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9 "Fluoride"
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Research Articles
Can silver diamine fluoride or silver nanoparticle-based anticaries agents to affect enamel bond strength?
Jaqueline Costa Favaro, Yana Cosendey Toledo de Mello Peixoto, Omar Geha, Flaviana Alves Dias, Ricardo Danil Guiraldo, Murilo Baena Lopes, Sandrine Bittencourt Berger
Restor Dent Endod 2021;46(1):e7.   Published online January 12, 2021
DOI: https://doi.org/10.5395/rde.2021.46.e7
AbstractAbstract PDFPubReaderePub
Objectives

The aim of the current study is to investigate the effect of different anticaries agents, such as experimental agents based on silver nanoparticles (SNPs) and silver diamine fluoride (SDF), on the micro-shear bond strength (μ-SBS) of composite resin applied to intact enamel (IE) or demineralized enamel (DE).

Materials and Methods

Sixty dental enamel fragments were collected from human third molars and categorized into 6 groups (n = 10): positive control (IE), negative control (DE), IE + SDF, DE + SDF, IE + SNP and DE + SNP. Samples from DE, DE + SDF and DE + SNP groups were subjected to pH cycling; superficial microhardness test was performed to confirm demineralization. Resin composite build-ups were applied to the samples (0.75-mm diameter and 1-mm height) after the treatments (except for IE and DE groups); μ-SBS was also evaluated. Samples were analyzed under a stereomicroscope at 40× magnification to identify failure patterns. Data were subjected to one-way analysis of variance, followed by Tukey's and Dunnett's tests (p < 0.05).

Results

There was no significant difference among the IE, IE + SNP, DE + SDF, and DE + SNP groups. The IE + SDF and DE groups recorded the highest and the lowest μ-SBS values, respectively. Adhesive-type failures were the most frequent for all treatments.

Conclusions

Anticaries agents did not have a negative effect on the μ-SBS of composite resin when it was used on IE or DE.

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Effect of casein phosphopeptide-amorphous calcium phosphate on fluoride release and micro-shear bond strength of resin-modified glass ionomer cement in caries-affected dentin
Jamila Nuwayji Agob, Neven Saad Aref, Essam El Saeid Al-Wakeel
Restor Dent Endod 2018;43(4):e45.   Published online October 30, 2018
DOI: https://doi.org/10.5395/rde.2018.43.e45
AbstractAbstract PDFPubReaderePub
Objectives

This study was conducted to evaluate fluoride release and the micro-shear bond strength of resin-modified glass ionomer cement (RMGIC) in casein phosphopeptide-amorphous calcium phosphate (CPP-ACP)-remineralized caries-affected dentin (CAD).

Materials and Methods

Exposed dentin surfaces of 30 human third molar teeth were divided into 2 equal groups for evaluating fluoride release and the micro-shear bond strength of RMGIC to CAD. Each group was subdivided into 3 equal subgroups: 1) control (sound dentin); 2) artificially demineralized dentin (CAD); 3) CPP-ACP remineralized dentin (remineralized CAD). To measure fluoride release, 15 disc-shaped specimens of RMGIC (4 mm in diameter and 2 mm in thickness) were bonded on one flat surface of the dentin discs of each group. Fluoride release was tested using ion chromatography at different intervals; 24 hours, 3, 5, 7 days. RMGIC micro-cylinders were built on the flat dentin surface of the 15 discs, which were prepared according to the assigned group. Micro-shear bond strength was measured after 24 hours water storage. Data were analyzed using 1- and 2-way analysis of variance and the post hoc least significant difference test (α = 0.05).

Results

Fluoride detected in solutions (at all intervals) and the micro-shear bond strength of RMGIC bonded to CPP-ACP-remineralized dentin were significantly higher than those bonded to artificial CAD (p < 0.05).

Conclusions

Demineralized CAD consumes more fluoride released from RMGIC into the solution for remineralization than CPP-ACP mineralized dentin does. CPP-ACP increases the micro-shear bond strength of RMGIC to CAD.

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The effect of different fluoride application methods on the remineralization of initial carious lesions
Seon Mi Byeon, Min Ho Lee, Tae Sung Bae
Restor Dent Endod 2016;41(2):121-129.   Published online May 10, 2016
DOI: https://doi.org/10.5395/rde.2016.41.2.121
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to assess the effect of single and combined applications of fluoride on the amount of fluoride release, and the remineralization and physical properties of enamel.

Materials and Methods

Each of four fluoride varnish and gel products (Fluor Protector, FP, Ivoclar Vivadent; Tooth Mousse Plus, TM, GC; 60 Second Gel, A, Germiphene; CavityShield, CS, 3M ESPE) and two fluoride solutions (2% sodium fluoride, N; 8% tin(ii) fluoride, S) were applied on bovine teeth using single and combined methods (10 per group), and then the amount of fluoride release was measured for 4 wk. The electron probe microanalysis and the Vickers microhardness measurements were conducted to assess the effect of fluoride application on the surface properties of bovine teeth.

Results

The amount of fluoride release was higher in combined applications than in single application (p < 0.05). Microhardness values were higher after combined applications of N with FP, TM, and CS than single application of them, and these values were also higher after combined applications of S than single application of A (p < 0.05). Ca and P values were higher in combined applications of N with TM and CS than single application of them (p < 0.05). They were also increased after combined applications of the S with A than after single application (p < 0.05).

Conclusions

Combined applications of fluoride could be used as a basis to design more effective methods of fluoride application to provide enhanced remineralization.

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Do conventional glass ionomer cements release more fluoride than resin-modified glass ionomer cements?
Maria Fernanda Costa Cabral, Roberto Luiz de Menezes Martinho, Manoel Valcácio Guedes-Neto, Maria Augusta Bessa Rebelo, Danielson Guedes Pontes, Flávia Cohen-Carneiro
Restor Dent Endod 2015;40(3):209-215.   Published online May 26, 2015
DOI: https://doi.org/10.5395/rde.2015.40.3.209
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this study was to evaluate the fluoride release of conventional glass ionomer cements (GICs) and resin-modified GICs.

Materials and Methods

The cements were grouped as follows: G1 (Vidrion R, SS White), G2 (Vitro Fil, DFL), G3 (Vitro Molar, DFL), G4 (Bioglass R, Biodinâmica), and G5 (Ketac Fil, 3M ESPE), as conventional GICs, and G6 (Vitremer, 3M ESPE), G7 (Vitro Fil LC, DFL), and G8 (Resiglass, Biodinâmica) as resin-modified GICs. Six specimens (8.60 mm in diameter; 1.65 mm in thickness) of each material were prepared using a stainless steel mold. The specimens were immersed in a demineralizing solution (pH 4.3) for 6 hr and a remineralizing solution (pH 7.0) for 18 hr a day. The fluoride ions were measured for 15 days. Analysis of variance (ANOVA) and Tukey's test with 5% significance were applied.

Results

The highest amounts of fluoride release were found during the first 24 hr for all cements, decreasing abruptly on day 2, and reaching gradually decreasing levels on day 7. Based on these results, the decreasing scale of fluoride release was as follows: G2 > G3 > G8 = G4 = G7 > G6 = G1 > G5 (p < 0.05).

Conclusions

There were wide variations among the materials in terms of the cumulative amount of fluoride ion released, and the amount of fluoride release could not be attributed to the category of cement, that is, conventional GICs or resin-modified GICs.

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Effect of fluoride concentration in pH 4.3 and pH 7.0 supersaturated solutions on the crystal growth of hydroxyapatite
Haneol Shin, Sung-Ho Park, Jeong-Won Park, Chan-Young Lee
Restor Dent Endod 2012;37(1):16-23.   Published online March 2, 2012
DOI: https://doi.org/10.5395/rde.2012.37.1.16
AbstractAbstract PDFPubReaderePub
Objectives

Present study was undertaken to investigate the crystal growth onto synthetic hydroxyapatite (HA) seeds in pH 4.3 and pH 7.0 supersaturated solutions with different fluoride concentrations.

Materials and Methods

8 groups of pH 4.3 and 7.0 calcium phosphate supersaturated solutions were prepared with different fluoride concentrations (0, 1, 2 and 4 ppm). Calcium phosphate precipitates yield crystal growth onto the HA seed surface while solutions flow. For evaluation of crystallizing process, the changes of Ca2+, PO43-, F- concentrations of the inlet and outlet solutions were determined. The recovered solid samples were weighed to assess the amount of minerals precipitated, and finally determined their composition to deduce characteristics of crystals.

Results

During the seeded crystal growth, there were significantly more consumption of Ca2+, PO43-, F- in pH 4.3 solutions than pH 7.0 (p < 0.05). As fluoride concentration increased in pH 4.3 solution, Ca2+, PO43-, F- consumption in experimental solutions, weight increment of HA seed, and fluoride ratio in crystallized samples were increased. There were significant differences among the groups (p < 0.05). But in pH 7.0 solution, these phenomena were not significant. In pH 7.0 solutions, analyses of crystallized samples showed higher Ca/P ratio in higher fluoride concentration. There were significant differences among the groups (p < 0.05). But in pH 4.3 solution, there were not significant differences in Ca/P ratio.

Conclusions

Crystal growth in pH 4.3 solutions was superior to that in pH 7.0 solutions. In pH 4.3 solutions, crystal growth increased with showed in higher fluoride concentration up to 4 ppm.

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Basic Research
Elemental analysis of the fluoride varnish effects on root caries initiation
Se-Eun Park, Keewook Yi, Hae-Young Kim, Ho-Hyun Son, Juhea Chang
J Korean Acad Conserv Dent 2011;36(4):290-299.   Published online July 31, 2011
DOI: https://doi.org/10.5395/JKACD.2011.36.4.290
AbstractAbstract PDFPubReaderePub
Objectives

The usage of fluoride varnish for a moderate to low caries-risk group has not been well validated. This study aimed to evaluate the preventive and therapeutic efficacies of fluoride varnish on the initiated root caries.

Materials and Methods

Ten premolars were sectioned into quarters, further divided into two windows, one of which was painted with Fluor Protector (1,000 ppm fluoride, Ivoclar Vivadent). An initial lesion with a well-preserved surface layer was produced by pH cycling. Scanned line analysis using energy dispersive spectrometry determined the weight percentages of Ca and P in the demineralized layer. Scanning Electron microscopy and confocal laser scanning microscopy (CLSM) evaluated the varnish-applied root surfaces.

Results

The mean lesion depth (SD) was 12.3 (2.6) µm (single cycling) and 19.6 (3.8) µm (double cycling). Double cycling extended the lesion depth, but induced no more mineral loss than single cycling (p < 0.05). The mean weight percentages of Ca and P between groups with and without varnish were not significantly different (p < 0.05). A CLSM showed varnish remained within 15 µm of the surface layer.

Conclusions

When a mild acid challenge initiated root tissue demineralization, the application of low-concentration fluoride varnish did not influence the lesion depth or the mineral composition of the subsurface lesion.

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Original Articles
The effects of the fluoride concentration of acidulated buffer solutions on dentine remineralization
Won-Sub Han, Chan-Young Lee
J Korean Acad Conserv Dent 2009;34(6):526-536.   Published online November 30, 2009
DOI: https://doi.org/10.5395/JKACD.2009.34.6.526
AbstractAbstract PDFPubReaderePub

The aim of this vitro-study is to evaluate the effects of fluoride on remineralization of artificial dentine caries. 10 sound permanent premolars, which were extracted for orthodontic reason within 1 week, were used for this study. Artificial dentine caries was created by using a partially saturated buffer solution for 2 days with grounded thin specimens and fractured whole-body specimens. Remineralization solutions with three different fluoride concentration (1 ppm, 2 ppm and 4 ppm) were used on demineralized-specimens for 7 days. Polarizing microscope and scanning electron microscope were used for the evaluation of the mineral distribution profile and morphology of crystallites of hydroxyapatite.

The results were as follows :

When treated with the fluoride solutions, the demineralized dentine specimens showed remineralization of the upper part and demineralization of the lower part of the lesion body simultaneously.

As the concentration of fluoride increased, the mineral precipitation in the caries dentine increased. The mineral precipitation mainly occurred in the surface layer in 1 and 2 ppm-specimens and in the whole lesion body in 4 ppm-specimens.

When treated with the fluoride solution, the hydroxyapatite crystals grew. This crystal growth was even observed in the lower part of the lesion body which had shown the loss of mineral.

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Influence of microhardness and fluoride content of tooth structure by fluoride-containing restorative materials
Su-Jong Lee, Young-Gon Cho, Jong-Uk Kim, Byung-Cheul Park
J Korean Acad Conserv Dent 2004;29(1):36-43.   Published online January 31, 2004
DOI: https://doi.org/10.5395/JKACD.2004.29.1.036
AbstractAbstract PDFPubReaderePub

The purpose of this study was to compare the microhardness and the fluoride content of enamel and dentin around fluoride- or non fluoride-containing restorations. Forty extracted human teeth were used and prepared cervical cavities on proximal surface. Experimental teeth were divided into five groups. Group 1 : Prime & Bond NT and Z100, Group 2 : Prime & Bond NT and F2000, Group 3 : Scotchbond Multi-Purpose and Z100, Group 4 : Scothcbond Multi-purpose and F2000, Group 5 : Fuji II LC. The cavities were filled with dentin adhesives and restorative materials. After each tooth was bisected, one half was tested microhardness and the other half was analyzed the fluoride at the enamel and dentin by an EPMA-WDX device. The results were as follows:

1. There was no statistical difference among the microhardness of enamel surface in all group.

2. The microhardness at dentin of 100 µm point in Group 2 and 20 µm point in Group 4 was lower than that of normal dentin (p>0.05).

3. There was no statistical difference among the fluoride content of enamel surface in all group.

4. The fluoride content at the dentin of 30 µm point in Group 2 and 5 were higher than those at 100 µm and 200 µm point in Group 2 and normal dentin (p<0.05).

5. At the dentin of 30 µm point, Group 2 showed higher fluoride content than Group 1 and 3, and Group 5 showed higher fluoride content than other groups.

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ANTICARIOGENCI EFFECT OF COMPOMER AND RMGIC
Sung-Ho Park
J Korean Acad Conserv Dent 2002;27(1):12-15.   Published online January 14, 2002
DOI: https://doi.org/10.5395/JKACD.2002.27.1.12
AbstractAbstract PDFPubReaderePub
ABSTRACT

The first purpose of present study was to compare the anticariogenic effect of compomer, resin modified glass ionomer cement and composite (RMGIC).

The second purpose was to evaluate the recently introduced methods, which use confocal scanning microscope, in detecting initial caries around restoration.

2×4×1.5mm cavities were prepared from the recently extracted 50 human teeth on the buccal or lingual surface. The prepared teeth were randomly devided into 5 groups and restored with each filling material. Group 1: Dyract AP, Group 2: compoglass F, Group 3: F2000, Group 4: Z100, Group 5:Fuji Ⅱ LC. The teeth were stored for 30 days in the distilled water, then stored in the buffer solution for artificial caries development; pH 4.3, lactic acid 100 mM, calcium 16 mM, phosphate 8mM, sodium azide 3mM. Then, the samples were sectioned longitudinally and examined with confical scanning microscope. The results showed that the use of compomer and resin modified glass ionomer cement showed caries inhibition zone whereas the composite did not. There was no difference in the width of caries inhibition zone between compomers and RMGIC. The confocal scanning microscope was useful in detecting initial caries around restoration.

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