Effect of a two-solution fluoride mouth rinse on deposition of loosely bound fluoride on sound root tissue and remineralization of root lesions in vitro

Influence of FCP-COMPLEX on bond strength and the adhesive-artificial caries-affected dentin interface

FCP-COMPLEX is a newly developed solution containing fluoride, calcium, and phosphoric acid that has the potential to reinforce caries-affected dentin. This study evaluated the effect of FCP-COMPLEX on micro-tensile bond strength (µTBS) and acid-challenge at the dentin-adhesive interface. FCP-COMPLEX, 2% NaF, and distilled water were applied to artificial caries-affected dentin (ACAD) and the effect on acid-induced damage after resin composite restoration was observed. Scanning electron microscopy and X-ray absorption fine structure (XAFS) were used to evaluate tooth morphology. The µTBS test revealed no effect of FCP-COMPLEX either immediately or after 3 months' storage. The area of acid damage in caries-affected dentin was reduced by FCP-COMPLEX. XAFS analysis revealed that absorbed fluorine on the surface would form CaF₂. In conclusion, FCP-COMPLEX significantly reduced the damage of acidic attack at the ACAD-adhesive interface, while the µTBS value was maintained after storage.

Morphological evaluation of artificial caries-affected dentin after applying FCP-COMPLEX

FCP-COMPLEX is a newly-developed solution that contains fluoride, calcium, and phosphoric acid. It has the potential to reinforce caries-affected dentin. The purpose of this study was to evaluate the effect of FCP-COMPLEX on the morphology of bovine artificial caries-affected dentin (ACAD). FCP-COMPLEX, 2% sodium fluoride solution, and distilled water were applied to bovine ACAD and the effect on acid-induced damage was observed. Scanning electron microscopy was used to evaluate morphology after acid application. Energy dispersive X-ray spectroscopy was used for mapping and quantitative analyses of the dentin surface, and for line analysis of dentin-adhesive interface. The FCP-COMPLEX precipitated on the dentin surface and fluoride, calcium, and phosphorus were detected at a higher level in the FCP-COMPLEX group. The area of acid damage in caries-affected dentin was reduced by FCP-COMPLEX. In conclusion, FCP-COMPLEX significantly increased the deposition of fluoride onto bovine ACAD and inhibited demineralization.

Prevention of Artificial Caries: Effect of Bonding Agent, Resin Composite and Topical Fluoride Application

This study investigated the effect of fluoride containing resin composites and bonding agents, as well as the topical fluoride (F) application on the inhibition of artificial caries progression by using a pH-cycling model with alternating demineralizing (pH:4.5) and remineralizing (pH:7.0) solutions. Two bonding systems (F-containing bonding system [Reactmer Bond: RB] and non-F containing bonding system [Clearfil SE Bond: SE]), two resin composites, (F-containing [Reactmer Paste: RP] and non-F containing [Clearfil AP-X: AP]) were used. A combination of each bonding agent and a resin composite, RB+RP, RB+AP, SE+RP and SE+AP, was placed in 2 x 3 x 1.5-mm cavities on root dentin of extracted molars (n=96). Specimens were subjected to pH-cycling for 6 or 12 weeks. Half of all specimens were immersed in 0.05% NaF solution for 1 minute once a day as a topical F application. After the pH cycling period, a microradiograph of each specimen was taken, and the outer lesion depth of the artificial caries was measured by means of image analyzing software. The depths of the outer lesions at different periods were analyzed by one-way ANOVA and Sheffe's test at p=0.05. The combination that received F treatment showed reduced lesion depth compared to the same combination without F application. Except for the F application group of 12 weeks, there was no significant difference in lesion depth among each bonding and composite combination (p>0.05). At week 12 with the F application, RB+RP showed the shallowest lesion compared to the other combinations (p<0.05). The results indicated that the F application reduced the progression of artificial caries. Moreover, the combination of fluoride containing bonding agent and restorative material was the most effective for the inhibition of artificial caries progression based on the 12-week experimental period with topical F application.

Mechanical properties and biochemical activity of remineralizing resin-based Ca-PO4 cements

OBJECTIVE

This study examined strength and bioactive (remineralizing) properties of a powder/liquid formulation (Cement I) and a more practical two-paste formulation (Cement II) of a fluoride-releasing resin-based Ca-PO(4) cement.

METHODS

For the remineralization potential, the dissolution of calcium, total ionic phosphate and fluoride from set cement specimens were determined in buffered saline and saliva-like solution (SLS). Artificial caries lesions were produced on coronal dentin of extracted human molars. On each tooth, two defined areas were coated, one with a composite resin (calcium-free control), the other with either Cement I or II. After incubation in SLS, the mineral loss under the cement was analyzed by digitized microradiography and compared to that under the control.

RESULTS

The diametral tensile strength of Cement II of approximately 30 MPa after 24 h and 23 MPa after 4 weeks was 2 to 3 times higher than that of Cement I (ANOVA, t-test, p<0.05). Calculations of the ion-activity products and Gibb's free energy from solution ion concentrations indicated a significant potential for the formation of fluor- and/or hydroxyapatite. Concurrently, both cements caused increases of 47% (Cement I) and 38% (Cement II) in the lesion mineral content over that underneath the corresponding controls.

SIGNIFICANCE

These in vitro results suggest that the stronger Cement II could serve as a restoration-supporting lining material and could remineralize dentin in areas where complete removal of carious tissue is contra-indicated.

Remineralization effects of a two-solution fluoride mouthrinse: an in situ study

Results from previous studies show that a two-solution fluoride (F) rinse is significantly more effective than a NaF rinse of the same F content of 250 microg/g (ppm) in remineralizing enamel and root lesions in an in vitro cyclic de- and remineralization model. In the present study, the two-solution rinse and two NaF rinses with F contents of 250 ppm and 1000 ppm were evaluated in an intra-oral remineralization model. Caries-like lesions were formed in the enamel of extracted human molars with the use of a pH 4 demineralizing solution. Thin sections of the enamel (approximately 120 microm) containing lesions were prepared, and the mineral contents of the lesions were assessed by quantitative microradiography. With the cut surfaces protected by nail varnish, 3 enamel specimens were mounted with wax in the lingual areas of a removable mandibular appliance. The study used a randomized, crossover design with seven subjects. In each of the 3 legs of the study, subjects wore the appliances continuously except when eating, drinking, and brushing their teeth. Twice daily (after breakfast and before bedtime), the subjects received a one-minute rinse with 20 mL of (1) 250-ppm-F NaF rinse, (2) 1000-ppm-F NaF rinse, or (3) 228-ppm-F two-solution F rinse. At the end of the 14-day experimental period, the sections were retrieved, and the mineral contents of the lesions were again assessed quantitatively. The results show that both the 1000-ppm-F NaF and 228-ppm-F two-solution rinses produced a greater (p < 0.05) remineralization than did the 250-ppm-F NaF rinse. The remineralization produced by the two-solution rinse was not statistically different (p > 0.05) from that produced by the NaF rinse with 4x the F content (1000 ppm F).