Sodium fluoride mouthrinse used twice daily increased incipient caries lesion remineralization in an in situ model

2014 ◽  
Vol 42 (3) ◽  
pp. 271-278 ◽  
Author(s):  
Siriporn Songsiripradubboon ◽  
Hidenori Hamba ◽  
Chutima Trairatvorakul ◽  
Junji Tagami
2021 ◽  
Vol 46 (1) ◽  
pp. 87-99
Author(s):  
M Diniz ◽  
P Campos ◽  
M Souza ◽  
R Guaré ◽  
C Cardoso ◽  
...  

Clinical Relevance Effective methods to control incipient caries lesions are needed. In this investigation, several methods provide encouraging results. SUMMARY This study aimed to evaluate in situ the inhibition of incipient caries lesion progression using different treatment protocols and to evaluate the effectiveness of fluorescence-based methods (DIAGNOdent, DIAGNOdent pen, and VistaProof fluorescence camera [FC]) in monitoring this process. The research was conducted in four phases: (1) at baseline, (2) after a first cariogenic challenge, (3) after treatment modalities, and (4) after a second cariogenic challenge. Sixteen volunteers used intraoral acrylic palatal appliances, each containing six enamel blocks (n=96). The cariogenic challenge was performed using a 20% sucrose solution over a 14-day period. The appliances were removed eight times a day and, upon removal, two drops of the solution were placed onto each enamel block. The enamel blocks were randomly assigned to three treatment groups: fluoride varnish ([FV] Duraphat; n=32), resin infiltrant ([RI] Icon; n=32), and adhesive system ([AS] Scotchbond; n=32). At the end of each phase, the surface microhardness (SMH) was measured, and two trained examiners evaluated the specimens using fluorescence-based methods. In addition, integrated mineral loss (ΔΔZ; vol%.min x μm) and lesion depth (ΔLD; μm) were evaluated using transverse microradiography. A two-way analysis of variance and a Tukey post hoc test were calculated (α=5%). Significant differences in SMH were observed according to the treatment, phases, and interaction of factors (p<0.001). Treatment with FV resulted in significantly higher SMH values in phases 3 and 4 compared to RI and AS, with the last two treatments resulting in similar values (p>0.05). The ΔΔZ value was similar for FV and AS but significantly higher for RI (p=0.016). ΔLD was not significantly different among the groups (p=0.126). Significant differences in the measurement of fluorescence for each fluorescence-based method were observed between each phase of the study (p<0.05). It can be concluded that all treatments were effective in inhibiting the in situ progression of incipient lesions, although to different degrees, with minor mineral loss changes observed for the AS and FV. Besides, all fluorescence-based methods tested, except for that using the FC device, were effective in monitoring caries lesion progression.


2004 ◽  
Vol 38 (6) ◽  
pp. 567-571 ◽  
Author(s):  
A. Lussi ◽  
T. Jaeggi ◽  
C. Gerber ◽  
B. Megert

2007 ◽  
Vol 41 (5) ◽  
pp. 399-405 ◽  
Author(s):  
R.Z. Thomas ◽  
J.L. Ruben ◽  
J.J. ten Bosch ◽  
V. Fidler ◽  
M.C.D.N.J.M. Huysmans

2017 ◽  
Vol 51 (6) ◽  
pp. 543-553 ◽  
Author(s):  
Núbia Inocencya Pavesi Pini ◽  
Nadine Schlueter ◽  
Daniel Sundfeld ◽  
Wiebke Semper Hogg ◽  
Alan Roger Santos-Silva ◽  
...  

The study aim was to investigate the effect of antierosive agents on enamel under normal and hyposalivatory conditions. This double-blind crossover in situ pilot study evaluated 4 toothpastes: placebo (0 ppm F), sodium fluoride (NaF, 1,450 ppm), stannous/sodium fluoride (SnF/NaF, 1,450 ppm F-, 1,090 ppm Sn2+), and sodium fluoride, stannous chloride and chitosan (NaF/Sn/Ch, 1,450 ppm F-, 3,500 ppm Sn2+, 0.5% Ch). Twenty participants were assigned to 2 groups (n = 10 each): normal and low salivary flow. Participants wore palatal appliances holding 4 bovine enamel specimens previously eroded in vitro (D1) for 20 min prior to an in situ phase after which they were eroded again (D2). Surface microhardness was determined at baseline (BL), after D1, in situ phase and D2 to assess hardness loss (%SMH), residual hardness loss (%RHL) and erosion resistance (%RER). Additional specimens were evaluated by scanning electron microscopy after the in situ phase. ANOVA and a factorial analysis for between-subject effects were performed. Sn-based toothpastes showed the best effects (p < 0.05). Under normal flow, SnF/NaF showed higher efficacy, with a significant difference compared to NaF/Sn/Ch, NaF, and placebo (p < 0.05). Under low flow, SnF/NaF and NaF/Sn/Ch were comparable (p > 0.05); NaF and placebo were statistically similar. Comparing salivary conditions, there were significant differences for SnF/NaF for %SMH after the in situ phase (%SMHtotal)), %RHL and for all toothpastes in case of %RER. Factorial analysis revealed interactions between toothpaste and saliva flow for %SMHtotal and %RHL. Salivary flow can influence the efficacy of the antierosive toothpastes; however, Sn2+ preparations show even under low salivary flow conditions the highest efficacy in the prevention of enamel erosion.


2013 ◽  
Vol 32 (4) ◽  
pp. 648-653 ◽  
Author(s):  
Rathapong THEPYOU ◽  
Wanvipa CHANMITKUL ◽  
Ornnicha THANATVARAKORN ◽  
Hidenori HAMBA ◽  
Wanwalai CHOB-ISARA ◽  
...  

1995 ◽  
Vol 9 (3) ◽  
pp. 290-299 ◽  
Author(s):  
R.V. Faller

Many in situ models have assessed the anticaries potential of fluoride-containing systems (Stookey et al., 1985; Mellberg et al., 1986, 1992a,b; Corpron et al., 1986; Featherstone and Zero, 1992; Ogaard and Rolla, 1992; Stephen et al., 1992). Several models have reportedly been validated according to guidelines proposed by Proskin et al. (1992). The proposed guidelines cover only dentifrices containing sodium fluoride (NaF) or sodium monofluorophosphate (SMFP) as active ingredients. These compounds are the most widely used sources of fluoride in dentifrices, and dose-response clinical standards are available for both. Other fluoride compounds, such as amine fluoride (AmF) and stannous fluoride (SnF2), have also been proven effective in reducing caries (Muehler et al., 1957, 1958; Marthaler, 1968; Lu et al., 1980; Cahen et al., 1982). Profile standards for these fluorides were not included in the proposed guidelines, primarily due to the lack of clinical data necessary to establish a dose response for these ingredients. Criteria for demonstrating the efficacy of these ingredients, along with methods to assess new fluoride compounds, need to be established. In situ models are used to evaluate the anticaries potential of new compounds added to mouthrinses, gums, slow-release devices, etc. (Creanor et al., 1992; Manning and Edgar, 1992; Lamb et al., 1993; Toumba and Curzon, 1993; Wang et al., 1993). Ingredients are often added to dentifrices previously proven effective against caries in order to provide additional benefits of gum health, tartar control, cleaning, etc. Proposals are made regarding the in situ testing of new dentifrices containing clinically proven fluoride compounds other than NaF and SMFP, as well as alternative delivery systems, in order to assist in their evaluation.


2020 ◽  
Vol 5 (2) ◽  
pp. 49
Author(s):  
Kola Srikanthreddy ◽  
Nandini Biradar ◽  
NithinKumar Shetty ◽  
Simran Ahluwallia ◽  
Ruthika Naik ◽  
...  

2006 ◽  
Vol 309-311 ◽  
pp. 537-540 ◽  
Author(s):  
S. H. Jeong ◽  
S.O. Jang ◽  
Kyoung Nam Kim ◽  
H.K. Kwon ◽  
Yong Duk Park ◽  
...  

Hydroxyapatite is the main component of enamel that gives the tooth a bright white appearance and eliminates the diffused reflection of light by filling up the fine pores of the tooth surface. Accordingly, remineralization of the teeth can be expected to some extent if hydroxyapatite is used to treat an incipient caries lesion (early white spot lesion). In addition, the remineralization effect will be increased if the particle size of hydroxyapatite can be reduced to less than that of the micron-size in existing toothpaste preparations. The aim of this in vitro study was to evaluate the effect of nano-hydroxyapatite toothpaste, which was produced by nano-technology, on the remineralization of human enamel. A tooth specimen, on which artificial incipient caries had been induced, was immersed into two toothpaste slurries for remineralization. One contains nano-sized hydroxyapatite and fluoride, and the other contains nano-sized hydroxyapatite excluding fluoride. In order to evaluate the remineralization effect, the Vickers Hardness Number & SEM image of the enamel surface was evaluated at each step. There were significant differences in VHN values between those obtained before and after the remineralization steps. The results showed that the remineralization effect increased with increasing immersing time (P<0.05). However, there were no significant differences in VHN values between the two groups (P>0.05). SEM also demonstrated differences the in micro surface at each step. In conclusion, a toothpaste containing nano-sized hydroxyapatite has the potential to remineralize an incipient caries lesion. In addition, the addition of fluoride had no synergistic effect on remineralization.


2010 ◽  
Vol 64 (1) ◽  
Author(s):  
Marta Ambrová ◽  
Pavel Fellner ◽  
Jomar Thonstad

AbstractElectrochemical behaviour of sulphate under anodic polarization in molten sodium chloride, cryolite and sodium fluoride was investigated by cyclic voltammetry and chronopotentiometry at the temperatures of 820°C, 1010°C, and 1000°C, respectively. Using a platinum working electrode, two waves were observed on the chronopotentiograms in the systems: NaCl-Na2SO4 and Na3AlF6-Na2SO4. The first wave was attributed to the formation of oxygen. The second wave probably originated from the reaction of oxygen with platinum, or from oxidation of SO3 decomposition products. Three waves were observed for the anodic process of sulphate ions dissolved in molten sodium fluoride. The first wave was attributed to the formation of oxygen. The second and the third wave were attributed to the formation of PtO and PtO2. This conclusion was supported by cyclic voltammetry experiments of the in-situ formed sulphide in molten NaCl at 820°C and by chronopotentiometry on a gold working electrode in the system NaCl-Na2SO4, where no anodic wave was observed.


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