Department of Health Sciences and Pediatric Dentistry, Piracicaba Dental School, State University of Campinas (UNICAMP), Piracicaba, São Paulo, Brazil.
Dental Materials Area, Faculdade São Leopoldo Mandic, Campinas, São Paulo, Brazil.
Microsc Res Tech. 2021 May;84(5):1012-1021. doi: 10.1002/jemt.23662. Epub 2020 Dec 5.
This study evaluated the fluoride (F) release and remineralizing potential of varnishes containing sodium fluoride (5% NaF), 5% NaF with CPP-ACP and 5% NaF with TCP in early caries lesions in primary teeth. To determine the F release at 1, 4, 6, 24, 72, and 168 hr, strips were covered with the varnishes and immersed in purified water (n = 7). The varnishes and purified water (negative control) were applied on enamel blocks with early caries lesions (n = 16). Enamel blocks were stored in artificial saliva and submitted to a pH-cycling. The area of enamel hardness loss (ΔS) was analyzed by microhardness, lesion depth by polarized light microscopy (PLM) and the chemical analysis by Energy-dispersive X-ray spectroscopy. Data were submitted to Shapiro-Wilk, two-way and one-way ANOVA, Tukey and paired t-tests (α = 5%). All varnishes released F, but 5% NaF with CPP-ACP had the highest release at 4, 6, 24, and 72 hr (p < .05) followed by 5% NaF with TCP and 5% NaF. No significant difference in ΔS was observed among varnishes (5% NaF = 4,098.4 ± 1,407.9; 5% NaF with CPP-ACP = 4,164.0 ± 1,019.3; 5% NaF with TCP = 4,183.2 ± 1,527.2; p = .999), but all of them differed from the negative control group (6,757.8 ± 2,274.7; p < .001). Lesion depth was lower in varnishes groups compared to negative control (% reduction: 5% NaF = 41.8%, 5% NaF with CPP-ACP = 38.8%, and 5% NaF with TCP = 36.3%; p < .001). Similar Ca, P, and Ca/P ratio percentages among groups and F was not detected after the treatments. All fluoride varnishes showed potential to enhance remineralization of early caries lesions in primary teeth.
本研究评估了含有氟化钠(5% NaF)、5% NaF 与 CPP-ACP 以及 5% NaF 与 TCP 的牙釉质漆在乳牙早期龋损中的氟释放和再矿化潜力。为了确定 1、4、6、24、72 和 168 小时时的氟释放量,将条带用牙釉质漆覆盖并浸入纯化水中(n = 7)。将牙釉质漆和纯化水(阴性对照)涂在有早期龋损的牙釉质块上(n = 16)。牙釉质块在人工唾液中储存并进行 pH 循环。通过显微硬度分析釉质硬度损失区(ΔS),通过偏光显微镜(PLM)分析病变深度,通过能量色散 X 射线光谱法进行化学分析。数据采用 Shapiro-Wilk、双因素和单因素方差分析、Tukey 和配对 t 检验(α = 5%)进行分析。所有牙釉质漆都释放了氟,但 5% NaF 与 CPP-ACP 在 4、6、24 和 72 小时时的释放量最高(p <.05),其次是 5% NaF 与 TCP 和 5% NaF。牙釉质漆之间的ΔS 无显著差异(5% NaF = 4,098.4 ± 1,407.9;5% NaF 与 CPP-ACP = 4,164.0 ± 1,019.3;5% NaF 与 TCP = 4,183.2 ± 1,527.2;p =.999),但均与阴性对照组有差异(6,757.8 ± 2,274.7;p <.001)。与阴性对照组相比,牙釉质漆组的病变深度较低(%减少:5% NaF = 41.8%,5% NaF 与 CPP-ACP = 38.8%,5% NaF 与 TCP = 36.3%;p <.001)。各组之间的 Ca、P 和 Ca/P 比值以及处理后均未检测到氟。所有氟化物牙釉质漆均显示出增强乳牙早期龋损再矿化的潜力。