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Marques Ferreira de Sena L, Monielle Duarte Moura D, Helena Gurgel de Carvalho I, de Fatima Dantas de Almeida L, Ramos da Silva N, Othávio de Assunção E Souza R. Bond strength, degree of conversion, and microorganism adhesion using different bracket-to-enamel bonding protocols. J Orofac Orthop 2023; 84:210-221. [PMID: 36251054 DOI: 10.1007/s00056-022-00430-6] [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: 03/16/2022] [Accepted: 08/16/2022] [Indexed: 10/24/2022]
Abstract
PURPOSE This study aimed to evaluate the effect of bonding protocols and the type of orthodontic resin on the adhesion of microorganisms, degree of conversion (DC), and shear bond strength (SBS) of metallic brackets to enamel. METHODS A total of 60 bovine incisors were prepared and randomly divided into 6 groups (n = 10): "bonding protocol" (A: phosphoric acid; AXT: A+Transbond™ XT primer adhesive [all Transbond™ products from 3M Unitek, Monrovia, CA, USA]; and SE: Transbond™ Plus Self Etching Primer) and "orthodontic resin" (XT: Transbond™ XT adhesive paste and CC: Transbond™ Plus Color Change). After bonding, the samples were subjected to thermocycling (5000 cycles) and to the SBS test. Bond failures were classified according to the adhesive remnant index (ARI). Next, 60 enamel blocks were sterilized in ethylene oxide in order to perform the CFU (Streptococcus mutans) assay in vitro to analyze the colony forming units (CFU/mL). Then, 60 discs of each orthodontic resin were made to measure the DC. The SBS (MPa), CFU/mL, and DC (%) data were statistically analyzed by two-way analysis of variance and Tukey's test (5%) was performed for the DC. RESULTS CFU and SBS revealed no significance for all factors (P > 0.05). Tukey's test showed that A_XT (acid+Transbond™ XT adhesive paste) presented the highest DC (70.38% ± 10.5), while AXT_XT (acid+Transbond™ XT primer adhesive+Transbond™ XT adhesive paste) showed the lowest (23.47% ± 10.4). An ARI score of 2 was more frequent for the CC resin and an ARI score of 4 for the XT resin. CONCLUSION The CC resin does not reduce adhesion of S. mutans around orthodontic brackets and the bonding protocol did not influence the SBS, although the SE and A_XT groups contributed to a better DC.
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Affiliation(s)
| | - Dayanne Monielle Duarte Moura
- Department of Dentistry, Federal University of Rio Grande do Norte, Av. Salgado Filho, 1787, 59056-000, Natal, RN, Brazil
- Department of Dentistry, State University of Rio Grande do Norte, Av Rio Branco, 725, RN, 59300-000, Caicó, Brazil
| | | | | | - Nathalia Ramos da Silva
- Department of Dentistry, Federal University of Rio Grande do Norte, Av. Salgado Filho, 1787, 59056-000, Natal, RN, Brazil
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Patano A, Malcangi G, Sardano R, Mastrodonato A, Garofoli G, Mancini A, Inchingolo AD, Di Venere D, Inchingolo F, Dipalma G, Inchingolo AM. White Spots: Prevention in Orthodontics-Systematic Review of the Literature. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20085608. [PMID: 37107890 PMCID: PMC10138765 DOI: 10.3390/ijerph20085608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 04/12/2023] [Accepted: 04/17/2023] [Indexed: 05/03/2023]
Abstract
Early-stage dental demineralization, called white spots (WS), get their name from the characteristic colour that enamel takes on due to the acid attack of salivary cariogenic bacteria. They are often associated with fixed orthodontic therapy (FOT) and, if left untreated, evolve into caries with repercussions on oral health and dental aesthetics. This review aims to identify the most effective prophylaxis strategies to prevent WS during FOT. The search for the reviewed studies was conducted on the Pubmed, Scopus, and Web of Science databases, selecting English-only articles published in the 5 years from January 2018 to January 2023. The keywords used were "WS" and "fixed orthodontic*", using "AND" as the Boolean operator. A total of 16 studies were included for qualitative analysis. Prevention begins with maintaining proper oral hygiene; fluoride in toothpaste, mouthwashes, gels, varnishes, and sealants can be added to prophylaxis and used regularly. Using a laser in combination with fluoride helps prevent the occurrence of WS and assists in the repair processes of initial lesions. Further studies are needed to establish international guidelines for preventing WS in orthodontically treated patients.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Francesco Inchingolo
- Correspondence: (F.I.); (G.D.); (A.M.I.); Tel.: +39-3312111104 (F.I.); +39-3348010580 (A.M.I.)
| | - Gianna Dipalma
- Correspondence: (F.I.); (G.D.); (A.M.I.); Tel.: +39-3312111104 (F.I.); +39-3348010580 (A.M.I.)
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Engel Y, Silva CVD, Ramos-Oliveira TM, Mantilla TF, Tavares JDP, Freitas PMD. Effect of CO2 laser combined with AmF/NaF/SnCl2 solution on the prevention of human and bovine enamel erosion. Braz Oral Res 2022; 36:e054. [DOI: 10.1590/1807-3107bor-2022.vol36.0054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Accepted: 12/17/2022] [Indexed: 11/21/2022] Open
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Tavares JDP, da Silva CV, Engel Y, de Freitas PM, Rechmann P. In situ effect of CO2 laser (9.3 μm) irradiation, combined with AmF/NaF/SnCl2 solution in prevention and control of erosive tooth wear in human enamel. Caries Res 2021; 55:617-628. [PMID: 34689142 DOI: 10.1159/000520215] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2020] [Accepted: 09/28/2021] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES This single-blind, controlled cross-over in situ study aimed to evaluate the effect of CO2 laser (9.3µm) irradiation, combined with AmF/NaF/SnCl2 solution on prevention and control of Erosive Tooth Wear (ETW) in human enamel. MATERIALS AND METHODS Two trial conditions were analyzed, Condition-1 as ETW-prevention (sound tooth surface) and Condition-2 as ETW-control (in vitro initial erosive lesion). The experiment was conducted in two phases, one with one without exposure to AmF/NaF/SnCl2 solution. A hundred and ninety-two samples of human enamel (3x3x1mm) were randomly divided into 4 experimental groups for each condition: (C) without treatment (negative control); (F) AmF/NaF/SnCl2 solution (positive control); (L) CO2 laser irradiation; (L+F) CO2 laser+AmF/NaF/SnCl2 solution. Twelve volunteers used a removable device each containing 8 samples per phase. Ex-vivo erosive challenges (4×5min/day) and rinsing protocol (1×30s/day) were performed. The surface loss was determined using optical profilometer (n=12 per group), and the surface morphology was observed with Scanning Electron Microscopy (n=3). RESULTS Condition-1 data were analyzed by one-way ANOVA and Condition-2 by two-way repeated measures ANOVA, both with Tukey post-hoc tests (α=5%). Condition-1: groups L (4.59 ±2.95µm) and L+F (1.58 ±1.24µm) showed significantly less surface loss in preventing ETW than groups C and F. Condition-2: in controlling the progression of ETW, L+F was the only group with no significant surface loss between initial erosive lesion (3.65 ±0.16µm) and after erosive challenge (4.99 ±1.17µm). CONCLUSIONS CO2 9.3µm laser application prevented and controlled ETW progression in human enamel, with greater efficiency when combined with AmF/NaF/SnCl2 solution application.
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Affiliation(s)
- Juliane de Paula Tavares
- Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil,
| | - Camila Vieira da Silva
- Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Yael Engel
- Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | | | - Peter Rechmann
- Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California at San Francisco, San Francisco, California, USA
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Valizadeh S, Rahimi Khub M, Chiniforush N, Kharazifard MJ, Hashemikamangar SS. Effect of Laser Irradiance and Fluoride Varnish on Demineralization Around Dental Composite Restorations. J Lasers Med Sci 2021; 11:450-455. [PMID: 33425296 DOI: 10.34172/jlms.2020.70] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Introduction: This study aimed to assess the effects of CO2 and erbium-doped yttrium aluminum garnet (Er:YAG) lasers with and without fluoride varnish on demineralization around composite restorations. Methods: This in vitro experimental study evaluated 96 extracted human premolars. After preparation and restoration of class V cavities in the buccal surface of the teeth with composite resin, they were randomly divided into 8 groups of control, CO2 laser (L1), CO2 laser-NaF (L1F), NaF-CO2 laser (FL1), Er:YAG laser (L2), Er:YAG laser-NaF (L2F), NaF-Er:YAG laser (FL2) and NaF (F). The entire surface of the teeth, except for the restored cavity in the buccal surface and 1 mm around the margin, was coated with two layers of nail varnish. The teeth then underwent pH cycling for 10 days (3 hours in demineralizing solution and 21 hours in remineralizing solution) to artificially induce demineralization. The amount of calcium and phosphorous released into the cariogenic solution was quantified using atomic absorption spectroscopy and spectrophotometry. The Vickers hardness tester was used to measure the hardness of the tooth structure adjacent to composite restoration. Data were analyzed using one-way ANOVA and Tukey's test. Results: The four groups of L1F, FL1, FL2 and L2F showed minimum loss of calcium and phosphorous ions, and the mean hardness of FL1 and FL2 groups was higher than that of other groups. Conclusion: The CO2 and Er:YAG lasers alone have no significant effect on the resistance of tooth structure to cariogenic solution. However, they can exert a synergistic effect when used along with NaF varnish. Fluoride varnish applied prior to laser irradiation confers further resistance to the tooth structure and positively affects its hardness.
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Affiliation(s)
- Sara Valizadeh
- Assistant Professor, Laser Research Center of Dentistry, Dentistry Research Institute, Restorative Dentistry Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Nasim Chiniforush
- Assistant Professor, Dental Implant Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad-Javad Kharazifard
- Research Member, Dental Research Center, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
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Luk K, Niu JY, Gutknecht N, Zhao IS, Chu CH. Preventing Enamel Caries Using Carbon Dioxide Laser and Silver Diamine Fluoride. PHOTOBIOMODULATION PHOTOMEDICINE AND LASER SURGERY 2020; 39:297-302. [PMID: 33373541 DOI: 10.1089/photob.2020.4894] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Objective: This study was intended to investigate the caries prevention potential of carbon dioxide (CO2) laser (λ = 10,600 nm) irradiation followed by application of silver diamine fluoride (SDF) to enamel. Materials and methods: Human enamel specimens were randomly allocated to four groups (n = 10 per group). Group 1 specimens were treated with SDF; Group 2 specimens were treated with a CO2 laser; Group 3 specimens were irradiated with a CO2 laser then treated with SDF, and Group 4 specimens received no treatment. All specimens were subjected to pH cycling for cariogenic challenge. Lesion depth, microhardness, surface morphology, and elemental analysis were assessed. Results: The lesion depths for Groups 1-4 were 33 ± 16, 80 ± 9, 18 ± 15, and 102 ± 9 μm, respectively (p < 0.001; Group 3 < Group 1 < Group 2 < Group 4). Knoop hardness values for Groups 1-4 were 61 ± 19, 68 ± 20, 78 ± 27, and 36 ± 8, respectively (p = 0.002; Group 4 < Groups 1, 2, and 3). The enamel in Group 4 but not in the other groups showed a roughened surface resembling an acid-etched pattern. Calcium-to-phosphorus molar ratios of Groups 1-4 were 1.68 ± 60.09, 1.61 ± 0.06, 1.69 ± 0.10, and 1.49 ± 0.10, respectively (p < 0.001; Group 4 < Groups 1, 2, and 3). Conclusions: Using the CO2 laser or SDF separately enhanced the resistance of enamel to cariogenic challenge. Moreover, there was an additional effect of the combined use of the CO2 laser and SDF for preventing enamel demineralization.
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Affiliation(s)
- Kenneth Luk
- School of Dentistry, Shenzhen University Health Science Center, Shenzhen, China.,Shenzhen Institute of Research and Innovation, The University of Hong Kong, Hong Kong, China.,Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
| | - John Yun Niu
- Shenzhen Institute of Research and Innovation, The University of Hong Kong, Hong Kong, China.,Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
| | - Norbert Gutknecht
- Department of Operative Dentistry, RWTH Aachen University, Aachen, Germany
| | - Irene Shuping Zhao
- School of Dentistry, Shenzhen University Health Science Center, Shenzhen, China.,Shenzhen Institute of Research and Innovation, The University of Hong Kong, Hong Kong, China.,Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
| | - Chun Hung Chu
- Shenzhen Institute of Research and Innovation, The University of Hong Kong, Hong Kong, China.,Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
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Luk K, Zhao IS, Yu OY, Mei ML, Gutknecht N, Chu CH. Caries Prevention Effects of Silver Diamine Fluoride with 10,600 nm Carbon Dioxide Laser Irradiation on Dentin. PHOTOBIOMODULATION PHOTOMEDICINE AND LASER SURGERY 2020; 38:295-300. [DOI: 10.1089/photob.2019.4720] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Kenneth Luk
- School of Dentistry, Shenzhen University Health Science Center, Shenzhen, China
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
| | - Irene Shuping Zhao
- School of Dentistry, Shenzhen University Health Science Center, Shenzhen, China
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
| | - Ollie Yiru Yu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
| | - May Lei Mei
- Faculty of Dentistry, Otago University, Dunedin, New Zealand
| | - Norbert Gutknecht
- Department of Operative Dentistry, RWTH Aachen University, Aachen, Germany
| | - Chun Hung Chu
- Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
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8
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Mahmoudzadeh M, Alijani S, Soufi LR, Farhadian M, Namdar F, Karami S. Effect of CO2 Laser on the Prevention of White Spot Lesions During Fixed Orthodontic Treatment: A Randomized Clinical Trial. Turk J Orthod 2019; 32:165-171. [PMID: 31565692 DOI: 10.5152/turkjorthod.2019.18052] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2018] [Accepted: 01/20/2019] [Indexed: 11/22/2022]
Abstract
Objective This study aimed to assess the effect of carbon dioxide (CO2) laser on prevention of white spot lesions (WSLs) associated with fixed orthodontic treatment. Methods In this parallel controlled trial, 554 maxillary anterior teeth in 95 patients with age range of 12-30 years were included. The samples were randomly divided in two groups: 1) CO2 laser (n=278) and 2) control (n=276) groups. Following bracket attachment, the teeth in the laser group were exposed to CO2 laser (0.4 mw, 10.6 μm, 5 Hz) for 20 s, and the control group received placebo light. Incidence, severity, and extent of the lesions were assessed in four surface regions (gingival, incisal, mesial, and distal) at baseline and 6 months post-irradiation. The inter-group comparison was performed by the Mann-Whitney U test and McNemar analysis. Results A significant difference regarding WSLs incidence in all teeth was observed between the two study groups (p<0.001). The two study groups illustrated a significant difference in lesion extent and incidence in incisal, mesial, and distal regions (p<0.05). The WSLs were significantly different in terms of severity in the incisal and mesial sites (p<0.05). Conclusion The CO2 laser irradiation seemed to effectively prevent incidence of WSLs. In addition, its effectiveness varied depending on the surface region.
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Affiliation(s)
- Majid Mahmoudzadeh
- Department of Orthodontics, Hamadan University of Medical Sciences School of Dentistry, Hamadan, Iran
| | - Sara Alijani
- Department of Orthodontics, Hamadan University of Medical Sciences School of Dentistry, Hamadan, Iran
| | - Loghman Rezaei Soufi
- Department of Operative, Dental Research Center, Hamadan University of Medical Sciences School of Dentistry, Hamadan, Iran
| | - Maryam Farhadian
- Department of Biostatistics, Hamadan University of Medical Sciences School of Public Health and Research Center for Health Sciences, Hamadan, Iran
| | - Fatemeh Namdar
- Dental Materials Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Somayeh Karami
- Post Graduate Orthodontic Student of Hamadan School of Dentistry, Department of Orthodontics, Hamadan University of Medical Sciences School of Dentistry, Hamadan, Iran
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Al-Maliky MA, Frentzen M, Meister J. Laser-assisted prevention of enamel caries: a 10-year review of the literature. Lasers Med Sci 2019; 35:13-30. [PMID: 31399861 DOI: 10.1007/s10103-019-02859-5] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2019] [Accepted: 08/01/2019] [Indexed: 01/13/2023]
Abstract
Since the invention of lasers in dentistry, investigations in caries prevention by the use of laser radiation have been proposed. There are several mechanisms stated for this purpose such as photothermal and/or photochemical interaction processes with the enamel. Alone or in conjugation with topical fluoride application, this treatment modality may improve enamel acid resistance in high-caries-risk populations. Data collection was done by searching the keywords caries, prevention, and laser in PubMed, Embase, Web of Science, Cochrane Library, and Google Scholar. Lasing protocols of the collected literature and their effectiveness as well as examination methods used to verify treatment outcomes have been evaluated. One hundred eighteen publications were found for the last 10 years. The wavelengths investigated for caries prevention are mainly located in the near and the mid-infrared spectral range. In the evaluated period of time, investigations using CO2; Er:YAG; Er,Cr:YSGG; Er:YLF; fundamental, second, and third harmonic generations of Nd:YAG; diodes; and argon ion lasers were found in the databases. Accounting for 39% of the literature, CO2 laser was the most examined system for this purpose. Reviewing the literature in this narrative review showed that all laser systems presented a positive effect in varying degrees. Laser irradiation could be an alternative or synergistic to topical fluoridation for enamel caries prevention with longer lasting effect. Further research should be focused on selecting proper laser settings to avoid damage to enamel and developing effective evidence-based clinical protocols.
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Affiliation(s)
- Mohammed Abbood Al-Maliky
- Department of Periodontology, Operative and Preventive Dentistry, Dental Faculty, University of Bonn, Welschnonnenstrasse 17, 53111, Bonn, Germany. .,Center of Applied Medical Laser Research and Biomedical Optics (AMLaReBO), University of Bonn, Bonn, Germany. .,Department of Biomedical Applications, Institute of Laser for Postgraduate Studies, University of Baghdad, Baghdad, Iraq.
| | - Matthias Frentzen
- Department of Periodontology, Operative and Preventive Dentistry, Dental Faculty, University of Bonn, Welschnonnenstrasse 17, 53111, Bonn, Germany
| | - Jörg Meister
- Department of Periodontology, Operative and Preventive Dentistry, Dental Faculty, University of Bonn, Welschnonnenstrasse 17, 53111, Bonn, Germany.,Center of Applied Medical Laser Research and Biomedical Optics (AMLaReBO), University of Bonn, Bonn, Germany
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10
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Abufarwa M, Noureldin A, Azimaie T, Campbell PM, Buschang PH. Preventive effects of carbon dioxide laser and casein phosphopeptide amorphous calcium phosphate fluoride varnish on enamel demineralization: A comparative, in vitro study. JOURNAL OF INVESTIGATIVE AND CLINICAL DENTISTRY 2019; 10:e12400. [PMID: 30693660 DOI: 10.1111/jicd.12400] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/15/2018] [Accepted: 12/03/2018] [Indexed: 11/29/2022]
Abstract
AIM The aim of the present study was to compare the effects of carbon dioxide (CO2 ) laser and casein phosphopeptide amorphous calcium phosphate (CPP-ACP)fluoride varnish on enamel demineralization. METHODS Human teeth were randomly assigned to three groups. The enamel was treated with fluoride varnish, 10.6 μm CO2 laser, or no treatment (control), followed by 9 days of pH cycling. Baseline and final FluoreCam images were used to quantify the area, intensity, and impact of demineralization; cross-sectional microhardness was used to measure the mechanical properties of the enamel. RESULTS There were statistically-significant changes in the area, intensity and impact of demineralization in the control and laser groups (P < 0.05), but not in the fluoride group. The control group showed a significantly greater area and impact of enamel demineralization compared to the fluoride group. The area of demineralization in the laser group was significantly greater than that of the fluoride group. Enamel demineralization of the laser and control groups was comparable. The fluoride group showed statistically-significant harder enamel than the control at 20, 40, and 60 μm depths; the laser group enamel was significantly harder than the control at 20 and 40 μm depths. The fluoride group showed statistically-significant harder enamel than the laser group at 20 μm depth. CONCLUSIONS CPP-ACP fluoride varnish is more effective than CO2 in preventing enamel demineralization.
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Affiliation(s)
- Moufida Abufarwa
- Department of Biomedical Science, Texas A&M University College of Dentistry, Dallas, Texas
| | - Amal Noureldin
- Department of Public Health Sciences, Texas A&M University College of Dentistry, Dallas, Texas
| | - Taha Azimaie
- Rutgers School of Dental Medicine, Newark, New Jersey
| | - Phillip M Campbell
- Department of Orthodontics, Texas A&M University College of Dentistry, Dallas, Texas
| | - Peter H Buschang
- Department of Orthodontics, Texas A&M University College of Dentistry, Dallas, Texas
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11
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Raghis T, Mahmoud G, Abdullah A, Hamadah O. Enamel resistance to demineralisation around orthodontic brackets after CO2 laser irradiation: a randomised clinical trial. J Orthod 2018; 45:234-242. [DOI: 10.1080/14653125.2018.1504410] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Tuqa Raghis
- Department of Orthodontics, Faculty of Dental Medicine, Damascus, Syria
| | - Ghiath Mahmoud
- Department of Orthodontics, Faculty of Dental Medicine, Damascus, Syria
| | | | - Omar Hamadah
- Faculty of Dental Medicine, Damascus, Syria
- Higher Institute for Laser Research and Applications, Damascus, Syria
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12
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WANG X, ZHANG N, WANG B, PARK SR, WEIR MD, XU HHK, BAI Y. Novel self-etching and antibacterial orthodontic adhesive containing dimethylaminohexadecyl methacrylate to inhibit enamel demineralization. Dent Mater J 2018; 37:555-561. [DOI: 10.4012/dmj.2017-286] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Xiaomeng WANG
- Department of Orthodontics, School of Stomatology, Capital Medical University
| | - Ning ZHANG
- Department of Orthodontics, School of Stomatology, Capital Medical University
| | - Bo WANG
- Department of Orthodontics, School of Stomatology, Capital Medical University
- Department of Orthodontics, The First Affiliated Hospital of Dalian Medical University
| | - Soo Ro PARK
- Department of Orthodontics, School of Stomatology, Capital Medical University
| | - Michael D. WEIR
- Biomaterials & Tissue Engineering Division, Department of Endodontics, Prosthodontics and Operative Dentistry, University of Maryland Dental School
| | - Hockin H. K. XU
- Biomaterials & Tissue Engineering Division, Department of Endodontics, Prosthodontics and Operative Dentistry, University of Maryland Dental School
- Center for Stem Cell Biology & Regenerative Medicine, University of Maryland School of Medicine
- Marlene and Stewart Greenebaum Cancer Center, University of Maryland School of Medicine
- Department of Mechanical Engineering, University of Maryland
| | - Yuxing BAI
- Department of Orthodontics, School of Stomatology, Capital Medical University
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Belcheva A, El Feghali R, Nihtianova T, Parker S. Effect of the carbon dioxide 10,600-nm laser and topical fluoride gel application on enamel microstructure and microhardness after acid challenge: an in vitro study. Lasers Med Sci 2018; 33:1009-1017. [PMID: 29354864 DOI: 10.1007/s10103-018-2446-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Accepted: 01/12/2018] [Indexed: 11/29/2022]
Abstract
The aim of this in-vitro study was to evaluate positive effects of the carbon dioxide laser (CO2, 10,600 nm) with acidulated phosphate fluoride (APF) gel on enamel acid resistance. Twenty extracted human third molars (40 surfaces) were randomly assigned into four groups: group C, untreated control; group L, CO2 laser alone group; group F, APF 1.23% fluoride gel; and group FL, APF 1.23% gel and laser. Samples from group L were irradiated with a CO2 laser for 30s. The parameter settings used were average power, 0.73 W; time on, 100 μs; time off, 40 ms; tip-to-tissue distance, 20 mm; tip diameter 700 μm; and energy density with movements, 5 J/cm2. Samples from group F were treated with the APF gel for 4 min, and the gel was washed off with distilled water. The enamel samples from group FL were treated with APF gel for 4 min and then irradiated with the CO2 laser for 30s without removing the gel. Each enamel sample was placed in 50 ml soft drink (pH = 2.75) for 10 min then rinsed with deionized water and stored in artificial saliva at 37 °C for 1 h. Samples were assessed for Vickers hardness number (VHN) before and after treatments and subjected to SEM analysis. Data were analyzed using a one-way analysis of variance (ANOVA) and Tukey's test (α < 0.05). After the acid challenge, the untreated C group was demineralized to a great extent and the enamel surface was with the lowest mean score of microhardness. The observed VHN in the control (C group) had a mean value of 176.13, the scores in the CO2 laser group (L group) were with mean value of 238.40, the F group with a mean value of 218.45, and the fluoride-treated and laser-irradiated FL group-with a mean of 268.28 VHN. Paired t test performed to compare groups C, L, F, and FL has shown that group FL has greater resistance to decrease in microhardness of dental enamel (P ≤ 0.05) on exposure to acidic protocol. After the acid challenge, the fluoride-treated and laser-irradiated samples (group FL) showed the least diminution in enamel surface microhardness. The sub-ablative carbon dioxide laser irradiation in combination with fluoride treatment is more effective in protecting enamel surface and resisting demineralization than CO2 laser irradiation or fluoride alone.
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Affiliation(s)
- A Belcheva
- Department of Pediatric Dentistry, Faculty of Dental medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.
| | - R El Feghali
- Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy
| | - T Nihtianova
- Department of Pediatric Dentistry, Faculty of Dental medicine, Medical University of Plovdiv, Plovdiv, Bulgaria
| | - S Parker
- Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy
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