Comparison of the Effects of Two Topical Fluoride Regimens on Demineralized Enamel in vivo

The purpose of this investigation was to study the intra-oral remineralization of acid-softened enamel by a NaF dentifrice compared with that from a combination of topical F agents. Bovine enamel slabs were demineralized with 0.1 mol/L lactic acid at pH 4.0 for 14 hr and then mounted in a removable mandibular appliance. Control slabs were worn for 96 hr by seven adult males who brushed daily with a F-free dentifrice. Test slabs were brushed with a NaF dentifrice 4 x / day or with the same dentifrice 4 x /day and a 0.02% APF mouthrinse and a 0.4% SnF2 gel which were applied oncelday for three days. The natural dentition was also brushed with the NaF dentifrice during both test periods. Microhardness testing was performed on sound enamel, and after acid-softening, intra-oral exposure (IOE), and acid resistance testing (ART) in 0.01 mol/L lactic acid at pH 4.0 for 24 hr. Control and test slabs were etched with 0.5 mol/L HClO4 for from 15 to 60 sec. The F content was measured with a F electrode and PO4 by spectrophotometry. Contact microradiography and image analyses were performed on control and test slabs so that changes in mineral content resulting from treatment could be assessed. Both test groups were significantly harder after both IOE and ART than were controls, but no differences appeared between the effects of the two test groups. The F content of control slabs was significantly less than that of both test groups, and the combination-treated slabs showed greater F than did the dentifrice-treated slabs. Microradiographs revealed a higher mineral content in the basal 2/3 of combination-treated lesions, while diffuse mineral deposition occurred, especially subjacent to the surface in the dentifrice-treated lesions. Control lesions showed little added mineral.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/66793/2/10.1177_00220345880670061301.pd

In vivo Effects of a SnF2 Gel on Acid-softened Enamel

The purpose of this investigation was to study the intra-oral rehardening of acid-softened enamel and fluoride uptake from SnF2 gel. Bovine enamel slabs were softened with 0.1 mol/L lactate buffer at pH 4.0 for 14 hrs and then mounted in a mandibular removable Hawley appliance. Control slabs were worn for 96 hrs by seven adult males whose teeth were brushed daily with a fluoride-free dentifrice. Test slabs were exposed once/day to 0.4% SnF2 gel. The gel was swabbed onto the slabs for one minute before being replaced in the mouth unrinsed. The natural dentition was brushed 4x/day with a fluoride-free dentifrice. Microhardness testing was performed after a intra-oral exposure (IOE) and after acid-resistance-testing (ART) following immersion in 0.01 mol/L lactate buffer for 24 hrs at pH of 4.0. Fluoride uptake was measured on separate controls, test slabs, and test slabs after ART, with 0.5 mol/L HClO4 etches of from 15 to 60 sec. The F content was measured with a F-ion-specific electrode and the phosphate content by spectrophotometry. Following IOE, microhardness recovery was 35.6% for control and 37.9% for test slabs, and control slabs retained 1.4% resistance to acid, as compared with 18.6% for the test slabs. The F content of control slabs was significantly less than that of SnF2-treated slabs from 5 to 60 μm in depth, and the F content of SnF2-treated slabs after ART was significantly less at depths of from 5 to 35 μm than that of SnF2-treated slabs not exposed to ART. Both control and SnF 2 enamel slabs demonstrated rehardening after IOE, but only SnF 2-treated enamel retained a significant fraction of that rehardening after ART.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/67414/2/10.1177_00220345860650051401.pd