scholarly journals Effect of Remineralizing Gels on Microhardness, Color and Wear Susceptibility of Bleached Enamel

2019 ◽  
Vol 44 (1) ◽  
pp. 76-87 ◽  
Author(s):  
E Crastechini ◽  
AB Borges ◽  
CRG Torres

SUMMARY Objectives: To evaluate the effect of a remineralizing gel combining fluoride and calcium silicate/phosphate or a sodium fluoride gel on bleached enamel microhardness, color, and wear susceptibility. Methods and Materials: Two hundred forty bovine enamel-dentin samples were prepared. Baseline analysis of Knoop microhardness, color coordinates (L*a*b*), and surface profile were performed. According to the baseline microhardness values, specimens were stratified into six groups (n=40): NC (negative control)—no treatment; BL (positive control)—bleaching with 40% hydrogen peroxide gel (Opalescence Boost, Ultradent); BL/Rs—bleaching + application of calcium silicate/phosphate gel (Regenerate Serum, Unilever - Rs); Rs/BL—Rs + bleaching; Rs/BL/Rs—Rs + bleaching + Rs; and BL/F—bleaching + 2% sodium fluoride gel. After the treatment described for each group, color change (ΔE) and microhardness were evaluated again. To evaluate abrasion susceptibility, samples were randomly divided into two subgroups, according to the toothpaste used (Cp—Close Up or Rt—Regenerate), and underwent 100,000 brushing strokes. The profile of each sample was evaluated and the mean wear calculated. The data were analyzed by ANOVA and Tukey tests. Results: All bleached groups showed a significant reduction of microhardness in relation to the negative control. The groups treated with remineralizing gels showed a significantly higher microhardness and less wear than the positive control, although nonsignificant differences were observed among them. Nonsignificant differences in ΔE were found among bleached groups. The groups brushed with Regenerate toothpaste showed significantly less wear than those brushed with Close Up toothpaste. Conclusions: The remineralizing gels did not interfere with bleaching efficacy. However, all the treatments minimized the surface hardness reduction caused by the bleaching procedure and enamel loss after abrasion. Regenerate toothpaste resulted in less enamel abrasion.

2021 ◽  
pp. 1-8
Author(s):  
Antonio P. Ricomini Filho ◽  
Ana Camila M. de Assis ◽  
Bárbara E. Costa Oliveira ◽  
Jaime A. Cury

The higher cariogenicity of human milk when compared with bovine milk is still a debatable subject. Therefore, we evaluated the effect of human or bovine milk exposure on biofilm composition and enamel demineralization using a validated cariogenic biofilm model. <i>Streptococcus mutans</i> UA159 biofilms (<i>n</i> = 8) were grown on human saliva-coated bovine enamel slabs of known surface hardness. The biofilms were exposed 8×/day to 0.9% NaCl (negative control), human milk, bovine milk, 7.0% lactose (active human milk control), 4.5% lactose (active bovine milk control), or 10% sucrose (positive control). The culture medium was changed twice daily, and the pH was analyzed as an indicator of biofilm acidogenicity. After 120 h of growth, biofilms were harvested to evaluate viable cells, and soluble and insoluble extracellular polysaccharides (EPS). Enamel demineralization was assessed by the percentage of surface hardness loss (%SHL). Data were analyzed by one-way ANOVA/Tukey’s test (α = 5%). In terms of %SHL, negative control (7.7 ± 3.1), human milk control (13.3 ± 7.5), bovine milk control (15.3 ± 8.2), human milk (7.5 ± 5.0), and bovine milk (8.7 ± 6.3) did not differ among them (<i>p</i> &#x3e; 0.05) but differed (<i>p</i> &#x3c; 0.05) from sucrose (55.1 ± 5.4). The findings of enamel demineralization (%SHL) were statistically supported by the data of biofilm acidogenicity, bacterial counts and EPS biofilm composition. This experimental study suggests that human and bovine milk have low cariogenic potential to provoke caries lesions in enamel.


2020 ◽  
Vol 54 (3) ◽  
pp. 250-257 ◽  
Author(s):  
Daniele Mara da Silva Ávila ◽  
Marina Gullo Augusto ◽  
Rayssa Ferreira Zanatta ◽  
Tais Scaramucci ◽  
Idalina Vieira Aoki ◽  
...  

This in vitro study investigated whether Carbopol 980 polymer could potentiate the anti-erosive effect of solutions containing sodium fluoride (F) and sodium fluoride associated with stannous chloride (FS). The dissolution of hydroxyapatite treated with the experimental solutions (F [500 ppm F–], F + Carbopol [0.1%], FS [500 ppm F– + 800 ppm Sn2+], FS + Carbopol) was evaluated. Deionized water was the negative control, and a commercial mouth rinse (AmF/NaF/SnCl2; 500 ppm F + 800 ppm Sn2+; Elmex® Erosion Protection) was the positive control. The solutions were also evaluated in an erosion-rehardening protocol, with two treatments per day, using bovine enamel specimens (n = 15) and human saliva. The acid challenge was performed using 0.3% citric acid (pH 2.6) for 2 min. Microhardness was measured at different times: baseline, after the first erosive challenge, after treatment, and after the second erosive challenge. Based on microhardness values, the demineralization, rehardening, and protective potentials were calculated. The alkali-soluble fluoride on enamel surfaces was also measured. Data were analyzed using ANOVA and Tukey tests (α = 0.05). Groups treated with FS + Carbopol showed the lowest hydroxyapatite dissolution and the highest rehardening and protective potentials. The measurement of alkali-soluble fluoride on enamel surfaces was also higher in the FS + Carbopol group. Carbopol was able to significantly increase the protective effect of the fluoridated solutions in addition to optimizing the adsorption of fluoride on the enamel surface.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Manuela da Silva Spinola ◽  
Sabrina Elise Moecke ◽  
Natália Rivoli Rossi ◽  
Toshiyuki Nakatsuka ◽  
Alessandra Bühler Borges ◽  
...  

Abstract This study evaluated the efficacy of S-PRG vanishes on preventing enamel demineralization. Bovine enamel specimens were obtained, polished and the baseline Knoop microhardness was evaluated. Specimens were stratified into six groups (n = 15), according to the varnish applied: S10—experimental varnish containing 10% of S-PRG fillers, S20—20% of S-PRG fillers, S30—30% of S-PRG fillers; S40—40% of S-PRG fillers; PC (positive control)—5% of NaF; NC (negative control)—no treatment was performed. Half of enamel surfaces were protected to work as a control and varnishes were applied over the unprotected area. A demineralizing pH-cycling was performed, and surface and cross-sectional microhardness were measured. The percentage of microhardness of the treated area was calculated comparing with the untreated area. Statistical analysis was performed by one-way ANOVA and Tukey’s test (p = 5%). All experimental S-PRG varnishes protected against demineralization in relation to no treatment, but S40 was the most effective on the surface. For all depths, S30 and S40 were superior in enamel demineralization prevention than other S-PRG filler concentrations and 5% NaF. It was concluded that S-RPG filler containing varnishes were effective to prevent enamel demineralization. The higher concentrated products were more effective than 5% sodium fluoride on surface demineralization prevention.


2016 ◽  
Vol 50 (2) ◽  
pp. 111-116 ◽  
Author(s):  
Luiza P.S. Cassiano ◽  
Senda Charone ◽  
Juliana G. Souza ◽  
Ligia C. Leizico ◽  
Juliano P. Pessan ◽  
...  

This study analysed in vitro the effect of milk against dental erosion, considering three factors: the type of milk (bovine whole/fat-free), the presence of different fluoride concentrations and the time of application (before/after erosive challenge). Bovine enamel (n = 15/group) and root dentine (n = 12/group) specimens were submitted to the following treatments: after the first erosive challenge - 0.9% NaCl solution (negative control), whole milk with 0, 2.5, 5.0 and 10.0 ppm F, fat-free milk with 0, 2.5, 5.0 and 10.0 ppm F, and 0.05% NaF solution (positive control); before the first erosive challenge - whole milk with 0, 2.5, 5.0 and 10.0 ppm F, fat-free milk with 0, 2.5, 5.0 and 10.0 ppm F, and 0.05% NaF solution (positive control). Specimens were submitted to demineralisation-remineralisation regimes 4 times/day for 5 days. The response variables were enamel and dentine loss (in micrometres). Data were analysed using Kruskal-Wallis/Dunn's test (p < 0.05). For enamel, whole milk containing 10 ppm F, applied before the erosive challenge, was the most protective treatment, but with no significant difference compared with the same treatment carried out after the erosive challenge. For dentine, whole fluoridated milk (all concentrations, after), fat-free 10 ppm F milk (after, before) and whole milk with or without F (except 2.5 ppm F, all before) significantly reduced dentine erosion. It seems that the presence of fluoride, especially at 10 ppm, is the most important factor in reducing dental erosion.


2021 ◽  
Vol 62 (1) ◽  
pp. 22-32
Author(s):  
Eduardo Monteiro Toschi ◽  
Eliseu Aldrighi Münchow ◽  
Luísa Weber Mercado ◽  
Rafael Melara ◽  
Sandra Liana Henz

Tooth whitening can be performed at the dental office, at-home or upon the use of OTC (Over-the-Counter) products. Among the latter, there are whitening toothpastes that promise to bleach and to prevent tooth staining. Objectives: (1) to investigate the bleaching and abrasive potential of different whitening dentifrices to enamel; and (2) to evaluate the effect of Oral-B 3D White Perfection® (Oral-B) toothpaste in preventing staining. Materials and Methods: Bovine enamel samples were stained and brushed for 14 days with water (negative control) or with different products: Colgate Total 12® (control), Oral-B, Sensodyne Branqueador Extra Fresh® (Sensodyne), and Colgate Luminous White Advanced® (Colgate). Oral-B was also tested before and after staining. The samples were tested by their color (spectrophotometer) and surface roughness (profilometer). Color change (ΔDE00) was calculated using the CIEDE2000 color system. The data were analyzed using Kruskal-Wallis, SNK, and Mann-Whitney tests (ɑ=5%). Results: The negative control showed the lowest ΔE00 (p


2016 ◽  
Vol 41 (6) ◽  
pp. 627-633 ◽  
Author(s):  
AL Briso ◽  
TC Fagundes ◽  
MO Gallinari ◽  
J Moreira ◽  
LCAG de Almeida ◽  
...  

SUMMARY The aim of this study was to evaluate overall color change in bovine tooth fragments submitted to dental bleaching treatment performed simultaneously with the ingestion of beverages containing dyes. For this purpose, tooth fragments assembled into intraoral devices were submitted to at-home dental bleaching using 10% carbamide peroxide (CP) for 14 days and to immersion in staining beverages for 10 minutes daily. The specimens were divided into the following study groups according to bleaching treatment and staining substance (n=12): G I (negative control): no bleaching + distilled water; G II (positive control): bleaching + distilled water; G III: bleaching + coffee; and G IV: bleaching + grape juice. Twelve volunteers used the device continually, except during meals, oral hygiene, dental bleaching, and pigment challenge. Color readings were performed using a spectrophotometer both before the bleaching treatment and after each treatment week. The results were submitted to the normality test. The data obtained were submitted to analysis of variance and the Tukey or Kruskal-Wallis and Dunn tests (α=0.05). All bleached groups showed similar ΔE results at the end of treatment. Staining beverages generated negative ΔL mean values, and the lowest result was obtained in the treatment with coffee after 14 days. The Δa values in the groups that received treatment with staining beverages were higher when compared to the control groups. Dental bleaching associated with the consumption of staining substances may not affect overall tooth color change by the end of the treatment, although the consumption of staining substances did influence the different color dimensions.


2016 ◽  
Vol 27 (3) ◽  
pp. 298-302 ◽  
Author(s):  
Adriana de Cássia Ortiz ◽  
Livia Maria Andaló Tenuta ◽  
Cínthia Pereira Machado Tabchoury ◽  
Jaime Aparecido Cury

Abstract Low-fluoride (F) dentifrices (<600 µg F/g) are widely available worldwide, but evidence to recommend the use of such dentifrices, with either regular or improved formulations, is still lacking. Therefore, the aim of this study was to evaluate the anticaries potential of low-F dentifrices found in the Brazilian market, using a validated and tested pH-cycling model. Enamel blocks were selected by surface hardness (SH) and randomized into four treatment groups (n=12): non-F dentifrice (negative control), low-F dentifrice (500 μg F/g), low-F acidulated dentifrice (550 μg F/g) and 1,100 μg F/g dentifrice (positive control). The blocks were subjected to pH-cycling regimen for 8 days and were treated 2x/day with dentifrice slurries prepared in water (1:3, w/v). The pH of the slurries was checked, and only the acidulated one had low pH. After the pH cycling, SH was again determined and the percentage of surface hardness loss was calculated as indicator of demineralization. Loosely- and firmly-bound F concentrations in enamel were also determined. The 1,100 μg F/g dentifrice was more effective than the low-F ones to reduce enamel demineralization and was the only one that differed from the non-F (p<0.05). All F dentifrices formed higher concentration of loosely-bound F on enamel than the non-F (p<0.05), but the 1,100 μg F/g was the only one that differed from the non-F in the ability to form firmly-bound F. The findings suggest that the low-F dentifrices available in the Brazilian market, irrespective of their formulation, do not have anticaries potential.


2013 ◽  
Vol 24 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Fernanda Lourenção Brighenti ◽  
Eliana Mitsue Takeshita ◽  
Camila de Oliveira Sant'ana ◽  
Marília Afonso Rabelo Buzalaf ◽  
Alberto Carlos Botazzo Delbem

This study evaluated the capacity of fluoride acidic dentifrices (pH 4.5) to promote enamel remineralization using a pH cycling model, comparing them with a standard dentifrice (1,100 µgF/g). Enamel blocks had their surface polished and surface hardness determined (SH). Next, they were submitted to subsurface enamel demineralization and to post-demineralization surface hardness analysis. The blocks were divided into 6 experimental groups (n=10): placebo (without F, pH 4.5, negative control), 275, 412, 550, 1,100 µgF/g and a standard dentifrice (positive control). The blocks were submitted to pH cycling for 6 days and treatment with dentifrice slurries twice a day. After pH cycling, surface and cross-sectional hardness were assessed to obtain the percentage of surface hardness recovery (%SHR) and the integrated loss of subsurface hardness (ΔKHN). The results showed that %SHR was similar among acidic dentifrices with 412, 550, 1,100 µgF/g and to the positive control (Tukey's test; p>0.05). For ΔKHN, the acidic dentifrice with 550 µg F/g showed a better performance when compared with the positive control. It can be concluded that acidic dentifrice 550 µgF/g had similar remineralization capacity to that of positive control.


2013 ◽  
Vol 804 ◽  
pp. 57-61
Author(s):  
Huang Qin Chen ◽  
Bin Huang

The purpose of this study was to investigate the effect of polyanionsodium tripolyphosphate (STP) on color stability of the bleached enamel upon exposure to a staining agent-red wine. Thirty specimens were prepared and bleached with 35% hydrogen peroxide (HP). Then, they were divided into three groups and immersed in different experiment solutions, including distilled and deionized water (DDW, negative control), 2% STP (PH 9.0) and 1000 ppm NaF aq. (positive control), before and after red wine stain challenge, 3 times per day. The color of all specimens was measured before and after exposure to red wine with a spectrophotometer, and total color change (ΔE*) were calculated. The data were analyzed with a one-way ANOVA and the means were compared by Tukeys post hoc analysis (α=0.05). STP treatment group demonstrated significantly less color change than DDW and NaF groups (p<0.05). No significant difference was observed between DDW and NaF group. It can be concluded that the staining susceptibility of bleached enamel decreased after application of polyanion sodium tripolyphosphate.


2007 ◽  
Vol 19 (1) ◽  
Author(s):  
Veronica Vera D. Wiraja ◽  
Tono S. Hambali ◽  
Soertini E. Lambri

The fixed orthodontic appliance will cause changes in microbial flora the oral cavity and food debris accumulation and will be formed especially around the gingival sulcus. Plaque control using chemical means can be done by using mouth rinse. This research compared the influence of 0.05% sodium fluoride mouth rinse with aquadest and 0.2% chlorhexidine to the plaque index in fixed orthodontic patients. A double-blind and cross over clinical assessment were applied using a sample size of 16 male fixed orthodontic patients with the age above 21 years. 0.05% sodium fluoride, 0.2% chlorhexidine mouth rinse was given to all patients as a positive control and aquadest as a negative control. Plaque index was then measured after 24 hours without tooth brushing, after using the mouth rinse and a week after using the mouth rinse with tooth brushing. The results showed that the use of 0.05% sodium fluoride mouth rinse reduced plaque index more significantly compared to 0.2% chlorhexidine. The mechanical plaque control by tooth brushing is still the most influential mean to reduce plaque index in fixed orthodontic patients. Mouth rinse is just an additional mean to reduce plaque.


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