scholarly journals Effectiveness of S-PRG Filler-Containing Toothpaste in Inhibiting Demineralization of Human Tooth Surface

2018 ◽  
Vol 12 (1) ◽  
pp. 811-819 ◽  
Author(s):  
Bennett T. Amaechi ◽  
Hariyali Kasundra ◽  
Deepika Joshi ◽  
Azadeh Abdollahi ◽  
Parveez A. A. Azees ◽  
...  
Keyword(s):  
Human Tooth ◽  
Tooth Surface ◽  
Control Group ◽  
Tooth Demineralization ◽  
Caries Model ◽  
Ph Cycling ◽  
Early Caries ◽  
Pairwise Contrasts ◽  
Caries Lesions ◽  
Mineral Loss

Objectives: Using an established pH-cycling caries model, the authors evaluated the effectiveness of toothpastes containing Surface Pre-reacted Glass-ionomer filler (S-PRG) in preventing tooth surface demineralization. Materials and Methods: 210 tooth blocks were randomly assigned to seven experimental groups (30 blocks/group): no treatment (A), and toothpaste containing either NaF (B), 0 wt% S-PRG (C), 1 wt% S-PRG (D), 5 wt% S-PRG (E), 20 wt% S-PRG (F) or 30 wt% S-PRG (G). Groups were subjected to 14-day demineralization for development of early caries lesions using a pH-cycling caries model. Demineralization was assessed using Quantitative Light-induced Fluorescence (QLF) and Transverse Microradiography (TMR). All pairwise contrasts (between treatments) were tested using Analysis of Variance (ANOVA), and then Tukey’s HSD for multiple comparisons. All p-values are considered significant if <0.05. Results: With QLF, there was a significant (ANOVA; p<0.001) difference in mean percent fluorescence loss (∆F) observed among the groups. Relative to control, all S-PRG-containing toothpastes significantly (Tukey’s; p<0.0001) inhibited demineralization at varying percentages (48.6%, 61.3%, 67.4% and 69.8% reduction with S-PRG 1%, 5%, 20% and 30% respectively). Demineralization reduction was not significant with either NaF (15.6% reduction) or 0% S-PRG (-2.5% reduction i.e. 2.5% more demineralization than the Control) when compared to control group. Mineral loss assessed using TMR followed a similar trend as fluorescence loss. Conclusion: Toothpaste containing S-PRG filler can serve as an effective caries control tool. S-PRG filler-containing dentifrice to be more effective in preventing tooth demineralization than 1100 ppm fluoride provided as sodium fluoride.

scholarly journals Effect of Strontium-Doped Bioactive Glass on Preventing Formation of Demineralized Lesion

Materials ◽  
2021 ◽  
Vol 14 (16) ◽  
pp. 4645
Author(s):  
Lin-Lu Dai ◽  
May-Lei Mei ◽  
Chun-Hung Chu ◽  
Irene Shuping Zhao ◽  
Edward Chin-Man Lo
Keyword(s):  
Bioactive Glass ◽  
Human Tooth ◽  
Control Group ◽  
X Ray Diffraction ◽  
Study Materials ◽  
Group 4 ◽  
Ph Cycling ◽  
The Mean ◽  
Group 2 ◽  
Mineral Loss

This study investigated the effect of strontium-doped bioactive glass (SBAG) on the formation of dental demineralized lesions. Materials and methods: The study materials were 48 sound human tooth specimens with both dentine and enamel, divided equally into four groups: Group 1 (SBAG), Group 2 (SBAG+Fluoride), Group 3 (Fluoride), and Group 4 (Water as control). After 14 days of pH cycling, the surface morphology of the specimens was observed by scanning electron microscopy. Crystal characteristics of the precipitates were assessed by X-ray diffraction (XRD). Micro-CT was used to measure the mineral loss and the depths of the demineralized lesions formed. Results: Exposure of collagen in inter-tubular areas in dentine was seen in the control group (Group 4) but not in Groups 1 to 3. In Group 2, there were obvious granular particles on the surface of the dentine. XRD revealed precipitation of apatites on the surface of the tooth specimens in Groups 1 to 3. The mean lesion depths in dentine were 81.80 μm, 30.68 μm, 39.04 μm, and 146.36 μm in Groups 1 to 4, respectively (p < 0.001). Lesions in enamel were only found in the control group. The mean mineral loss values in the dentine lesions were 1.25 g/cm3, 0.88 g/cm3, 0.87 g/cm3, and 1.65 g/cm3, in Groups 1 to 4, respectively (p < 0.001). Conclusion: Strontium-doped bioactive glass has a preventive effect on the formation of demineralized lesions in enamel and dentine.

scholarly journals Is It Possible to induce Artificial Caries-affected Dentin using the Same Protocol to Primary and Permanent Teeth?

2015 ◽  
Vol 16 (8) ◽  
pp. 638-642
Author(s):  
Tathiane Larissa Lenzi ◽  
Fabio Zovico Maxnuck Soares ◽  
Tamara Kerber Tedesco ◽  
Rachel de Oliveira Rocha
Keyword(s):  
Repeated Measures ◽  
Permanent Teeth ◽  
Control Group ◽  
Dentin Caries ◽  
Ph Cycling ◽  
Knoop Microhardness ◽  
Caries Lesions ◽  
Experimental Group ◽  
Mineral Loss

ABSTRACT Aim This in vitro study compared the mineral loss of natural and artificially-created caries-affected dentin in primary and permanent teeth using the same protocol to induce caries lesions. Materials and methods Twenty molars presenting natural occlusal dentin caries lesions (10 primary–PriC and 10 permanent– PermC; control group), and 20 sound molars (10 primary – PripH and 10 permanent–PermpH; experimental group), were selected. Occlusal cavities were prepared in teeth of the experimental group that were submitted to pH-cycling for 14 days to simulate caries-affected dentin. All specimens were longitudinally sectioned and prepared in order to obtain Knoop microhardness values from 15 to 250 ìm depth, starting in bottom of center of natural lesions or cavities. The microhardness (KHN) data were submitted to three-way repeated measures analysis of variance (ANOVA) and Tukey's tests (α = 0.05). Results Considering all depths, there was no statistically significant differences (p > 0.05) between the mineral loss of the control (PriC = 30.9 ± 6.4 and PermC = 40.8 ± 8.6) and experimental (PripH = 27.3 ± 11.1 and PermpH = 35.5 ± 14.0) groups, neither between primary and permanent teeth. Conclusion The mineral loss of the artificially-created cariesaffected dentin is similar to that from naturally developed dentin caries lesions. Clinical significance The pH-cycling model may be a suitable method to simulate caries-affected dentin in both permanent and primary teeth. How to cite this article Lenzi TL, Soares FZM, Tedesco TK, de Oliveira Rocha R. Is It Possible to induce Artificial Caries-affected Dentin using the Same Protocol to Primary and Permanent Teeth? J Contemp Dent Pract 2015;16(8):638-642.

scholarly journals Comparison of Resin Infiltration Technique with Conventional Preventive Applications on Occlusal Fissures: EDS and SEM Analyses

2020 ◽  
Vol 54 (4) ◽  
pp. 382-391
Author(s):  
Sidika Aynur Horuztepe ◽  
Esra Ergin ◽  
Alev Onen ◽  
Sevil Gürgan
Keyword(s):  
Control Group ◽  
Chemical Compositions ◽  
Fissure Sealant ◽  
Resin Infiltration ◽  
Occlusal Surfaces ◽  
Ph Cycling ◽  
Infiltration Technique ◽  
Oral Conditions ◽  
Topical Fluoride ◽  
Mineral Loss

Objective: To compare the subsurface mineral loss preventing capability of resin infiltration technique with topical fluoride and fissure sealant applications to demineralized occlusal fissures under simulated oral conditions. Materials and Methods: Occlusal surfaces of 64 extracted intact human third molars were demineralized. Next, the teeth were classified into four groups according to preventive applications (n = 16): G1, Specimens used as the control group with no preventive treatment; G2, Topical fluoride application (APF Gel/ DEEPAK); G3, Fissure sealant application (ClinproTMSealant/ 3M ESPE); and G4, Resin infiltration technique (Icon/ DMG). Chemical compositions before pH cycling were evaluated for eight specimens from each group. The remaining eight teeth from each group were subjected to pH cycling for 15 days to simulate the oral conditions. Subsequently, the specimens were fractured after immersion in liquid nitrogen and the subsurface fluoride (F), calcium (Ca), phosphorus (P) levels, and Ca/P ratio of each specimen were measured using energy dispersive x-ray spectrometer (EDS). The data were subjected to statistical analysis (p = 0.05). The effects of preventive applications to surface topography of specimens were evaluated using scanning electron microscope (SEM). Results: There were no significant differences among the groups in subsurface F, Ca, and P levels and Ca/P ratios before or after pH cycling (p > 0.05). All three preventive applications were effective during pH cycling according to SEM observations. Conclusions: The subsurface mineral loss preventing capability of resin infiltration technique applied to occlusal fissures was comparable to topical fluoride and fissure sealant applications. Clinical significance: The resin infiltration technique could represent a valid alternative to traditionally used both preventive and restorative treatments for treating initial carious lesions on occlusal fissures, offering the advantages of better resin penetration and retention.

scholarly journals An In Vitro Investigation of Anticaries Efficacy of Fluoride Varnishes

2019 ◽  
Vol 44 (5) ◽  
pp. E234-E243 ◽  
Author(s):  
L Al Dehailan ◽  
EA Martinez-Mier ◽  
GJ Eckert ◽  
F Lippert
Keyword(s):  
Artificial Saliva ◽  
Acid Resistance ◽  
Fluoride Release ◽  
In Vitro Investigation ◽  
Ph Cycling ◽  
Baseline Values ◽  
Bovine Enamel ◽  
Early Caries ◽  
Caries Lesions

SUMMARY Most currently marketed fluoride varnishes (FVs) have not been evaluated for their effectiveness in preventing dental caries. The objective of this study was to investigate the anticaries efficacy, measured as fluoride release into artificial saliva (AS); change in surface microhardness of early enamel caries lesions; and enamel fluoride uptake (EFU) of 14 commercially available FVs and two control groups. Bovine enamel specimens (5×5 mm) were prepared and assigned to 18 groups (n=12). Early caries lesions were created in the specimens and characterized using Vickers microhardness (VHNlesion). FV was applied to each group of specimens. Immediately afterward, specimens were incubated in 4 mL of AS for 18 hours, which were collected and renewed every hour for the first six hours. AS samples were analyzed for fluoride using an ion-specific electrode. Specimens were then brushed for 20 seconds with toothpaste slurry and subjected to pH cycling consisting of a four-hour/day acid challenge and one-minute treatments with 1100 ppm F dentifrice for five days. Microhardness was measured following pH cycling (VHNpost). EFU was determined using microbiopsy. Acid resistance (eight-hour demin challenge) was performed after pH cycling, and microhardness was measured (VHNart) and compared with baseline values to test the FV impact after pH cycling. One-way analysis of variance was used for data analysis (α=0.05). FVs differed in their release characteristics (mean ± SD ranged from 14.97 ± 2.38 μg/mL to 0.50 ± 0.15 μg/mL), rehardening capability (mean ± SD ranged from 24.3 ± 15.1 to 11.7 ± 12.7), and ability to deliver fluoride to demineralized lesions (mean ± SD ranged from 3303 ± 789 μg/cm3 to 707 ± 238 μg/cm3). Statistically significant but weak linear associations were found between ΔVHN(post – lesion), EFU, and fluoride release (correlations 0.21-0.36). The results of this study demonstrated that differences in FV composition can affect their efficacy in in vitro conditions.

Effect of tablets containing probiotic bacteria (Lactobacillus reuteri) on early caries lesions in adolescents: a pilot study

2014 ◽  
Vol 5 (4) ◽  
pp. 403-407 ◽  
Author(s):  
M.K. Keller ◽  
I. Nøhr Larsen ◽  
I. Karlsson ◽  
S. Twetman
Keyword(s):  
Placebo Group ◽  
Pilot Study ◽  
Lactobacillus Reuteri ◽  
Clinical Signs ◽  
Test Group ◽  
Control Group ◽  
Lesion Area ◽  
Early Caries ◽  
Caries Lesions ◽  
Over Time

The objective of the study was to investigate the effect of tablets containing probiotic lactobacilli on early caries lesions in adolescents with quantitative light-induced fluorescence (QLF). 36 healthy adolescents of both sexes (12-17 years of age) were enrolled and randomly allocated to a placebo-controlled trial with two parallel groups. The test group received two tablets daily containing two strains of Lactobacillus reuteri (DSM 17938 and ATCC PTA 5289) for a period of three months, while the control group got identical placebo tablets without live bacteria. The primary outcome was QLF-readings (change in fluorescence, ΔF and lesion area, mm2) at baseline and after 3 months, conducted at two buccal sites of each individual, pre-selected with clearly visible clinical signs of enamel demineralisation (white spots). Significantly more premolars were allocated to the placebo group, while the test group had more incisors (P<0.05). There were no statistically significant differences in fluorescence values between the groups, neither at baseline, nor at the follow-up. There was however a significant decrease in fluorescence over time in the test group, but not in the placebo group (P<0.05). No alterations of the lesion area (ΔA) were found in any group. The inter-examiner intra-class correlation coefficient-value for QLF-readings was excellent. No side- or adverse effects were reported during the intervention period. This pilot study found a significant decrease over time in the test group. However, no statistically significant differences in fluorescence values between the groups were found. Hence, the null hypothesis could not be rejected.

The Effect of a New Oral Hygiene Training Program On Approximal Caries in 12-15-Year-Old Brazilian Children: Results After Three Years

1994 ◽  
Vol 8 (2) ◽  
pp. 278-284 ◽  
Author(s):  
P. Axelsson ◽  
Y.A.P. Buischi ◽  
M.F.Z. Barbosa ◽  
R. Karlsson ◽  
M.C.B. Prado
Keyword(s):  
Training Program ◽  
Oral Hygiene ◽  
Tooth Surface ◽  
Control Group ◽  
Mean Values ◽  
Group Iii ◽  
Group I ◽  
Oral Hygiene Instruction ◽  
Caries Lesions ◽  
Approximal Caries

This study evaluated the effects of a new oral hygiene training program on approximal caries in a population of 12-13-year-old Brazilian schoolchildren with a well-established habit of daily toothbrushing with a F dentifrice. Two hundred twenty-two children were randomly allocated into two test groups (I and II) and one control group (III). Group I subjects were trained to establish needs-related oral hygiene habits based on self-diagnosis and a new behavioral principle, the 'linking method', for establishment of habits. The first three visits (20 minutes each) were scheduled at two-day intervals. They were recalled for a monthly check-up during the first 4 months, and then every 3 months for re-evaluation of the results based on self-diagnosis. Group II subjects were recalled at the same intervals for detailed oral hygiene instruction on how to clean every tooth surface using dental tape, toothbrush, and fluoride dentifrice. Group I developed significantly fewer (p <0.001) new approximal manifest (dentin) caries lesions than groups II and III. The mean values (SEM) were 2.3(0.29), 4.7(0.59), and 5.3(0.68), respectively. The conclusions from our study are: In a toothbrushing population using fluoride dentifrices and fluoridated drinking water, the oral hygiene training program with behavioral modification significantly reducedcaries incidence on approximal surfaces. Frequentrepetition of training in meticulous oral hygiene is almost redundant.

scholarly journals Do bleaching gels affect the stability of the masking and caries-arresting effects of caries infiltration—in vitro

2020 ◽  
Author(s):  
Ellen Elisabeth Jansen ◽  
Hendrik Meyer-Lueckel ◽  
Marcella Esteves-Oliveira ◽  
Richard Johannes Wierichs
Keyword(s):  
Red Wine ◽  
Significant Difference ◽  
Color Differences ◽  
Ph Cycling ◽  
The Stability ◽  
Bovine Enamel ◽  
Bleaching Gels ◽  
Caries Lesions ◽  
Mineral Loss

Abstract Objectives The aim of this study was to evaluate the influence of different bleaching gels on the masking and caries-arresting effects of infiltrated and non-infiltrated stained artificial enamel caries lesions. Materials and methods Bovine enamel specimens (n = 240) with each two sound areas (SI and SC) and each two lesions (DI and DC) were infiltrated (DI and SI), stained (1:1 red wine-coffee mixture,70 days), and randomly distributed in six groups to be bleached with the following materials: 6%HP (HP-6), 16%CP (CP-16), 35%HP (HP-35), 40%HP (HP-40), and no bleaching (NBl,NBl-NBr). Subsequently, specimens were pH-cycled (28 days, 6 × 60 min demineralization/day) and all groups except NBl-NBr were brushed with toothpaste slurry (1.100 ppm, 2×/day, 10 s). Differences in colorimetric values (ΔL, ΔE) and integrated mineral loss (ΔΔZ) between baseline, infiltration, staining, bleaching, and pH cycling were calculated using photographic and transversal microradiographic images. Results At baseline, significant visible color differences between DI and SC were observed (ΔEbaseline = 12.2; p < 0.001; ANCOVA). After infiltration, these differences decreased significantly (ΔEinfiltration = 3.8; p < 0.001). Staining decreased and bleaching increased ΔL values significantly (p ≤ 0.001). No significant difference in ΔΔE was observed between before staining and after bleaching (ΔEbleaching = 4.3; p = 0.308) and between the bleaching agents (p = 1.000; ANCOVA). pH-cycling did not affect colorimetric values (ΔEpH-cycling = 4.0; p = 1.000). For DI, no significant change in ΔZ during in vitro period was observed (p ≥ 0.063; paired t test). Conclusions Under the conditions chosen, the tested materials could satisfactorily bleach infiltrated and non-infiltrated stained enamel. Furthermore, bleaching did not affect the caries-arresting effect of the infiltration. Clinical relevance The present study indicates that bleaching is a viable way to satisfactorily recover the appearance of discolored sound enamel and infiltrated lesions.

scholarly journals Enamel Subsurface Caries-Like Lesions Induced in Human Teeth By Different Solutions: A TMR Analysis

2020 ◽  
Vol 31 (2) ◽  
pp. 157-163
Author(s):  
Daiana Back Gouvêa ◽  
Nicole Marchioro dos Santos ◽  
Juliano Pelim Pessan ◽  
Juliana Jobim Jardim ◽  
Jonas Almeida Rodrigues
Keyword(s):  
Acetic Acid ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Human Teeth ◽  
Ph Cycling ◽  
Fluoride Dentifrice ◽  
Caries Lesions ◽  
Mineral Loss ◽  
Mineral Changes

Abstract This study assessed the effectiveness of models for developing subsurface caries lesions in vitro and verified mineral changes by transverse microradiography (TMR). Enamel blocks from permanent (n=5) and deciduous teeth (n=5) were submitted to lesion induction by immersion in demineralizing solutions during 96 h, followed by pH cycles of demineralization (de) and remineralization (re) for 10 days. Two de-/re solutions were tested. Demineralizing solution “A” was composed by 2.2 mM CaCl2, 2.2 mM KH2PO4, 0.05 M acetic acid, with pH 4.4 adjusted by 1 M KOH. Demineralizing solution “B” was composed by 2.2 mM CaCl2, 2.2 mM NaH2PO4, 0.05 M acetic acid and 0.25 ppmF, with pH 4.5 adjusted by 1M KOH. Solution “A” produced cavitated lesions in permanent teeth, whereas solution “B” led to subsurface lesions in deciduous teeth. Solution “B” was then tested in enamel blocks from permanent teeth (n=5) and subsurface lesions were obtained, so that solution “B” was employed for both substrates, and the blocks were treated with slurries of a fluoride dentifrice (1450 ppm F, as NaF, n=5) or a fluoride-free dentifrice (n=5). Solution “B” produced subsurface lesions in permanent and primary teeth of an average (±SD) depth of 88.4µm (±14.3) and 89.3µm (±15.8), respectively. TMR analysis demonstrated that lesions treated with fluoride-free dentifrice had significantly greater mineral loss. This study concluded that solution “B” developed subsurface lesions after pH cycling, and that mineral changes were successfully assessed by TMR.

scholarly journals Effectiveness of Riboflavin and Rose Bengal Photosensitizer Modified Adhesive Resin for Orthodontic Bonding

2021 ◽  
Vol 14 (1) ◽  
pp. 48
Author(s):  
Ali Alqerban
Keyword(s):  
Mtt Assay ◽  
Rose Bengal ◽  
Antibacterial Properties ◽  
Homogenization Method ◽  
Tooth Surface ◽  
Control Group ◽  
Adhesive Resin ◽  
Adhesive Remnant Index ◽  
Significant Difference ◽  
Sem Imaging

This study aimed to evaluate the effect of riboflavin (RF) and rose Bengal (RB) photosensitizer modified adhesive resin on the degree of conversion (DC), and antimicrobial capacity after bonded to tooth surface. Different concentrations of RB and RF were prepared by homogenization method. An ultraviolet light source A (UVA) (375 nm wavelength, 3 mW/cm2 power) was used for 30 min irradiation.FTIR was performed for control and test adhesives to analyze the DC. Antibacterial testing was performed using the MTT assay. Metal brackets were bonded using the modified adhesives and subjected for SEM examination. The surfaces of teeth and metal brackets were examined at ×10 magnification for assessing adhesive remnant index (ARI) after PDT, 24 h and thermocycling. For DC, control group, 0.1% RB and RF after PDT showed the highest value. SEM imaging indicated lowest growth of Streptococcus mutans over 0.5% of RB-PDT and RF-PDT as compared to the control group. The MTT assay outcomes reported that the activity of S. mutans substantially decreased with the addition of a high amount of either RB or RF (p < 0.01). Mean ARI scores showed a significant difference between all groups. This study concluded that 0.1% of either RB or RF after PDT can be used for bonding orthodontic brackets to the tooth surface with substantial antibacterial properties.

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