Volume 24, Issue 2 (June & July 2021)                   J Arak Uni Med Sci 2021, 24(2): 256-267 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Azadi P, Sarlak H, Nourmohammadi S. Comparing Enamel Microhardness in Decidous Teeth With Primary Carious Lesions After Applying Three Fluoride Containing Materials in Vitro. J Arak Uni Med Sci 2021; 24 (2) :256-267
URL: http://jams.arakmu.ac.ir/article-1-6310-en.html
1- Department of Pediatric Dentistry, Faculty of Dentistry, Arak University of Medical Science, Arak, Iran.
2- Department of Pediatric Dentistry, Faculty of Dentistry, Arak University of Medical Science, Arak, Iran. , shima.nourmohammadi@arakmu.ac.ir
Abstract:   (1495 Views)
Background and Aim: For decades, using fluoride has been introduced to prevent the development and progression of primary carious lesions. Increased surface microhardness of primary caries is among the essential factors in preventing lesion progression and cavity formation. The present study aimed to compare the microhardness changes of primary caries treated with 3 products, containing fluoride (varnish, toothpaste, & mouthwash) in dental teeth.
Methods & Materials: In this study, 45 extracted human deciduous molars were used. Using a diamond-winning disc, enamel blocks with a dimension of 1 x 4 x 4 mm were prepared from the buccal surface of the teeth, i.e., healthy and without structural defects; they were mounted in acrylic self-adhesive. Initial microhardness test (Vicker’s test) with a force of 300 gr and Dwell time for 15 seconds was applied on samples. Next, artificial caries with the standard solution were created in all samples and the microhardness of samples was recorded at this stage. The study samples were randomly divided into 3 groups of 15, treated with fluoride varnish, mouthwash, and toothpaste. Then, the microhardness of samples was re-measured. The mean surface microhardness was compared between the study groups by Independent Samples t-test and Bonferroni test. All analyses were performed using SPSS at the significance level of P<0.05.
Ethical Considerations: This study was approved by the Ethics Committee of the Arak University of Medical Science (Code: IR.ARAKMU.REC.1397.264).
Results: Increase in surface microhardness of primary caries in fluoride varnish group was statistically significant; in GC MI paste plus toothpaste and Oral B mouthwash was non-significant. The research samples treated by fluoride varnish had a higher surface microhardness, compared to toothpaste and mouthwash.
Conclusion: According to the present research results, fluoride varnish was superior to fluoride mouthwash and toothpaste in improving the microhardness of primary dental caries.
Full-Text [PDF 4893 kb]   (811 Downloads) |   |   Full-Text (HTML)  (1204 Views)  
Type of Study: Original Atricle | Subject: Oral and Maxillofacial Medicine
Received: 2020/05/3 | Accepted: 2020/11/29

References
1. Taher NM, Alkhamis HA, Dowaidi SM. The influence of resin infiltration system on enamel microhardness and surface roughness: An in vitro study. Saudi Dent J.2012; 24(2): 79-84. [DOI:10.1016/j.sdentj.2011.10.003]
2. Robinson C, Shore RC, Brookes SJ, Strafford S, Wood S, Kirkham J. The chemistry of enamel caries. Critical Reviews in Oral Biology & Medicine.2000; 11(4): 481-495 [DOI:10.1177/10454411000110040601]
3. Wang YL, Chang HH, Chiang YC, Lu YC, Lin CP. Effects of fluoride and epigallocatechin gallate on soft-drink-induced dental erosion of enamel and root dentin. J Formos Med Assoc.2018;117(4): 276-282 [DOI:10.1016/j.jfma.2018.01.020]
4. Pinkham JR, Casamassimo P, Fields H, McTigue D, Nowak A. Pediatric dentistry. St Louis, Mo: Elsevier Saunders. 2005.
5. Zakizade M, Davoudi A, Akhavan A, Shirban F. Effect of Resin Infiltration Technique on Improving Surface Hardness of Enamel Lesions: A Systematic Review and Meta-analysis. J Evid Based Dent Pract. 2020;20(2):101405. [DOI:10.1016/j.jebdp.2020.101405]
6. Hosoya Y, Marshall S, Watanabe L, Marshall G. Microhardness of carious deciduous dentin. Operative Dentistry. 2000; 25(2): 81-89.
7. Dionysopoulos D, Tolidis K, Sfeikos T. Effect of CPP-ACPF and Nano-hydroxyapatite Preventive Treatments on the Susceptibility of Enamel to Erosive Challenge. Oral Health Prev Dent. 2019;17(4):357-364.
8. Creeth JE, Parkinson CR, Burnett GR, et al. Effects of a sodium fluoride- and phytate-containing dentifrice on remineralisation of enamel erosive lesions-an in situ randomised clinical study. Clin Oral Investig. 2018;22(7):2543-2552. [DOI:10.1007/s00784-018-2351-z]
9. Kim MJ, Lee SH, Lee NY, Lee IH. Evaluation of the effect of PVA tape supplemented with %2.26fluoride on enamel demineralization using microhardness assessment and scanning electron microscopy: In vitro study. Archives of oral biology. 2013; 58(2): 160-166. [DOI:10.1016/j.archoralbio.2012.06.015]
10. Rošin-Grget K, Peroš K, Šutej I. The cariostatic mechanisms of fluoride. Acta medica academica.2013; 42(2): 179-188. [DOI:10.5644/ama2006-124.85]
11. Hiiri A, Ahovuo‐Saloranta A, Nordblad A, Mäkelä M. Pit and fissure sealants versus fluoride varnishes for preventing dental decay in children and adolescents. Cochrane Database of Systematic Reviews.2010(3). [DOI:10.1002/14651858.CD003067.pub3]
12. Mohammadi N, Far MH. Effect of fluoridated varnish and silver diamine fluoride on enamel demineralization resistance in primary dentition. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2018 Jul 1;36(3):257. [DOI:10.4103/JISPPD.JISPPD_4_18]
13. Gatti A, Camargo LB, Imparato JC, Mendes FM, Raggio DP. Combination effect of fluoride dentifrices and varnish on deciduous enamel demineralization. Braz Oral Res. 2011 Sep-Oct;25(5):433-8. [DOI:10.1590/S1806-83242011000500010]
14. Pancu G, Andrian S, Iovan G, Ghiorghe A, Topoliceanu C, Moldovanu A, et al. Study regarding the assessment of enamel microhardness in incipient carious lesions treated by Icon method. Rom J Oral Rehab.2011; 3(4): 94-100.
15. Huang GJ, Roloff-Chiang B, Mills BE, Shalchi S, Spiekerman C, Korpak AM, et al. Effectiveness of MI Paste Plus and PreviDent fluoride varnish for treatment of white spot lesions: a randomized controlled trial. American Journal of Orthodontics and Dentofacial Orthopedics.2013;143(1): 31-41. [DOI:10.1016/j.ajodo.2012.09.007]
16. Cury JA, Tenuta LM. Enamel remineralization: controlling the caries disease or treating early caries lesions?. Braz Oral Res. 2009;23 Suppl 1:23-30. [DOI:10.1590/S1806-83242009000500005]
17. Arafa A. Synergetic remineralization effectiveness of calcium, phosphate and fluoride based systems in primary teeth. Pediatric dental journal. 2017 Apr 1;27(1):65-71. [DOI:10.1016/j.pdj.2016.12.003]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Journal of Arak University of Medical Sciences

Designed & Developed by : Yektaweb