Fluoride varnishes supplemented with nano-sized sodium trimetaphosphate reduce enamel erosive wear in vitro

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OBJECTIVE: To evaluate the effect of fluoride (F) varnishes with sodium trimetaphosphate (TMP) on erosive tooth wear (ETW) in vitro.

METHODS: Enamel blocks (n = 100) were divided into 5 experimental groups (n = 20/group): Placebo (Pla - without F/TMP); 5 % NaF (NaF); 5 % NaF + 5 % micrometric TMP (NaF+5 %MICRO); 5 % NaF + 2.5 % nano-sized TMP (NaF+2.5 %NANO), and 5 % NaF + 5 % nano-sized TMP (NaF+5 %NANO). Blocks received a single varnish application (6 h contact), and were submitted to 4 daily erosive challenges (ERO, 0.05 M citric acid, pH 3.2, 90 s, under agitation), for 5 days. After ERO, half of the blocks (n = 10/group) were subjected to brushing abrasion (ERO+ABR). Profilometry, surface hardness (SH), and cross-sectional hardness (ΔKHN) were determined. The data were submitted to 2-way ANOVA and Fisher's LSD test (p < 0.05).

RESULTS: Enamel wear was significantly lower for ERO compared with ERO+ABR for all varnishes tested (p < 0.001), following the pattern NaF+5 %NANO < NaF+5 %MICRO < NaF < NaF+2.5 %NANO < Pla (both for ERO and ERO+ABR). The highest SH loss was observed for Pla and the lowest for NaF (ERO) and NaF+2.5 %NANO (ERO+ABR), without significant differences among NaF+2.5 %NANO, NaF, and NaF+5 %MICRO. The highest ΔKHN values were observed for NaF+5 %MICRO and NaF+5 %NANO at 5-30 µm, with less marked differences among the groups at 30-70 µm (ERO and ERO+ABR).

CONCLUSIONS: The addition of TMP to F varnishes significantly improves protection against ETW in vitro. The use of 5 % nano-sized TMP further enhances such effects.

CLINICAL SIGNIFICANCE: F varnishes containing TMP can reduce enamel loss caused by ERO or ERO+ABR.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:138

Enthalten in:

Journal of dentistry - 138(2023) vom: 26. Nov., Seite 104726

Sprache:

Englisch

Beteiligte Personen:

Paiva, Mayra Frasson [VerfasserIn]
Delbem, Alberto Carlos Botazzo [VerfasserIn]
Veri, Isabela Vecchiatti [VerfasserIn]
Sampaio, Caio [VerfasserIn]
Wiegand, Annette [VerfasserIn]
Pessan, Juliano Pelim [VerfasserIn]

Links:

Volltext

Themen:

8ZYQ1474W7
Cariostatic Agents
Dental enamel
Fluoride
Fluorides
Fluorides, Topical
H6C6T4285H
Journal Article
Polyphosphates
Prevention
Q80VPU408O
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Sodium Fluoride
Tooth erosion
Trimetaphosphoric acid

Anmerkungen:

Date Completed 31.10.2023

Date Revised 31.10.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jdent.2023.104726

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362541949