Objectives: To assess the effect of different tin-containing toothpastes on the control of erosive tooth wear in enamel and dentin.
Methods: Enamel and dentin slabs were randomly distributed into 7 experimental groups (n = 10/substrate): C-: negative control (Artificial saliva); AmF (regular fluoridated toothpaste without tin); Sn-1 (SnF/NaF); Sn-2 (SnF/NaF/SnCl); Sn-3 (SnCl/NaF); Sn-4 (SnF/SnCl); Sn-5 (SnCl/AmF/NaF/chitosan). Specimens were submitted to 5-day erosion-abrasion cycling.
Objective: Clinical assessment of progression of non-carious cervical lesions (NCCLs) is currently based on subjective methods. We hypothesize that 3D digital intraoral scanners (IOS) can provide quantitative outcomes for objective measuring and monitoring of NCCLs. This in vitro study verified the reliability of IOS to monitor dental structure loss of simulated NCCLs, in comparison to a reference bench-top 3D optical profilometer (BTS).
View Article and Find Full Text PDFThe purpose of this in vitro study was to test the hypothesis that fluoride treatment can prevent dental erosion on fluorotic enamel of different severities. It followed a 3×2 factorial design, considering a) fluorosis severity: sound (TF0, Thylstrup-Fejerskov Index), mild (TF1-2), moderate (TF3-4); and b) fluoride treatment: 0 (negative control) and 1150ppmF. Human molars with the three fluorosis severities (n=16, each) were selected and randomly assigned to the two fluoride treatments (n=8).
View Article and Find Full Text PDFIntroduction: This in vitro study aimed to evaluate the effect of three different chemical agents on stain removal and mineral uptake of artificial dentin caries (ADC) lesions treated with silver diamine fluoride (SDF).
Methods: Baseline L*a*b* values were determined in polished human permanent dentin blocks, and ADC lesions were induced with an acid gel for 1 week. Samples were assigned to four groups; in three groups, half of each sample received SDF (30% SDF for 3 min), while the other half received SDF followed by a bleaching treatment protocol (garlic extract, bentonite, or 35% hydrogen peroxide).
This study tested a novel in vitro dental erosion-abrasion model and the performance of cross-polarization optical coherence tomography (CP-OCT) in longitudinally monitoring the simulated lesions. Thirty human enamel specimens were prepared and randomized to receive three dental erosion-abrasion (EA) protocols: severe (s-EA, lemon juice/pH:2.5/4.
View Article and Find Full Text PDFDental hard tissue conditions can be of pre- or post-eruptive nature, such as enamel fluorosis and erosive tooth wear (ETW), respectively. Dental enamel fluorosis is caused by the chronic and excessive intake of fluoride during enamel development, leading to increased fluoride concentration and increased porosity. ETW has become a common clinical condition and often impairs dental function and aesthetics.
View Article and Find Full Text PDFThis study was undertaken to estimate the prevalence and severity of tooth wear (TW), as well as to assess non-biological and biological risk indicators for TW outcomes in adults. A cross-sectional study, adhering to the reporting STROBE guidelines, was conducted and had a convenience sample of adults ≥18 years of age who had at least one bilateral posterior molar contact. A total of 570 participants, seeking consultation at the University Hospital in Brussels, Belgium, were allocated to three age groups: 18-34 years (n = 232), 35-54 years (n = 256), and ≥55 years old (n = 79).
View Article and Find Full Text PDFObjectives: This study estimated the extent to which tooth wear, adjusted for (oral) health risk indicators, impacts adversely on the Oral-Health-Related Quality of Life (OHRQoL) of dentate adults.
Methods: A cross-sectional study was conducted and had a convenience sample of 570 adults ≥18 years old with at least one bilateral molar occlusal contact. Participants answered a self-applied questionnaire (ICC=0.
This study explored the application of a model for teaching tooth wear diagnosis, risk assessment, and treatment decisions to undergraduates at the UCLouvain, Belgium, based on an inverted classroom combined with case presentations. The aim was to explain its implementation and assess improvement in learning, engagement, and satisfaction. The hypothesis tested was that this model would enhance students' performance.
View Article and Find Full Text PDFObjective: The aim of this study is to test, in vitro, the anti-cariogenic effect of experimental hybrid coatings, with nano clays of halloysite or bentonite, loaded with sodium fluoride or with a combination of sodium fluoride and stannous chloride, respectively.
Methodology: The varnish Fluor Protector (1,000 ppm of F-) was used as positive control and no treatment was the negative control. Enamel specimens (5 mm × 5 mm) were obtained from bovine teeth.
This study investigated the protective effect of experimental solutions containing 4 polymers (polyoxirane, hydroxypropylmethylcellulose [HPMC], pectin, and an amino methacrylate copolymer [AMC]) in 2 concentrations (low and high) associated or not with sodium fluoride (F; 225 ppm F-) or sodium fluoride plus stannous chloride (FS; 800 ppm Sn2+) on the dissolution of hydroxyapatite crystals (HA). Deionized water was the control. The pretreated HA was added to a 0.
View Article and Find Full Text PDFPurpose: To investigate the association of dental enamel cracks with estimated tooth age and varying tooth wear severities.
Methods: 355 premolars were sorted from a pool of extracted human teeth, based on their estimated age range: 21-40, 41-60 years old, determined by a dental forensic method and on the presence/severity of lesions: none, mild, moderate and severe wear (Basic Erosive Wear Examination Index). The buccal and lingual surfaces of the teeth were inspected for cracks under an optical coherence tomography system.
The aim of this study was to compare the protective effects of solutions containing stannous (Sn), fluoride (F) and their combination in the prevention of dentin erosion. Forty bovine root dentin specimens (4'4'2 mm(3)) were prepared and randomly assigned to 4 groups (n = 10): SnCl2 (800 ppm/6.7 mM Sn), NaF (250 ppm/13 mM F), NaF/SnCl2 (800 ppm/6.
View Article and Find Full Text PDFPurpose: The purpose of this study was to investigate the potential anticaries efficacy of fluoride varnishes (FVs) by studying their ability to reharden and deliver fluoride to carious lesions and to release fluoride into saliva.
Methods: Enamel carious lesions were created and allocated to 24 groups (11 FVs with two FV incubation times and two control groups) based on Knoop microhardness test values. FVs were applied to lesions, which were incubated in artificial saliva for two or six hours, with saliva being renewed hourly.
Purpose: To investigate the relative fluoride dose-response of human and bovine enamel caries lesions under remineralizing conditions and utilizing an established pH cycling model.
Methods: Early caries-like lesions were formed in human and bovine enamel, characterized using Vickers surface microhardness (VHN) and assigned to five dentifrice treatment groups: 0/250/1100 ppm fluoride as sodium fluoride (F as NaF) formulation 1; 1100 ppm F as NaF formulation 2; 1000 ppm F as monofluorophosphate (MFP) formulation 3. The daily pH cycling regimen comprised: 4x1-minute dentifrice slurry treatments; 1 x 4-hour acid challenge and intermittent remineralization in a 1:1-mixture of pooled human/artificial saliva.
Purpose: To determine whether toothpaste diluent type and dilution rate influence abrasion of dentin.
Methods: Slabs of human root dentin (4 x 3 x 2 mm) were embedded in epoxy resin, ground and polished. Adhesive tape was placed on the specimen's surface leaving an exposed central area of 1 x 4 mm.
Since the currently available pH-cycling models do not differentiate the anti-caries potential of dentifrices with low fluoride (F) concentration, two models were developed and tested in the present. Bovine enamel blocks were subjected to the models and treated with F solutions containing from 70 to 280 microg F/mL in order to validate them in terms of dose-response effect. The models were also tested by evaluating the dentifrices Colgate Baby (500 microg F/g, as a low fluoride dentifrice), Tandy (1,100 microg F/g, as an active F-dentifrice) and Crest (1,100 microg F/g, as positive control).
View Article and Find Full Text PDFThe purpose of this in vitro study was to determine whether the vicinity of root dentine that had been restored with fluoride-releasing materials was at reduced risk for erosive/abrasive wear compared to root dentine restored with a non-fluoride-containing material. According to a randomized complete block design, standardized cavities prepared on the surface of 150 bovine root dentine slabs were restored with glass-ionomer cement, resin-modified glass ionomer, polyacid-modified resin composite, fluoride-containing or conventional composite. Specimens were coated with two layers of an acid-resistant nail varnish exposing half of the dentine surface and half of the restoration.
View Article and Find Full Text PDFThis study evaluated in vitro the cariostatic effect of 6 restorative materials with and without fluoride release (Fuji II LC, F-2000, Degufil Mineral, Sure Fil and Z-250) associated with a fluoridated and a non-fluoridated dentifrice (Sensodyne Original Formula and Sensodyne Sodium Bicarbonate), on human enamel. Class V-like cavities were prepared on 240 enamel slabs, assigned to 12 groups (6 materials and 2 dentifrices). After cavity restoration, the slabs were submitted to a thermocycling regimen of 1000 thermal cycles and demineralization/remineralization cycles.
View Article and Find Full Text PDFPurpose: To evaluate in vitro the abrasive potential of different dentifrices on enamel previously exposed to an acidic soft drink.
Methods: 150 bovine enamel slabs measuring 6 x 3 x 2 mm were grounded flat and polished. Surface roughness was measured to obtain Ra (microm) baseline values using a profilometer.
The purpose of this study was to evaluate the microhardness of dental enamel around composite restorations bonded with fluoride-containing adhesive systems (FCAS), after thermo- and pH-cycling protocols. Standardized cylindrical cavities were prepared on enamel surfaces of 175 dental fragments, which were randomly assigned into seven experimental groups (n=25). Four groups used FCAS: Optibond Solo (OS); Prime&Bond 2.
View Article and Find Full Text PDFPurpose: To evaluate the effect of six bleaching agents: Nite White [NW] 10% and 22% Excel 2Z (Discus Dental), Rembrandt (REM) 10% and 22% (DenMat), Opalescence (OPA) 10% and 20% (Ultradent) and a placebo agent on demineralized dentin microhardness at different time intervals.
Methods: 105 human dentin slabs (3 x 3 mm) were embedded, planed and submitted to cariogenic challenges, composed of de- and remineralization cycles. For 42 days, specimens were exposed to bleaching agents, consisting of applying them daily for 8 hours, removing and storing the specimens in artificial saliva for 16 hours.
It has been reported that bond strength of resin to tooth structure can be reduced when the bonding procedure is carried out immediately after the bleaching treatment. This study evaluated the effect of bleaching of non-vital teeth bleaching on the shear bond strength (SBS) of composite resin/bovine dentin interface and the influence of delaying the bonding procedures for different time intervals following internal bleaching. According to a randomized block design, composite resin cylinders (Z100/Single bond - 3M) were bonded to the flattened dentin surface of two hundred and fifty-six teeth which had previously been subjected to four different treatments: SPH - sodium perborate + 30% hydrogen peroxide; SPW - sodium perborate + distilled water; CP - 37% carbamide peroxide; and CON - distilled water (control), each one followed by storage in artificial saliva for 0 (baseline), 7, 14, and 21 days after bleaching (n = 16).
View Article and Find Full Text PDFThis study evaluated the surface roughness change and wear provided by different dentifrices on root dentine previously exposed to erosive challenges. According to a randomized complete block design, 150 slabs of bovine root dentine (6 x 3 x 2 mm) were ground flat and polished. In an area of 4 x 3 mm on the dentine surface, specimens were submitted to five erosive/abrasive events, each one composed by: exposure to Sprite Diet or distilled water for 5 min, then to a remineralizing solution for 1 min, and simulation of 5,000 brushing strokes.
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