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van Swaaij BWM, Slot DE, Van der Weijden GA, Timmerman MF, Ruben J. Fluoride, pH Value, and Titratable Acidity of Commercially Available Mouthwashes. Int Dent J 2024; 74:260-267. [PMID: 37839955 PMCID: PMC10988266 DOI: 10.1016/j.identj.2023.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Revised: 09/10/2023] [Accepted: 09/12/2023] [Indexed: 10/17/2023] Open
Abstract
AIM The primary objective of this work was to assess total soluble fluoride (TSF), pH values, and titratable acidity (TA) of various mouthwashes "in vitro," and the second was to compare fluoride content on labels with measured TSF. METHODS Commercial mouthwashes were collected and analysed. Company, type, manufacturer data, and active ingredients (essential oils [EO], cetylpyridinium chloride [CPC], chlorhexidine [CHX], and fluoride) were described. TSF, pH, and TA capacity were measured. Descriptive quantitative analysis were performed per mouthwash. RESULTS In total, 54 mouthwashes from 20 brands were included. These included mouthwashes with the active ingredients EO (n = 11), CPC (n = 17), CHX (n = 18), and fluoride (n = 32); 27 mouthwashes with more than 1 of these active ingredients; and 4 with none of the above-mentioned ingredients. Fluoride was present in different formulations; most contained sodium fluoride (NaF), and a few had sodium monofluorophosphate and amine fluoride + NaF. The pH values of all evaluated mouthwashes ranged from 4.1 to 7.9. Twenty mouthwashes presented pHs below 5.5, of which 10 contained fluoride. TA ranged from 0 to 48. According to the manufacturer data, mouthwashes with fluoride had concentrations from 217 to 450 ppm, with 90% in the range from 217 to 254 ppm. Laboratory data revealed that TSF ranged from 229 to 500 ppm, with 90% in the range from 229 to 337 ppm. A statistically significant difference was observed between measured TSF and the labelled fluoride content on the packaging of the fluoride mouthwashes (mean difference, 43.92 ± 34.34; P < .001). Most of these mouthwashes contained at least the amount of fluoride as mentioned on the packaging (93%). CONCLUSION The pH values and TA of commercially available mouthwashes showed a large variation. TSF levels of the fluoride mouthwashes were found to be at least the amount of fluoride as labelled. Dental care professionals should be aware of the pH, TA, fluoride content, and other active ingredients of different mouthwashes to better understand their potential impact on oral health.
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Affiliation(s)
- B W M van Swaaij
- Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, The Netherlands; Department of Dental Hygiene, Hogeschool Arnhem Nijmegen, University of Applied Sciences, Nijmegen, The Netherlands.
| | - D E Slot
- Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, The Netherlands
| | - G A Van der Weijden
- Department of Periodontology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, The Netherlands
| | - M F Timmerman
- Department of Implantology and Periodontology, Radboud University Medical Center (Radboudumc), Nijmegen, The Netherlands
| | - J Ruben
- Department of Dentistry, Preventive and Restorative Dentistry, Radboud University Medical Center (Radboudumc), Nijmegen, The Netherlands
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Fathy Abo-Elmahasen MM, Shaaban AM, Elsaharty M, Mohamed AAS, Assadawy MI, El Sayed IS. Evaluation of the remineralizing effect of the chicken eggshell paste after removal of the fixed orthodontic appliance: An in vitro study. J Orthod Sci 2024; 13:7. [PMID: 38516108 PMCID: PMC10953725 DOI: 10.4103/jos.jos_194_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Revised: 01/08/2024] [Accepted: 01/15/2024] [Indexed: 03/23/2024] Open
Abstract
BACKGROUND Demineralization of the enamel surface, which appears as white spot lesions during and after removal of the fixed orthodontic appliance, is the most common disadvantage of the orthodontic treatment course. Using the remineralizing agents during and after orthodontic treatment helps to avoid those enamel defects. OBJECTIVE The present study aims to assess the remineralizing effect of the chicken eggshell powder on the demineralized enamel surfaces after debonding the orthodontic bracket system. MATERIALS AND METHODS The current study was performed on 80 prepared premolar crowns embedded into acrylic molds. The samples were prepared to receive routine steps of the bonding process for the bracket system. The paste of the chicken eggshell powder was added to the samples after the debonding process. Scanning electron microscopy (SEM) and energy-dispersive X-ray (EDX) were used to evaluate the remineralization effect of the chicken eggshell powder. Also, the Vickers microhardness tester was used to assess the enamel surface microhardness. RESULTS It was found that the mean value of the Ca/P ratio for the samples before bonding of the orthodontic bracket system was (4.17 ± 2.2). This value significantly decreased to (2 ± 1.3) after debonding of the orthodontic bracket system and then showed a significant increase to (4.79 ± 2.65) after remineralization. These results were assured by the values of the Vickers microhardness tester. CONCLUSION The chicken eggshell powder has an excellent remineralization effect for the demineralized enamel surface after debonding the orthodontic enamel surface.
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Affiliation(s)
| | - Adel M. Shaaban
- Department of Dental Biomaterials, Faculty of Dental Medicine, (Cairo, Boys), Al-Azhar University, Cairo, Egypt
| | - Mohamed Elsaharty
- Department of Orthodontics, Faculty of Dentistry, Tanta University, Tanta, Gharbia Governorate, Egypt
| | - Ahmed A. S. Mohamed
- Department of Orthodontics, Faculty of Dentistry, Menofia University, Shibin el Kom, Menofia Governorate, Egypt
| | - Mohamed I. Assadawy
- Department of Oral Medicine, Periodontology, Oral Diagnosis and Oral Radiology, Faculty of Dental Medicine, (Cairo, Boys), Al-Azhar University, Cairo, Egypt
| | - Ibrahim Sabry El Sayed
- Department of Oral Medicine, Periodontology, Oral Diagnosis and Oral Radiology, Faculty of Dental Medicine, (Cairo, Boys), Al-Azhar University, Cairo, Egypt
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Yoshiyasu K, Wakamatsu N, Iinuma M, Saitoh I. Effects of mouthguard and paste containing S-PRG filler on remineralization of artificial subsurface carious lesions. PEDIATRIC DENTAL JOURNAL 2022. [DOI: 10.1016/j.pdj.2022.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Yan J, Yang H, Luo T, Hua F, He H. Application of Amorphous Calcium Phosphate Agents in the Prevention and Treatment of Enamel Demineralization. Front Bioeng Biotechnol 2022; 10:853436. [PMID: 35646855 PMCID: PMC9136455 DOI: 10.3389/fbioe.2022.853436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Accepted: 04/15/2022] [Indexed: 11/25/2022] Open
Abstract
Enamel demineralization, as a type of frequently-occurring dental problem that affects both the health and aesthetics of patients, is a concern for both dental professionals and patients. The main chemical composition of the enamel, hydroxyapatite, is easy to be dissolved under acid attack, resulting in the occurrence of enamel demineralization. Among agents for the preventing or treatment of enamel demineralization, amorphous calcium phosphate (ACP) has gradually become a focus of research. Based on the nonclassical crystallization theory, ACP can induce the formation of enamel-like hydroxyapatite and thereby achieve enamel remineralization. However, ACP has poor stability and tends to turn into hydroxyapatite in an aqueous solution resulting in the loss of remineralization ability. Therefore, ACP needs to be stabilized in an amorphous state before application. Herein, ACP stabilizers, including amelogenin and its analogs, casein phosphopeptides, polymers like chitosan derivatives, carboxymethylated PAMAM and polyelectrolytes, together with their mechanisms for stabilizing ACP are briefly reviewed. Scientific evidence supporting the remineralization ability of these ACP agents are introduced. Limitations of existing research and further prospects of ACP agents for clinical translation are also discussed.
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Affiliation(s)
- Jiarong Yan
- The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China
- Department of Orthodontics, School and Hospital of Stomatology, Wuhan University, Wuhan, China
| | - Hongye Yang
- The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China
- Department of Prosthodontics, School and Hospital of Stomatology, Wuhan University, Wuhan, China
| | - Ting Luo
- The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China
- Department of Orthodontics, School and Hospital of Stomatology, Wuhan University, Wuhan, China
| | - Fang Hua
- The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China
- Department of Orthodontics, School and Hospital of Stomatology, Wuhan University, Wuhan, China
- Center for Evidence-Based Stomatology, School and Hospital of Stomatology, Wuhan University, Wuhan, China
- Division of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom
- *Correspondence: Fang Hua, ; Hong He,
| | - Hong He
- The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China
- Department of Orthodontics, School and Hospital of Stomatology, Wuhan University, Wuhan, China
- *Correspondence: Fang Hua, ; Hong He,
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Theerarath T, Sriarj W. An alkasite restorative material effectively remineralized artificial interproximal enamel caries in vitro. Clin Oral Investig 2022; 26:4437-4445. [PMID: 35190884 DOI: 10.1007/s00784-022-04407-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 02/06/2022] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To evaluate the remineralization of artificial interproximal enamel caries (AIEC) adjacent to alkasite, high viscous glass ionomer cement (HVGIC), and resin composite in class II restorations. MATERIALS AND METHODS Human enamel specimens were randomly assigned to 3 groups (n = 22): Filtek™ Z350, EQUIA Forte®, and Cention N®. The baseline hardness was determined using a Knoop microhardness assay. AIEC was formed in the specimens, and they were placed in contact with the proximal restorative materials then subjected to a 7-day pH cycling. Microhardness was determined post-artificial caries formation and post-pH cycling. The differences in the percentage of surface hardness recovery (%SHR) between the groups were compared using the Kruskal-Wallis test. The Dunn's test was used for between-group comparisons (p < 0.05). Specimen surface morphology was evaluated using scanning electron microscopy (SEM), and the calcium, phosphorus, and fluoride contents were analyzed by energy-dispersive spectroscopy (EDS). ANOVA with the post hoc Tukey multiple comparison test was used to evaluate the differences between groups (p < 0.05). RESULTS The Cention N® %SHR was the highest, followed by EQUIA Forte®, and Filtek™ Z350. There was a significant difference in the %SHR between Cention N® and Filtek™ Z350 (p < 0.05). In contrast, there were no significant difference between Cention N® and EQUIA Forte®. Significantly increased enamel surface fluoride content was observed in the Cention N® compared with Filtek™ Z350 specimens (p < 0.05). The SEM image of the Cention N® specimens demonstrated the greatest mineral deposition. CONCLUSIONS Cention N® markedly increased the surface hardness and fluoride content of adjacent AIEC compared with Filtek™ Z350 restorations. CLINICAL RELEVANCE Cention N® is a promising alternative restorative material to remineralize initial enamel lesions in approximal adjacent surfaces, especially in high-risk caries patients.
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Affiliation(s)
- Thipthida Theerarath
- Department of Pediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, 34 Henri-Dunant Road, Wangmai, Pathumwan, Bangkok, 10330, Thailand
| | - Wannakorn Sriarj
- Department of Pediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, 34 Henri-Dunant Road, Wangmai, Pathumwan, Bangkok, 10330, Thailand.
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Hong SC, Lee DY, Kim YJ. Micro-computed tomographic evaluation of the effect of fluoride agents on white spot lesions: An in vitro study. Korean J Orthod 2022; 52:75-79. [PMID: 35046144 PMCID: PMC8770966 DOI: 10.4041/kjod.2022.52.1.75] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Accepted: 07/19/2021] [Indexed: 11/10/2022] Open
Abstract
Objective To investigate remineralizing effect of three fluoride regimens on artificially demineralized enamel around orthodontic bracket by analyzing mineral density (MD) acquired from micro-computed tomography (micro-CT). Methods Forty-eight bracket bonded bovine incisors were prepared to create demineralized enamel (DE) surface. The samples were divided into four groups according to the fluoride regimen: 1) no fluoridation, 2) 1.23% acidulated phosphate fluoride (APF) gel, 3) fluoridated toothpaste, and 4) 0.05% sodium fluoride mouthwash. Micro-CT was scanned after demineralization (T0), and 2 weeks (T1) and 4 weeks (T2) of fluoridation. Results APF gel showed highest remineralization of DE during T1-T0 interval among the groups (p < 0.05); followed by toothpaste, mouthwash and no fluoridation. APF gel and toothpaste demonstrated significant increase in MD after 4 weeks of application (p < 0.05). Conclusions Remineralization effects of three fluoride regimens were depicted through micro-CT analysis, of which APF gel was most effective.
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Affiliation(s)
- Sook-Chan Hong
- Major in Dentistry, Department of Medicine, Graduate School of Korea University, Seoul, Korea
| | - Dong-Yul Lee
- Department of Dentistry, College of Medicine, Korea University, Seoul, Korea
| | - Yae-Jin Kim
- Department of Orthodontics, Korea University Guro Hospital, Seoul, Korea
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Mosayebi N, Toodehzaeim MH, Zandi H, Joshan N, Haerian A. Evaluation of the effects of fluoride mouth rinse and varnish on the early biofilm formation of Streptococcus mutans in two types of orthodontic adhesive resins: An in vitro study. Dent Res J (Isfahan) 2022. [DOI: 10.4103/1735-3327.351343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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8
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IIZUKA J, KUNIMATSU Y, MIKUNI-TAKAGAKI Y, MUKAI Y. Evaluation of the mineral-promoting effects of in-office bleaching on experimental subsurface enamel lesions. Dent Mater J 2022; 41:589-594. [DOI: 10.4012/dmj.2021-229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Junko IIZUKA
- Department of Restorative Dentistry, Kanagawa Dental University
| | | | | | - Yoshiharu MUKAI
- Department of Restorative Dentistry, Kanagawa Dental University
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9
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Wolfoviz-Zilberman A, Kraitman R, Hazan R, Friedman M, Houri-Haddad Y, Beyth N. Phage Targeting Streptococcus mutans In Vitro and In Vivo as a Caries-Preventive Modality. Antibiotics (Basel) 2021; 10:antibiotics10081015. [PMID: 34439064 PMCID: PMC8389033 DOI: 10.3390/antibiotics10081015] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 08/16/2021] [Accepted: 08/18/2021] [Indexed: 12/20/2022] Open
Abstract
Dental caries is a common infectious disease worldwide. Current conventional therapies lack specific antimicrobial effects against Streptococcus mutans, a key bacterium that induces caries. A promising alternative approach is bacteriophage (phage) therapy. Recently, SMHBZ8 phage targeting S. mutans was isolated and characterized. The aim of this study was to evaluate the caries-prevention efficacy of SMHBZ8 using in vitro and in vivo caries models. Hemi-mandibles dissected from euthanized healthy mice were subjected to caries-promoting conditions in vitro. Jaws treated with phage therapy in suspension and in formulation with a sustained-release delivery system showed no carious lesions, similar to control and chlorhexidine-treated jaws. Subsequently, SMHBZ8 phage suspension also prevented carious lesion development in a murine caries model in vivo. In both models, caries lesions were analyzed clinically and radiographically by µCT scans. This study shows how SMHBZ8 phage therapy targeting S. mutans can serve as an efficient caries-prevention modality, in suspension or with a sustained-release delivery system, by in vitro and in vivo mouse models.
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Affiliation(s)
- Amit Wolfoviz-Zilberman
- Department of Prosthodontics, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem 9112001, Israel; (A.W.-Z.); (R.K.); (Y.H.-H.)
- Institute of Biomedical and Oral Research (IBOR), Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem 9112001, Israel;
| | - Reut Kraitman
- Department of Prosthodontics, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem 9112001, Israel; (A.W.-Z.); (R.K.); (Y.H.-H.)
- Institute of Biomedical and Oral Research (IBOR), Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem 9112001, Israel;
| | - Ronen Hazan
- Institute of Biomedical and Oral Research (IBOR), Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem 9112001, Israel;
| | - Michael Friedman
- Department of Pharmaceutics, The Institute for Drug Research, Faculty of Medicine, The Hebrew University, Jerusalem 91120, Israel;
| | - Yael Houri-Haddad
- Department of Prosthodontics, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem 9112001, Israel; (A.W.-Z.); (R.K.); (Y.H.-H.)
| | - Nurit Beyth
- Department of Prosthodontics, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem 9112001, Israel; (A.W.-Z.); (R.K.); (Y.H.-H.)
- Correspondence:
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10
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Shimizu M, Matsui N, Sayed M, Hamba H, Obayashi S, Takahashi M, Tsuda Y, Takagaki T, Nikaido T, Tagami J. Micro-CT assessment of the effect of silver diammine fluoride on inhibition of root dentin demineralization. Dent Mater J 2021; 40:1041-1048. [PMID: 33775984 DOI: 10.4012/dmj.2020-290] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
This study evaluated the ability of different types of silver diammine fluoride (SDF) to inhibit dentin demineralization using micro-focused X-ray computed-tomography (µCT). Dentin specimens were divided into five groups (n=10); no-treatment (control), 3.8% SDF (RC), 38% SDF, 38% SDF with potassium iodide (SDF/KI), and potassium fluoride (KF). The treated-dentin surfaces were subjected to demineralization for 7-days and assessed using µCT to determine mineral loss (ML) values. Specimens were also analyzed with scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS). The ML values of the SDF and KF groups were significantly lower than those of the RC and SDF/KI groups. EDS detected fluoride ions in the SDF and KF groups but not in the RC and SDF/KI groups. It was concluded that 38% SDF demonstrated a high ability to inhibit dentin demineralization while additional application of KI may diminish the inhibitory effect of SDF. The amount of dentin demineralization with SDF treatments was material dependent.
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Affiliation(s)
- Miyuki Shimizu
- Department of Cariology and Operative Dentistry, Tokyo Medical and Dental University
| | - Naoko Matsui
- Department of Cariology and Operative Dentistry, Tokyo Medical and Dental University
| | - Mahmoud Sayed
- Department of Cariology and Operative Dentistry, Tokyo Medical and Dental University
| | - Hidenori Hamba
- Department of Cariology and Operative Dentistry, Tokyo Medical and Dental University.,Department of Operative Dentistry, Cariology and Pulp Biology, Tokyo Dental College
| | - Sho Obayashi
- Department of Cariology and Operative Dentistry, Tokyo Medical and Dental University
| | - Motoi Takahashi
- Department of Cariology and Operative Dentistry, Tokyo Medical and Dental University
| | - Yuka Tsuda
- Department of Cariology and Operative Dentistry, Tokyo Medical and Dental University
| | - Tomohiro Takagaki
- Department of Cariology and Operative Dentistry, Tokyo Medical and Dental University.,Department of Operative Dentistry, Division of Oral Functional Science and Rehabilitation, School of Dentistry, Asahi University
| | - Toru Nikaido
- Department of Cariology and Operative Dentistry, Tokyo Medical and Dental University.,Department of Operative Dentistry, Division of Oral Functional Science and Rehabilitation, School of Dentistry, Asahi University
| | - Junji Tagami
- Department of Cariology and Operative Dentistry, Tokyo Medical and Dental University
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Sadyrin E, Swain M, Mitrin B, Rzhepakovsky I, Nikolaev A, Irkha V, Yogina D, Lyanguzov N, Maksyukov S, Aizikovich S. Characterization of Enamel and Dentine about a White Spot Lesion: Mechanical Properties, Mineral Density, Microstructure and Molecular Composition. NANOMATERIALS (BASEL, SWITZERLAND) 2020; 10:E1889. [PMID: 32967152 PMCID: PMC7560001 DOI: 10.3390/nano10091889] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 09/10/2020] [Accepted: 09/17/2020] [Indexed: 11/17/2022]
Abstract
The study focuses on in vitro tracing of some fundamental changes that emerge in teeth at the initial stage of caries development using multiple approaches. The research was conducted on a mostly sound maxillary molar tooth but with a clearly visible natural proximal white spot lesion (WSL). Values of mineral density, reduced Young's modulus, indentation hardness and creep as well as the molecular composition and surface microstructure of the WSL and bordering dentine area were studied. The results obtained were compared to those of sound enamel and dentine on the same tooth. A decrease of mechanical properties and mineral density both for the WSL and bordering dentine was detected in comparison to the sound counterparts, as well as increase of creep for the enamel WSL. Differences in molecular composition and surface microstructure (including the indenter impressions) were found and described. WSL induces a serious change in the state of not only the visually affected enamel but also surrounding visually intact enamel and dentine in its vicinity. The results provide the basis for future studies of efficacy of minimal invasive treatments of caries.
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Affiliation(s)
- Evgeniy Sadyrin
- Research and Education Center “Materials”, Don State Technical University, Gagarin Square 1, 344000 Rostov-on-Don, Russia; (M.S.); (B.M.); (A.N.); (V.I.); (S.A.)
| | - Michael Swain
- Research and Education Center “Materials”, Don State Technical University, Gagarin Square 1, 344000 Rostov-on-Don, Russia; (M.S.); (B.M.); (A.N.); (V.I.); (S.A.)
- Biomaterials and Bioengineering department, Faculty of Dentistry, The University of Sydney, Camperdown, Sydney NSW 2006, Australia
| | - Boris Mitrin
- Research and Education Center “Materials”, Don State Technical University, Gagarin Square 1, 344000 Rostov-on-Don, Russia; (M.S.); (B.M.); (A.N.); (V.I.); (S.A.)
| | - Igor Rzhepakovsky
- Institute of Life Sciences, North Caucasus Federal University, Pushkin Street 1, 355009 Stavropol, Russia;
| | - Andrey Nikolaev
- Research and Education Center “Materials”, Don State Technical University, Gagarin Square 1, 344000 Rostov-on-Don, Russia; (M.S.); (B.M.); (A.N.); (V.I.); (S.A.)
| | - Vladimir Irkha
- Research and Education Center “Materials”, Don State Technical University, Gagarin Square 1, 344000 Rostov-on-Don, Russia; (M.S.); (B.M.); (A.N.); (V.I.); (S.A.)
- Federal Research Centre The Southern Scientific Centre of the Russian Academy of The Sciences, Chehova Street 41, 344006 Rostov-on-Don, Russia
| | - Diana Yogina
- Department of dentistry, Rostov State Medical University, Nakhichevansky Lane 29, 344022 Rostov-on-Don, Russia; (D.Y.); (S.M.)
| | - Nikolay Lyanguzov
- Faculty of Physics, Southern Federal University, Bolshaya Sadovaya Street 105/42, 344090 Rostov-on-Don, Russia;
| | - Stanislav Maksyukov
- Department of dentistry, Rostov State Medical University, Nakhichevansky Lane 29, 344022 Rostov-on-Don, Russia; (D.Y.); (S.M.)
| | - Sergei Aizikovich
- Research and Education Center “Materials”, Don State Technical University, Gagarin Square 1, 344000 Rostov-on-Don, Russia; (M.S.); (B.M.); (A.N.); (V.I.); (S.A.)
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12
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Bhongsatiern P, Manovilas P, Songvejkasem M, Songsiripradubboon S, Tharapiwattananon T, Techalertpaisarn P, Hamba H, Tagami J, Birkhed D, Trairatvorakul C. Adjunctive use of fluoride rinsing and brush-on gel increased incipient caries-like lesion remineralization compared with fluoride toothpaste alone in situ. Acta Odontol Scand 2019; 77:419-425. [PMID: 30905242 DOI: 10.1080/00016357.2019.1582796] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Objective: The objective of this study was to compare the remineralizing effect of sodium fluoride (NaF) mouth rinse or NaF gel as an adjunct to NaF dentifrice on incipient caries-like lesions in an in situ cross-over design study, with three sessions of 30 days each. Materials and methods: Orthodontic brackets with artificial demineralized enamel slabs were attached to the upper first molars of 12 participants. A set of 3 test specimens from the same tooth was randomly assigned to each participant and allocated into three 30-day sessions: 1) brushing with 0.22% NaF dentifrice 2 times/day (F dentifrice), 2) brushing with 0.22% NaF dentifrice 2 times/day+ rinsing with 0.05% NaF before bedtime (F mouth rinse), 3) brushing with 0.22% NaF dentifrice 2 times/day + brushing with 1.1% NaF gel before bedtime (F brush-on gel). The mineral gain and lesion depth of the specimens were evaluated by micro-computed tomography. Results: The mean mineral gain from the NaF mouth rinse and the NaF brush-on gel was similar, but greater than that from the NaF dentifrice (p < .05). The NaF brush-on gel yielded the greatest mean depth of remineralization (168 µm), followed by the NaF mouth rinse (144 µm). Both depths were significantly greater than that of the NaF dentifrice (84 µm) (p < .05). Conclusions: Both 0.05% NaF mouth rinse and 1.1% NaF brush-on gel, used at bedtime, increased incipient caries-like lesion remineralization in situ in combination with brushing with NaF dentifrice twice a day.
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Affiliation(s)
| | | | | | | | | | | | - Hidenori Hamba
- Department of Cariology and Operative Dentistry, Tokyo Medical and Dental University, Tokyo, Japan
| | - Junji Tagami
- Department of Cariology and Operative Dentistry, Tokyo Medical and Dental University, Tokyo, Japan
| | | | - Chutima Trairatvorakul
- Department of Pediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
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Arifa MK, Ephraim R, Rajamani T. Recent Advances in Dental Hard Tissue Remineralization: A Review of Literature. Int J Clin Pediatr Dent 2019; 12:139-144. [PMID: 31571787 PMCID: PMC6749882 DOI: 10.5005/jp-journals-10005-1603] [Citation(s) in RCA: 49] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
The dental caries is not simply a continuous and unidirectional process of the demineralization of the mineral phase, but a cyclic event with periods of demineralizations and remineralisation. The remineralization process is a natural repair mechanism to restore the minerals again, in ionic forms, to the hydroxyapatite (HAP) crystal lattice. It occurs under near-neutral physiological pH conditions whereby calcium and phosphate mineral ions are redeposited within the caries lesion from saliva and plaque fluid resulting in the formation of newer HAP crystals, which are larger and more resistant to acid dissolution. Numerous types of remineralizing agents and remineralizing techniques have been researched and many of them are being used clinically, with significantly predictable positive results. The recent researches on remineralization are based on biomimetic remineralization materials, having the capability to create apatite crystals within the completely demineralized collagen fibers. How to cite this article Arifa MK, Ephraim R, et al. Recent Advances in Dental Hard Tissue Remineralization: A Review of Literature. Int J Clin Pediatr Dent 2019;12(2):139-144.
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Affiliation(s)
- Mando K Arifa
- Department of Pediatric and Preventive Dentistry, Mahe Institute of Dental Sciences and Hospital, Mahe, Puducherry, India
| | - Rena Ephraim
- Department of Pediatric and Preventive Dentistry, Mahe Institute of Dental Sciences and Hospital, Mahe, Puducherry, India
| | - Thiruman Rajamani
- Department of Pediatric and Preventive Dentistry, Mahe Institute of Dental Sciences and Hospital, Mahe, Puducherry, India
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Alyahya A, Alqareer A, Swain M. Microcomputed Tomography Calibration Using Polymers and Minerals for Enamel Mineral Content Quantitation. Med Princ Pract 2019; 28:247-255. [PMID: 30820021 PMCID: PMC6597939 DOI: 10.1159/000499186] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2018] [Accepted: 02/28/2019] [Indexed: 12/15/2022] Open
Abstract
OBJECTIVE The aim of this paper was to develop calibration standards (CSs) that are readily available for clinical researchers for the quantitation of enamel mineral content. METHOD Polyethylene terephthalate (PET), acetal, polyphenylene sulfide (PPS), selenite, Egyptian alabaster, aragonite, and fluorite were fashioned into discs, and their densities were measured and stacked for microcomputed tomography examination. Frame averaging, flat-field correction, pre-filtration, and beam-hardening correction were applied. CSs were checked for homogeneity. The linear relationship between the mean greyscale value (GSV) of each disc and its physically calculated density was explored, and reproducibility was tested. A calibration function was established and then validated using a bovine enamel disc and sound enamel of extracted human premolar teeth. RESULTS Measured densities were PET (ρ = 1.38 g/cm3), acetal (ρ = 1.41 g/cm3), PPS (ρ = 1.64 g/cm3), selenite (ρ = 2.24 g/cm3), Egyptian alabaster (ρ = 2.7 g/cm3), aragonite (ρ = 2.72 g/cm3), and fluorite (ρ = 3.11 g/cm3). Examination of the profile sections of CSs confirmed the uniformity of GSVs with minimal beam-hardening effect. A squared Pearson correlation coefficient of R2 = 0.994 was determined between the mean GSV of each CS and its calculated density and was reproduced at different settings with R2 >0.99. A linear regression equation of density (y) versus GSV (x) was established using the least squares regression equation method. The estimated density of the bovine enamel disc (2.48 g/cm3) showed high accuracy when compared to the physically measured value (2.45 g/cm3). The -relative error was 1.2%. Densities of sound enamel in the extracted human premolar teeth were 2.6-3.1 g/cm3. CONCLUSIONS This is a simple, valid, and reproducible method to quantitate enamel mineral content. This simple, yet accurate system could be used to expand knowledge in the field of enamel caries research.
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Affiliation(s)
- Asma Alyahya
- Department of Developmental and Preventive Sciences, Faculty of Dentistry, Kuwait University, Safat, Kuwait,
| | - Athbi Alqareer
- Department of Developmental and Preventive Sciences, Faculty of Dentistry, Kuwait University, Safat, Kuwait
| | - Michael Swain
- Department of Bioclinical Sciences, Faculty of Dentistry, Kuwait University, Safat, Kuwait
- Don State Technical University, Rostov-on-Don, Russian Federation
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Nakamoto A, Ikeda M, Hiraishi N, Nikaido T, Uo M, Tagami J. Effect of fluoride mouthrinse on adhesion to bovine root dentin. Dent Mater J 2018; 37:919-927. [PMID: 29998943 DOI: 10.4012/dmj.2017-370] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The purpose of this study was to evaluate the effect of fluoride mouthrinses on dentin bonding performance of a two-step selfetch adhesive; Clearfil SE Bond. Bovine root dentin surface was treated with either 450, 900, or 9,000 ppm F solutions for 30 s (immediate), and continually treated for one month (one month) before the bonding procedures. Microtensile bond strength (µTBS) test and scanning electron microscopic (SEM) observation of the acid-base resistance zone (ABRZ) were performed. Chemical state of fluorine on dentin surface was analyzed by X-ray absorption fine structure (XAFS). The 450 and 900 ppm F fluoride mouthrinses did not influence the µTBS to dentin, while the 9,000 ppm F fluoride solution adversely affected the µTBSs. The fluoride application to dentin significantly enhanced acid resistance at the adhesive/dentin interface including the ABRZ. The XAFS analysis indicated different concentrations of fluoride might create different chemical compounds on the dentin surface, influencing the µTBS results.
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Affiliation(s)
- Ayako Nakamoto
- Cariology and Operative Dentistry, Oral Restitution Department, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Masaomi Ikeda
- Oral Prosthetic Engineering, Graduate School, Tokyo Medical and Dental University, Tokyo Medical and Dental University
| | - Noriko Hiraishi
- Cariology and Operative Dentistry, Oral Restitution Department, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Toru Nikaido
- Cariology and Operative Dentistry, Oral Restitution Department, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
| | - Motohiro Uo
- Advanced Biomaterials Department, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University.,Department of Materials Engineering, Graduate School of Engineering, The University of Tokyo
| | - Junji Tagami
- Cariology and Operative Dentistry, Oral Restitution Department, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
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Chu J, Feng X, Guo H, Zhang T, Zhao H, Zhang Q. Remineralization Efficacy of an Amelogenin-Based Synthetic Peptide on Carious Lesions. Front Physiol 2018; 9:842. [PMID: 30026702 PMCID: PMC6041723 DOI: 10.3389/fphys.2018.00842] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2018] [Accepted: 06/14/2018] [Indexed: 11/13/2022] Open
Abstract
Objective: The aim of this study was to evaluate the remineralization efficacy of an amelogenin-based peptide on initial enamel carious lesions in vitro. Furthermore, we attempted to provide insights into the possible mechanism of the remineralization, including determining the calcium-binding properties of the peptide and its effects on calcium phosphate mineralization. Methods: The peptide comprising the N-terminus and the C-terminus of porcine amelogenin was synthesized by Synpeptide Co., Ltd. Fifty specimens were randomly assigned to five immersing treatment groups for 12 days: remineralizing medium only; 12.5 μg/mL peptide + remineralizing medium; 25 μg/mL peptide + remineralizing medium; 50 μg/mL peptide + remineralizing medium; fluoride + remineralizing medium. After immersion, mean mineral loss before and after remineralization of each specimen was determined using micro-CT. Mean mineral gain after remineralization was calculated. Calcium binding properties were measured by Isothermal titration calorimetry (ITC). TEM and Fourier transform-infrared were used to determine the effects of the peptide on calcium phosphate mineralization. Results: A significant decrease in mineral loss after remineralization process in all groups was observed (p < 0.05). Treatment in remineralizing medium resulted in the lowest mineral gain while the fluoridated treatment exhibited the highest mineral gain among all groups. Inclusion of synthetic peptide in the remineralizing medium exhibited a higher mineral gain and the gain of 50 μg/mL group was greater than that of the 25 μg/mL group. No significant difference in mineral gain was observed between the remineralizing medium only group and the 12.5 μg/mL peptide group (p > 0.05). ITC values showed that the Ca2+-binding affinity of the peptide is about 9.914 × 104M−1. Furthermore, the peptide was found to inhibit calcium phosphate precipitation and stabilize amorphous calcium phosphate formation for more than 2 h and finally transform into ordered hydroxyapatite crystals. Conclusion: Specific concentrations of the amelogenin-based synthetic peptide promoted in vitro remineralization, with higher concentrations exhibiting significantly greater remineralization. This study presented evidence suggesting that the peptide may act as a Ca2+carrier as well as a regulating factor. When the stabilizing calcium and phosphorus ions bind with the peptide they become biologically available for the remineralization of deeper carious lesions, while also regulated by the peptide to transform into ordered hydroxyapatite crystals.
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Affiliation(s)
- Jinpu Chu
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Xiaofang Feng
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,College of Stomatology, Zhengzhou University, Zhengzhou, China
| | - Huijing Guo
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Tieting Zhang
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Hualei Zhao
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,College of Stomatology, Zhengzhou University, Zhengzhou, China
| | - Qun Zhang
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.,College of Stomatology, Zhengzhou University, Zhengzhou, China
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Wakamatsu N, Ogika M, Okano T, Murabayashi C, Kondo T, Iinuma M. Effect of tooth surface coating material containing S-PRG filler on white spot lesions of young permanent teeth. PEDIATRIC DENTAL JOURNAL 2018. [DOI: 10.1016/j.pdj.2017.09.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Zhang TT, Guo HJ, Liu XJ, Chu JP, Zhou XD. Galla chinensis Compounds Remineralize Enamel Caries Lesions in a Rat Model. Caries Res 2017; 50:159-65. [PMID: 27111668 DOI: 10.1159/000445036] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2015] [Accepted: 02/26/2016] [Indexed: 12/16/2022] Open
Abstract
OBJECTIVES To investigate the effect of Galla chinensis chemical compounds on enamel caries remineralization in rats. METHODS A total of 40 rats were inoculated with Streptococcus sobrinus 6715 and fed a cariogenic diet (Keyes 2000). The rats were randomly divided into 4 groups and treated topically twice a day with each of the following extracts (or control) for 5 weeks: distilled and deionized water (DDW, negative control); 1,000 ppm NaF (positive control); 4,000 ppm G. chinensis crude aqueous extract (GCE), or 4,000 ppm gallic acid (GA). After the experimental period, Keyes' caries diagnosis and scoring technique was applied as a preliminary evaluation on the molar teeth. For more accurate remineralization data, the residual enamel volume of the first molar and the mineral density (MD) of the enamel were further analyzed by micro-CT. RESULTS The severity of molar enamel caries decreased in the following order of treatment groups: DDW > GA > GCE > NaF (p < 0.05). In addition, the residual first molar enamel volume and MD values increased in the order of DDW, GA, GCE and NaF treatment groups (p < 0.05). In most molars, remineralization layers were observed on the surface of lesions. CONCLUSION G. chinensis compounds remineralize enamel caries lesions in a rat model.
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Affiliation(s)
- Tie-Ting Zhang
- College of Stomatology, Zhengzhou University, Zhengzhou, China
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Yu Y, Wang X, Ge C, Wang B, Cheng C, Gan YH. Effects of rinsing with arginine bicarbonate and urea solutions on initial enamel lesionsin situ. Oral Dis 2017; 23:353-359. [PMID: 27917567 DOI: 10.1111/odi.12618] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2016] [Revised: 10/25/2016] [Accepted: 11/24/2016] [Indexed: 12/20/2022]
Affiliation(s)
- Y Yu
- Central Laboratory; Peking University School and Hospital of Stomatology; Beijing Haidian District China
| | - X Wang
- Central Laboratory; Peking University School and Hospital of Stomatology; Beijing Haidian District China
| | - C Ge
- Department of Prosthodontics; Peking University School and Hospital of Stomatology; Beijing Haidian District China
| | - B Wang
- Department of Prosthodontics; Peking University School and Hospital of Stomatology; Beijing Haidian District China
| | - C Cheng
- Central Laboratory; Peking University School and Hospital of Stomatology; Beijing Haidian District China
| | - Y-H Gan
- Central Laboratory; Peking University School and Hospital of Stomatology; Beijing Haidian District China
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Cossellu G, Lanteri V, Butera A, Laffi N, Merlini A, Farronato G. Timing considerations on the shear bond strength of orthodontic brackets after topical fluoride varnish applications. J Orthod Sci 2017; 6:11-15. [PMID: 28197397 PMCID: PMC5278579 DOI: 10.4103/2278-0203.197392] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objectives: To assess the best temporal association between the application of a fluoride varnish on enamel and bonding procedures. Materials and Methods: Eighty mandibular bovine incisors were used. Teeth were divided into 4 groups (20 per group); Groups 1–3 were treated with fluoride varnish (Fluor Protector, Ivoclar Vivadent, Schaan, Liechtenstein), and Group 4 served as control with no pretreatment. Tooth were stored in deionized water (37°C) and subjected to thermal cycling for 400 (Group 1), 800 (Group 2), and 2500 (Group 3) cycles corresponding, respectively, to 15, 30, and 90 days in order to simulate the three different timing of bracket bonding. Shear bond strength (SBS) was measured using an Instron Universal Testing machine. Tooth surfaces were examined under a stereomicroscope at 10× magnification to assess the amount of adhesive remnant index (ARI). One-way analysis of variance (ANOVA) and Tukey's honestly significant difference post-hoc test were used for the comparison of SBS values between groups (P < 0.05). The Chi-square test was used to examine differences among ARI scores. (P < 0.05). Results: One-way ANOVA and Tukey post-hoc test showed that the SBS of different groups were significantly different and was impacted by different timing of bonding (P < 0.05). The main differences were between the control group (17.02 ± 6.38 MPa) and Group 1 (6.93 ± 4.3 MPa). The ARI scores showed that there were no significant differences between the four tested groups. Conclusions: The SBS of the brackets bonded 15 days after the application of the fluoride was set back to an optimal value.
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Affiliation(s)
- Gianguido Cossellu
- Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, Milan, Italy
| | - Valentina Lanteri
- Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, Milan, Italy
| | - Andrea Butera
- Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy
| | - Nicola Laffi
- Department of Dentistry, Galliera Hospital, Genoa, Italy
| | | | - Giampietro Farronato
- Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan, Milan, Italy
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NAKAMURA K, HAMBA H, NAKASHIMA S, SADR A, NIKAIDO T, OIKAWA M, UO M, TAGAMI J. Effects of experimental pastes containing surface pre-reacted glass ionomer fillers on inhibition of enamel demineralization. Dent Mater J 2017; 36:482-490. [DOI: 10.4012/dmj.2016-303] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Keiki NAKAMURA
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University (TMDU)
| | - Hidenori HAMBA
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University (TMDU)
- Department of Endodontics and Clinical Cariology, Tokyo Dental College
| | - Syozi NAKASHIMA
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University (TMDU)
| | - Alireza SADR
- Department of Restorative Dentistry, University of Washington School of Dentistry
| | - Toru NIKAIDO
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University (TMDU)
| | - Masakazu OIKAWA
- National Institute of Radiological Sciences, National Institute for Quantum and Radiological Science and Technology
| | - Motohiro UO
- Department of Advanced Biomaterials, Division of Oral Health Sciences, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University (TMDU)
| | - Junji TAGAMI
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University (TMDU)
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Ueno T, Shimada Y, Matin K, Zhou Y, Wada I, Sadr A, Sumi Y, Tagami J. Optical analysis of enamel and dentin caries in relation to mineral density using swept-source optical coherence tomography. J Med Imaging (Bellingham) 2016; 3:035507. [PMID: 27704033 DOI: 10.1117/1.jmi.3.3.035507] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2016] [Accepted: 08/30/2016] [Indexed: 12/30/2022] Open
Abstract
The aim of this study was to evaluate the signal intensity and signal attenuation of swept source optical coherence tomography (SS-OCT) for dental caries in relation to the variation of mineral density. SS-OCT observation was performed on the enamel and dentin artificial demineralization and on natural caries. The artificial caries model on enamel and dentin surfaces was created using Streptococcus mutans biofilms incubated in an oral biofilm reactor. The lesions were centrally cross sectioned and SS-OCT scans were obtained in two directions to construct a three-dimensional data set, from the lesion surface (sagittal scan) and parallel to the lesion surface (horizontal scan). The integrated signal up to [Formula: see text] in depth (IS200) and the attenuation coefficient ([Formula: see text]) of the enamel and dentin lesions were calculated from the SS-OCT signal in horizontal scans at five locations of lesion depth. The values were compared with the mineral density obtained from transverse microradiography. Both enamel and dentin demineralization showed significantly higher IS200 and [Formula: see text] than the sound tooth substrate from the sagittal scan. Enamel demineralization showed significantly higher IS200 than sound enamel, even with low levels of demineralization. In demineralized dentin, the [Formula: see text] from the horizontal scan consistently trended downward compared to the sound dentin.
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Affiliation(s)
- Tomoka Ueno
- Graduate School of Tokyo Medical and Dental University , Department of Cariology and Operative Dentistry, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
| | - Yasushi Shimada
- Graduate School of Tokyo Medical and Dental University , Department of Cariology and Operative Dentistry, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
| | - Khairul Matin
- Tsurumi University , School of Dental Medicine, Endowed Department of International Oral Health Science, 2-1-3 Tsurumi, Tsurumi-ku, Yokohama City, Kanagawa, Japan
| | - Yuan Zhou
- Graduate School of Tokyo Medical and Dental University , Department of Cariology and Operative Dentistry, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
| | - Ikumi Wada
- Graduate School of Tokyo Medical and Dental University , Department of Cariology and Operative Dentistry, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
| | - Alireza Sadr
- University of Washington School of Dentistry , Department of Restorative Dentistry, 1959 NE Pacific Street, Seattle, Washington 98195, United States
| | - Yasunori Sumi
- National Center for Geriatrics and Gerontology , Center of Advanced Medicine for Dental and Oral Diseases, Department for Advanced Dental Research 7-430 Morioka-cho, Obu City, Aichi, Japan
| | - Junji Tagami
- Graduate School of Tokyo Medical and Dental University , Department of Cariology and Operative Dentistry, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan
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Nantanee R, Santiwong B, Trairatvorakul C, Hamba H, Tagami J. Silver diamine fluoride and glass ionomer differentially remineralize early caries lesions, in situ. Clin Oral Investig 2015; 20:1151-7. [PMID: 26395352 DOI: 10.1007/s00784-015-1603-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2015] [Accepted: 09/14/2015] [Indexed: 10/23/2022]
Abstract
OBJECTIVES The aim of the present study was to evaluate the percent mean mineral density (MD) change of early caries lesions after the application of silver diamine fluoride (SDF) or glass ionomer cement (GIC). MATERIALS AND METHODS This double-blind, crossover study involved two experimental phases of 28 days each. Thirty-two pairs of enamel slabs were created from the proximal surfaces of 16 premolars. Each pair of artificial carious slabs was randomly divided into the control or test group (38 % SDF or GIC). The slabs were attached to orthodontic brackets and bonded to the maxillary first permanent molars of 16 subjects for 28 days. After a 7-day washout period between phases, the subjects received the other material for the second phase. The mean MD of the lesions was measured by microcomputed tomography. RESULTS SDF yielded a percent mean MD increase at a depth of 0-84 μm, although increase in the GIC group was observed at a depth of 24-108 μm. The percent mean MD changes of the SDF and GIC groups were similar (p = 0.100) and significantly higher than in control (p < 0.001, p = 0.003, respectively). CONCLUSIONS The two materials increased the percent mean MD change of early proximal caries lesions to a similar extent, but with different spatial patterns. CLINICAL RELEVANCE Due to deeper level of GIC remineralization, the refractive index of the GIC applied enamel might be closer to sound enamel. Hence, GIC is recommended for remineralization of anterior teeth. SDF staining makes it unsuitable for use in anterior teeth; thus, it is reserved for use in posterior teeth.
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Affiliation(s)
- Ratichanok Nantanee
- Department of Pediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, 34 Henry Dunant Road, Pathumwan, Bangkok, 10330, Thailand
| | - Busayarat Santiwong
- Department of Pediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, 34 Henry Dunant Road, Pathumwan, Bangkok, 10330, Thailand
| | - Chutima Trairatvorakul
- Department of Pediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, 34 Henry Dunant Road, Pathumwan, Bangkok, 10330, Thailand.
| | - Hidenori Hamba
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
| | - Junji Tagami
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
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Lodha E, Hamba H, Nakashima S, Sadr A, Nikaido T, Tagami J. Effect of different desensitizers on inhibition of bovine dentin demineralization: micro-computed tomography assessment. Eur J Oral Sci 2014; 122:404-10. [PMID: 25363830 DOI: 10.1111/eos.12155] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/18/2014] [Indexed: 11/26/2022]
Abstract
This study evaluated the effect of two desensitizers on inhibition of dentin demineralization, after immersion in artificial saliva using micro-computed tomography (μCT). Dentin blocks cut from bovine incisors were treated with deionized water (DW, a negative control) or one of three desensitizers: a fluoride varnish (Duraphat, a positive control), a calcium phosphate desensitizer (Teethmate Desensitizer), and a fluoro-alumino-calcium silicate-based desensitizer (Nanoseal). After each treatment, the specimens in Duraphat, Nanoseal, and Teethmate Desensitizer groups were pre-immersed in artificial saliva (pH 6.5) for either 1 d or 1 wk. The mineral loss of the specimens after demineralization (pH 5.0, 3 h) was evaluated by μCT. The treated surface was investigated with scanning electron microscopy. Mineral loss in all treatment groups was significantly lower than that in DW. Duraphat was the most effective treatment against demineralization, followed by Nanoseal. Nanoseal showed significantly better reduction in mineral loss following immersion for 1 wk in artificial saliva than for 1 d. However, Teethmate Desensitizer and Duraphat did not exhibit enhanced inhibition of demineralization over a longer period of immersion in artificial saliva. Scanning electron microscopy images showed deposition of particles on the dentin in both Teethmate Desensitizer. The application of Teethmate Desensitizer and Nanoseal to the exposed dentin surface resulted in inhibition of demineralization, with Nanoseal resulting in improved inhibition after prolonged immersion in artificial saliva.
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Affiliation(s)
- Ena Lodha
- Department of Cariology and Operative Dentistry, Division of Oral Health Sciences, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
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