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Mimicking and Measuring Occlusal Erosive Tooth Wear with the "Rub&Roll" and Non-contact Profilometry
Published on: February 2, 2018
May caries-preventive fluoride regimes have an effect on dental erosive wear? An in situ study
Lene Hystad Hove1, Kjersti Refsholt Stenhagen, Aida Mulic
1University of Oslo, Faculty of Dentistry , Norway.
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.

