Pereira Laís Gatti de Souza, Bezerra Sávio José Cardoso, Viana Ítallo Emídio Lira, Lima Leonardo Custódio de, Borges Alessandra Bühler, Scaramucci Taís
Department of Restorative Dentistry, University of São Paulo, School of Dentistry. Av. Prof. Lineu Prestes 2227, São Paulo, SP, Brazil, 05508-000.
Department of Restorative Dentistry at Institute of Science and Technology of São José dos Campos, UNESP, São Paulo State University. Av. Engenheiro Francisco José Longo 777, São José dos Campos, SP, Brazil, 12245-000.
Braz Dent J. 2022 Jul-Aug;33(4):54-61. doi: 10.1590/0103-6440202204808.
This study synthesized and tested experimental gels containing fluoride (F-) and stannous (Sn2+) ions for the control of dental erosion. Enamel and dentin polished specimens were eroded (1% citric acid solution, 10 min) and randomly allocated into 5 groups (n=10): Placebo - Hydroxypropyl Methylcellulose (HMC) gel; F+Sn+HMC - 7,500 ppm F- / 15,000 ppm Sn2+; F+HMC - 7,500 ppm F-; Commercial acidulated phosphate fluoride gel (12,300 ppm F-); and Control - no treatment. After treatment (applied for 60 s), specimens underwent an erosion-remineralization cycling (5 min in 0.3% citric acid solution, 60 min in artificial saliva, 4×/day, 20 days). Surface loss (SL, in µm) was determined after the 5th, 10th and 20th days of cycling (α=0.05). For enamel, after 5 and 10 days, F+Sn+HMC presented the lowest SL, which did not differ from the commercial gel. After 20 days, no differences were found between commercial, F+HMC, and F+Sn+HMC groups. Placebo did not differ from the control at any time points, and both groups presented the highest SL when compared to the other groups. For dentin, on the 5th day, F+Sn+HMC, F+HMC and commercial did not differ significantly, showing lower SL than the control and the placebo. On the 10th day, F+Sn+HMC and commercial presented the lowest SL compared to control and placebo. After 20 days, only the commercial gel showed lower SL than the control and placebo. Thus, the experimental F+Sn+HMC gel was able to control the progression of tooth erosion.
本研究合成并测试了含氟(F-)和亚锡(Sn2+)离子的实验性凝胶对牙齿侵蚀的控制效果。将牙釉质和牙本质抛光标本进行侵蚀处理(1%柠檬酸溶液,10分钟),然后随机分为5组(n = 10):安慰剂组——羟丙基甲基纤维素(HMC)凝胶;F+Sn+HMC组——7500 ppm F- / 15000 ppm Sn2+;F+HMC组——7500 ppm F-;市售酸化磷酸氟凝胶(12300 ppm F-);以及对照组——不做处理。处理后(涂抹60秒),标本进行侵蚀-再矿化循环(在0.3%柠檬酸溶液中5分钟,在人工唾液中60分钟,每天4次,共20天)。在循环的第5天、第10天和第20天测定表面损失(SL,单位为µm)(α = 0.05)。对于牙釉质,在第5天和第10天,F+Sn+HMC组的SL最低,与市售凝胶无差异。20天后,市售凝胶组、F+HMC组和F+Sn+HMC组之间未发现差异。安慰剂组在任何时间点与对照组均无差异,且与其他组相比,这两组的SL最高。对于牙本质,在第5天,F+Sn+HMC组、F+HMC组和市售凝胶组之间无显著差异,其SL低于对照组和安慰剂组。在第10天,与对照组和安慰剂组相比,F+Sn+HMC组和市售凝胶组的SL最低。20天后,只有市售凝胶组的SL低于对照组和安慰剂组。因此,实验性F+Sn+HMC凝胶能够控制牙齿侵蚀的进展。