolved disagreements by discussion. A meta-analysis was undertaken and Risk of Bias (RoB) assessed using the Cochrane collaboration RoB tool for randomized parallel-group and cross-over trials. RESULTS Fourteen RCTs (1287 participants) assessed DH relief and Six RCTs (184 participants) enamel erosion protection. For DH SnF2 toothpastes provided a 57 % (evaporative air) and 142 % (tactile) benefit versus negative controls (sodium fluoride/monofluorophosphate, 8 studies; p < 0.001). Compared to positive controls (potassium nitrate or arginine, 6 studies), a 22 % advantage (p = 0.036) was seen for evaporative air. In erosion studies, SnF2 toothpastes provided an 83 % benefit versus control toothpastes (arginine or sodium fluoride; p < 0.001) with a change (95 %CI) in average surface profilometry level (μm) of -2.02(-2.85, -1.20). CONCLUSIONS The use of these bioavailable SnF2 toothpastes, as part of a daily oral hygiene regimen, will provide patients with enamel erosion protection, combined with alleviation of DH pain when present, improving quality of life.
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Affiliation(s)
- Nicola X West
- Periodontology, Bristol Dental School, University of Bristol, Lower Maudlin Street, Bristol, BS1 2LY, UK.
| | - Tao He
- Research & Development, The Procter & Gamble Company, Mason, OH, 45040, USA.
| | - Yuanshu Zou
- Research & Development, The Procter & Gamble Company, Mason, OH, 45040, USA.
| | - Joe DiGennaro
- Research & Development, The Procter & Gamble Company, Mason, OH, 45040, USA.
| | - Aaron Biesbrock
- Research & Development, The Procter & Gamble Company, Mason, OH, 45040, USA.
| | - Maria Davies
- Periodontology, Bristol Dental School, University of Bristol, Lower Maudlin Street, Bristol, BS1 2LY, UK.
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Awareness and Treatment Decisions on Tooth Wear among Jordanian Dentists and Prosthodontists: A Cross-Sectional Survey Study. Int J Dent 2020; 2020:8861266. [PMID: 33299419 PMCID: PMC7701210 DOI: 10.1155/2020/8861266] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 10/25/2020] [Accepted: 11/02/2020] [Indexed: 02/06/2023] Open
Abstract
Objectives To assess the awareness, knowledge, and treatment decisions by dentists in Jordan regarding tooth wear. Materials and Methods A questionnaire was disseminated to a random sample of 200 general dentists and 100 prosthodontists working in the Ministry of Health, academia, private practices, and military services. Chi square and independent t-tests were performed for statistical analysis. Results Hundred and seventy-nine dentists and prosthodontists responded (59.7% response rate), of which 71.5% was females. 83.8% of the dentists reported they see patients with tooth wear. 61.5% registered wear lesions in the patient file, and 68.2% reported they find a probable cause of tooth wear. 87.2% of the dentists reported that bruxism is the most common cause in Jordan. 63.3% dentists treated their patients. 46.4% reported they “always” record a dietary history. 77.7% did not think that tooth wear is linked to caries. Low confidence levels were demonstrated among general practitioners in diagnosing and treating tooth wear. Regarding treatment decisions, most dentists decided to restore worn teeth with composite and to construct a night guard. Minimally affected anterior teeth were mostly treated with fluoride. Restoration of posterior worn teeth with overlay was suggested by one-third of the dentists. Conclusion The dentists and prosthodontists in Jordan are aware of tooth wear. However, examination and documentation were given a little priority by general dentists. On the other hand, there was an agreement among the dentists and prosthodontists on applying the minimally invasive approach. Clinical Significance. It is challenging for dentists to make the best treatment decision for tooth wear especially as no standard treatment is available. Therefore, this study investigated the awareness and treatment decisions of a sample of dentists and prosthodontists in Jordan.
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Chan AS, Tran TTK, Hsu YH, Liu SYS, Kroon J. A systematic review of dietary acids and habits on dental erosion in adolescents. Int J Paediatr Dent 2020; 30:713-733. [PMID: 32246790 DOI: 10.1111/ipd.12643] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/23/2019] [Revised: 03/02/2020] [Accepted: 03/22/2020] [Indexed: 12/22/2022]
Abstract
BACKGROUND Dental erosion is the dissolution of dental hard tissues caused by acids of a non-bacterial origin. Dietary acids are considered the predominant and most controllable factor. AIM To synthesise the literature on the effects of dietary acids and habits on dental erosion in the permanent dentition of 10- to 19-year-old adolescents. MATERIALS AND METHODS An electronic literature search was undertaken in Cochrane, MEDLINE, CINAHL, Dentistry & Oral Sciences Source via EBSCOhost, and Embase with no restriction on the date of publication. RESULTS The initial search identified 449 articles, and 338 remained after removal of duplicates. Seventy-seven articles remained after screening of titles and abstracts, and 52 were eligible for the full-text review. A considerable variety of beverages, food, and dietary habits were reported as risk factors for dental erosion. The most consistent findings implicated the erosive potential of carbonated beverages and the consumption of acidic drinks at bedtime. CONCLUSIONS Although results were not consistent between cohort and cross-sectional studies, this review suggests certain dietary risk factors may contribute to dental erosion in adolescents. There is a need for more high-quality cohort studies to establish more conclusive evidence on the role of dietary acids and habits on dental erosion.
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Affiliation(s)
- Alex Simon Chan
- School of Dentistry and Oral Health, Griffith University, Southport, Qld, Australia
| | | | - Yi Hsuan Hsu
- School of Dentistry and Oral Health, Griffith University, Southport, Qld, Australia
| | | | - Jeroen Kroon
- School of Dentistry and Oral Health, Griffith University, Southport, Qld, Australia
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KAPTAN A, KORKMAZ E. Influence of Caries and Oral Health Status on the Prevalence of Dental Erosion in 7–14-Year-Old-Children in Turkey. CUMHURIYET DENTAL JOURNAL 2020. [DOI: 10.7126/cumudj.748046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Roque-Torres GD, Kwon SR, Oyoyo U, Li Y. Measurement of erosion depth using microcomputed tomography and light microscopy. Microsc Res Tech 2020; 83:1450-1455. [PMID: 32681812 DOI: 10.1002/jemt.23537] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Revised: 01/17/2020] [Accepted: 06/09/2020] [Indexed: 12/29/2022]
Abstract
Tooth-erosion is the surface loss of dental hard tissue mostly associated with an acid attack. The aim was to compare dentin and enamel erosion depth measurements using micro-computed tomography (microCT) and light microscopy (LM). Enamel/dentin blocks were prepared from caries-free human molar-teeth (N = 12). Teeth were sectioned to a rectangular shape of 4 × 4 × 6 mm. Specimens were treated with water (NC) or 1.0% citric-acid solution (PC). After treatment, specimens were scanned with micro-computed tomography. On completion, specimens were sectioned and observed under a light-microscope. Lesion depth was observed with 10× magnification and images transferred to Simpleware software. Vertical distance from lesion surface to bottom was measured. Pearson correlation test was used to evaluate correlation and Wilcoxon Signed Rank test to evaluate differences in the two-analysis methods. Mean enamel erosion depth was 0.63 and 38.38 μm (microCT) and 0.54 and 39.43 μm (LM) for NC and PC, respectively. Dentin erosion depth was 0.72 and 48.05 μm (microCT) and 0.56 and 49.92 μm (LM) for NC and PC, respectively. There was a significant correlation between the two-analysis methods (r = 0.998; p < .001). No statistically significant difference in results were obtained when microCT and LM were compared (p = .584). This results obtained from the current study suggested that erosion depth measurements made using microCT and LM yielded comparable results. The microCT method is preferred if the conservation of specimens is desired.
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Affiliation(s)
- Gina Delia Roque-Torres
- Center for Dental Research, School of Dentistry, Loma Linda University, Loma Linda, California, USA
| | - So Ran Kwon
- Center for Dental Research, School of Dentistry, Loma Linda University, Loma Linda, California, USA
| | - Udochukwu Oyoyo
- Center for Dental Research, School of Dentistry, Loma Linda University, Loma Linda, California, USA
| | - Yiming Li
- Center for Dental Research, School of Dentistry, Loma Linda University, Loma Linda, California, USA
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Murase Y, Kotake H, Kusakabe S, Okuyama K, Tamaki Y, Hotta M. Use of new scratch test and tensile test for evaluation of bond strength of selfadhesive flowable resin composite for repair of artificial tooth erosion. Dent Mater J 2020; 39:435-443. [PMID: 31932547 DOI: 10.4012/dmj.2019-009] [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] [Indexed: 01/30/2023]
Abstract
The purpose of this study was to use a new scratch test and tensile test to evaluate the bond strength between artificial erosive enamel or dentin and self-adhesive resin composites as a coating material. Coronal enamel or dentin surface was exposed to an erosive cycle (artificial saliva [AS], pH:7.0 for 6.5 h and acidic carbonated beverages for 5 min, alternated 3 times per day) for the eroded-surface or stored in AS for the remineralized-surface. Two self-adhesive flowable resin composites, Fusio and LLB-CR6 (prototype), and a conventional flowable resin composite, BEAUTIFIL FLOW with self-etching primer system, Clearfil Mega Bond, were applied to enamel or dentin surfaces; and then the bond strengths were measured. For the eroded-surface, there were no significant differences in bonding strength among all materials, as assessed by the new scratch test. Thus, these self-adhesive flowable resin composites might be useful for coating materials on acid-eroded tooth surfaces.
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Affiliation(s)
- Yuki Murase
- Division of Oral Functional Science and Rehabilitation, Department of Operative Dentistry, Asahi University School of Dentistry
| | - Hirotomo Kotake
- Division of Oral Functional Science and Rehabilitation, Department of Operative Dentistry, Asahi University School of Dentistry
| | - Shusuke Kusakabe
- Division of Oral Functional Science and Rehabilitation, Department of Operative Dentistry, Asahi University School of Dentistry
| | - Katsushi Okuyama
- Division of Oral Functional Science and Rehabilitation, Department of Dental Materials Science, Asahi University School of Dentistry
| | - Yukimichi Tamaki
- Division of Oral Functional Science and Rehabilitation, Department of Dental Materials Science, Asahi University School of Dentistry
| | - Masato Hotta
- Division of Oral Functional Science and Rehabilitation, Department of Operative Dentistry, Asahi University School of Dentistry
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Rauber BF, Milani DC, Callegari-Jacques SM, Fornari L, Bonadeo NM, Fornari F. Predictors of dental erosions in patients evaluated with upper digestive endoscopy: a cross-sectional study. Odontology 2020; 108:723-729. [PMID: 32152820 DOI: 10.1007/s10266-020-00505-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2019] [Accepted: 02/25/2020] [Indexed: 12/13/2022]
Abstract
The most studied medical condition related with dental erosions is gastroesophageal reflux disease (GERD). The aim of this study was to assess other predictors of dental erosions besides GERD in outpatients referred for upper digestive endoscopy. In a cross-sectional study, we prospectively evaluated 235 patients who underwent upper digestive endoscopy. Patients were interviewed and examined by a trained dentist before the endoscopies, addressing dental health as well as clinical information and food intake. Dental erosion was classified using Basic Erosive Wear Examination score. Potential predictors for dental erosions were: gender, age, chronic use of antidepressants and proton pump inhibitors (PPI), diabetes mellitus, body mass index, heartburn and acid regurgitation scores, chocolate intake, reflux esophagitis and hiatal hernia. Overall prevalence of dental erosions was 23.4%. The most parsimonious Poisson regression model for dental erosions considered age, chocolate intake and acid regurgitation as predictors. Dental erosions were associated with acid regurgitation in patients younger than 50 years [adjusted prevalence ratio (PR) = 1.8 (95% CI 1.1-2.9)] and with chocolate intake in patients older than 50 years [PR = 2.1 (95% CI 1.2-3.9]. The surfaces most eroded were palatine/lingual (n = 25) and occlusal (n = 25), followed by vestibular (n = 5). In outpatients evaluated with upper digestive endoscopy, the variables associated with dental erosions were age younger than 50 years, acid regurgitation and chocolate intake. Referral for dental evaluation should be considered for young patients with GERD and frequent acid regurgitation.
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Affiliation(s)
- Bárbara Facco Rauber
- Program in Dentistry, Faculty of Dentistry, University of Passo Fundo, BR 285 Campus I, RS, Passo Fundo, CEP 99052900, Brazil
| | - Daiane Cristina Milani
- Program in Dentistry, Faculty of Dentistry, University of Passo Fundo, BR 285 Campus I, RS, Passo Fundo, CEP 99052900, Brazil
| | | | | | | | - Fernando Fornari
- Program in Dentistry, Faculty of Dentistry, University of Passo Fundo, BR 285 Campus I, RS, Passo Fundo, CEP 99052900, Brazil.
- Endoscopy Department, Endopasso, Passo Fundo, Brazil.
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Viana MM, do Amaral SF, Nakao E, Rodrigues MC. Conservative approach to the restoration of vital teeth affected by severe tissue wear. J Prosthet Dent 2020; 123:191-195. [DOI: 10.1016/j.prosdent.2018.10.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2018] [Revised: 10/15/2018] [Accepted: 10/15/2018] [Indexed: 11/28/2022]
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Willman JC, Hernando R, Matu M, Crevecoeur I. Biocultural diversity in Late Pleistocene/Early Holocene Africa: Olduvai Hominid 1 (Tanzania) biological affinity and intentional body modification. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2020; 172:664-681. [PMID: 31944279 DOI: 10.1002/ajpa.24007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Revised: 12/24/2019] [Accepted: 01/02/2020] [Indexed: 01/12/2023]
Abstract
OBJECTIVES The dentition of Olduvai Hominid 1 (OH1) exhibits an anomalous pattern of dental wear that was originally attributed to either intentional cultural modification (filing) or plant processing behaviors. A differential diagnosis of the wear and assessment of the biological affinity of OH1 is presented. MATERIALS AND METHODS Macroscopic and microscopic observations of all labial and buccal tooth surfaces were undertaken to assess wear patterns. A multivariate analysis of mandibular morphology of OH1 compared to other Late Pleistocene, Holocene, and recent modern humans was used to ascertain biological affinity. RESULTS The morphological variation of the OH1 mandible is closely aligned with variation in penecontemporaneous fossils from Africa and outside that of recent humans. The concave wear facets exposing dentin on the labial surfaces of all three preserved mandibular incisors is confirmed. Substantial loss of labial/buccal surfaces was documented on the surfaces of all in situ maxillary and mandibular canines, premolars, and molars ranging from distinct facets with well-defined edges, to blunting or "polishing" around areas of maximum buccal curvature. The wear on both the anterior and postcanine teeth closely resemble that caused by adornments ("labrets") worn in lower-lip and buccal facial piercings known from bioarchaeological and ethnographic contexts. The wear pattern suggests that the OH1 wore three facial piercings-two buccal/lateral and a medial one in the lower lip. DISCUSSION Our findings suggest that the expression of social identities through intentional body modification is more diverse than previously documented elsewhere in Africa during the Late Pleistocene (i.e., ablation) and Early Holocene (i.e., ablation, chipping, and filing).
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Affiliation(s)
- John C Willman
- Laboratory of Prehistory, CIAS - Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, 3000-456, Coimbra, Portugal.,IPHES, Institut Català de Paleoecologia Humana i Evolució Social , 43007 Tarragona, Spain.,Àrea de Prehistòria, Universitat Rovira i Virgili (URV), 43002 Tarragona, Spain
| | - Raquel Hernando
- IPHES, Institut Català de Paleoecologia Humana i Evolució Social , 43007 Tarragona, Spain.,Àrea de Prehistòria, Universitat Rovira i Virgili (URV), 43002 Tarragona, Spain
| | - Marie Matu
- Unité Mixte de Recherche 5199, PACEA, De la Préhistoire à l'Actuel: Culture, Environnement, et Anthropologie, Centre National de la Recherche Scientifique, Université de Bordeaux, Bordeaux, France
| | - Isabelle Crevecoeur
- Unité Mixte de Recherche 5199, PACEA, De la Préhistoire à l'Actuel: Culture, Environnement, et Anthropologie, Centre National de la Recherche Scientifique, Université de Bordeaux, Bordeaux, France
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Pai S, Naik N, Patil V, Kaur J, Awasti S, Nayak N. Evaluation and Comparison of Stress Distribution in Restored Cervical Lesions of Mandibular Premolars: Three-dimensional Finite Element Analysis. J Int Soc Prev Community Dent 2019; 9:605-611. [PMID: 32039081 PMCID: PMC6905322 DOI: 10.4103/jispcd.jispcd_301_19] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2019] [Accepted: 09/16/2019] [Indexed: 11/24/2022] Open
Abstract
Objectives: Restorative materials are used in the treatment of cervical lesions and restoration of the dental tooth. The objective of this study was to assess the suitability of the three commonly used restorative materials by dentists and the evaluation of stress distribution and deformation using Von Mises stress in cervical lesions of mandibular premolars under varying loading condition. Materials and Methods: A computerized model of restored class V cavity of mandibular premolar tooth was created using three dimensional modeling software SpaceClaim. It was subjected to occlusal pressure load of 100, 150, 200 and 250MPa at right angle to buccal cusp and was analyzed for stress distribution and deformation in different restorative materials using Finite Element analysis, ANSYS Workbench. Results: The analysis carried on the class V restored tooth from biomechanical point of view indicates that restorative material glass–ionomer cement exhibited better bonding with the tooth structure using ionic bonds with the calcium ion present in the tooth structure. The variation of 8%–9% of stress concentration is observed in cavity region across varied pressure loads with glass–ionomer cement to Cention N. Conclusion: Glass–ionomer cement had showed better results than amalgam in terms of biomechanical property which is in agreement with the clinical findings. The stress values of Cention N were comparable to that of glass–ionomer cement.
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Affiliation(s)
- Swathi Pai
- Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Nithesh Naik
- Department of Mechanical and Manufacturing Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Vathsala Patil
- Department of Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Jaskirat Kaur
- Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Swetank Awasti
- Department of Mechanical and Manufacturing Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, Karnataka, India
| | - Nithin Nayak
- Department of Mechanical and Manufacturing Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, Karnataka, India
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Kamal Y, O'Toole S, Bernabé E. Obesity and tooth wear among American adults: the role of sugar-sweetened acidic drinks. Clin Oral Investig 2019; 24:1379-1385. [PMID: 31656969 DOI: 10.1007/s00784-019-03079-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2018] [Accepted: 09/22/2019] [Indexed: 12/19/2022]
Abstract
BACKGROUND To explore the association between obesity and tooth wear among American adults and the role of sugar-sweetened acidic drinks consumption in explaining that association. METHODS We analyzed data from 3541 adult participants in the National Health and Nutrition Examination Survey. Obesity was determined using the body mass index and tooth wear was assessed using the modified tooth wear index. Daily intake of four categories of drinks was estimated as the average (drinks/day) of two consecutive 24-h dietary recalls. The association between obesity and number of surfaces with moderate-to-severe tooth wear was assessed in hurdle models adjusting for sociodemographic factors, acid reflux medication, and dental insurance. RESULTS Overweight and obese adults had more surfaces with moderate-to-severe tooth wear than those with normal body size, after adjusting for confounders. The consumption of sugar-sweetened acidic drinks explained part, but not all the above association. More specifically, the estimate for obesity was fully attenuated, whereas the estimate for overweight was slightly attenuated but remained significant. CONCLUSION Obesity was positively associated with tooth wear in American adults. This association was only partially accounted for by the consumption of sugar-sweetened acidic drinks, a common risk factor for both conditions. PRACTICAL IMPLICATIONS Dentists must be aware of the health consequences of sugar-sweetened acidic drinks and advocate for reduction in consumption and/or substitution with healthier alternatives.
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Affiliation(s)
- Yousaf Kamal
- Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, Denmark Hill Campus, Bessemer Road, London, SE5 9RS, UK
| | - Saoirse O'Toole
- Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, Denmark Hill Campus, Bessemer Road, London, SE5 9RS, UK
| | - Eduardo Bernabé
- Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, Denmark Hill Campus, Bessemer Road, London, SE5 9RS, UK.
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Gillborg S, Åkerman S, Ekberg E. Tooth wear in Swedish adults-A cross-sectional study. J Oral Rehabil 2019; 47:235-245. [PMID: 31520545 DOI: 10.1111/joor.12887] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2019] [Revised: 08/20/2019] [Accepted: 09/11/2019] [Indexed: 12/28/2022]
Abstract
BACKGROUND Tooth wear has been recognised as a growing oral health problem in children and adolescents, with erosion often cited as the main cause of the tooth wear. Most studies on tooth wear have been conducted on children and adolescents, and only few studies focus on adults. Our aim was to study the prevalence of different types of tooth wear in an adult population and investigate related factors to tooth wear. METHODS A total of 831 adults in Sweden participated in the study by completing a questionnaire about oral health, a clinical examination, saliva sample and intraoral photographs. Tooth wear was estimated according to the Basic Erosive Wear Examination index, and the aetiology was determined based on the clinical appearance. RESULTS Almost 80% of the individuals had signs of erosion, and over 90% had signs of attrition. A high level of tooth wear was found in 4.6% of the individuals, few of who reported having received information about both attrition and erosion. Significantly, more men had tooth wear. Daily consumption of fruit had a stronger correlation to tooth wear than acidic drinks. DISCUSSION & CONCLUSION A high level of tooth wear was found in 4.6% of the individuals, and it was more common in men than women. Aside from attrition, tooth wear due to erosion was a frequent finding in adults. Only a few of the individuals with a high level of tooth wear reported to have received information about tooth wear from their dentist or dental hygienist.
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Affiliation(s)
- Susanna Gillborg
- Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Sweden
| | - Sigvard Åkerman
- Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Sweden
| | - EwaCarin Ekberg
- Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Sweden
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Soygun K, Soygun A, Dogan MC. The effect of gastric acid on chitosan modified glass ionomer cement: SEM-EDS. Microsc Res Tech 2019; 83:3-9. [PMID: 31603592 DOI: 10.1002/jemt.23382] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Revised: 08/27/2019] [Accepted: 09/11/2019] [Indexed: 01/10/2023]
Abstract
This study aimed to use scanning electron microscopy with energy dispersive spectroscopy (SEM-EDS) to examine the elements that passed into the gastric acid solution after the application of a gastric acid erosive cycle to chitosan modified glass ionomer cement (GIC). Chitosan modified GIC samples were obtained by adding chitosan (vol/vol) of 5 and 10% to GIC for the experimental groups. These two experimental groups and a control group were subjected to gastric acid erosive treatment for 60 s six times a day for 10 days. The sample surfaces were coated with approximately 1 nm of gold to increase conductivity with the Q 150R ES device (Quorum Technologies, East Sussex, England). Surface topography images were obtained with a SEM. Besides, EDS analysis was also determined the number of elements graphically in the region where the fast electron beam hit. In the samples examined, the amount of element was determined. After gastric acid application, cracks and voids were observed on the surfaces of the samples. In the EDS analysis of the 5 and 10% chitosan modified GIC and control groups, Si, Al, Na, and F was found. It is necessary to investigate the antibacterial properties and physical properties of chitosan modified glass ionomer-free elements and fluorine ions using advanced techniques.
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Affiliation(s)
- Koray Soygun
- Department of Prosthodontics, Faculty of Dentistry, Cukurova University, Adana, Turkey
| | - Arzu Soygun
- Fatma Kemal Timucin Dental Health Hospital, Ministry of Health, Adana, Turkey
| | - Muharrem Cem Dogan
- Department of Pediatric Dentistry, Faculty of Dentistry, Cukurova University, Adana, Turkey
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Borjac J, Badr S, ElJoumaa M, Daas I, Kobeissi R. Oral and Dental Status of Lebanese and Syrian Refugees Living in Proximity to Deir Kanoun Ras El Ain Dump in Lebanon. J Int Soc Prev Community Dent 2019; 9:409-416. [PMID: 31516876 PMCID: PMC6714415 DOI: 10.4103/jispcd.jispcd_214_19] [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: 05/07/2019] [Accepted: 06/21/2019] [Indexed: 12/05/2022] Open
Abstract
Aims: In this study, we aimed at investigating the oral and dental health conditions of Lebanese and Syrian refugees living in proximity to Deir Kanoun Ras El Ain dump whereby its leachates influx into a canal used for irrigation and drinking purposes. Materials and Methods: This observational study involved oral and dental examinations of 589 Lebanese and Syrian Refugees participants living in the three villages: Deir Kanoun Ras El Ain, Klayleh, and Smaiyeh. Differences in oral and dental examination results were analyzed between different villages, sexes, nationalities, and age groups. Correlation tests were conducted between dental fluorosis, staining, papilla swelling, and several sociodemographic factors. Results: Dental fluorosis, staining, and papilla swelling were the most prominent problems among total participants. The highest percentages of individuals with the studied diseases were shown to be in Klayleh village, among females, and individuals aged between 21 and 40 years. Significant associations were observed between dental fluorosis and nationality; between dental staining and gender, nationality, age, and smoking; as well as between papilla swelling and age, smoking, and diabetes. Conclusions: Our study investigated and highlighted the prevalence of several oral and dental diseases among Lebanese and Syrian inhabitants that are related to environmental, social, and economic determinants and not just by individual behaviors. It also showed gaps of oral and dental health knowledge that recommend implementing health systems that focus on preventing oral diseases.
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Affiliation(s)
- Jamilah Borjac
- Department of Biological Sciences, Faculty of Science, Beirut Arab University, Debbieh Campus, Lebanon
| | - Shereen Badr
- Department of Pediatric Dentistry Division, Faculty of Dentistry, Beirut Arab University, Beirut, Lebanon
| | - Manal ElJoumaa
- Department of Biological Sciences, Faculty of Science, Beirut Arab University, Debbieh Campus, Lebanon
| | - Issa Daas
- Department of Pediatric Dentistry Division, Faculty of Dentistry, Beirut Arab University, Beirut, Lebanon
| | - Riham Kobeissi
- Department of Pediatric Dentistry Division, Faculty of Dentistry, Beirut Arab University, Beirut, Lebanon
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Sehgal HS, Kohli R, Pham E, Beck GE, Anderson JR. Tooth wear in patients treated with HIV anti-retroviral therapy. BMC Oral Health 2019; 19:129. [PMID: 31242887 PMCID: PMC6595590 DOI: 10.1186/s12903-019-0818-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Accepted: 06/07/2019] [Indexed: 11/17/2022] Open
Abstract
Background The objective of this study was to elucidate the relationship between HIV anti-retroviral therapy and tooth wear. Methods Assessment of tooth wear was conducted both with a survey questionnaire and clinical assessment at Russell Street Dental Clinic in Portland, Oregon. The survey questionnaire comprised of questions on study participant’s gender, age, HIV status, current medications, awareness of tooth grinding or clenching, jaw soreness, tooth or gum soreness, and frequency of headaches. For the clinical evaluation, a dental provider recorded the degree of wear on each tooth using a scale of 0–3. An individual tooth-wear index was used to rank patients with regard to incisal and occlusal wear. Data analysis included descriptive analysis, tests of association and regression analysis using SPSS V.24. Results The study sample involved 93 patients (HIV + ve = 60, HIV–ve = 33) with age range of 20-90 yrs. (mean = 49 yrs., s.d = 13.3). 92 and 67% participants of the HIV + ve and HIV-ve groups, respectively, presented with tooth wear. The mean tooth wear index was higher in HIV + ve patients than HIV–ve patients (8.2 vs. 7.8), however, this difference was not statistically significant (p > 0.05). A significant, positive correlation was found between HIV presence and tooth wear index, after accounting for age (B = 0.71, p < 0.05). The number of years on anti-retroviral therapy alone was positively correlated with tooth wear index (R2 = 0.116, p < 0.05). After controlling for age, years of anti-retroviral therapy use was positively correlated with tooth wear index (B = 0.047, p > 0.05). Conclusions The findings from this study suggest that HIV + ve patients, who are on anti-retroviral therapy have significant tooth wear, although more studies with larger sample size are needed to confirm this. There is a critical need to initiate a dialogue with medical providers about tooth wear as a possible side effect of antiretroviral therapy and to introduce appropriate preventive measures.
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Affiliation(s)
- Harjit Singh Sehgal
- Department of Periodontology, School of Dentistry, Oregon Health & Science University, 5N034 SDPERI, 2730 SW Moody Ave, Portland, Oregon, 97201-5042, USA.
| | - Richie Kohli
- Department of Community Dentistry, School of Dentistry, Oregon Health & Science University, Portland, OR, USA
| | - Edward Pham
- School of Dentistry, Oregon Health & Science University, Portland, OR, USA
| | - Grace E Beck
- Department of Endodontics, The University of Pennsylvania School of Dental Medicine, Philadelphia, PA, USA
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Hammoudi W, Trulsson M, Smedberg JI, Svensson P. Clinical presentation of two phenotypes of tooth wear patients. J Dent 2019; 86:60-68. [PMID: 31132387 DOI: 10.1016/j.jdent.2019.05.028] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 05/20/2019] [Accepted: 05/22/2019] [Indexed: 12/18/2022] Open
Abstract
OBJECTIVE To assess the clinical presentation of wear lesions in two phenotypes of tooth wear (TW) patients based on distribution and morphological features of wear. MATERIALS AND METHODS 103 patients (mean age = 43.1 years) were divided into two groups based on cluster analysis; cluster A (61 patients) and cluster B (42 patients). The distribution of wear lesions, scores of presence or absence of 10 defined morphological TW criteria and number of teeth fulfilling each criteria were compared between groups. Intra- and inter-examiner reliability of the 10 TW criteria was determined by Cohen's kappa and intraclass correlation coefficient. RESULTS While cluster A had more wear in maxillary anterior teeth and mandibular molars compared with the same opposing tooth groups (p < 0.001, p < 0.007 respectively), there were no differences for cluster B. Cluster A was characterized by higher prevalence of 4 chemical morphological criteria and the highest number of teeth affected by one chemical criteria, whereas cluster B had a higher prevalence of one mechanical criteria and higher number of teeth affected by an additional mechanical criteria. Both intra- and inter-examiner values for the defined TW criteria were fair to excellent. CONCLUSION The results may indicate a more chemical background for TW in cluster A and mechanical background in cluster B. Furthermore, clinicians may use certain clinical features of TW to distinguish between individuals who belong to a specific TW cluster with a presumed chemical or mechanical etiology. These preliminary findings need to be confirmed in future studies.
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Affiliation(s)
- Wedad Hammoudi
- Dept. of Prosthetic Dentistry, Folktandvården Eastmaninstitutet, Stockholm, Sweden; Dept. of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.
| | - Mats Trulsson
- Dept. of Dental Medicine, Karolinska Institutet, Stockholm, Sweden; Scandinavian Centre for Orofacial Neuroscience (SCON), Denmark
| | - Jan-Ivan Smedberg
- Dept. of Prosthetic Dentistry, Folktandvården Eastmaninstitutet, Stockholm, Sweden; Dept. of Dental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Peter Svensson
- Dept. of Dental Medicine, Karolinska Institutet, Stockholm, Sweden; Scandinavian Centre for Orofacial Neuroscience (SCON), Denmark; Section of Orofacial Pain and Jaw Function, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
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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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