Root dentine demineralisation according to frequency of sucrose exposure using high-fluoride dentifrice.

OBJECTIVE

To evaluate root dentine demineralisation, biomass and loosely bound fluoride (CaF ) concentration according to different frequencies of sucrose exposure using a high-fluoride dentifrice.

BACKGROUND

Although high-fluoride dentifrice has been recommended to arrest root dentine lesions, it is not clear whether it can protect dentine from increased frequencies of sucrose exposure.

METHODS

An in situ, crossover, split-mouth study was conducted in 3 phases with 7 days each, in which 10 volunteers used a palatal device containing 4 bovine root dentine slabs (2 on each side) with predetermined initial hardness. Cariogenic challenge consisted in dripping a 20% sucrose solution 0 (control), 2, 4, 6, 8 or 10 times/d in each block. Volunteers used high-fluoride dentifrice (NaF, 5000 µg F/g) 3 times/d. After each phase, final hardness was measured and the percentage of surface hardness loss (%SHL) calculated. Also, biomass and CaF concentration on dentine were determined. The data were processed and analysed by ANOVA and Tukey test with significance level set at 5%. The relationship between the variables was analysed by linear regression and Pearson correlation (r).

RESULTS

%SHL and biomass were significantly greater than control for sucrose frequencies higher than 6 times/d (P < 0.001), while CaF concentration decreased from sucrose frequency higher than 2 times/d (P < 0.001). Regression analysis data showed a significant linear fit between sucrose exposure frequency and the studied variables with a strong correlation (r) for %SHL and CaF and moderate for biomass (P < 0.05).

CONCLUSION

High-fluoride dentifrice is able to reduce root dentine demineralisation if sucrose consumption is not higher than 6 times/d.