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Three-Dimensional Surface Texture Analysis of Fluoride's Effect on Enamel Erosion
Waseem Habashi1, Amal Bader-Farraj1, Nir Shpack2
1Department of Oral Biology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.
Journal of Clinical Medicine
|October 13, 2021
Summary
Fluoride treatment protects tooth enamel from acid erosion by preserving surface texture. Three-dimensional surface texture analysis confirmed that pre-fluoridated enamel showed significantly less damage and surface loss compared to untreated enamel.
Area of Science:
- Dental Science
- Materials Science
- Biomaterials
Background:
- Enamel erosion is a prevalent clinical issue impacting dental aesthetics and function.
- Understanding protective mechanisms against enamel demineralization is crucial for preventative dentistry.
Purpose of the Study:
- To investigate the protective effects of fluoride on enamel surface texture using three-dimensional surface texture analysis (3DST).
- To quantify the impact of fluoride treatment on enamel's resistance to acid erosion.
Main Methods:
- Utilized three-dimensional surface texture analysis (3DST) and scanning electron microscopy (SEM).
- Compared three enamel surface conditions: untouched, acid-eroded control, and acid-eroded after sodium fluoride (NaF) treatment.
- Measured surface texture parameters and step height to assess enamel surface loss.
Main Results:
- Fluoride-treated enamel exhibited significantly fewer 3-D surface texture variations post-erosion compared to the control group (p=0.001).
- SEM images corroborated the reduced surface alteration in pre-fluoridated enamel.
- Fluoride treatment significantly reduced enamel surface loss (step-height) (p=0.03), indicating a protective effect.
Conclusions:
- Pre-fluoridated enamel demonstrates enhanced resistance to acid erosion, maintaining surface features similar to untouched enamel.
- 3DST is a valuable, sensitive method for quantifying subtle surface changes and assessing the efficacy of protective treatments.
- Fluoride application prior to acid attack offers significant protection against irreversible enamel damage.

