Role of arginine and fluoride in the prevention of eroded enamel: an in vitro model.

BACKGROUND: The aim of this study was to investigate the effect of arginine and fluoride on the reduction of erosive wear. METHODS: Bovine enamel blocks were randomly allocated into four groups (n = 20) and exposed to: ESPR group (8% arginine, 1450 ppm sodium monofluorophosphate, calcium carbonate and titanium dioxide); ESen group (1450 ppm sodium monofluorophosphate, 5% potassium citrate); positive control PC group (1500 ppm sodium monofluorophosphate) and negative control NC group (water). The samples were submitted to six alternating cycles of demineralization-remineralization (cola, 10 minutes; artificial saliva, 1 hour, respectively). Before and between cyclic demineralization and remineralization, blocks were treated with slurries of the respective toothpastes or water (1 minute). Erosive tissue loss was analysed by microhardness and profilometry. Data were analysed by ANOVA and Tukey tests for individual comparisons among the groups (p < 0.05). RESULTS: In microhardness, the ESPR (217.46 ± 55.45) group was significantly better than the other treatment groups (PC = 302.76 ± 96.10; ESen = 315.56 ± 74.56; p < 0.001). The ESPR group showed a similar loss to NC group (NC = 210.8 ± 49.98; p = 0.991). The mean erosion depth (+/- SE, µm) was detected between NC (14.37 ± 1.72) and dentifrices tested (ESPR (4.11 ± 1.34), ESen group (7.64 ± 1.61) and PC (8.20 ± 2.19) (p = 0.000). CONCLUSIONS: From the results of the present study, the effectiveness of Sensitive Pro Relief in the prevention of erosive surface loss seems to be attributed to the possible effect of the arginine associated with fluoride.

The relationship between tooth wear in the primary and permanent dentitions.

OBJECTIVE: To evaluate the relationship between tooth wear in primary and permanent dentition in 7 to 10-year-old school children, in 2007. METHODS: An epidemiological cross-sectional survey was conducted by trained, calibrated examiners, using the dental wear index (DWI). The cluster sample consisted of 764 children (382 boys, 382 girls) attending 4 public schools selected in different regions of the city. The DWI was proposed to evaluate primary and permanent teeth, coded as letters and numbers, respectively. Data were collected via clinical examinations performed outdoors under natural light, following the WHO recommendations and using a dental mirror and probe. Proportions and confidence intervals were used to describe the prevalence of dental wear. The Mann-Whitney and the Odds Ratio (OR) tests were used to compare the tooth wear prevalence between primary and permanent teeth according to surface (p < 0.05). RESULTS: The 7 to 10-year-old school children presented 16% tooth wear. The tooth wear was mostly seen on the occlusal/incisal surfaces (47%), involving enamel or enamel-dentine. Tooth wear in primary teeth was found in canines and molars (93%) and in permanent teeth in molars (34%). There was significant difference between primary and permanent teeth (p < 0.001) and dental wear in primary teeth was greater in boys than in girls (p = 0.02) but not in permanent teeth. CONCLUSION: The results suggest that 7 to 10-year-old children with tooth wear in primary teeth had more chances of developing tooth wear in permanent dentition. However, the findings of this study are not conclusive as the associations described are not causal.

Preventive effect of iron gel with or without fluoride on bovine enamel erosion in vitro.

BACKGROUND: The aim of this study was to evaluate the preventive effect in vitro of experimental gel containing iron and/or fluoride on the erosion of bovine enamel. METHODS: To standardize the blocks (n = 80), specimens (4 x 4 mm) were previously selected to measure the initial microhardness. The blocks were randomly allocated into four groups of 20 samples each: C (control, placebo gel); F (fluoride gel, 1.23% NaF); Fe (iron gel, 10 mmol/L FeSO(4)) and F + Fe (fluoride + iron gel). The gels were applied and removed after 1 minute. The blocks were then submitted to six alternating remineralization and demineralization cycles. The beverage Coca-Cola (10 minutes, 30 mL) was used for demineralization, and artificial saliva (1 hour) for remineralization. The effect of erosion was measured by wear analysis (profilometry). Data were analysed by ANOVA and the Tukey test for individual comparisons (p <0.05). RESULTS: The mean wear (+/- SD, microm) was C: 0.94 +/- 0.22; F: 0.55 +/- 0.12; Fe: 0.49 +/- 0.11 and F + Fe: 0.55 +/- 0.13. When the experimental gels were used, there was statistically significant reduction in enamel wear in comparison with the control (p <0.001). However, the experimental gels did not differ significantly among them. CONCLUSIONS: The gels containing iron with or without fluoride are capable of interfering with the dissolution dental enamel in the presence of erosive challenge.