May caries-preventive fluoride regimes have an effect on dental erosive wear? An in situ study. (April 2014)

• Record Type: Journal Article
• Authors: Hystad Hove, Lene; Refsholt Stenhagen, Kjersti; Mulic, Aida; Holme, Børge; Tveit, Anne Bjørg
• Is Part Of: Acta odontologica Scandinavica. Volume 73:Number 2(2015)
• Page Start: 114
• Page End: 120
• Publication Date: 2014-04
• Subjects: dental erosion -- in situ -- NaF toothpastes -- SnF2 gel; Dentistry -- Periodicals; 617.6005
• DOI: 10.3109/00016357.2014.956146
• Languages: English
• ISSNs: 0001-6357

Abstract

Abstract: Objective. High and low concentration NaF regimes have shown caries protective properties, but the preventive effect against erosive/abrasive wear is unclear. Aim. To measure the inhibiting effect on enamel wear of low and highly concentrated sodium fluoride (NaF) toothpastes and a stannous (SnF2 ) fluoride gel in a single-blind, randomized in situ study, using a White Light Interferometer. Materials and methods. Sixteen human molars were each divided into four specimens, mounted on acrylic mouth appliances and worn by eight volunteers for 9 days. Experimental procedures were performed in the laboratory. The enamel specimens were brushed every day with fluoride-free toothpaste. Treatments; group 1: no fluoride treatment (control), group 2: SnF2 gel 2500 ppm F (5 min) every third day, group 3: NaF toothpaste 5000 ppm F 5 min every third day and 2 min the other days, group 4: NaF toothpaste 1450 ppm F (2 min) every day. In order to mimic gastric reflux/vomiting, the specimens were etched with 0.01 M HCl for 2 min twice a day. Results. The mean step height (µm) for the control specimens was −32.9 (SD = 6.8). The mean values for the other groups were −22.2 (SD = 8.4) (group 2), −30.8 (SD = 7.8) (group 3) and −31.4 (SD = 7.7) (group 4). Compared with the control, the SnF2 treated specimens showed significantly lower wear. The NaF toothpastes gave no significant protective effect. Conclusions. Application of SnF2 gel every third day gave protection against erosive–abrasive challenges. Daily application of both low concentration and high concentration NaF toothpaste provided no protection.