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Qiu X, Liu J, Chen X. The combination of arginine and fluoride-containing bioactive glass acted synergistically in inhibiting enamel demineralization in permanent teeth. J Dent 2024:105227. [PMID: 38996997 DOI: 10.1016/j.jdent.2024.105227] [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: 06/02/2024] [Revised: 06/25/2024] [Accepted: 07/04/2024] [Indexed: 07/14/2024] Open
Abstract
OBJECTIVES To evaluate the in-vitro efficacy of inhibiting enamel demineralization using arginine in combination with fluoride-containing bioactive glass (FBG). METHODS In this study, the healthy enamel blocks were first demineralized in acetic acid for 24h, then soaked in anti-demineralization treatment solutions containing either arginine or FBG or both for 96h.The specimens treated in acetic acid were applied as the control group. The pH, calcium and phosphorus ion concentrations of the solutions were measured before and after treatment. Changes in enamel mineral weight, microhardness, and composition were also analyzed. RESULTS The present of arginine facilitated fluorine release from treatment solutions with the presence of FBG. Both arginine and FBG significantly increased the pH of treatment solutions and prevented the further mineral weight loss compared to the control group. All anti-demineralization treatment groups showed significant increases in microhardness, but there was no statistical difference among the treatment groups. The SEM analysis showed enamel restoration in the arginine and FBG groups upon treatment, while the combined groups showing a superior anti-demineralization efficacy. 19F NMR showed the formation of fluorapatite in samples treated with solutions containing FBG. CONCLUSIONS Both arginine and FBG could inhibit enamel demineralization to some extent, and their combination demonstrated an enhanced anti-demineralization efficacy. The low-concentration combination group exhibited anti-demineralization effects comparable to those of high-concentration ones. CLINICAL SIGNIFICANCE This study introduces a new approach for caries prevention by combining the application of arginine and FBG. The release of fluorine promoted by the presented arginine along with calcium and phosphorus ions from FBG facilitated FAP formation. Additionally, the increment of pH resulting from arginine and FBG degradation further prevents enamel demineralization.
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Affiliation(s)
- Xili Qiu
- Hunan Key Laboratory of Oral Health Research & Academician Workstation for Oral-maxillofacial and Regenerative Medicine & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, 410008, Hunan, China; Molecular Biology Research Center, Center for Medical Genetics, School of Life Sciences, Hunan Province Key Laboratory of Basic and Applied Hematology, Central South University, Changsha, 410013, China
| | - Jing Liu
- Molecular Biology Research Center, Center for Medical Genetics, School of Life Sciences, Hunan Province Key Laboratory of Basic and Applied Hematology, Central South University, Changsha, 410013, China.
| | - Xiaojing Chen
- Hunan Key Laboratory of Oral Health Research & Academician Workstation for Oral-maxillofacial and Regenerative Medicine & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, 410008, Hunan, China.
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Chen H, Zhang J, Hill R, Baysan A. Evaluation of toothpastes for treating root carious lesions - a laboratory-based pilot study. BMC Oral Health 2024; 24:484. [PMID: 38649931 PMCID: PMC11036671 DOI: 10.1186/s12903-024-04061-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2024] [Accepted: 02/22/2024] [Indexed: 04/25/2024] Open
Abstract
BACKGROUND Root caries is preventable and can be arrested at any stage of disease development. The aim of this study was to investigate the potential mineral exchange and fluorapatite formation within artificial root carious lesions (ARCLs) using different toothpastes containing 5,000 ppm F, 1,450 ppm F or bioactive glass (BG) with 540 ppm F. MATERIALS AND METHODS The crowns of each extracted sound tooth were removed. The remaining roots were divided into four parts (n = 12). Each sample was randomly allocated into one of four groups: Group 1 (Deionised water); Group 2 (BG with 540 ppm F); Group 3 (1,450 ppm F) and Group 4 (5,000 ppm F). ARCLs were developed using demineralisation solution (pH 4.8). The samples were then pH-cycled in 13 days using demineralisation solution (6 h) and remineralisation solution (pH 7) (16 h). Standard tooth brushing was carried out twice a day with the assigned toothpaste. X-ray Microtomography (XMT) was performed for each sample at baseline, following ARCL formation and after 13-day pH-cycling. Scanning Electron Microscope (SEM) and 19F Magic angle spinning nuclear magnetic resonance (19F-MAS-NMR) were also performed. RESULTS XMT results showed that the highest mineral content increase (mean ± SD) was Group 4 (0.09 ± 0.05), whilst the mineral content decreased in Group 1 (-0.08 ± 0.06) after 13-day pH-cycling, however there was evidence of mineral loss within the subsurface for Groups 1, 3 and 4 (p < 0.05). SEM scans showed that mineral contents within the surface of dentine tubules were high in comparison to the subsurface in all toothpaste groups. There was evidence of dentine tubules being either partially or completely occluded in toothpaste groups. 19F-MAS-NMR showed peaks between - 103 and - 104ppm corresponding to fluorapatite formation in Groups 3 and 4. CONCLUSION Within the limitation of this laboratory-based study, all toothpastes were potentially effective to increase the mineral density of artificial root caries on the surface, however there was evidence of mineral loss within the subsurface for Groups 1, 3 and 4.
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Affiliation(s)
- Haoran Chen
- Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Jiaxin Zhang
- Biochemical Pharmacology, William Harvey Research Institute, Queen Mary University of London, London, UK
| | - Robert Hill
- Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
| | - Aylin Baysan
- Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
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Kaur M, Anderson P, Shahid S, Wong FSL. Chemical kinetics of silver diammine fluoride in demineralization and remineralization solutions-an in vitro study. FRONTIERS IN ORAL HEALTH 2024; 5:1374333. [PMID: 38708061 PMCID: PMC11069299 DOI: 10.3389/froh.2024.1374333] [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: 01/21/2024] [Accepted: 04/08/2024] [Indexed: 05/07/2024] Open
Abstract
Introduction Silver Diammine Fluoride (SDF) is a clinical minimal intervention to manage dentin caries. Its chemistry in demineralization conditions has been investigated widely, but far less in remineralization conditions. The aim was to investigate and compare the chemical reactions when SDF is added to remineralization and demineralization solutions. Methods 0.01 ml SDF (Riva Star) was added to deionized water (DW); demineralization (DS = pH4) and remineralization (RS = pH7.0) solutions. The time sequence of concentrations of NH4+, F-, and Ag+ were measured using ion selective electrodes (ISEs) every 2 min. The pH was also measured. Precipitates were characterized using x-ray Diffraction (XRD) and, 31P and 19F nuclear magnetic resonance spectroscopy (NMR). Results The concentrations of NH4+ and Ag+ showed decreasing trends in DW (-0.12 and -0.08 mM/h respectively), and in DS (-1.06 and -0.5 mM/h respectively); with corresponding increase in F- concentration (0.04 and 0.7 mM/h respectively). However, in RS, NH4+ concentration showed little change (0.001 mM/h), and Ag+ and F- concentrations were negligible. XRD results showed that precipitates (in RS only) contained AgCl, and metallic Ag. NMR showed that fluorapatite/carbonated fluorapatite (FAP/CFAP) were formed. The pH increased after SDF addition in all three solutions. Discussion SDF dissolved to release NH4+, F- and Ag + . In DW and DS, NH4+ combined with Ag+ to form diamminesilver, causing an increase of F- and pH. In RS, F- reacted with Ca2+ and (PO)43- to form FAP/CFAP, and Ag+ reacted with Cl- to form AgCl/Ag. These suggests why SDF is effective in managing dentin caries.
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Affiliation(s)
| | | | | | - F. S. L. Wong
- Dental Physical Sciences Unit, Centre for Oral Bioengineering, Institute of Dentistry, Faculty of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom
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Alambiaga-Caravaca AM, Chou YF, Moreno D, Aparicio C, López-Castellano A, Feitosa VP, Tezvergil-Mutluay A, Sauro S. Characterisation of experimental flowable composites containing fluoride-doped calcium phosphates as promising remineralising materials. J Dent 2024; 143:104906. [PMID: 38428715 DOI: 10.1016/j.jdent.2024.104906] [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: 02/04/2024] [Revised: 02/24/2024] [Accepted: 02/26/2024] [Indexed: 03/03/2024] Open
Abstract
OBJECTIVE Remineralising composites with antibacterial properties may seal the cavity and prevent secondary caries. This study aimed at developing experimental flowable composites containing different concentrations of fluoride-doped calcium phosphate fillers and evaluating their remineralising and antibacterial properties. METHODS Experimental resin-based composites containing different concentrations (0-20 %) of fluoride-doped calcium phosphate fillers (VS10/VS20) were formulated. The release of calcium (Ca), phosphate (PO) and fluoride (F) ions was assessed for 30 days. Remineralisation properties were evaluated through ATR-FTIR and SEM/EDX after storage in simulated body fluid (SBF). The metabolic activity and viability of Streptococcus gordonii was also evaluated through ATP, CFU and live/dead confocal microscopy. The evaluation of specific monomer elution from the experimental composites was conducted using high-performance liquid chromatography (HPLC). RESULTS The composites containing VS10 showed the highest release of Ca, those containing VS20 released more F over time (p < 0.05), while there was no significant difference in terms of PO ions release between the groups (p > 0.05). A quick 7-day mineral precipitation was observed in the tested composites containing VS10 or VS20 at 10 %; these materials also showed the greatest antibacterial activity (p < 0.05). Moreover, the tested composites containing VS10 presented the lowest elution of monomers (p < 0.05). CONCLUSIONS Innovative composites were developed with low monomers elution, evident antibacterial activity against S. gordonii and important remineralisation properties due to specific ions release. CLINICAL SIGNIFICANCE Novel composites containing fluoride-doped calcium phosphates may be promising to modulate bacteria growth, promote remineralisation and reduce the risk of cytotoxicity related to monomers' elution.
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Affiliation(s)
- Adrián M Alambiaga-Caravaca
- Department of Pharmacy, Faculty of Health Sciences, Institute of Biomedical Sciences, Cardenal Herrera-CEU University, CEU Universities, Valencia, Spain; Department of Anatomy & Regenerative Medicine, Tissue Engineering Research Group, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Yu Fu Chou
- Department of Dentistry (Dental Biomaterials and Minimally Invasive Dentistry), Faculty of Health Sciences, Univeristy CEU Cardenal Herrera, CEU Universities, Alfara del Patriarca, Valencia 46115, Spain
| | - Daniel Moreno
- Division of Research, Faculty of Odontology, UIC Barcelona - Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain
| | - Conrado Aparicio
- Division of Research, Faculty of Odontology, UIC Barcelona - Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain; IBEC-Institute for Bioengineering of Catalonia, Barcelona, Spain
| | - Alicia López-Castellano
- Department of Pharmacy, Faculty of Health Sciences, Institute of Biomedical Sciences, Cardenal Herrera-CEU University, CEU Universities, Valencia, Spain
| | | | - Arzu Tezvergil-Mutluay
- Adhesive Dentistry Research Group, Institute of Dentistry, and TYKS University Hospital, University of Turku, Turku, Finland
| | - Salvatore Sauro
- Department of Dentistry (Dental Biomaterials and Minimally Invasive Dentistry), Faculty of Health Sciences, Univeristy CEU Cardenal Herrera, CEU Universities, Alfara del Patriarca, Valencia 46115, Spain.
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Gümüştaş B, Birant S, Şişmanoğlu S. Ultrastructural investigation of the effect of toothpastes containing different remineralizing agents on demineralized enamel. J ESTHET RESTOR DENT 2024; 36:663-672. [PMID: 37846764 DOI: 10.1111/jerd.13150] [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: 04/18/2023] [Revised: 08/17/2023] [Accepted: 10/02/2023] [Indexed: 10/18/2023]
Abstract
OBJECTIVE The present study aimed to evaluate the effect of remineralizing agents on demineralized enamel intended for use as fluoride substitutes or supplements for oral hygiene applications. METHODOLOGY Enamel samples were obtained from 30 bovine teeth. The enamel blocks were stored in 20 mL of demineralization solution for 72 h. They were then brushed with the following toothpaste for the remineralization protocol: NaF, NaF/SnF2 combination, NovaMin, or nano-hydroxyapatite. SEM/EDX examinations and microhardness measurements of the samples were performed to investigate the remineralization efficacy of the studied toothpaste. One-way analysis of variance (ANOVA) with post hoc Tukey's HSD test was used to analyze the change in microhardness values in different remineralization protocols (p < 0.05). RESULTS Differences in the mean remineralization (%RP) and hardness recovery (%HR) were determined between the groups (p < 0.05). Groups 1 and 4 showed significant differences in %RP (p < 0.05). In the SEM/EDX examinations, the samples treated with n-HAp showed an accumulation of crystal deposits on the enamel surface, although at a lower density than those treated with NaF and NaF/SnF2 combination. CONCLUSION The remineralization strategy in toothpaste plays an important role in enamel remineralization. NovaMin-containing toothpaste showed positive effects on the enamel surface with better Ca/P ratio. Toothpastes containing n-HAp triggered less change in the increase of microhardness values compared to other toothpastes. The use of SnF2 in toothpaste in combination with NaF significantly increased the binding of fluoride to demineralized enamel compared to toothpaste containing NaF alone.
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Affiliation(s)
- Burak Gümüştaş
- Department of Restorative Dentistry, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Sinem Birant
- Department of Pedodontics, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Soner Şişmanoğlu
- Department of Restorative Dentistry, Istanbul University-Cerrahpasa, Istanbul, Turkey
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Kaur M, Shahid S, Karpukhina N, Anderson P, Wong FSL. Characterization of chemical reactions of silver diammine fluoride and hydroxyapatite under remineralization conditions. FRONTIERS IN ORAL HEALTH 2024; 5:1332298. [PMID: 38496333 PMCID: PMC10940413 DOI: 10.3389/froh.2024.1332298] [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: 11/02/2023] [Accepted: 01/24/2024] [Indexed: 03/19/2024] Open
Abstract
Introduction Silver Diammine Fluoride (SDF) is a clinically used topical agent to arrest dental caries. However, the kinetics of its chemical interactions with hydroxyapatite (HA), the principal inorganic component of dental enamel, are not known. The aim was to characterize the step-wise chemical interactions between SDF and HA powder during the clinically important process of remineralization. Methods Two grams of HA powder were immersed in 10 ml acetic acid pH = 4.0 for 2 h to mimic carious demineralization. The powder was then washed and dried for 24 h and mixed with 1.5 ml SDF (Riva Star) for 1 min. The treated powder was then air-dried for 3 min, and 0.2 g was removed and stored in individual tubes each containing 10 ml remineralizing solution. Powder was taken from each tube at various times of exposure to remineralization solution (0 min, 10 min, 2 h, 4 h, 8 h, 24 h, and 10 days), and characterized using Magic Angle Spinning-Nuclear Magnetic Resonance (MAS-NMR) spectroscopy. Results and discussion 19F MAS-NMR spectra showed that calcium fluoride (CaF2) started to form almost immediately after HA was in contact with SDF. After 24 h, the peak shifted to -104.5 ppm suggesting that fluoride substituted hydroxyapatite (FSHA) was formed with time at the expense of CaF2. The 31P MAS-NMR spectra showed a single peak at 2.7 ppm at all time points showing that the only phosphate species present was crystalline apatite. The 35Cl MAS-NMR spectra showed formation of silver chloride (AgCl) at 24 h. It was observed that after the scan, the whitish HA powder changed to black color. In conclusion, this time sequence study showed that under remineralization conditions, SDF initially reacted with HA to form CaF2 which is then transformed to FSHA over time. In the presence of chloride, AgCl is formed which is subsequently photo-reduced to black metallic silver.
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Affiliation(s)
| | | | | | | | - F. S. L. Wong
- Dental Physical Sciences Unit, Centre for Oral Bioengineering, Institute of Dentistry, Faculty of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom
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Lee KH, Wang CY, Tsai YR, Huang SY, Huang WT, Kasimayan U, K P O M, Chiang YC. Epigallocatechin gallate-immobilized antimicrobial resin with rechargeable fluorinated synergistic composite for enhanced caries control. Dent Mater 2024; 40:407-419. [PMID: 38123384 DOI: 10.1016/j.dental.2023.12.007] [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: 08/08/2023] [Revised: 12/10/2023] [Accepted: 12/11/2023] [Indexed: 12/23/2023]
Abstract
OBJECTIVES Given the global prevalence of dental caries, impacting 2.5 billion individuals, the development of sophisticated prevention filling materials is crucial. Streptococcus mutans, the principal caries-causing strain, produces acids that demineralize teeth and initiate dental caries. To address this issue, we aimed to develop a synergistic resin-based composite for enhancing caries control. METHODS The synergistic resin composite incorporates fluorinated kaolinite and silanized Al2O3 nanoparticle fillers into an epigallocatechin gallate (EGCG) immobilized urethane-modified epoxy acrylate (U-EA) resin matrix, referred to the as-prepared resin composite. The EGCG-modified TPGDA/U-EA network was synthesized by preparing methacrylate-functionalized isocyanate (HI), reacting it with EGCG to form HI-EGCG, and then incorporating HI-EGCG into the TPGDA/U-EA matrix. The lamellar space within the kaolinite layer was expanded through the intercalation of acrylamide into kaolinite, enhancing its capability to adsorb and release fluoride ions (F-). The layered structure of acrylamide/ kaolinite in the U-EA resin composite acts as a F- reservoir. RESULTS The physico-mechanical properties of the as-prepared resin composites are comparable to those of commercial products, exhibiting lower polymerization shrinkage, substantial F- release and recharge and favorable diametral tensile strength. The immobilized EGCG in the composite exhibits potent antimicrobial properties, effectively reducing the biofilm biomass. Furthermore, the synergistic effect of EGCG and fluorinated kaolinite efficiently counteracts acid-induced hydroxyapatite dissolution, thereby suppressing demineralization and promoting enamel remineralization. SIGNIFICANCE Our innovative EGCG and fluoride synergistic composite provides enhanced antimicrobial properties, durable anti-demineralization, and tooth remineralization effects, positioning it as a promising solution for effective caries control and long-term dental maintenance.
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Affiliation(s)
- Kuan-Han Lee
- Department of Dentistry, Shin Kong Wu Ho-Su Memorial Hospital, Taipei 111, Taiwan; Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, 1, Chang-de Street, Taipei 10016, Taiwan
| | - Chen-Ying Wang
- Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, 1, Chang-de Street, Taipei 10016, Taiwan; Division of Periodontology, Department of Dentistry, National Taiwan University Hospital, Taiwan
| | - Yun-Rong Tsai
- Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, 1, Chang-de Street, Taipei 10016, Taiwan; Division of Restorative and Esthetic Dentistry, Department of Dentistry, National Taiwan University Hospital, 1, Chang-de Street, Taipei 10016, Taiwan
| | - Szu-Ying Huang
- Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, 1, Chang-de Street, Taipei 10016, Taiwan; Division of Restorative and Esthetic Dentistry, Department of Dentistry, National Taiwan University Hospital, 1, Chang-de Street, Taipei 10016, Taiwan
| | - Wei-Te Huang
- School of Dentistry, National Defense Medical Center, Taipei 114, Taiwan
| | - Uma Kasimayan
- Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, 1, Chang-de Street, Taipei 10016, Taiwan
| | - Mahesh K P O
- Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, 1, Chang-de Street, Taipei 10016, Taiwan
| | - Yu-Chih Chiang
- Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, 1, Chang-de Street, Taipei 10016, Taiwan; Division of Restorative and Esthetic Dentistry, Department of Dentistry, National Taiwan University Hospital, 1, Chang-de Street, Taipei 10016, Taiwan; School of Dentistry, Kaohsiung Medical University, Kaohsiung 80708, Taiwan; Molecular Imaging Center, National Taiwan University, Taipei 10617, Taiwan.
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Hiraishi N, Gondo T, Shimada Y, Hayashi F. Effect of borate, fluoride and strontium ions on biomimetic nucleation of calcium phosphate studied using solid-state nuclear magnetic resonance and X-ray diffraction. Dent Mater 2024; 40:210-218. [PMID: 37977993 DOI: 10.1016/j.dental.2023.11.010] [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: 05/13/2023] [Revised: 10/31/2023] [Accepted: 11/04/2023] [Indexed: 11/19/2023]
Abstract
OBJECTIVES Apatite minerals can have various anions and cations in their crystal structure in addition to phosphate ion (PO₄³⁻) and calcium ion (Ca2+). The aim of this study is to investigate effects of the borate, fluoride and strontium ions on biomimetic nucleation of calcium phosphate. METHODS Nano-crystalline hydroxyapatite (H-Ap) was obtained from a supersaturated buffered solution containing 4.12 mM HPO42- and 5.88 mM Ca2+ (H-Ap). Four additives were used in solid solution methods: (i) 0.588 mM F- (F-Ap), (ii) 5.88 mM Sr2+ (Sr-Ap), (iii) 4.12 mM BO33- (BO3-Ap), and (iv) a surface pre-reacted glass ionomer (S-PRG) filler eluate that contained 0.17 mM Sr2+, 0.588 mM F-, 11.1 mM BO33-- (SPRG-Ap). Apatite crystallization was investigated using a solid-state magic-angle spinning NMR spectroscopy and X-ray diffraction (XRD) with the Rietveld analysis. RESULTS A 2D 1H-31P heteronuclear-correlation NMR showed F- ion incorporation in the apatite structure of the F-Ap and SPRG-Ap. The peaks on the 31P axis of the F-Ap, Sr-Ap, and BO3-Ap were different from that of the H-Ap, and the full width at half maximum increased in the following order: H-Ap∼F-Ap∼BO3-Ap< SPRG-Ap< Sr-Ap, suggesting the incorporation of the F-, Sr2+ and BO33-. The incorporation of F and BO3 was further confirmed by 19F and 11B NMR. The XRD revealed that Sr2+ was preferentially incorporated into the CaII site. SIGNIFICANCE The F-, Sr2+ and BO33-ions might be involved in modifying the crystallization of apatite precipitation, producing a variety of apatite. S-PRG filler that release these ions may have an effect on remineralization, i.e., the reformation of apatite lost due to caries.
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Affiliation(s)
- Noriko Hiraishi
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
| | - Tadamu Gondo
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Yasushi Shimada
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Fumiaki Hayashi
- NMR Operation Team, Laboratory for Advanced NMR Application and Development, RIKEN Center for Biosystems Dynamics Research, Yokohama, Japan
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Chen H, Hill R, Baysan A. The effect of different concentrations of fluoride in toothpastes with or without bioactive glass on artificial root caries. J Dent 2023; 133:104499. [PMID: 36965858 DOI: 10.1016/j.jdent.2023.104499] [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: 12/08/2022] [Revised: 02/10/2023] [Accepted: 03/22/2023] [Indexed: 03/27/2023] Open
Abstract
OBJECTIVE To investigate the effect of different toothpastes either containing 5,000ppm-F, 1,450ppm-F or bioactive glass (BG) with 540ppm-F on artificial root carious lesions (ARCLs). METHOD The crowns of 23 extracted sound teeth were removed leaving their roots only. Subsequently, each root was divided into four parts. A total of 15 sound root dentine (SRD) was left untreated as baseline. The ARCLs were developed for the remaining roots using demineralisation solution (pH-4.8). 15-ARCLs samples were then left untreated. The rest of samples were divided into four groups (n=15 each) and treated with Group-1(BG with 540ppm-F); Group-2(5,000ppm-F); Group-3(1,450ppm-F) and Group-4(deionised water). 13-day pH-cycling included using demineralisation solution for 6hrs, then placing samples into remineralisation solution (pH-7) for 16hrs. Each sample was brushed with the assigned toothpaste twice a day during pH-cycling. Fluoride concentrations at each time point were measured using F-ISE, whilst calcium (Ca2+) and phosphorus (P) ion release was determined using ICP-OES, KHN, XRD, 19F-MAS-NMR analyses. RESULTS KHN showed significant surface changes for each group (p<0.001). The uptake of Ca2+ occurred at days 1-2, phosphorus ion loss was high when compared to the uptake in all groups. XRD showed presence of sharp diffraction lines evidencing apatite formation for Groups 1-3. 19F-MAS-NMR confirmed fluorapatite presence in Groups 1-3. CONCLUSION All toothpastes were promising in fluorapatite formation. BG with 540ppm-F toothpaste released more ions (Ca2+and P) and reharden the artificial root carious lesions when compared to other groups. However, 1,450ppm-F toothpaste showed more fluoride-substituted apatite formation whilst 5,000ppm-F toothpaste had more fluorapatite formation. CLINICAL SIGNIFICANCE Toothpaste containing BG with 540ppm-F, 5,000ppm-F and 1,450ppm-F toothpastes are likely to have a significant impact in reversing and arresting root caries. However, randomised controlled double-blinded clinical trials are required to translate these results into clinical practice.
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Affiliation(s)
- Haoran Chen
- Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
| | - Robert Hill
- Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
| | - Aylin Baysan
- Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
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Sauro S, Spagnuolo G, Del Giudice C, Neto DMA, Fechine PBA, Chen X, Rengo S, Chen X, Feitosa VP. Chemical, structural and cytotoxicity characterisation of experimental fluoride-doped calcium phosphates as promising remineralising materials for dental applications. Dent Mater 2023; 39:391-401. [PMID: 36907820 DOI: 10.1016/j.dental.2023.03.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2023] [Revised: 02/14/2023] [Accepted: 03/03/2023] [Indexed: 03/12/2023]
Abstract
OBJECTIVES This study aimed at evaluating the cytotoxicity, chemical and structural properties of experimental fluoride-doped calcium-phosphates as potential remineralising materials for dental applications. METHODS Experimental calcium phosphates were formulated using β-tricalcium phosphate, monocalcium phosphate monohydrate, calcium hydroxide, and different concentrations of calcium/sodium fluoride salts [(5 wt%: VSG5F), (10 wt%: VSG10F), (20 wt%: VSG20F)]. A fluoride-free calcium phosphate (VSG) was used as control. Each tested material was immersed in simulated body fluid (SBF), (24 h, 15 and 30 days) to assess their ability to crystallise into apatite-like. Cumulative fluoride release was assayed up to 45 days. Moreover, each powder was placed into a medium containing human dental pulp stem cells (200 mg/mL) and their cytotoxicity was analysed using the 3-(4,5-dimethylthiazol-2-yl)- 2,5-diphenyltetrazolium bromide (MTT) assay (24 h, 48 h and 72 h incubation). These latter results were statistically analysed by ANOVA and Tukey's test (α = 0.05). RESULTS All the experimental VSG-F materials produced fluoride-containing apatite-like crystals after SBF immersion. VSG20F presented prolonged release of fluoride ions into the storage media (45d). VSG, VSG10F and VSG20F showed a significant cytotoxicity at dilution of 1:1, while at 1:5, only VSG and VSG20F demonstrated a reduction in cell viability. At lower dilutions (1:10, 1:50 and 1:100) all specimens showed no significant toxicity to hDPSCs, but an increase in cell proliferation. SIGNIFICANCE The experimental fluoride-doped calcium-phosphates are biocompatible and possess a clear ability to evoke fluoride-containing apatite-like crystallisation. Hence, they may be promising remineralising materials for dental applications.
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Affiliation(s)
- Salvatore Sauro
- Dental Biomaterials & Minimally Invasive Dentistry, Departamento de Odontologia, CEU Cardenal Herrera University, Alfara del Patriarca, Valencia, Spain.
| | - Gianrico Spagnuolo
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", 80131 Naples, Italy
| | - Carmela Del Giudice
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", 80131 Naples, Italy
| | - Davino M Andrade Neto
- Federal Institute of Education, Science, and Technology of Ceará, Campus Camocim, 62400-000 Camocim, CE, Brazil
| | - Pierre B A Fechine
- Grupo de Química de Materiais Avançados (GQMat) - Departamento de Química Analítica e Físico-Química, Universidade Federal do Ceará (UFC), Campus do Pici, CP 12100, Fortaleza CE 60451-970, Brazil
| | - Xiaohui Chen
- Division of Dentistry, School of Medical Sciences, The University of Manchester, Manchester, UK
| | - Sandro Rengo
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", 80131 Naples, Italy
| | - Xiaojing Chen
- Xiangya School of Stomatology and Hospital, Central South University, Changsha 410008, Hunan, China; Hunan Key Laboratory of Oral Health Research, Central South University, Changsha, 410008, Hunan, China; Institute of Dentistry, Dental Physical Sciences Unit, Queen Mary University of London, London, United Kingdom
| | - Victor P Feitosa
- Research Division, Paulo Picanço School of Dentistry, 900 Joaquim Sá St., Fortaleza 60135-218, Ceará, Brazil
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11
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Chen X, Wang M, Kenny C, Chen X, Karpukhina N, Hill RG. Novel Fluoride- and Chloride-containing Bioactive Glasses for Use in Air Abrasion. J Dent 2022; 125:104252. [PMID: 36030643 DOI: 10.1016/j.jdent.2022.104252] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Revised: 08/06/2022] [Accepted: 08/10/2022] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES To investigate the degradation, fluorapatite formation, biological safety and cutting efficiency on dentine of the mixed fluoride- and chloride-containing bioactive glasses (BGs). METHODS Two series of mixed fluoride- and chloride-containing glasses (GPFCl and GPF2.3Cl series) were synthesized using a melt-quench method. Glass transition temperature (Tg) and the bioactivity in term of glass degradation and fluorapatite formation were evaluated in Tris buffer solution. The cutting efficiency of the powdered BGs (GPF2.3Cl series) on dentine via air abrasion was investigated using white light profilometry and scanning electron microscope. The cytotoxicity of GPF2.3Cl series on human periodontal ligament stem cells (hPLSCs) and oral fibroblasts (OFB) were examined by MTT. RESULTS These BGs are highly degradable and able to form fluorapatite within 3h of immersion. The formation of CaF2 was also found in the high fluoride-containing BGs. The faster glass degradation was evidenced in the BGs with higher chloride. A significant reduction of Tg from 790°C to 463°C was seen with increasing in calcium halide content. Air abrasion on dentine using the low and intermediate chloride-containing glasses demonstrates clear depressions, while no depression was found using the high chloride-containing glass. Moreover, the studied BGs showed no cytotoxicity to hPLSCs and OFB. CONCLUSIONS The glasses with mixed fluoride and chloride integrate the benefits from the presence of both, showing rapid glass degradation, fast fluorapatite formation, excellent biocompatibility and controllable hardness to provide a selective cutting efficiency on dentine. CLINICAL SIGNIFICANCE The developed BGs air abrasive with tunable hardness by varying chloride content can selectively cut different dental tissues. In clinic, a relatively hard BG is of great interest for caries preparation, while a soft glass is attractive for tooth cleaning.
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Affiliation(s)
- Xiaojing Chen
- Hunan Key Laboratory of Oral Health Research & Academician Workstation for Oral-maxillofacial and Regenerative Medicine & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, 410008, Hunan, China; Institute of Dentistry, Dental Physical Sciences Unit, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, E1 4NS, UK.
| | - Minyuan Wang
- Hunan Key Laboratory of Oral Health Research & Academician Workstation for Oral-maxillofacial and Regenerative Medicine & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, 410008, Hunan, China
| | - Catherine Kenny
- Institute of Dentistry, Dental Physical Sciences Unit, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, E1 4NS, UK
| | - Xiaohui Chen
- Division of Dentistry, School of Medical Sciences, The University of Manchester, Manchester, M13 9PL, UK
| | - Natalia Karpukhina
- Institute of Dentistry, Dental Physical Sciences Unit, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, E1 4NS, UK
| | - Robert G Hill
- Institute of Dentistry, Dental Physical Sciences Unit, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, E1 4NS, UK
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12
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Solid-state NMR spectroscopy measurement of fluoride reaction by bovine enamel and dentin treated with silver diammine fluoride. Dent Mater 2022; 38:769-777. [PMID: 35450704 DOI: 10.1016/j.dental.2022.04.017] [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: 11/27/2021] [Revised: 03/06/2022] [Accepted: 04/01/2022] [Indexed: 11/23/2022]
Abstract
OBJECTIVES The aim of this study was to investigate the formation of fluoride compounds in bovine enamel and dentin treated with silver diammine fluoride (SDF) using 19F and 31P solid-state magic angle spinning nuclear magnetic resonance (MAS NMR) spectroscopy. METHODS Enamel and dentin powder, obtained from bovine teeth, were treated with 38% SDF for four minutes and then washed thoroughly with Milli-Q water. The dehydrated SDF-treated samples were then examined. 19F solid-state MAS NMR spectra were acquired and 1H-31P cross-polarization (CP) experiments were performed on SDF-treated enamel and dentin powder. The surfaces of SDF-treated enamel and dentin blocks were observed by Scanning Electron Microscope (SEM). RESULTS 19F MAS NMR detected a more pronounced signal intensity for the dentin sample than the enamel, indicating an increased reactivity of SDF for dentin, compared with enamel. 19F NMR spectra for the SDF-treated samples showed fluorhydroxyapatite (FHAp), and other fluoride compounds such as CaF2 and the fluoride-substituted carbonate. The 1H-31P CP intensities of prominent peaks were lower for the SDF-treated samples than the non-treated sample, indicating that the F- ion replaced the OH- ion in the lattice tunnel. SEM observations on the SDF-treated samples showed pronounced multiple precipitation and particles in dentin compared with enamel. SIGNIFICANCE The solid-state MAS NMR revealed the reaction of fluoride on enamel and dentin and the identification of fluoride compounds. In particular, the formation of FHAp indicates that SDF is effective in reducing the risk of tooth decay.
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13
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Effect of topically applied silver compounds on the demineralisation of hydroxyapatite. Dent Mater 2022; 38:709-714. [DOI: 10.1016/j.dental.2022.02.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Revised: 12/22/2021] [Accepted: 02/21/2022] [Indexed: 11/21/2022]
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14
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Okuyama K, Matsuda Y, Yamamoto H, Sakurai M, Naito K, Shintani K, Saito T, Hayashi M, Tamaki Y. Distribution of elements in teeth and inhibition of demineralization by titanium fluoride: Effects of concentration and pH in a titanium fluoride solution. Dent Mater J 2021; 40:736-742. [PMID: 33518692 DOI: 10.4012/dmj.2020-193] [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: 11/23/2022]
Abstract
The purpose of this study was to assess the effects of titanium fluoride (TiF4) concentration and pH on fluoride distribution and demineralization of root dentin surfaces. Concentrations of 0.1%, 1%, and 2% TiF4 (pH 1), 1% TiF4 solution adjusted to pH 4, 5, 6, and 1.35% sodium fluoride (NaF) solution were applied to root dentin surfaces. Each specimen was subjected to pH cycling (pH: 4.5-7.0) for 4 weeks. Lesion depth and calcium, fluorine, and titanium distribution were then evaluated. Our limited study indicates that lesion depth and fluorine and titanium distribution in dentin depend on the concentration of a TiF4 solution. We also found that a 1% TiF4 solution adjusted to a pH 4-6 can reduce demineralization as effectively as a similar concentration of NaF.
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Affiliation(s)
- Katsushi Okuyama
- Department of Dental Materials Science, Division of Oral Functional Sciences and Rehabilitation, Asahi University School of Dentistry
| | - Yasuhiro Matsuda
- Division of Clinical Cariology and Endodontology, Department of Oral Rehabilitation, School of Dentistry, Health Sciences University of Hokkaido
| | - Hiroko Yamamoto
- Department of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry
| | - Masahiko Sakurai
- Division of Clinical Cariology and Endodontology, Department of Oral Rehabilitation, School of Dentistry, Health Sciences University of Hokkaido
| | - Katsuaki Naito
- Department of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry
| | - Kohei Shintani
- Department of Dental Materials Science, Division of Oral Functional Sciences and Rehabilitation, Asahi University School of Dentistry
| | - Takashi Saito
- Division of Clinical Cariology and Endodontology, Department of Oral Rehabilitation, School of Dentistry, Health Sciences University of Hokkaido
| | - Mikako Hayashi
- Department of Restorative Dentistry and Endodontology, Osaka University Graduate School of Dentistry
| | - Yukimichi Tamaki
- Department of Dental Materials Science, Division of Oral Functional Sciences and Rehabilitation, Asahi University School of Dentistry
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15
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Dai LL, Nudelman F, Chu CH, Lo ECM, Mei ML. The effects of strontium-doped bioactive glass and fluoride on hydroxyapatite crystallization. J Dent 2021; 105:103581. [PMID: 33434634 DOI: 10.1016/j.jdent.2021.103581] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2020] [Revised: 12/17/2020] [Accepted: 01/05/2021] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES This study investigated the effects of a new strontium-doped bioactive glass and fluoride on hydroxyapatite crystallization. METHODS We designed an in vitro experiment with calcium phosphate (CaCl2·2H2O + K2HPO4 in buffer solution) with different concentrations of strontium-doped bioactive glass (1 mg/mL or 5 mg/mL), and different concentrations of fluoride (0 ppm, 1 ppm or 5 ppm). Tris-buffered saline served as negative control. After incubation at 37 ℃ for 48 h, the shape and organization of crystals were examined by transmission electron microscopy (TEM) and electron diffraction. Structure of the crystals was assessed by powder X-ray diffraction (P-XRD) and unit cell parameters were calculated. Characterization of the crystals were performed by Raman spectroscopy and Fourier Transform Infrared Spectroscopy (FTIR). RESULTS TEM and selected-area electron diffraction revealed that the precipitates in all experimental groups were crystalline apatite. There was an interaction between strontium and fluoride with different concentrations on crystal thickness (p = 0.008). P-XRD indicated the formation of strontium-substituted-fluorohydroxyapatite and strontium-substituted-hydroxyapatite in the groups with both bioactive glass and fluoride. Expansion or contraction of crystal unit cell was influenced by the concentrations of strontium and fluoride. Raman spectra showed strong phosphate band at 960 cm-1 in all experimental groups and displayed no obvious shift. FTIR results confirmed the formation of apatite. CONCLUSIONS The results of this study suggest that strontium-doped bioactive glass and fluoride have synergistic effects on hydroxyapatite crystallization. CLINICAL SIGNIFICANCE Strontium-doped bioactive glass and fluoride have synergistic effects on hydroxyapatite crystallization by producing strontium-substituted-hydroxyapatite and strontium-substituted-fluorohydroxyapatite with enhanced bioactivity and reduced solubility which could be beneficial for caries management.
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Affiliation(s)
- Lin Lu Dai
- Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region.
| | - Fabio Nudelman
- EaStCHEM, School of Chemistry, The University of Edinburgh, Edinburgh, UK.
| | - Chun Hung Chu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region.
| | - Edward Chin Man Lo
- Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region.
| | - May Lei Mei
- Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region; Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
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16
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Hoxha A, Gillam DG, Agha A, Karpukhina N, Bushby AJ, Patel MP. Novel fluoride rechargeable dental composites containing MgAl and CaAl layered double hydroxide (LDH). Dent Mater 2020; 36:973-986. [PMID: 32536588 DOI: 10.1016/j.dental.2020.04.011] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Accepted: 04/26/2020] [Indexed: 11/29/2022]
Abstract
OBJECTIVE This study aims to incorporate 2:1 MgAl and 2:1 CaAl layered double hydroxides (LDHs) in experimental dental-composites to render them fluoride rechargeable. The effect of LDH on fluoride absorption and release, and their physico-mechanical properties are investigated. METHODS 2:1 CaAl and 2:1 MgAl LDH-composite discs prepared with 0, 10 and 30wt% LDH were charged with fluoride (48h) and transferred to deionized water (DW)/artificial saliva (AS). Fluoride release/re-release was measured every 24h (ion-selective electrodes) with DW/AS replaced daily, and samples re-charged (5min) with fluoride every 2 days. Five absorption-release cycles were conducted over 10 days. CaAl and MgAl LDH rod-shaped specimens (dry and hydrated; 0, 10 and 30wt%) were studied for flexural strength and modulus. CaAl and MgAl LDH-composite discs (0, 10, 30 and 45wt% LDH) were prepared to study water uptake (over 7 weeks), water desorption (3 weeks), diffusion coefficients, solubility and cation release (ICP-OES). RESULTS CaAl LDH and MgAl LDH-composites significantly increased the amount of fluoride released in both media (P<0.05). In AS, the mean release after every recharge was greater for MgAl LDH-composites compared to CaAl LDH-composites (P<0.05). After every recharge, the fluoride release was greater than the previous release cycle (P<0.05) for all LDH-composites. Physico-mechanical properties of the LDH-composites demonstrated similar values to those reported in literature. The solubility and cation release showed a linear increase with LDH loading. SIGNIFICANCE LDH-composites repeatedly absorbed/released fluoride and maintained desired physico-mechanical properties. A sustained low-level fluoride release with LDH-composites could lead to a potential breakthrough in preventing early stage carious-lesions.
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Affiliation(s)
- Agron Hoxha
- Oral Bioengineering, Barts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, Mile End Road, London E1 4NS, UK.
| | - David G Gillam
- Oral Bioengineering, Barts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, Mile End Road, London E1 4NS, UK.
| | - Amani Agha
- Oral Bioengineering, Barts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, Mile End Road, London E1 4NS, UK.
| | - Natalia Karpukhina
- Oral Bioengineering, Barts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, Mile End Road, London E1 4NS, UK.
| | - Andy J Bushby
- School of Engineering and Materials Science, Queen Mary University of London, London E1 4NS, UK.
| | - Mangala P Patel
- Oral Bioengineering, Barts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, Mile End Road, London E1 4NS, UK.
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17
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Ren C, Yu Z, Phillips BL, Wang H, Ji J, Pan B, Li W. Molecular-scale investigation of fluoride sorption mechanism by nanosized hydroxyapatite using 19F solid-state NMR spectroscopy. J Colloid Interface Sci 2019; 557:357-366. [DOI: 10.1016/j.jcis.2019.09.039] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 09/10/2019] [Accepted: 09/11/2019] [Indexed: 11/24/2022]
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18
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Hoxha A, Gillam DG, Bushby AJ, Agha A, Patel MP. Layered Double Hydroxide Fluoride Release in Dental Applications: A Systematic Review. Dent J (Basel) 2019; 7:dj7030087. [PMID: 31480648 PMCID: PMC6784472 DOI: 10.3390/dj7030087] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Revised: 08/17/2019] [Accepted: 08/20/2019] [Indexed: 11/16/2022] Open
Abstract
This systematic review appraises studies conducted with layered double hydroxides (LDHs) for fluoride release in dentistry. LDH has been used as antacids, water purification in removing excess fluoride in drinking water and drug delivery. It has great potential for controlled fluoride release in dentistry, e.g., varnishes, fissure sealants and muco-adhesive strips, etc. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement was followed with two reviewers performing a literature search using four databases: PubMed, Web of Science, Science Direct and Ovid Medline with no date restrictions. Studies including any LDH for ion/drug release in dentistry were included, while assessing the application of LDH and the value of the methodology, e.g., ion release protocol and the LDH production process. Results: A total of 258 articles were identified and four met the inclusion criteria. Based on two in vitro studies and one clinical study, LDH was previously studied in dental materials, such as dental composites and buccal muco-adhesive strips for fluoride release, with the latter studied in a clinical environment. The fourth study analysed LDH powder alone (without being incorporated into dental materials). It demonstrated fluoride release and the uptake of volatile sulphur compounds (VSC), which may reduce halitosis (malodour). Conclusion: LDHs incorporated in dental materials have been previously evaluated for fluoride release and proven to be clinically safe. LDHs have the potential to sustain a controlled release of fluoride (or other cariostatic ions) in the oral environment to prevent caries. However, further analyses of LDH compositions, and clinical research investigating any other cariostatic effects, are required.
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Affiliation(s)
- Agron Hoxha
- Oral Bioengineering, Barts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, Mile End Road, London E1 4NS, UK.
| | - David G Gillam
- Centre for Adult Oral Health, Barts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University, New Road, London E1 2AD, UK
| | - Andy J Bushby
- School of Engineering and Materials Science, Queen Mary University of London, London E1 4NS, UK
| | - Amani Agha
- Oral Bioengineering, Barts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, Mile End Road, London E1 4NS, UK
| | - Mangala P Patel
- Oral Bioengineering, Barts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, Mile End Road, London E1 4NS, UK
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19
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Zia K, Siddiqui T, Ali S, Farooq I, Zafar MS, Khurshid Z. Nuclear Magnetic Resonance Spectroscopy for Medical and Dental Applications: A Comprehensive Review. Eur J Dent 2019; 13:124-128. [PMID: 31170770 PMCID: PMC6635960 DOI: 10.1055/s-0039-1688654] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
Nuclear magnetic resonance (NMR) spectroscopy is one of the most significant analytical techniques that has been developed in the past few decades. A broad range of biological and nonbiological applications ranging from an individual cell to organs and tissues has been investigated through NMR. Various aspects of this technique are still under research, and many functions of the NMR are still pending a better understanding and acknowledgment. Therefore, this review is aimed at providing a general overview of the main principles, types of this technique, and the advantages and disadvantages of NMR spectroscopy. In addition, an insight into the current uses of NMR in the field of medicine and dentistry and ongoing developments of NMR spectroscopy for future applications has been discussed.
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Affiliation(s)
- Komal Zia
- Department of Oral Biology, Riyadh College of Dentistry and Pharmacy, Riyadh, Saudi Arabia
| | | | - Saqib Ali
- Department of Biomedical Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Imran Farooq
- Department of Biomedical Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
| | - Muhammad Sohail Zafar
- Department of Restorative Dentistry, College of Dentistry, Taibah University, Madinah Munawwarah, Saudi Arabia.,Department of Dental Materials, Islamic International Dental College, Riphah International University, Islamabad, Pakistan
| | - Zohaib Khurshid
- Department of Prosthodontics and Implantology, College of Dentistry, King Faisal University, Al-Ahsa, Saudi Arabia
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20
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Tanaka T, Kobayashi T, Tamenori Y, Sakanaka A, Kuriki T, Amano A. Phosphoryl oligosaccharides of calcium enhance mineral availability and fluorapatite formation. Arch Oral Biol 2019; 101:135-141. [PMID: 30928861 DOI: 10.1016/j.archoralbio.2019.03.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2018] [Revised: 03/18/2019] [Accepted: 03/24/2019] [Indexed: 11/16/2022]
Abstract
OBJECTIVES Phosphoryl oligosaccharides of calcium (POs-Ca) are a highly soluble calcium source and can keep the solubility of calcium and fluoride ions. The aim of this study was to investigate the effect of calcium (from POs-Ca) and fluoride ions penetrate into subsurface enamel lesions in vitro. DESIGN Demineralized bovine enamel slabs were remineralizedin vitro for 24 h at 37 °C with artificial saliva (AS) containing POs-Ca and various fluoride concentrations (0-100 ppm), or AS containing different levels of POs-Ca adjusted to a Ca/P ratio of 0.4-3.0 and fluoride, then were analyzed using Transversal microradiography. From those results, remineralization effects with optimal conditions were compared between POs-Ca and calcium chloride (CaCl2). To determine the form of incorporated fluoride, we analyzed the chemical state and local structure of fluorine atoms integrated into enamel subsurface lesions using micro X-ray absorption near-edge structure (μ-XANES) spectroscopy. RESULTS A significant mineral recovery rate was observed with POs-Ca and fluoride at 0.5 or 1.0 ppm (n = 6, p < 0.05), as well as a Ca/P molar ratio of 1.67 (n = 5, p < 0.05). Under those conditions, the mineral recovery rate of AS containing POs-Ca (37.9 ± 7.3%) was significantly greater than that of CaCl2 (15.0 ± 9.6%) (n = 5, mean ± SD, p < 0.05). μ-XANES spectra analysis of the samples indicated that the dominant form of fluorine atoms in enamel subsurface lesions was fluorapatite. CONCLUSIONS POs-Ca with fluoride-derived diffusion into subsurface enamel lesions facilitated formation of fluorapatite phases.
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Affiliation(s)
- Tomoko Tanaka
- Department of Preventive Dentistry, Osaka University Graduate School of Dentistry, Japan; Institute of Health Sciences, Ezaki Glico Co., Ltd., Japan.
| | - Takatsugu Kobayashi
- Department of Preventive Dentistry, Osaka University Graduate School of Dentistry, Japan
| | | | - Akito Sakanaka
- Department of Preventive Dentistry, Osaka University Graduate School of Dentistry, Japan
| | - Takashi Kuriki
- Institute of Health Sciences, Ezaki Glico Co., Ltd., Japan
| | - Atsuo Amano
- Department of Preventive Dentistry, Osaka University Graduate School of Dentistry, Japan.
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21
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Taha A, Fleming P, Hill R, Patel M. Enamel Remineralization with Novel Bioactive Glass Air Abrasion. J Dent Res 2018; 97:1438-1444. [DOI: 10.1177/0022034518792048] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Enamel demineralization or white spot lesions (WSLs) are a frequent complication associated with fixed appliance–based orthodontic treatment. The remineralization potential of a novel fluoride-containing bioactive glass (QMAT3) propelled via an air abrasion system was compared with Sylc glass and artificial saliva on artificially induced WSLs. Thirty extracted human premolars were randomly assigned into 3 groups ( n = 10) per method of treatment and scanned with optical coherence tomography and noncontact profilometer in the 4 enamel states: sound, demineralized, after glass propulsion, and after immersion in artificial saliva. Knoop hardness testing was also performed. Twenty additional prepared teeth samples were also randomly selected for examination by scanning electron microscopy and energy-dispersive X-ray spectroscopy (2 teeth per technique) under each of the 4 enamel conditions. 19F MAS-NMR (magic angle spinning–nuclear magnetic resonance) was also used to detect the type of apatite formed on the enamel surface. Significant enamel remineralization with surface roughness and intensity of light backscattering similar to that of sound enamel was observed following treatment with QMAT3. In addition, mineral deposits were detected on the remineralized enamel surfaces, forming a protective layer and improving its hardness. This layer was rich in calcium, phosphate, and fluoride; 19F MAS-NMR confirmed the formation of fluorapatite. This finding is particularly beneficial since fluorapatite is more chemically stable than hydroxyapatite and has greater resistance to acid attack. Hence, a promising fluoride-containing bioactive glass for enamel remineralization has been developed, although further clinical evaluation and refinement is required.
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Affiliation(s)
- A.A. Taha
- Dental Physical Sciences, Barts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, London, UK
- Department of Paedodontic, Orthodontic and Preventive Dentistry, College of Dentistry, Al-Mustansiriya University, Baghdad, Iraq
| | - P.S. Fleming
- Department of Orthodontics, Barts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, London, UK
| | - R.G. Hill
- Dental Physical Sciences, Barts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, London, UK
| | - M.P. Patel
- Dental Physical Sciences, Barts and the London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, London, UK
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Protein disorder–order interplay to guide the growth of hierarchical mineralized structures. Nat Commun 2018; 9:2145. [PMID: 29858566 PMCID: PMC5984621 DOI: 10.1038/s41467-018-04319-0] [Citation(s) in RCA: 84] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2017] [Accepted: 04/18/2018] [Indexed: 01/05/2023] Open
Abstract
A major goal in materials science is to develop bioinspired functional materials based on the precise control of molecular building blocks across length scales. Here we report a protein-mediated mineralization process that takes advantage of disorder–order interplay using elastin-like recombinamers to program organic–inorganic interactions into hierarchically ordered mineralized structures. The materials comprise elongated apatite nanocrystals that are aligned and organized into microscopic prisms, which grow together into spherulite-like structures hundreds of micrometers in diameter that come together to fill macroscopic areas. The structures can be grown over large uneven surfaces and native tissues as acid-resistant membranes or coatings with tuneable hierarchy, stiffness, and hardness. Our study represents a potential strategy for complex materials design that may open opportunities for hard tissue repair and provide insights into the role of molecular disorder in human physiology and pathology. There is evidence that disordered proteins play a role in the mineralization process. Here, the authors report on the development of elastin-like recombinant protein membranes using disordered-ordered interplay to investigate and guide mineralization.
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THANATVARAKORN O, ISLAM MDS, NAKASHIMA S, SADR A, NIKAIDO T, TAGAMI J. Effects of zinc fluoride on inhibiting dentin demineralization and collagen degradation in vitro: A comparison of various topical fluoride agents. Dent Mater J 2016; 35:769-775. [DOI: 10.4012/dmj.2015-388] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Ornnicha THANATVARAKORN
- Department of Operative Dentistry, Faculty of Dentistry, Chulalongkorn University
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - MD. Sofiqul ISLAM
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Syozi NAKASHIMA
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Alireza SADR
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
- Department of Restorative Dentistry, University of Washington School of Dentistry
| | - Toru NIKAIDO
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Junji TAGAMI
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
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Mohammed NR, Lynch RJ, Anderson P. Effects of fluoride concentration on enamel demineralization kinetics in vitro. J Dent 2014; 42:613-8. [DOI: 10.1016/j.jdent.2013.12.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2013] [Revised: 11/25/2013] [Accepted: 12/13/2013] [Indexed: 01/19/2023] Open
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