Title
In situ remineralisation of eroded enamel lesions by NaF rinses
Date Issued
01 May 2012
Access level
metadata only access
Resource Type
journal article
Author(s)
Mathews M.
Amaechi B.
Ramalingam K.
Chedjieu I.
MacKey A.
Karlinsey R.
University of Texas Health Science Center at San Antonio
Abstract
Objective: The purpose of this pilot study was to evaluate the remineralisation of eroded enamel by NaF rinses in an intra-oral model. Methods: Serving as their own control, subjects (N = 80) participated in a randomised, four-leg (20 subjects/leg), 28-day, parallel design study. In each leg, each participant wore a customised orthodontic bracket attached to a mandibular molar that contained one tooth block having an initial erosive lesion (0.3% citric acid, pH 3.75, 2 h). Within the 28-day period, participants engaged in twice-daily brushing for 1 min with a fluoride-free dentifrice followed by 1-min rinsing with one of the following aqueous rinses: fluoride-free (0 ppm F), 225 ppm F, 225 ppm F plus functionalised β-tricalcium phosphate (fTCP), and 450 ppm F. Following intra-oral exposure, appliances were removed and specimens were analysed using surface microhardness (SMH) and transverse microradiography (TMR). Results: Statistically significant (p < 0.05) remineralisation, as determined by SMH and TMR, of the eroded enamel relative to baseline occurred for each fluoride system. No significant differences in SMH were observed amongst the fluoride groups (p > 0.05), however, 225 ppm plus fTCP produced 27% and 7% SMH indent length reduction relative to 225 ppm F and 450 ppm F, respectively. No significant differences in TMR were observed amongst the fluoride groups (p > 0.05), however, 225 ppm F plus fTCP and 450 ppm F produced significant (p < 0.05) mineral gains relative to the fluoride-free control, whilst 225 ppm F did not (p > 0.05). Relative to the 225 ppm F group, the 450 ppm F and 225 ppm F plus fTCP groups produced 65% and 61% greater mineral change, respectively. Conclusions: These pilot results demonstrate this model is sensitive to fluoride and that addition of fTCP to an aqueous rinse containing 225 ppm F may provide significant remineralisation benefits. Therefore, the combination of relatively low levels of fluoride and fTCP might be an effective alternative to a high fluoride treatment for anti-erosion benefits. © 2011 Elsevier Ltd.
Start page
525
End page
530
Volume
57
Issue
5
Language
English
OCDE Knowledge area
Odontología, Cirugía oral, Medicina oral
Scopus EID
2-s2.0-84860223143
PubMed ID
Source
Archives of Oral Biology
ISSN of the container
00039969
Sponsor(s)
Funding: This work was supported entirely by exploratory funding from GlaxoSmithKline.
Sources of information: Directorio de Producción Científica Scopus