RESUMEN
One mechanism of action for the anticaries effect of topical fluoridation is through precipitation of CaF2. In this in vitro study energy-dispersive x-ray spectroscopy (EDX) is used as a semiquantitative method to detect enamel fluoride-precipitation under the influence of acidic and neutral pH-value and absence or presence of a salivary pellicle. Crowns of 30 human caries-free third molars were quartered into four specimens and the enamel surface ground flat and polished. Two specimens each were stored in human saliva (120 minutes pellicle formation). Teeth were randomly allocated into 6 treatment groups: NaF_a (experimental acidic sodium fluoride; 12500 ppmF-, pH 4.75); NaF_n (experimental neutral sodium fluoride; 12500 ppmF-, pH 7.0); GB_a (acidic gel base; 0 ppmF-, pH 4.75); GB_n (neutral gel base; 0 ppmF-, pH 7.0); AmF-NaF_a (experimental acidic amine/sodium fluoride; 12500 ppmF-, pH 4.75); EG_a (acidic amine/sodium fluoride; Elmex Geleé, CP-GABA GmbH; 12500 ppmF-, pH 4.75). Each gel was applied for 60 seconds to one specimen with and one specimen without pellicle. Two specimens served as controls (no gel, without/with pellicle). Atomic percent (At%) of O, F, Na, Mg, P, Ca was measured by EDX. ∆At% and Ca/P-ratios were calculated. EDX could semi-quantify superficial enamel fluoride-precipitation. Only specimens treated with acidic fluoride gels showed fluoride-precipitation, a salivary pellicle tended to decrease At%F.
Asunto(s)
Fluoruro de Calcio/farmacología , Esmalte Dental/efectos de los fármacos , Administración Tópica , Fluoruro de Calcio/administración & dosificación , Fluoruro de Calcio/química , Esmalte Dental/química , Geles/administración & dosificación , Geles/química , Humanos , Tercer Molar , Espectrometría por Rayos XRESUMEN
Objective: To evaluate in situ the effect of toothpastes containing casein phosphopeptide - amorphous calcium phosphate (CPP-ACP) and casein phosphopeptide-amorphous calcium phosphate associated to fluoride (CPP-ACPF) on initial erosion prevention. Material and Methods: Bovine enamel blocks (n = 192) were randomly assigned into 4 phases according to the baseline surface hardness: GI: CPP-ACP Paste (MI Paste™), GII: CPP-ACPF Paste (MI Paste Plus™), GIII: Fluoridated paste and GIV: Placebo Paste. In each of the 4 crossover phases, twelve volunteers wore intraoral palatal appliances containing 4 enamel blocks for 2 hours, then the tested treatments were applied intraorally (3 min) and the appliance was maintained in the mouth for another 3 hours. After, the appliances were removed and immersed in hydrochloric acid (0.01 M, pH 2.3) for 30 seconds to promote erosive demineralization. The final surface hardness was evaluated and percentage of surface hardness loss was calculated. The data were analyzed by ANOVA and Tukey's test (α = 5%). Results: The application of CPP-ACP paste, independent of fluoride content, resulted in significant lower enamel hardness loss (GI: 9.26% ±3.48 and GII: 9.14% ±1.73) compared to NaF (GIII: 15.5% ± 3.94) and placebo (GIV: 16.7% ± 4.07) pastes, which did not show difference between them. Conclusion: The CPP-ACP pastes were able to reduce initial erosive demineralization in relation to fluoride and placebo pastes. Nevertheless the formulation of CPP-ACP with fluoride did not provide an additional benefit.
Asunto(s)
Erosión de los Dientes/prevención & control , Pastas de Dientes , Fluoruro de Calcio/administración & dosificación , Desmineralización Dental/diagnóstico , Brasil , Método Doble Ciego , Análisis de Varianza , Estadísticas no ParamétricasRESUMEN
OBJECTIVE: Matrix metalloproteinases (MMPs) and cysteine cathepsins (CCs) are two distinct enzymatic pathways responsible for the degradation of collagen fibrils in demineralized dentin. NaF and KF have been shown to inhibit salivary MMP-2, -9 and CCs. This study investigated the inhibitory effect of calcium fluoride (CaF2) on the dentin matrix-bound MMPs and CCs. DESIGN: Phosphoric acid (10%)-demineralized dentin beams (1 × 2×6 mm) were incubated at 37 °C in an 1 ml of artificial saliva (AS, control), or AS with 6, 12, 24, 48, 120. 179 and 238 mM F containing CaF2 (n = 10/group) for 1, 7 and 21 days. All groups were further incubated in AS only for 6 months. Total MMP activity, dry mass loss, CTX and hydroxyproline (HYP) analyses were performed after each incubation. The beams were examined under scanning electron microscopy (SEM). MMP-2 and MMP-9 activities were screened with gelatin zymography. Data were analyzed by using ANOVA and Tukey HSD tests (p = .05). RESULTS: The total MMP activity was similar for all groups after 21 days and 6 months. After 21 days, the cumulative mass loss and CTX levels were lower compared to control for the CaF2 ≥48 and CaF2≥120 mM, respectively (p < .05). After 6 months, no significant difference was detected in the dry mass loss and CTX compared to the control (p > .05), whereas HYP level was higher with F 24 and 238 mM groups. CaF2-like minerals were observed on the beams under SEM. There was no gelatinase inhibition in zymography. CONCLUSION: CaF2 does not prevent the degradation of demineralized dentin matrices due to the catalytic activity of MMPs and CCs.
Asunto(s)
Fluoruro de Calcio/farmacología , Cariostáticos/farmacología , Catepsinas/efectos de los fármacos , Catepsinas/metabolismo , Colágeno/efectos de los fármacos , Colágeno/metabolismo , Dentina/enzimología , Metaloproteinasas de la Matriz/efectos de los fármacos , Metaloproteinasas de la Matriz/metabolismo , Fluoruro de Calcio/administración & dosificación , Cariostáticos/administración & dosificación , Humanos , Técnicas In Vitro , Diente Molar , Proteolisis/efectos de los fármacosRESUMEN
Herein, alkali ion doped CaF2 upconversion nanoparticles (UCNPs) were first reported as a multifunctional theranostic platform for dual-modal imaging and chemotherapy. Interestingly, we found that the alkali ions doping approach could efficiently enhance the upconversion luminescence (UCL) intensity, whereas slightly affect the phase and morphology of the resulting products. In order to further improve the UCL efficacy for bioimaging, a pristine CaF2 shell was grown on the CaF2:Yb, Er core surface to enhance the UCL intensity. After being transferred into hydrophilic UCNPs, these water-soluble UCNPs could be served as contrast agents for in vitro/in vivo UCL imaging and X-ray computed tomography (CT) imaging. Furthermore, the as-prepared UCNPs could also be employed as nano-carriers for drug delivery. Doxorubicin (DOX) can be easily loaded onto the UCNPs and the DOX-loaded UCNPs exhibit a good cell killing ability. Therefore, the multifunctional core-shell CaF2 UCNPs with UCL/CT imaging and drug carrier properties may find extensive applications in simultaneous imaging diagnosis and therapy.
Asunto(s)
Fluoruro de Calcio/química , Medios de Contraste/química , Erbio/química , Nanopartículas/química , Iterbio/química , Álcalis , Animales , Antibióticos Antineoplásicos/administración & dosificación , Antibióticos Antineoplásicos/química , Fluoruro de Calcio/administración & dosificación , Línea Celular Tumoral , Supervivencia Celular/efectos de los fármacos , Medios de Contraste/administración & dosificación , Diagnóstico por Imagen , Doxorrubicina/administración & dosificación , Doxorrubicina/química , Sistemas de Liberación de Medicamentos , Erbio/administración & dosificación , Células HeLa , Humanos , Ratones , Microscopía Electrónica de Transmisión , Nanopartículas/administración & dosificación , Nanopartículas/ultraestructura , Iterbio/administración & dosificaciónRESUMEN
The aim of this study was to assess the effect of chewing gum containing phosphoryl oligosaccharides of calcium (POs-Ca) and a low concentration of fluoride (F) on the hardness of enamel subsurface lesions, utilizing a double-blind, randomized, and controlled in situ model. Fifteen individuals wore removable lingual appliances with 3 bovine-enamel insets containing subsurface demineralized lesions. Three times a day for 14 days, they chewed one of the 3 chewing gums (placebo, POs-Ca, POs-Ca+F). After the treatment period, cross-sectional mineral content, nanoindentation hardness, and fluoride ion mapping by time-of-flight secondary ion mass spectrometry (TOF-SIMS) were evaluated. Although there were no statistical differences in overall mineral content and hardness recovery rates between POs-Ca and POs-Ca+F subsurface lesions (p > 0.05), nanoindentation at 1-µm distance increments from the surface showed statistical differences in hardness recovery rate between POs-Ca and POs-Ca+F in the superficial 20-µm region (p < 0.05). Fluoride mapping revealed distribution of the ion up to 20 µm from the surface in the POs-Ca+F group. Nanoindentation and TOF-SIMS results highlighted the benefits of bioavailability of fluoride ion on reinforcement of the superficial zone of subsurface lesions in situ (NCT01377493).
Asunto(s)
Fluoruro de Calcio/administración & dosificación , Cariostáticos/administración & dosificación , Goma de Mascar , Esmalte Dental/efectos de los fármacos , Desmineralización Dental/tratamiento farmacológico , Animales , Disponibilidad Biológica , Fluoruro de Calcio/farmacocinética , Cariostáticos/farmacocinética , Bovinos , Esmalte Dental/patología , Método Doble Ciego , Fluoruros/análisis , Dureza , Humanos , Microrradiografía , Minerales/análisis , Placebos , Espectrometría de Masa de Ion Secundario , Desmineralización Dental/patología , Remineralización DentalRESUMEN
OBJECTIVES: To investigate the effect of a single application of highly concentrated SnF(2) and NaF solutions and a NaF/CaF(2) varnish on human enamel subjected to hydrochloric acid erosion and tooth brush abrasion. METHODS: Forty enamel samples were prepared from human third molars and NaF (9500ppm, pH 8.0), SnF(2) (9500ppm, pH 2.6) solutions; Bifluorid10(®) varnish (42,500ppm, NaF 5%, CaF(2) 5%) and deionized water (control) was applied to the enamel. Following this three, six and nine cycles of erosion [1 cycle=erosion (0.01M HCl, pH 2.2, 2min)+artificial saliva (1h, pH 7.0)] and erosion-abrasion [1 cycle=erosion (0.01M HCl, pH 2.2, 2min)+artificial saliva (1h, pH 7.0)+abrasion (120 linear strokes in artificial saliva from Tepe medium soft brushes 200g loading)] were carried out. The fluoride treated enamel was analysed using Knoop microhardness, scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS). RESULTS: For erosion alone, there was significantly less microhardness reduction in the Bifluorid10(®) group after three and six cycles of erosion (P<0.05), however no other groups showed statistically different hardness (P>0.05). The EDS analysis showed that only the Bifluorid10(®) group had any detectable fluorine following erosion and erosion-abrasion (0.1wt.% and 0.2wt.% fluorine respectively). The surface fluorine was found to have been removed after erosion and erosion-abrasion for all other surface treatments. Although precipitates were observed after application of the surface treatments, following erosion-abrasion, no visible surface effects from any fluoride preparation remained. CONCLUSIONS: Enamel surface precipitates from application NaF, SnF(2) solutions appear to not be able to provide protection against gastric erosion and tooth brush abrasion. The NaF/CaF(2) varnish provided limited protection against erosion but the role for such varnishes in gastric erosion and tooth brush abrasion remains uncertain.
Asunto(s)
Fluoruros Tópicos/administración & dosificación , Abrasión de los Dientes/prevención & control , Erosión de los Dientes/prevención & control , Análisis de Varianza , Fluoruro de Calcio/administración & dosificación , Análisis del Estrés Dental , Flúor/análisis , Ácido Gástrico , Dureza , Humanos , Ácido Clorhídrico/efectos adversos , Fluoruro de Sodio/administración & dosificación , Espectrometría por Rayos X , Fluoruros de Estaño/administración & dosificación , Abrasión de los Dientes/etiología , Erosión de los Dientes/inducido químicamente , Cepillado Dental/efectos adversosRESUMEN
There are four-year clinical research results of the efficacy of the varnishes with different fluoride compounds on first permanent molars in young schoolchildren depending on the lesion of caries of temporary molars. It was determined that for children, whose molars were healthy during the basic examination, the highest caries protective effect was achieved with the help of varnish, containing CaF(2) (the reduction of increase of the intensity of caries of permanent molars formed 59.7%), and for children with initial high lesion of caries of permanent molars the best caries preventive effect was achieved with the varnish "Bifluorid 12®" (the reduction of increase of the intensity of caries of permanent molars formed 52.5%).
Asunto(s)
Fluoruro de Calcio/administración & dosificación , Cariostáticos/administración & dosificación , Caries Dental/prevención & control , Fluoruros Tópicos/administración & dosificación , Higiene Bucal/métodos , Fluoruro de Sodio/administración & dosificación , Niño , Femenino , Humanos , MasculinoRESUMEN
The normal microflora of child's oral mounth is a safe system in which take the first place streptococcus and lactobacillus by frequency of meeting. Purpose of this research is to reveal the risk of caries development in children at the age of from 3 to 5 with using quantitative method of lactobacillus's definition in saliva after the application of fluoride preparations of deciduons teeth.
Asunto(s)
Cariostáticos/administración & dosificación , Caries Dental/microbiología , Fluoruros/administración & dosificación , Lactobacillus/efectos de los fármacos , Saliva/microbiología , Fluoruro de Calcio/administración & dosificación , Preescolar , Caries Dental/prevención & control , Femenino , Humanos , Lactobacillus/aislamiento & purificación , Masculino , Fluoruro de Sodio/administración & dosificaciónRESUMEN
This article reviews recent studies on: (1) the synthesis of novel calcium phosphate and calcium fluoride nanoparticles and their incorporation into dental resins to develop nanocomposites; (2) the effects of key microstructural parameters on Ca, PO(4), and F ion release from nanocomposites, including the effects of nanofiller volume fraction, particle size, and silanization; and (3) mechanical properties of nanocomposites, including water-aging effects, flexural strength, fracture toughness, and three-body wear. This article demonstrates that a major advantage of using the new nanoparticles is that high levels of Ca, PO(4), and F release can be achieved at low filler levels in the resin, because of the high surface areas of the nanoparticles. This leaves room in the resin for substantial reinforcement fillers. The combination of releasing nanofillers with stable and strong reinforcing fillers is promising to yield a nanocomposite with both stress-bearing and caries-inhibiting capabilities, a combination not yet available in current materials.
Asunto(s)
Fluoruro de Calcio/administración & dosificación , Fosfatos de Calcio/administración & dosificación , Cariostáticos/administración & dosificación , Resinas Compuestas/química , Caries Dental/prevención & control , Nanocompuestos/uso terapéutico , Fluoruro de Calcio/química , Fosfatos de Calcio/química , Cariostáticos/química , Resinas Compuestas/uso terapéutico , Caries Dental/terapia , Restauración Dental Permanente/métodos , Sistemas de Liberación de Medicamentos , Fluoruros/administración & dosificación , Fluoruros/química , Humanos , Nanocompuestos/química , Fosfatos/administración & dosificación , Fosfatos/químicaRESUMEN
The aim of this randomized clinical trial study was to evaluate the therapeutic effect of two varnish formulations (G1 = 5% NaF, G2 = 6% NaF + 6% CaF(2)) on the remineralization of white spot lesions (WSL). The sample was composed of 15 (7- to 12-year-old) children with 45 active WSL in anterior permanent teeth. The children were randomly divided into two groups providing 22 lesions for G1 and 23 for G2. The children were submitted to weekly varnish applications 4 times. The WSL were evaluated twice: baseline and on week 4. Maximum lesion dimensions (mesiodistal and incisogingival) were measured in millimeters and classified in four grades of size. WSL were also assessed regarding lesion activity by one calibrated examiner. The Pearson chi-square and Fisher's exact tests were used (P < 0.01). WSL reductions were observed in both varnish groups (Chi-square = 0.15, d.f. = 1, P = 0.90), and with similar magnitude (in mm): 1.19 and 1.29 for G1 and G2, respectively. Thirty-six WSL (15 in G1 and 21 in G2) were classified as inactive on week 4, reaching an overall value of 80%. No difference was observed between G1 and G2 regarding activity scores (Fisher's exact test, p > 0.01). It was concluded that after 4 applications the two varnish formulations tested produced similar clinical effects, indicating the reduction and the control of carious activity in most WSL.
Asunto(s)
Cariostáticos/administración & dosificación , Caries Dental/prevención & control , Fluoruros Tópicos/administración & dosificación , Remineralización Dental/métodos , Fluoruro de Calcio/administración & dosificación , Niño , Caries Dental/patología , Dentición Permanente , Métodos Epidemiológicos , Femenino , Humanos , Masculino , Fluoruro de Sodio/administración & dosificación , Factores de TiempoRESUMEN
The aim of this randomized clinical trial study was to evaluate the therapeutic effect of two varnish formulations (G1 = 5 percent NaF, G2 = 6 percent NaF + 6 percent CaF2) on the remineralization of white spot lesions (WSL). The sample was composed of 15 (7- to 12-year-old) children with 45 active WSL in anterior permanent teeth. The children were randomly divided into two groups providing 22 lesions for G1 and 23 for G2. The children were submitted to weekly varnish applications 4 times. The WSL were evaluated twice: baseline and on week 4. Maximum lesion dimensions (mesiodistal and incisogingival) were measured in millimeters and classified in four grades of size. WSL were also assessed regarding lesion activity by one calibrated examiner. The Pearson chi-square and Fisher's exact tests were used (P < 0.01). WSL reductions were observed in both varnish groups (Chi-square = 0.15, d.f. = 1, P = 0.90), and with similar magnitude (in mm): 1.19 and 1.29 for G1 and G2, respectively. Thirty-six WSL (15 in G1 and 21 in G2) were classified as inactive on week 4, reaching an overall value of 80 percent. No difference was observed between G1 and G2 regarding activity scores (Fisher's exact test, p > 0.01). It was concluded that after 4 applications the two varnish formulations tested produced similar clinical effects, indicating the reduction and the control of carious activity in most WSL.
Asunto(s)
Niño , Femenino , Humanos , Masculino , Cariostáticos/administración & dosificación , Caries Dental/prevención & control , Fluoruros Tópicos/administración & dosificación , Remineralización Dental/métodos , Fluoruro de Calcio/administración & dosificación , Dentición Permanente , Caries Dental/patología , Métodos Epidemiológicos , Fluoruro de Sodio/administración & dosificación , Factores de TiempoRESUMEN
OBJECTIVE: This study evaluated the bioavailability of fluoride after topical application of a dual-fluoride varnish commercially available in Brazil, when compared to DuraphatTM. MATERIAL AND METHODS: The urinary fluoride output was evaluated in seven 5-year-old children after application of the fluoride varnishes, in two different phases. In the first phase (I), children received topical application of the fluoride varnish Duofluorid XII (2.92 percent fluorine, calcium fluoride + 2.71 percent fluorine, sodium fluoride, FGM TM). After 1-month interval (phase II), the same amount (0.2 mL) of the fluoride varnish Duraphat (2.26 percent fluorine, sodium fluoride, ColgateTM) was applied. Before each application all the volunteers brushed their teeth with placebo dentifrice for 7 days. Urinary collections were carried out 24 h prior up to 48 h after the applications. Fluoride intake from the diet was also estimated. Fluoride concentration in diet samples and urine was analyzed with the fluoride ion-specific electrode and a miniature calomel reference electrode coupled to a potentiometer. Data were tested by ANOVA and Tukey's post hoc test (p<0.05). RESULTS: There were significant differences in the urinary fluoride output between phases I and II. The use of Duofluorid XII did not significantly increase the urinary fluoride output, when compared to baseline levels. The application of Duraphat caused a transitory increase in the urinary fluoride output, returning to baseline levels 48 h after its use. CONCLUSIONS: The tested varnish formulation, which has been shown to be effective in in vitro studies, also can be considered safe.
Asunto(s)
Preescolar , Femenino , Humanos , Masculino , Cariostáticos/farmacocinética , Fluoruros Tópicos/farmacocinética , Fluoruros/orina , Fluoruro de Sodio/farmacocinética , Disponibilidad Biológica , Brasil , Fluoruro de Calcio/administración & dosificación , Fluoruro de Calcio/farmacocinética , Cariostáticos/administración & dosificación , Cariostáticos/efectos adversos , Dieta , Fluoruros Tópicos/administración & dosificación , Fluoruros Tópicos/efectos adversos , Fluoruro de Sodio/administración & dosificaciónRESUMEN
OBJECTIVE: This study evaluated the bioavailability of fluoride after topical application of a dual-fluoride varnish commercially available in Brazil, when compared to Duraphat. MATERIAL AND METHODS: The urinary fluoride output was evaluated in seven 5-year-old children after application of the fluoride varnishes, in two different phases. In the first phase (I), children received topical application of the fluoride varnish Duofluorid XII (2.92% fluorine, calcium fluoride + 2.71% fluorine, sodium fluoride, FGM). After 1-month interval (phase II), the same amount (0.2 mL) of the fluoride varnish Duraphat (2.26% fluorine, sodium fluoride, Colgate) was applied. Before each application all the volunteers brushed their teeth with placebo dentifrice for 7 days. Urinary collections were carried out 24 h prior up to 48 h after the applications. Fluoride intake from the diet was also estimated. Fluoride concentration in diet samples and urine was analyzed with the fluoride ion-specific electrode and a miniature calomel reference electrode coupled to a potentiometer. Data were tested by ANOVA and Tukey's post hoc test (p<0.05). RESULTS: There were significant differences in the urinary fluoride output between phases I and II. The use of Duofluorid XII did not significantly increase the urinary fluoride output, when compared to baseline levels. The application of Duraphat caused a transitory increase in the urinary fluoride output, returning to baseline levels 48 h after its use. CONCLUSIONS: The tested varnish formulation, which has been shown to be effective in in vitro studies, also can be considered safe.
Asunto(s)
Cariostáticos/farmacocinética , Fluoruros Tópicos/farmacocinética , Fluoruros/orina , Fluoruro de Sodio/farmacocinética , Disponibilidad Biológica , Brasil , Fluoruro de Calcio/administración & dosificación , Fluoruro de Calcio/farmacocinética , Cariostáticos/administración & dosificación , Cariostáticos/efectos adversos , Preescolar , Dieta , Femenino , Fluoruros Tópicos/administración & dosificación , Fluoruros Tópicos/efectos adversos , Humanos , Masculino , Fluoruro de Sodio/administración & dosificaciónRESUMEN
Although the anticaries effect of fluoride (F) dentifrices is clearly established, the relative importance of F taken up by dental plaque not removed by brushing and of F products (CaF(2)-like) formed on totally cleaned enamel for the subsequent inhibition of demineralization is not known. Both effects were evaluated using conventional (1,100 microg F/g) and low-F concentration (500 microg F/g) dentifrices in a randomized, crossover, double-blind in situ study. Enamel blocks not treated or pretreated with the dentifrices to form CaF(2)-like deposits were mounted in palatal appliances in contact with a Streptococcus mutans test plaque. Volunteers brushed with non-F (negative control), low-F or conventional dentifrices and inserted the appliance in the mouth. F concentration in the fluid and solid phases of the test plaque was determined after 30 min, and a rinse with 20% sucrose solution was performed. After additional 45 min, plaque was collected and the loss of surface hardness at different test-plaque depths was measured. CaF(2)-like deposition on enamel and F taken up by plaque due to the use of F dentifrices were able to significantly increase F concentration in the fluid phase of the test plaque, but only the latter significantly reduced the loss of hardness because of the 20-30 times higher F concentration. Also, significant differences between the low-F and conventional dentifrices were observed for F on enamel, in plaque and on the subsequent loss of hardness. The results suggest that uptake of F by dental plaque not removed by brushing may be the main cause of the anticaries effect of F dentifrices.
Asunto(s)
Fluoruro de Calcio/administración & dosificación , Cariostáticos/administración & dosificación , Esmalte Dental/efectos de los fármacos , Dentífricos/uso terapéutico , Streptococcus mutans/metabolismo , Adulto , Análisis de Varianza , Fluoruro de Calcio/análisis , Fluoruro de Calcio/farmacocinética , Cariostáticos/farmacocinética , Estudios Cruzados , Placa Dental/química , Placa Dental/complicaciones , Placa Dental/microbiología , Placa Dental/prevención & control , Dentífricos/química , Dentífricos/farmacocinética , Relación Dosis-Respuesta a Droga , Método Doble Ciego , Dureza/efectos de los fármacos , Humanos , Persona de Mediana Edad , Streptococcus mutans/efectos de los fármacos , Desmineralización Dental/etiología , Desmineralización Dental/microbiología , Desmineralización Dental/prevención & control , Diente Artificial , Adulto JovenRESUMEN
The anticaries effect of professional fluoride (F) application has been attributed to calcium-fluoride-like deposits (CaF(2)) formed on enamel, but this has not been clearly demonstrated. We hypothesized that CaF(2) formed on plaque-free enamel by F application would reduce enamel demineralization due to the increase of F availability in fluid of subsequently formed plaque. We created distinct levels of CaF(2) on enamel to evaluate a dose-response effect. Enamel blocks were mounted in contact with a S. mutans test plaque and used in situ by 10 volunteers. F released to the fluid phase of this substrate ("plaque fluid") was measured before a cariogenic challenge. "Plaque fluid" F concentration was highly correlated to the enamel CaF(2) concentration (r = 0.96, p < 0.001) and to consequent enamel demineralization (r = -0.75, p < 0.001). The results suggest that F released to plaque fluid from CaF(2) formed on enamel may play a significant role in the anticaries effect of professionally applied F agents.
Asunto(s)
Fluoruro de Fosfato Acidulado/farmacocinética , Fluoruro de Calcio/farmacocinética , Cariostáticos/farmacocinética , Esmalte Dental/metabolismo , Fluoruros Tópicos/farmacología , Desmineralización Dental/prevención & control , Fluoruro de Fosfato Acidulado/administración & dosificación , Animales , Apatitas/metabolismo , Disponibilidad Biológica , Fluoruro de Calcio/administración & dosificación , Cariostáticos/administración & dosificación , Bovinos , Estudios Cruzados , Placa Dental/metabolismo , Relación Dosis-Respuesta a Droga , Método Doble Ciego , Dureza , HumanosRESUMEN
The main aim of the present study was to compare the erosive capabilities of some fruit-flavoured drinks, fresh or saturated with CaF2, with their content of acids and with previous results from some carbonated soft drinks. The other aim was to measure and compare the rates of dissolution of CaF2 in some carbonated and non-carbonated drinks and water. Seven commercially available fruit-flavoured drinks were diluted for drinking. Two human molars, each with two approximately 4 x 4 mm windows, were exposed continuously to 500 ml of each drink with or without prior equilibration with CaF2 under gentle agitation for 48 h. The depths of the erosions were then measured on microradiographs made from sections. Dissolution rate of CaF2 was measured by suspending 0.5 g of the salt in 0.5 litre of the drinks for 2, 10 and 60 min followed by solution analysis. The pH of the drinks was 2.83-3.51. The amount of NaOH required to bring pH to 5.5 ranged from 12-42 mmol/l, which is more than the amount necessary for most carbonated soft drinks. Equilibration with CaF2 gave total fluoride concentrations of 3-8 ppm. The depths of the lesions induced by the drinks without added fluoride were 450-625 microm whilst those developed by the drinks equilibrated with CaF2 were 350-625 microm. The dissolution of CaF2 was faster in the carbonated drinks and in distilled water than in the non-carbonated drinks. In conclusion, non-carbonated fruit-flavoured drinks contain considerable amounts of acids which, in vitro, induce erosions in teeth similar to those induced by carbonated soft drinks. Saturation with CaF2 reduced the in vitro development of erosions by 28% induced by drinks with pH above 3; in drinks with pH below 3, erosions were not affected by pH, despite total fluoride concentrations of up to 20 ppm.
Asunto(s)
Bebidas/efectos adversos , Fluoruros/uso terapéutico , Erosión de los Dientes/prevención & control , Fluoruro de Calcio/administración & dosificación , Fluoruro de Calcio/química , Fluoruro de Calcio/uso terapéutico , Bebidas Gaseosas/efectos adversos , Citrus , Esmalte Dental/patología , Fluoruros/administración & dosificación , Frutas , Humanos , Concentración de Iones de Hidrógeno , Electrodos de Iones Selectos , Microrradiografía , Diente Molar , Hidróxido de Sodio/química , Solubilidad , Espectrofotometría Atómica , Estadística como Asunto , Factores de Tiempo , Erosión de los Dientes/patología , Agua/químicaRESUMEN
Fluoride has been suggested to prevent erosion of the teeth, either after a topical treatment of the teeth or by addition of fluoride to the acidic drink. The main aim of the present study was to describe the dissolution of calcium fluoride in some soft drinks and orange juice and compare it with the amounts of calcium fluoride left on the enamel surfaces after a topical treatment. A further aim was to describe the dissolution of enamel in soft drinks and juice saturated for 3 days with solid calcium fluoride. Solid calcium fluoride was suspended in each of 10 soft drinks and orange juices and gently agitated for 72 h, after which the drinks were analyzed for calcium, phosphate and fluoride and pH was determined. To examine the erosion-preventive effect of the calcium fluoride-rich drink, intact teeth were exposed to the drinks with or without calcium fluoride. It was found that from 6 to 45 mg of calcium fluoride was dissolved per liter of drink. The more acidic the drink, the more calcium fluoride was dissolved, presumably due to HF formation. The teeth exposed to the soft drinks all showed erosion-like lesions. Very little effect of the 4-6 ppm ionic fluoride dissolved in the soft drinks was observed. In orange juice, however, the dissolved calcium fluoride established a saturation with respect to fluorapatite and consequently, the erosion-like lesion was replaced by a caries-like lesion. In conclusion, the acidic soft drinks are capable of dissolving considerable amounts of calcium fluoride and the erosion-preventive effect of even high fluoride concentrations is limited.
Asunto(s)
Bebidas/efectos adversos , Fluoruro de Calcio/administración & dosificación , Fluoruro de Calcio/química , Erosión de los Dientes/prevención & control , Análisis de Varianza , Bebidas/análisis , Bebidas Gaseosas/efectos adversos , Solubilidad del Esmalte Dental , Frutas/efectos adversos , Humanos , Concentración de Iones de Hidrógeno , Solubilidad , Erosión de los Dientes/inducido químicamenteRESUMEN
The aim of the study was to measure the fluoride (F) concentration in plaque after a single topical application of different fluoride varnishes with contrasting levels of F. Thirty adolescents (12-17 years) with fixed orthodontic appliances were randomly assigned to one of three groups: Bifluoride (6% F), Duraphat (2.23% F) and Fluor Protector (0.1% F). The varnishes were applied after professional cleaning in one upper quadrant, leaving the opposite quadrant untreated according to the split-mouth technique. Pooled plaque samples from each quadrant were collected at baseline and 3 days, 7 days and 30 days after the varnish treatment, and fluoride was analysed by microdiffusion. All fluoride varnishes increased the fluoride concentration in plaque compared with baseline, and the mean values varied between 23 and 138 ng F/mg after 3 days, depending on varnish F concentration. Compared with the control quadrant, statistically significant elevations were recorded for Bifluoride after 3 days and 7 days and Duraphat after 3 days, while no significant differences were revealed in the Fluor Protector group. The fluoride concentration in plaque was back to baseline levels for all participants in the Duraphat group after 7 days, while some individuals in the Bifluoride and Fluor Protector groups still registered slightly increased levels after 30 days. The results suggest that fluoride varnish treatments resulted in elevated fluoride levels in plaque adjacent to fixed orthodontic appliances for a period of up to 1 week, although different patterns was disclosed for the various brands.
Asunto(s)
Cariostáticos/análisis , Placa Dental/química , Fluoruros Tópicos/uso terapéutico , Fluoruros/análisis , Adolescente , Análisis de Varianza , Fluoruro de Calcio/administración & dosificación , Fluoruro de Calcio/uso terapéutico , Cariostáticos/administración & dosificación , Cariostáticos/uso terapéutico , Niño , Difusión , Combinación de Medicamentos , Fluoruros Tópicos/administración & dosificación , Estudios de Seguimiento , Humanos , Electrodos de Iones Selectos , Aparatos Ortodóncicos , Pintura , Poliuretanos/administración & dosificación , Poliuretanos/uso terapéutico , Silanos/administración & dosificación , Silanos/uso terapéutico , Fluoruro de Sodio/administración & dosificación , Fluoruro de Sodio/uso terapéuticoRESUMEN
Fluoride concentration in whole saliva and in separate gland secretions was determined after a single application of each of 3 different fluoride varnishes with contrasting levels of fluoride in a randomized crossover design. The study group comprised 8 healthy schoolchildren aged 10-12 years treated with A: Bifluorid 12 (6% F); B: Duraphat (2.26% F); and C: Fluor Protector (0.1% F). Unstimulated and stimulated whole saliva, as well as stimulated parotid and submandibular-sublingual saliva, were collected at baseline and 1, 6, 12, and 24h after the varnish treatments. The fluoride concentrations were determined with an ion-selective electrode. Time- and dose-dependent concentration curves were obtained in all the collected secretions, A > B > C. In whole saliva, the fluoride levels were significantly elevated (P<0.01) 1 h after the A and B varnish applications compared with baseline, while the increase was insignificant for varnish C. Similar patterns were unveiled in the parotid and submandibular-sublingual secretions, although the increase in fluoride concentration was modest. The elevated levels did not exceed 6 h for any of the varnish tested. The results of this study suggest a correlation between the concentration of fluoride of the varnish and fluoride levels obtained in saliva after application.
Asunto(s)
Fluoruros Tópicos/administración & dosificación , Fluoruros/análisis , Saliva/química , Fluoruro de Calcio/administración & dosificación , Estudios Cruzados , Combinación de Medicamentos , Humanos , Electrodos de Iones Selectos , Laca , Glándula Parótida/metabolismo , Poliuretanos/administración & dosificación , Silanos/administración & dosificación , Fluoruro de Sodio/administración & dosificación , Glándula Sublingual/metabolismo , Glándula Submandibular/metabolismoRESUMEN
OBJECTIVE: To evaluate the potential use of a combination of bone formation-promoting agents and a differentiation agent of osteoblast as a treatment for postmenopausal osteoporosis. METHODS: The effects of combined and separate administration of flouride-Ca (0.45 ng F- + 13.56 mg Ca2+)/(kg.d) and 1,25-dihydroxyvitamin D (135 pmol/d s.c.) on the histomorphometric parameters in the secondary spongiosa of proximal tibia and biomechanical properties of femoral midshaft in ovariectomized (OVX) rats were examined. RESULTS: Compared with OVX group, OVX + fluoride-Ca group (O + F) and OVX + Fluoride-Ca + 1,25-dihydroxyvitamin D(O + F + D) two kinds of treatment caused 42%, 91% more in %Tb Ar, 14%, 38% more in Tb Wi, 24%, 46% more in Tb N, 26%, 43% less in Tb Sp, 45%, 42% less in % E Pm, 30%, 60% more in Ob Pm respectively. W Wi in O + F treatment had no significant difference from OVX group but 15.2% in O + F + D treatment compared with sham group, MLT increased 16% in O + F group, had no difference from O + F + D. No significant alteration of mechanical strength at femoral midshaft in both O + F and O + F + D was found. There were significant difference in above changes of parameters except % Ob Pm. CONCLUSIONS: Above two treatments could prevent the loss of cancellous bone, reduced the resorption caused by OVX, protected trabecular microarchitecture, and stimulated bone formation significantly. The combined treatment avoided potential mineralization defect caused by F-Ca treatment alone, and two treatments maintained mechanical strength at femoral midshaft.