Evaluation of the remineralisation of enamel by different formulations and concentrations of fluoride toothpastes in vitro

Aims: To investigate the remineralising potential of toothpastes with different formulations of fluoride (F): amine fluoride (AmF), sodium monofluorophosphate (MFP), sodium fluoride (NaF) and stannous fluoride (SnF) on artificial subsurface caries lesions in vitro. A secondary aim was to investigate the remineralising potential of toothpastes containing sodium fluoride (NaF) formulation at different F concentrations (500, 1000, 1450, 2800 and 5000 ppm F) on artificial subsurface caries lesions in vitro. Materials and methods: Bovine enamel slabs were subjected to a pH cycling model after 2 weeks of immersion in a demineralisation buffer, to produce subsurface enamel lesions. The pH cycling regime ran for 28 days. Enamel subsurface lesion images were taken using a Quantitative Light-Induced Fluorescence (QLF) system under controlled conditions at baseline and endpoint of the experiment. All fluorescence images were examined with analysing software (QA2 version 1.16; Inspektor Research Systems). Results: For the different F compounds, significant (p < 0.05) remineralising potential was observed for the NaF, SnF and MFP groups in descending order. Lesion remineralisation for the AmF and F-free groups was not significant. As for the different fluoride concentrations, all fluoride concentrations showed significant (p < 0.05) remineralisation potential when compared to the 0 ppm F control group, but no significance was found between groups. Conclusions: From the results of phase A of this in vitro study, it was concluded that: A statistically significant remineralisation of enamel subsurface lesions in comparison with the baseline was found in all groups except the AmF group. Furthermore, NaF toothpaste had the highest remineralising potential on artificial subsurface carious lesions in vitro, followed by SnF then MFP, while AmF was less than the F-free toothpaste. The results of phase B of this in vitro study, concluded that: A statistically significant remineralisation of enamel subsurface lesions in comparison with the baseline was found in all groups. However, there was no difference in the effect of toothpastes with sodium fluoride (NaF) formulation and different concentrations (500, 1000, 1450, 2800, and 5000 ppm F) on remineralisation of artificial subsurface carious lesions in vitro, and no apparent dose response was present related to the concentration of fluoride

Effect of dental trauma management resources on dental practitioners' confidence and knowledge: A pilot cross-sectional study

Background/Aim: The knowledge of standardized care guidelines is critical to the confidence of practitioners in managing dental trauma. Therefore, the aim of this study was to assess the awareness, use and impact of the International Association of Dental Traumatology guidelines, and the online Dental Trauma Guide on general dental practitioners' self-reported confidence and knowledge in managing traumatic dental injuries in the primary and permanent dentitions. Materials and Methods: A cross-sectional, pre-piloted, 27-item self-administered questionnaire survey was distributed electronically to general dental practitioners' working within five member states of the Gulf Cooperation Council countries (Kingdom of Bahrain, Kingdom of Saudi Arabia, Kuwait, Oman, and Qatar) between September and December 2020. Data were collected and analysed using descriptive statistics and Wilcoxon Signed Rank test analysis for relevant comparisons. Results: A total of 294 respondents completed the survey, with the majority being from the Kingdom of Saudi Arabia (47.4%) and Qatar (27.3%). A lack of evidence-based knowledge in managing traumatic dental injuries was evident among more than half of the respondents. Respondents who were cognizant of the recent International Association of Dental Traumatology guidelines (2020) and those who use the Dental Trauma Guide routinely demonstrated a higher self-reported confidence level in managing both simple and complex primary dentition trauma, as well as simple traumatic dental injuries in the permanent dentition (p <.05). Conclusion: This survey highlights critical deficiencies in the knowledge of a large number of the respondents in the management of dental trauma which is likely to cause irreversible long-term patient effects.Open Access funding provided by the Qatar National Library