Influence of Remineralizing Dentifrice in the Treatment of Erosive Enamel Lesions

Autores

  • Júlia Bazaga Ferreira University of Uberaba, Dentistry Course. MG, Brazil
  • Gabriella Rodovalho Paiva Uberaba University, Stricto Sensu Graduate Program in Dentistry. MG, Brazil.
  • Vinícius Rangel Geraldo-Martins Uberaba University, Stricto Sensu Graduate Program in Dentistry. MG, Brazil
  • Juliana Jendiroba Faraoni University of São Paulo, Ribeirão Preto School of Dentistry, Department of Restorative Dentistry. SP, Brazil
  • Regina Guenka Palma Dibb University of São Paulo, Ribeirão Preto School of Dentistry, Department of Restorative Dentistry. SP, Brazil.
  • Cesar Penazzo Lepri Uberaba University, Stricto Sensu Graduate Program in Dentistry. MG, Brazil

DOI:

https://doi.org/10.17921/2447-8938.2018v20n4p238-242

Resumo

O objetivo deste trabalho in vitro foi avaliar a influência de diferentes agentes remineralizantes no tratamento de lesões erosivas em esmalte. Foram confeccionados espécimes de 4mmx4mm e 3 mm de espessura a partir da superfície vestibular de incisivos bovinos (n=10) e divididos aleatoriamente em 4 grupos. G1=aplicação do dentifrício remineralizante, G2= aplicação do agente potencializador remineralizante, G3= dentifrício remineralizante + agente potencializador remineralizante, G4=aplicação de verniz fluoretado (controle positivo), G5=nenhum tratamento (controle negativo). Os espécimes foram imersos em refrigerante durante um período de 10 dias. A rugosidade superficial foi analisada por meio de microscopia confocal de varredura a laser. Os dados foram analisados quanto à homogeneidade (Levene’s) e normalidade (Kolmogorov- Smirnov). Foram realizados testes paramétricos com análise de variância a dois critérios: fator tempo e fator tratamento, e pós-teste de Tukey para diferenciação das médias. Todos os testes estatísticos tiveram nível de significância de 5% (α=0,05). Os resultados obtidos mostraram diferenças estatisticamente significantes, demonstrando a redução da rugosidade da superfície do esmalte logo após o primeiro tratamento (G3) e para os demais grupos (G1, G2 e G4) somente após o segundo tratamento. Concluiu-se que a utilização de dentifrício composto por silicato de cálcio e fosfato de sódio influenciou na rugosidade do esmalte erodido do dente bovino.

Palavras-chave: Dentifrícios. Erosão Dentária. Esmalte Dentário.


Abstract

 

The objective of this in vitro study was to evaluate the influence of different remineralizing agents in the treatment of enamel erosive lesions. Specimens of 4mmx4mm and 3mm thickness were made from the buccal surface of bovine incisors (n=10) and randomly divided into 4 groups. G1 = application of the remineralizing dentifrice, G2 = application of the remineralizing agent, G3 = remineralizing dentifrice + remineralizing agente, G4 = application of fluoride varnish (positive control), G5 = no treatment Specimens were immersed in refrigerant solution during a period of 10 days. The surface roughness was analyzed by means of confocal laser scanning microscopy. The data were analyzed for homogeneity (Levene's) and normality (Kolmogorov-Smirnov). Parametric tests with analysis of variance were performed on two criteria: time factor and treatment factor, and Tukey post-test for differentiation of means. All tests were statistically significant at 5% (α = 0.05). The results showed statistically significant difference, demonstrating the reduction of surface roughness after the first treatment (G3) and the other groups (G1, G2 and G4) only after the second treatment. It was concluded that the use of dentifrice composed of calcium silicate and sodium phosphate influenced the roughness of the eroded tooth enamel of the bovine tooth.

Keywords: Dentifrices. Tooth Erosion. Tooth Enamel.

Referências

Ostrowska A, Szymański W, Kołodziejczyk L, Bołtacz-Rzepkowska E. Evaluation of the Erosive Potential of Selected Isotonic Drinks: In Vitro Studies. Adv Clin Exp Med 2016; 25(6): 1313–1319 doi: 10.17219/acem/62323.

Machado CM, Zamuner AC, Modena KCS, Ishikiriama SK, Wang L. How erosive drinks and enzyme inhibitors impact bond strength to dentin. Braz Oral Res. 2015.29(1):1-7 doi: 10.1590/1807-3107BOR-2015.vol29.0105.

Tuñas ITC, Medeiros UV, Tedesco G, Bastos LF. Erosão dental ocupacional: aspectos clínicos e tratamento. Rev Bras Odonto. 2016;73(3) :206-211.

Poggio C, Gulino C, Mirando M, Colombo M, Pietrocola G. Preventive effects of different protective agents on dentin erosion: An in vitro investigation J Clin Exp Dent. 2017 ; 9(1): e7-12 doi: 10.4317/jced.53129.

Lam T, Ho J, Anbarani AG, Liaw LH, Takesh T, Wilder-Smith P. Effects of a Novel Dental Gel on Enamel Surface Recovery from Acid Challenge. Dentistry. 2016; 6:397 doi:10.4172/2161-1122.1000397.

Nyvad B, ten cate JM, Fejerskov O. Arrest of Root Surface Caries in situ. J Dent Res. 1997; 76(12): 1845-1853 doi: 10.1177/00220345970760120701

Lussi, A. Erosive Tooth Wear – A Multifactorial Condition of Growing Concern and Increasing Knowledge. In Lussi A. Dental erosion: from diagnosis to therapy. Basel: ed Karger; 2006. P. 1-8.

Featherstone JD.The science and practice of caries prevention. J Am Dent Assoc.2000;131(7):887-99 doi: doi.org/10.14219/jada.archive.2000.0307.

Mascarenhas, AK. Risk factors for dental fluorosis: a re-view of the recent literature. J Clin Pediatr. dent.,2000;22(4): 269-277.

Magalhães AC,Wiegand A, Buzalaf MA. Use of dentifrices to prevent erosive tooth wear: harmful or helpful? Braz Oral Res.2014;28(1):1-6 doi: 10.1590/S1806-83242013005000035.

Scaramucci T,João-Souza SH, Lippert F, Eckert GJ ,Aoki IV, Hara AT. Influence of Toothbrushing on the Antierosive Effect of Film-Forming Agents.Caries Res 2016;50:104-110 doi:10.1159/000443619

Unilever. Regerate Enamel Science. Disponível em: /www.regeneratenr5.com.br

Seow WK, Thong KM. Erosive effects of common beverages on extracted premolar teeth. Aust Dent J.2005; 50(3):173-178

Kitchens M, Owens BM. Effect of carbonated beverages, coffee, sports and high energy drinks, and bottled water on the in vitro erosion characteristics of dental enamel. J Clin Pediatr Dent. 2007;31(3):153-9.

Lussi A, Megert B, Shellis RP, Wang X. Analysis of the erosive effect of different dietary substances andmedications. Br J nutrv.2012;107(2):252-262 doi: 10.1017/S0007114511002820, 2012.

Tanaka JLO,Filho EM, Salgado JA,Salgado MAC, Moraes LC,Moraes MEL et al. Comparative analysis of human and bovine teeth: Radiographic density. Braz Oral Res.2008;22(4): 346-351 doi: 10.1590/S1806-83242008000400011.

Wegehaupt F, Gries D, Wiegand A, Attin T.Is bovine dentine an appropriate substitute for human dentine in erosion/abrasion tests?. J Oral Rehabil.2008;35: 390-39 doi: 10.1111/j.1365-2842.2007.01843. x.

Dijkman T, Arends J. The role of ‘CaF2-like’ material in topical fluoridation of enamel in situ. Acta Odontol Scand.1988;46(6):391-397 doi: doi.org/10.3109/00016358809004792.

Fernández CE, Tenuta LMA, Zárate P, Cury JA. Insoluble NaF in Duraphat May Prolong Fluoride Reactivity of Varnish Retained on Dental Surfaces. Braz Dent J 2014;25(2): 160-164 doi:doi.org/10.1590/0103-6440201302405.

Alexandria AK, Vieira TI, Pithon MM, da Silva Fidalgo TK, Fonseca-Gonçalves A, Valença AM, Cabral LM, Maia LC. In vitro enamel erosion and abrasion-inhibiting effect of different fluoride varnishes. Arch Oral Biol. 2017; 77:39-43. doi: 10.1016/j.archoralbio.2017.01.010.

Jameel RA, Khan SS, Abdul Rahim ZH, Bakri MM, Siddiqui S. Analysis of dental erosion induced by different beverages and validity of equipment for identifying early dental erosion, in vitro study. J Pak Med Assoc. 2016;66(7):843-8.

Parker AS, Patel AN, Al Botros R, Snowden ME, McKelvey K, Unwin PR et al. Measurement of the effi cacy of calcium silicate for the protection and repair of dental enamel. J Dent. 2014;42(1):21-9. doi: 10.1016/S0300-5712(14)50004-8.

Hornby K, Ricketts SR, Philpotts CJ, Joiner A, Schemehorn B, Willson R. Enhanced enamel benefits from a novel toothpaste and dual phase gel containing calcium silicate and sodium phosphate salts. J Dent. 2014;42 (1):39-45. doi: 10.1016/S0300-5712(14)50006-1.

Li X, Wanga J, Joinerb A, Chan J. The remineralisation of enamel: a review of the literature. J Dent. 2014;4(1):12-20. doi: 10.1016/S0300-5712(14)50003-6.

Ganss C, Lussi A, Schlueter N. The histological features and physical properties of eroded dental hard tissues. Monogr Oral Sci. 2014;25:99-107 doi: 10.1159/000359939.

Colombo M, Mirando M, Rattalino D, Beltrami R, Chiesa M, Poggio C. Remineralizing effect of a zinc-hydroxyapatite toothpaste on enamel erosion caused by soft drinks: Ultrastructural analysis. J Clin Exp Dent. 2017 Jul 1;9(7):861-68. doi: 10.4317/jced.53790.

Yu H, Attin T, Wiegand A, Buchalla W. Effects of various fluoride solutions on enamel erosion in vitro. Caries Res. 2010;44(4):390-401 doi: 10.1159/00031653.

Downloads

Publicado

2018-12-30

Como Citar

1.
Ferreira JB, Paiva GR, Geraldo-Martins VR, Faraoni JJ, Dibb RGP, Lepri CP. Influence of Remineralizing Dentifrice in the Treatment of Erosive Enamel Lesions. J. Health Sci. [Internet]. 30º de dezembro de 2018 [citado 25º de abril de 2024];20(4):238-42. Disponível em: https://journalhealthscience.pgsscogna.com.br/JHealthSci/article/view/6238

Edição

Seção

Artigos