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Laís Gatti de Souza Pereira1, Sávio José Cardoso Bezerra1, Ítallo Emídio Lira Viana1
1Department of Restorative Dentistry, University of São Paulo, School of Dentistry. Av. Prof. Lineu Prestes 2227, São Paulo, SP, Brazil, 05508-000.
Brazilian Dental Journal
|August 31, 2022
Summary
An experimental gel with fluoride and stannous ions effectively controlled dental erosion in enamel and dentin. This new treatment demonstrated significant protection against acid challenges, offering a promising solution for tooth erosion prevention.
Area of Science:
- Biomaterials Science
- Dental Research
- Nanotechnology in Dentistry
Background:
- Dental erosion is a growing concern, caused by acid exposure leading to tooth surface loss.
- Current treatments often involve fluoride, but combinations with other ions like stannous may offer enhanced protection.
- Developing effective topical agents is crucial for preventing and managing dental erosion.
Purpose of the Study:
- To synthesize and evaluate an experimental gel containing fluoride (F-) and stannous (Sn2+) ions for controlling dental erosion.
- To compare the efficacy of the experimental gel against a placebo, a commercial fluoride gel, and no treatment.
Main Methods:
- Enamel and dentin specimens were subjected to simulated erosion using citric acid.
- Specimens were treated with experimental gels (F+Sn+HMC, F+HMC, Placebo), a commercial gel, or no treatment.
- Erosion-remineralization cycling was performed over 20 days, with surface loss measured periodically.
Main Results:
- The experimental F+Sn+HMC gel showed the lowest surface loss on enamel at early time points, comparable to the commercial gel.
- After 20 days, both experimental gels (F+Sn+HMC, F+HMC) and the commercial gel provided significant protection against enamel erosion.
- For dentin, the F+Sn+HMC gel demonstrated significant protection, particularly at earlier stages, with the commercial gel showing the best long-term results.
Conclusions:
- The experimental gel containing both fluoride and stannous ions effectively controlled the progression of dental erosion on enamel and dentin.
- This novel formulation shows potential as an effective agent for managing and preventing tooth erosion.
- Further research may explore optimal concentrations and long-term clinical efficacy.