Oper Dent. 2019 Sep/Oct;44(5):E234-E243. doi: 10.2341/18-040-L. Epub 2019 Jun 7.
Most currently marketed fluoride varnishes (FVs) have not been evaluated for their effectiveness in preventing dental caries. The objective of this study was to investigate the anticaries efficacy, measured as fluoride release into artificial saliva (AS); change in surface microhardness of early enamel caries lesions; and enamel fluoride uptake (EFU) of 14 commercially available FVs and two control groups. Bovine enamel specimens (5×5 mm) were prepared and assigned to 18 groups (n=12). Early caries lesions were created in the specimens and characterized using Vickers microhardness (VHN). FV was applied to each group of specimens. Immediately afterward, specimens were incubated in 4 mL of AS for 18 hours, which were collected and renewed every hour for the first six hours. AS samples were analyzed for fluoride using an ion-specific electrode. Specimens were then brushed for 20 seconds with toothpaste slurry and subjected to pH cycling consisting of a four-hour/day acid challenge and one-minute treatments with 1100 ppm F dentifrice for five days. Microhardness was measured following pH cycling (VHN). EFU was determined using microbiopsy. Acid resistance (eight-hour demin challenge) was performed after pH cycling, and microhardness was measured (VHN) and compared with baseline values to test the FV impact after pH cycling. One-way analysis of variance was used for data analysis (=0.05). FVs differed in their release characteristics (mean ± SD ranged from 14.97 ± 2.38 μg/mL to 0.50 ± 0.15 μg/mL), rehardening capability (mean ± SD ranged from 24.3 ± 15.1 to 11.7 ± 12.7), and ability to deliver fluoride to demineralized lesions (mean ± SD ranged from 3303 ± 789 μg/cm to 707 ± 238 μg/cm). Statistically significant but weak linear associations were found between ΔVHN, EFU, and fluoride release (correlations 0.21-0.36). The results of this study demonstrated that differences in FV composition can affect their efficacy in conditions.
目前市场上大多数氟化物涂料(FV)的有效性尚未得到评估,以预防龋齿。本研究的目的是研究抗龋效果,用人工唾液(AS)中氟的释放来衡量;早期釉质龋损表面显微硬度的变化;以及 14 种市售 FV 和两组对照剂的釉质氟摄取(EFU)。制备了 5×5mm 的牛牙釉质标本,并将其分为 18 组(n=12)。在标本上制作早期龋损,并用维氏显微硬度(VHN)进行表征。将 FV 应用于每组标本。立即将标本在 4ml 的 AS 中孵育 18 小时,每小时收集一次,前 6 小时每小时更新一次。AS 样本用离子特异性电极分析氟含量。然后用牙膏糊剂刷洗标本 20 秒,进行 pH 循环,包括每天 4 小时的酸挑战和用 1100ppmF 牙膏进行 1 分钟处理,持续 5 天。pH 循环后测量显微硬度(VHN)。使用微生物活检法测定 EFU。pH 循环后进行耐酸(8 小时脱矿挑战),测量显微硬度(VHN)并与基线值比较,以检验 pH 循环后 FV 的影响。采用单因素方差分析进行数据分析(=0.05)。FV 的释放特性(均值±SD 范围为 14.97±2.38μg/mL 至 0.50±0.15μg/mL)、再硬化能力(均值±SD 范围为 24.3±15.1 至 11.7±12.7)和向脱矿病变输送氟化物的能力(均值±SD 范围为 3303±789μg/cm 至 707±238μg/cm)存在差异。ΔVHN、EFU 和氟化物释放之间存在统计学上显著但较弱的线性关联(相关性 0.21-0.36)。本研究结果表明,FV 组成的差异会影响其在条件下的疗效。